151. Radiomics nomogram for the prediction of Ki-67 index in advanced non-small cell lung cancer based on dual-phase enhanced computed tomography.
- Author
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Sun, Haitao, Zhou, Peng, Chen, Guoyue, Dai, Zhengjun, Song, Peiji, and Yao, Jian
- Subjects
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NON-small-cell lung carcinoma , *RADIOMICS , *COMPUTED tomography , *KI-67 antigen , *NOMOGRAPHY (Mathematics) - Abstract
Purpose: To develop a radiomics nomogram based on dual-phase enhanced computed tomography (CT) for predicting the Ki-67 index status in patients with advanced non-small cell lung cancer (NSCLC). Methods: 137 patients with NSCLC who had undergone dual-phase enhanced CT scans and Ki-67 examination within 2 weeks were retrospectively enrolled between January 2020 and December 2022. Clinical and laboratory data were collected, and the patients were categorized based on low or high expression of Ki-67 index, with a cut-off value of 40%. The cohort was randomly divided into a training group (n = 95) and a testing group (n = 42) at a ratio of 7:3. The least absolute shrinkage and selection operator (LASSO) algorithm was employed to select the most valuable radiomics features from the dual-phase enhanced CT images. Subsequently, a nomogram that incorporated the radiomics score and clinical factors associated with Ki-67 index status was established through univariate and multivariate logistic regression analyses. The predictive performance of the nomogram was evaluated using the area under the curve (AUC). Results: The AUC values of the radiomics features of artery phase and vein phase CT in the testing group were 0.748 and 0.758, respectively. The AUC of the dual-phase enhanced CT was 0.785, and the AUC of the developed nomogram was 0.859, which was higher than those of the radiomics (AUC, 0.785) and clinical models (AUC, 0.736). Conclusions: The radiomics nomogram based on dual-phase enhanced CT images provides a promising method for predicting the Ki-67 index status in patients with advanced NSCLC. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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