Scholarlink

<p>This study aimed to develop and compare fusion models combining sub-regional radiomics with multichannel 2D and 3D DL to predict pCR in patients with LA-ESCC undergoing NACI. A total of 271 patients from three hospitals were divided into training, internal validation, and external validation cohorts. Tumor sub-regions were identified using K-means clustering based on radiomic features, and predictive features were extracted using PyRadiomics. Among all models, the DLRad1 model (radiomics + 2D DL) demonstrated the highest performance, with an AUC ranging from 0.793 to 0.910 across cohorts. Sub-region 1 features alone achieved an AUC of 0.823, while DLRad2 (radiomics + 3D DL) and other single-modality models showed lower AUCs (0.701–0.906). Spearman correlation analysis confirmed low redundancy among selected features. These findings support DLRad1 as a promising non-invasive tool to identify LA-ESCC patients most likely to benefit from NACI, potentially aiding personalized treatment decisions.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Sub-regional radiomics combining multichannel 2-dimensional or 3-dimensional deep learning for predicting neoadjuvant chemo-immunotherapy response in esophageal squamous cell carcinoma: a multicenter study

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年7月21日

查看全文
  • Jiahao Zhu,
  • Benjie Xu,
  • Tiantian Fan,
  • Shengjun Ji,
  • Ke Gu,
  • Jiaxuan Ding,
  • Haibo Lu,
  • Jianqun Ma,
  • Yang Zhou

摘要

This study aimed to develop and compare fusion models combining sub-regional radiomics with multichannel 2D and 3D DL to predict pCR in patients with LA-ESCC undergoing NACI. A total of 271 patients from three hospitals were divided into training, internal validation, and external validation cohorts. Tumor sub-regions were identified using K-means clustering based on radiomic features, and predictive features were extracted using PyRadiomics. Among all models, the DLRad1 model (radiomics + 2D DL) demonstrated the highest performance, with an AUC ranging from 0.793 to 0.910 across cohorts. Sub-region 1 features alone achieved an AUC of 0.823, while DLRad2 (radiomics + 3D DL) and other single-modality models showed lower AUCs (0.701–0.906). Spearman correlation analysis confirmed low redundancy among selected features. These findings support DLRad1 as a promising non-invasive tool to identify LA-ESCC patients most likely to benefit from NACI, potentially aiding personalized treatment decisions.