1. Radiomic features from PSMA PET for non-invasive intraprostatic tumor discrimination and characterization in patients with intermediate- and high-risk prostate cancer - a comparison study with histology reference
- Author
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Goeran Koeber, Selina Kiefer, M. Carles, Peter Bronsert, Michael Mix, Kathrin Reichel, Martin Werner, Dimos Baltas, Tobias Fechter, Oliver Schilling, Juri Ruf, Thomas F. Fassbender, Cordula A. Jilg, Anca L. Grosu, and Constantinos Zamboglou
- Subjects
Glutamate Carboxypeptidase II ,Male ,Multivariate analysis ,medicine.medical_treatment ,Medicine (miscellaneous) ,urologic and male genital diseases ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,Prostate cancer ,0302 clinical medicine ,Prostate ,Medicine ,Humans ,Prospective Studies ,Prospective cohort study ,Pharmacology, Toxicology and Pharmaceutics (miscellaneous) ,Lymph node ,business.industry ,Prostatectomy ,Histocytochemistry ,Prostatic Neoplasms ,Histology ,Retrospective cohort study ,medicine.disease ,medicine.anatomical_structure ,ROC Curve ,030220 oncology & carcinogenesis ,Positron-Emission Tomography ,Antigens, Surface ,Neoplasm Grading ,Sentinel Lymph Node ,business ,Nuclear medicine ,Research Paper - Abstract
Purpose: To evaluate the performance of radiomic features (RF) derived from PSMA PET for intraprostatic tumor discrimination and non-invasive characterization of Gleason score (GS) and pelvic lymph node status. Patients and methods: Patients with prostate cancer (PCa) who underwent [68Ga]-PSMA-11 PET/CT followed by radical prostatectomy and pelvic lymph node dissection were prospectively enrolled (n=20). Coregistered histopathological gross tumor volume (GTV-Histo) in the prostate served as reference. 133 RF were derived from GTV-Histo and from manually created segmentations of the intraprostatic tumor volume (GTV-Exp). Spearman´s correlation coefficients (ρ) were assessed between RF derived from the different GTVs. We additionally analyzed the differences in RF values for PCa and non-PCa tissues. Furthermore, areas under receiver-operating characteristics curves (AUC) were calculated and uni- and multivariate analyses were performed to evaluate the RF based discrimination of GS 7 and ≥8 disease and of patients with nodal spread (pN1) and non-nodal spread (pN0) in surgical specimen. The results found in the latter analyses were validated by a retrospective cohort of 40 patients. Results: Most RF from GTV-Exp showed strong correlations with RF from GTV-Histo (86% with ρ>0.7). 81% and 76% of RF from GTV-Exp and GTV-Histo significantly discriminated between PCa and non-PCa tissue. The texture feature QSZHGE discriminated between GS 7 and ≥8 considering GTV-Histo (AUC=0.93) and GTV-Exp (prospective cohort: AUC=0.91 / validation cohort: AUC=0.84). QSZHGE also discriminated between pN1 and pN0 disease considering GTV-Histo (AUC=0.85) and GTV-Exp (prospective cohort: AUC=0.87 / validation cohort: AUC=0.85). In uni- and multivariate analyses including patients of both cohorts QSZHGE was a statistically significant (p
- Published
- 2019