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Diagnostic performance of radiomics in prediction of Ki-67 index status in non-small cell lung cancer: A systematic review and meta-analysis 放射组学在预测非小细胞肺癌 Ki-67 指数状态方面的诊断性能:系统综述与荟萃分析
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-09-13 DOI: 10.1016/j.jmir.2024.101746

Background

Lung cancer's high prevalence and invasiveness make it a major global health concern. The Ki-67 index, which indicates cellular proliferation, is crucial for assessing lung cancer aggressiveness. Radiomics, which extracts quantifiable features from medical images using algorithms, may provide insights into tumor behavior. This systematic review and meta-analysis evaluate the effectiveness of radiomics in predicting Ki-67 status in Non-Small Cell Lung Cancer (NSCLC) using CT scans.

Methods and materials

A comprehensive search was conducted in PubMed/MEDLINE, Embase, Scopus, and Web of Science databases from inception until April 19, 2024. Original studies discussing the performance of CT-based radiomics for predicting Ki-67 status in NSCLC cohorts were included. The quality assessment involved quality assessment of diagnostic accuracy studies (QUADAS-2), radiomics quality score (RQS) and METhodological RadiomICs Score (METRICS). Quantitative meta-analysis, using R, assessed pooled diagnostic odds ratio, sensitivity, and specificity in NSCLC cohorts.

Results

We identified 10 studies that met the inclusion criteria, involving 2279 participants, with 9 of these studies included in quantitative meta-analysis. The pooled sensitivity and specificity of radiomics-based models for predicting Ki-67 status in NSCLC were 0.783 (95 % CI: 0.732 - 0.827) and 0.796 (95 % CI: 0.707 - 0.864) in training cohorts, and 0.803 (95 % CI: 0.744 - 0.851) and 0.696 (95 % CI: 0.613 - 0.768) in validation cohorts. It was identified in subgroup analysis that utilizing ITK-SNAP as a segmentation software contributed to a significantly higher pooled sensitivity.

Conclusion

This meta-analysis indicates promising diagnostic accuracy of radiomics in predicting Ki-67 in NSCLC.

背景肺癌的高发病率和侵袭性使其成为全球关注的主要健康问题。表示细胞增殖的 Ki-67 指数是评估肺癌侵袭性的关键。放射组学利用算法从医学影像中提取可量化的特征,可能有助于深入了解肿瘤的行为。本系统综述和荟萃分析评估了放射组学在利用 CT 扫描预测非小细胞肺癌(NSCLC)Ki-67 状态方面的有效性。方法和材料在 PubMed/MEDLINE、Embase、Scopus 和 Web of Science 数据库中进行了全面检索,检索时间从开始到 2024 年 4 月 19 日。纳入了讨论基于 CT 的放射组学预测 NSCLC 队列中 Ki-67 状态的原始研究。质量评估包括诊断准确性研究质量评估(QUADAS-2)、放射组学质量评分(RQS)和METhodological RadiomICs Score(METRICS)。结果我们确定了10项符合纳入标准的研究,涉及2279名参与者,其中9项研究纳入了定量荟萃分析。在训练队列中,基于放射组学的模型预测NSCLC中Ki-67状态的集合灵敏度和特异度分别为0.783(95 % CI:0.732 - 0.827)和0.796(95 % CI:0.707 - 0.864),在验证队列中分别为0.803(95 % CI:0.744 - 0.851)和0.696(95 % CI:0.613 - 0.768)。结论这项荟萃分析表明,放射组学在预测 NSCLC 中 Ki-67 的诊断准确性方面很有前途。
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引用次数: 0
Letter to the Editor: A note on language and academic writing 致编辑的信关于语言和学术写作的说明
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-09-12 DOI: 10.1016/j.jmir.2024.101761
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引用次数: 0
Artificial intelligence and advanced MRI techniques: A comprehensive analysis of diffuse gliomas 人工智能和先进的磁共振成像技术:弥漫性胶质瘤的综合分析
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-09-09 DOI: 10.1016/j.jmir.2024.101736

Introduction

The complexity of diffuse gliomas relies on advanced imaging techniques like MRI to understand their heterogeneity. Utilizing the UCSF-PDGM dataset, this study harnesses MRI techniques, radiomics, and AI to analyze diffuse gliomas for optimizing patient outcomes.

