基于MRI的口咽癌颈部淋巴结转移深度放射组学模型
DOI:
CSTR:
作者:
作者单位:

1.湖南省肿瘤医院头颈外科;2.中南大学湘雅医院 耳鼻咽喉科

作者简介:

通讯作者:

中图分类号:

基金项目:

湖南省卫生健康科研课题(20257924);吴阶平医学基金会科研专项资助基金(320.6750.2025-16-27)


Deep radiomics model of cervical lymph node metastasis depth in oropharyngeal cancer based on MRIHang Ling1 Pingqing Tan1 Donghai Huang2
Author:
Affiliation:

中南大学

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的 旨在构建基于MRI的CET1及T2WI序列口咽癌颈部淋巴结转移深度放射组学模型。 方法 本研究纳入2019年7月至2025年10月湖南省肿瘤医院头颈外科及中南大学湘雅医院耳鼻咽喉科手术确诊的口咽癌患者123例,并按7:3的比例分为训练集和测试集。采用Pyradiomics和ResNet101算法提取所有患者CET1及T2WI序列的影像组学特征和深度学习特征。通过Spearman相关性系数和最小绝对收缩和选择算子筛选具有价值的特征并构建影像组学(Rad)和深度放射组学(DLR)模型。采用曲线下面积(AUC)和决策曲线分析(DCA)对模型的有效性进行评价,德龙检验用于比较Rad及DLR模型AUC曲线的差异显著性。 结果 DLR模型在训练集和测试集中均表现出最佳的性能,在训练集中AUC为0.993 (95% CI, 0.982-1.000),测试集中AUC为0.934 (95% CI, 0.849-1.000)。 结论 基于CET1及T2WI的DLR模型在术前预测口咽癌淋巴结转移方面具有较好的性能,可以为临床医生制定更精准的个体化治疗策略提供帮助。 关键词: 口咽癌;淋巴结转移;深度放射组学;影像组学

    Abstract:

    Abstract: Objective: To construct a deep radiomics model based on MRI CE-T1 and T2WI sequences for predicting cervical lymph node metastasis in oropharyngeal carcinoma. Methods: This study included 123 patients with oropharyngeal carcinoma who were surgically diagnosed at the Department of Head and Neck Surgery, Hunan Cancer Hospital, and the Department of Otorhinolaryngology, Xiangya Hospital of Central South University from July 2019 to October 2025. The patients were randomly divided into a training set and a test set in a 7:3 ratio. Pyradiomics and ResNet101 algorithms were used to extract radiomics features and deep learning features from the CE-T1 and T2WI sequences of all patients. Valuable features were screened using the Spearman correlation coefficient and the least absolute shrinkage and selection operator (LASSO) to construct a radiomics (Rad) model and a deep learning radiomics (DLR) model. The effectiveness of the models was evaluated using the area under the curve (AUC) and decision curve analysis (DCA). The DeLong test was used to compare the significance of differences in the AUC curves between the Rad and DLR models. Results: The DLR model demonstrated the best performance in both the training and test sets, with an AUC of 0.993 (95% CI, 0.982-1.000) in the training set and 0.934 (95% CI, 0.849-1.000) in the test set. Conclusion: The DLR model based on CE-T1 and T2WI sequences shows good performance in preoperatively predicting lymph node metastasis in oropharyngeal carcinoma. It can assist clinicians in formulating more precise and individualized treatment strategies.

    参考文献
    相似文献
    引证文献
引用本文
分享
相关视频

文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2025-12-23
  • 最后修改日期:2026-02-28
  • 录用日期:2026-03-02
  • 在线发布日期:
  • 出版日期:
文章二维码
温馨提示

本刊唯一投稿网址:www.xyosbs.com
唯一办公邮箱:xyent@126.com
编辑部联系电话:0731-84327210,84327469
本刊从未委托任何单位、个人及其他网站代理征稿及办理其他业务联系,谨防上当受骗!

关闭