Sci Rep. 2024;14(1):28958.
The value of PET/CT radiomics for predicting survival outcomes in patients with pancreatic ductal adenocarcinoma.
제1저자 강연구, 하승균 · 교신저자 정지봉, 오소원
소속 (4)
- Department of Nuclear Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
- Division of Nuclear Medicine, Department of Radiology, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Republic of Korea.
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, Seoul Metropolitan Government - Seoul National University Boramae Medical Center, Seoul National University College of Medicine, 20 Boramae-ro 5-gil, Dongjak-Gu, Seoul, Republic of Korea. jibjeong@snu.ac.kr.
- Department of Nuclear Medicine, Seoul Metropolitan Government - Seoul National University Boramae Medical Center, Seoul National University College of Medicine, 20 Boramae-ro 5-gil, Dongjak-Gu, Seoul, Republic of Korea. mdosw@snu.ac.kr.
Abstract
Pancreatic ductal adenocarcinoma (PDAC) is associated with poor prognosis even without distant metastases, necessitating in-depth characterization of primary tumors for survival prediction. We assessed the feasibility of using FDG-PET/CT radiomics to predict overall survival (OS) in PDAC. This retrospective study included PDAC patients without distant metastasis who underwent FDG-PET/CT for initial staging. Primary tumors were segmented from FDG-PET/CT images, extracting 222 radiomics features. A radiomics-based risk score (Rad-score) was developed using Cox proportional hazards regression with LASSO to predict OS. The prognostic performance of the Rad-score was compared with a clinical model (demographics, disease stage, laboratory results) using Harrell's concordance index (C-index) and bootstrapping. 140 patients were included, with a mortality rate was 72.9% during follow-up (total population, 19.5 ± 19.2 months; survivors, 34.4 ± 28.8 months). Eleven radiomics features were significant for survival prediction. The Rad-score predicted OS with a C-index of 0.681 [95% CI, 0.632-0.731]. A model integrating clinical parameters and Rad-score outperformed the clinical-only model in predicting OS (C-index 0.740 [0.715-0.816] vs. 0.673 [0.650-0.766]; C-index difference 0.067 [0.014-0.113]; P < 0.001). These findings suggest that incorporating FDG-PET/CT radiomics into preexisting prognotic stratification paradiagm may enhance survival prediction in PDAC, warranting large-scale studies to confirm its applicability in clinical practice.
© 2024. The Author(s).
Keywords
FDG-PET/CTPancreas cancerRadiomicsSurvival
Figures
그림 출처: PubMed Central 공개 논문 (PMC11584753)
Conflict of interest statement
Declarations. Competing interests: The authors declare no competing interests.
그 밖의 정보
- 출판 형태
- Journal Article
- 저널
- Scientific reports · eISSN 2045-2322
- 전자 출판
- 2024-11-22
- MeSH
- Humans · Positron Emission Tomography Computed Tomography* / methods · Carcinoma, Pancreatic Ductal* / diagnostic imaging / mortality / pathology · Male · Female · Aged · Middle Aged · Pancreatic Neoplasms* / diagnostic imaging / mortality / pathology · Retrospective Studies · Prognosis · Fluorodeoxyglucose F18 · Radiomics
- Substances
- Fluorodeoxyglucose F18
- 참고문헌
- 23편