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Multi-parametric MRI-based radiomics signature for discriminating between clinically significant and insignificant prostate cancer: Cross-validation of a machine learning method

2019; Elsevier BV; Volume: 115; Linguagem: Inglês

10.1016/j.ejrad.2019.03.010

1872-7727

Xiangde Min, Min Li, Di Dong, Zhaoyan Feng, Peipei Zhang, Ke Zan, Huijuan You, Fangfang Han, He Ma, Jie Tian, Liang Wang,

Prostate Cancer Treatment and Research

PurposeTo evaluate the performance of a multi-parametric MRI (mp-MRI)-based radiomics signature for discriminating between clinically significant prostate cancer (csPCa) and insignificant PCa (ciPCa).Materials and methodsTwo hundred and eighty patients with pathology-proven PCa were enrolled and were randomly divided into training and test cohorts. Eight hundred and nineteen radiomics features were extracted from mp-MRI for each patient. The minority group in the training cohort was balanced via the synthetic minority over-sampling technique (SMOTE) method. We used minimum-redundancy maximum-relevance (mRMR) selection and the LASSO algorithm for feature selection and radiomics signature building. The classification performance of the radiomics signature for csPCa and ciPCa was evaluated by receiver operating characteristic curve analysis in the training and test cohorts.ResultsNine features were selected for the radiomics signature building. Significant differences in the radiomics signature existed between the csPCa and ciPCa groups in both the training and test cohorts (p < 0.01 for both). The AUC, sensitivity and specificity of the radiomics signature were 0.872 (95% CI: 0.823−0.921), 0.883, and 0.753, respectively, in the training cohort, and 0.823 (95% CI: 0.669−0.976), 0.841, and 0.727, respectively, in the test cohort.ConclusionMp-MRI-based radiomics signature have the potential to noninvasively discriminate between csPCa and ciPCa.