1. A quantitative model using multi-parameters in dual-energy CT to preoperatively predict serosal invasion in locally advanced gastric cancer
- Author
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Yiyang Liu, Mengchen Yuan, Zihao Zhao, Shuai Zhao, Xuejun Chen, Yang Fu, Mengwei Shi, Diansen Chen, Zongbin Hou, Yongqiang Zhang, Juan Du, Yinshi Zheng, Luhao Liu, Yiming Li, Beijun Gao, Qingyu Ji, Jing Li, and Jianbo Gao
- Subjects
X-ray computed ,Dual-energy CT ,Multi-parameters ,Serosal invasion ,Medical physics. Medical radiology. Nuclear medicine ,R895-920 - Abstract
Abstract Objectives To develop and validate a quantitative model for predicting serosal invasion based on multi-parameters in preoperative dual-energy CT (DECT). Materials and methods A total of 342 LAGC patients who underwent gastrectomy and DECT from six centers were divided into one training cohort (TC), and two validation cohorts (VCs). Dual-phase enhanced DECT-derived iodine concentration (IC), water concentration, and monochromatic attenuation of lesions, along with clinical information, were measured and collected. The independent predictors among these characteristics for serosal invasion were screened with Spearman correlation analysis and logistic regression (LR) analysis. A quantitative model was developed based on LR classifier with fivefold cross-validation for predicting the serosal invasion in LAGC. We comprehensively tested the model and investigated its value in survival analysis. Results A quantitative model was established using IC, 70 keV, 100 keV monochromatic attenuations in the venous phase, and CT-reported T4a, which were independent predictors of serosal invasion. The proposed model had the area-under-the-curve (AUC) values of 0.889 for TC and 0.860 and 0.837 for VCs. Subgroup analysis showed that the model could well discriminate T3 from T4a groups, and T2 from T4a groups in all cohorts (all p
- Published
- 2024
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