Radiomics Models for Predicting Microvascular Invasion in Hepatocellular Carcinoma: A Systematic Review and Radiomics Quality Score Assessment

Preoperative prediction of microvascular invasion (MVI) is of importance in hepatocellular carcinoma (HCC) patient treatment management. Plenty of radiomics models for MVI prediction have been proposed. This study aimed to elucidate the role of radiomics models in the prediction of MVI and to evalua...

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Autores principales: Qiang Wang, Changfeng Li, Jiaxing Zhang, Xiaojun Hu, Yingfang Fan, Kuansheng Ma, Ernesto Sparrelid, Torkel B. Brismar
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:b45cf8284703422884bf3a22677bbf5b2021-11-25T17:04:53ZRadiomics Models for Predicting Microvascular Invasion in Hepatocellular Carcinoma: A Systematic Review and Radiomics Quality Score Assessment10.3390/cancers132258642072-6694https://doaj.org/article/b45cf8284703422884bf3a22677bbf5b2021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/22/5864https://doaj.org/toc/2072-6694Preoperative prediction of microvascular invasion (MVI) is of importance in hepatocellular carcinoma (HCC) patient treatment management. Plenty of radiomics models for MVI prediction have been proposed. This study aimed to elucidate the role of radiomics models in the prediction of MVI and to evaluate their methodological quality. The methodological quality was assessed by the Radiomics Quality Score (RQS), and the risk of bias was evaluated by the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2). Twenty-two studies using CT, MRI, or PET/CT for MVI prediction were included. All were retrospective studies, and only two had an external validation cohort. The AUC values of the prediction models ranged from 0.69 to 0.94 in the test cohort. Substantial methodological heterogeneity existed, and the methodological quality was low, with an average RQS score of 10 (28% of the total). Most studies demonstrated a low or unclear risk of bias in the domains of QUADAS-2. In conclusion, a radiomics model could be an accurate and effective tool for MVI prediction in HCC patients, although the methodological quality has so far been insufficient. Future prospective studies with an external validation cohort in accordance with a standardized radiomics workflow are expected to supply a reliable model that translates into clinical utilization.Qiang WangChangfeng LiJiaxing ZhangXiaojun HuYingfang FanKuansheng MaErnesto SparrelidTorkel B. BrismarMDPI AGarticleradiomicsmicrovascular invasionprimary liver cancerprediction modelsystematic reviewNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5864, p 5864 (2021)
institution DOAJ
collection DOAJ
language EN
topic radiomics
microvascular invasion
primary liver cancer
prediction model
systematic review
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle radiomics
microvascular invasion
primary liver cancer
prediction model
systematic review
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Qiang Wang
Changfeng Li
Jiaxing Zhang
Xiaojun Hu
Yingfang Fan
Kuansheng Ma
Ernesto Sparrelid
Torkel B. Brismar
Radiomics Models for Predicting Microvascular Invasion in Hepatocellular Carcinoma: A Systematic Review and Radiomics Quality Score Assessment
description Preoperative prediction of microvascular invasion (MVI) is of importance in hepatocellular carcinoma (HCC) patient treatment management. Plenty of radiomics models for MVI prediction have been proposed. This study aimed to elucidate the role of radiomics models in the prediction of MVI and to evaluate their methodological quality. The methodological quality was assessed by the Radiomics Quality Score (RQS), and the risk of bias was evaluated by the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2). Twenty-two studies using CT, MRI, or PET/CT for MVI prediction were included. All were retrospective studies, and only two had an external validation cohort. The AUC values of the prediction models ranged from 0.69 to 0.94 in the test cohort. Substantial methodological heterogeneity existed, and the methodological quality was low, with an average RQS score of 10 (28% of the total). Most studies demonstrated a low or unclear risk of bias in the domains of QUADAS-2. In conclusion, a radiomics model could be an accurate and effective tool for MVI prediction in HCC patients, although the methodological quality has so far been insufficient. Future prospective studies with an external validation cohort in accordance with a standardized radiomics workflow are expected to supply a reliable model that translates into clinical utilization.
format article
author Qiang Wang
Changfeng Li
Jiaxing Zhang
Xiaojun Hu
Yingfang Fan
Kuansheng Ma
Ernesto Sparrelid
Torkel B. Brismar
author_facet Qiang Wang
Changfeng Li
Jiaxing Zhang
Xiaojun Hu
Yingfang Fan
Kuansheng Ma
Ernesto Sparrelid
Torkel B. Brismar
author_sort Qiang Wang
title Radiomics Models for Predicting Microvascular Invasion in Hepatocellular Carcinoma: A Systematic Review and Radiomics Quality Score Assessment
title_short Radiomics Models for Predicting Microvascular Invasion in Hepatocellular Carcinoma: A Systematic Review and Radiomics Quality Score Assessment
title_full Radiomics Models for Predicting Microvascular Invasion in Hepatocellular Carcinoma: A Systematic Review and Radiomics Quality Score Assessment
title_fullStr Radiomics Models for Predicting Microvascular Invasion in Hepatocellular Carcinoma: A Systematic Review and Radiomics Quality Score Assessment
title_full_unstemmed Radiomics Models for Predicting Microvascular Invasion in Hepatocellular Carcinoma: A Systematic Review and Radiomics Quality Score Assessment
title_sort radiomics models for predicting microvascular invasion in hepatocellular carcinoma: a systematic review and radiomics quality score assessment
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/b45cf8284703422884bf3a22677bbf5b
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