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SCI 발표논문

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Sci Rep. 2024;14(1):28958.

The value of PET/CT radiomics for predicting survival outcomes in patients with pancreatic ductal adenocarcinoma.

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제1저자 강연구, 하승균 · 교신저자 정지봉, 오소원

소속 (4)
  1. Department of Nuclear Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
  2. Division of Nuclear Medicine, Department of Radiology, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Republic of Korea.
  3. 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.
  4. 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

Fig. 1
Fig. 1 Flowchart depicting patient inclusion.
Fig. 2
Fig. 2 Overall survival of patients with high and low Rad-Score. Kaplan-Meier survival curves illustrate the overall survival of patients with high (≥ 2.8) and low (< 2.8) Rad-Score determined using the optimal cutoff to produce the highest chi-square value. Patients with higher Rad-score demonstrated significantly worse overall survival.

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
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