Methods

The research utilized the dataset of 501 subjects with diffuse gliomas through a comprehensive MRI protocol. After performing intricate tumor segmentation, 82.800 radiomic features were extracted for each patient from nine segmentations across eight MRI sequences. These features informed neural network and XGBoost model training to predict patient outcomes and tumor grades, supplemented by SHAP analysis to pinpoint influential radiomic features.

Results

In our analysis of the UCSF-PDGM dataset, we observed a diverse range of WHO tumor grades and patient outcomes, discarding one corrupt MRI scan. Our segmentation method showed high accuracy when comparing automated and manual techniques. The neural network excelled in prediction of WHO tumor grades with an accuracy of 0.9500 for the necrotic tumor label. The SHAP-analysis highlighted the 3D First Order mean as one of the most influential radiomic features, with features like Original Shape Sphericity and Original Shape Elongation were notably prominent.

Conclusion

A study using the UCSF-PDGM dataset highlighted AI and radiomics' profound impact on neuroradiology by demonstrating reliable tumor segmentation and identifying key radiomic features, despite challenges in predicting patient survival. The research emphasizes both the potential of AI in this field and the need for broader datasets of diverse MRI sequences to enhance patient outcomes.

Implication for practice

The study underline the significant role of radiomics in improving the accuracy of tumor identification through radiomic features.

导言弥漫性胶质瘤的复杂性依赖于核磁共振成像等先进的成像技术来了解其异质性。本研究利用加州大学旧金山分校-PDGM 数据集,利用核磁共振成像技术、放射组学和人工智能分析弥漫性胶质瘤,以优化患者预后。在进行复杂的肿瘤分割后,从八个磁共振成像序列的九次分割中为每位患者提取了 8.28 万个放射学特征。在对 UCSF-PDGM 数据集进行分析时,我们观察到了多种多样的 WHO 肿瘤分级和患者预后,并剔除了一个损坏的 MRI 扫描。在比较自动和手动技术时,我们的分割方法显示出很高的准确性。神经网络在预测 WHO 肿瘤分级方面表现出色,坏死肿瘤标签的准确率高达 0.9500。结论 一项使用加州大学旧金山分校-PDGM 数据集进行的研究通过展示可靠的肿瘤分割和识别关键的放射学特征,强调了人工智能和放射组学对神经放射学的深远影响,尽管在预测患者生存方面存在挑战。这项研究既强调了人工智能在这一领域的潜力,也强调了需要更广泛的不同磁共振成像序列数据集来提高患者的预后。
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引用次数: 0
The journey of service-learning: Perspectives from medical imaging and therapeutic sciences students 服务学习之旅:医学影像和治疗科学专业学生的观点
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-09-09 DOI: 10.1016/j.jmir.2024.101757
<div><h3>Introduction</h3><p>South Africa (SA) is portrayed as a developing country facing many socio-economic challenges. Service-Learning (SL) is considered an integral part of work-integrated learning (WIL) whereby students are provided an opportunity to experience the real world of work by putting to practice the theory that they have been taught. In the context of this paper, SL is embedded in the undergraduate curriculum of medical imaging and therapeutic sciences (MITS) students in SA, in the form of a SL community project (SLCP). Similar projects permit students to engage with a variety of patient groups to better understand their future patients’ bio-psycho-social environments for improved person-centred care practices. Although publications pertaining to students’ lived experience of SL are available, no study has yet been conducted with MITS students and their experience of SL. The authors, therefore, aimed to explore the experience of MITS students in SA who successfully completed a SLCP.</p></div><div><h3>Methods</h3><p>A qualitative research design was employed with the use of purposive sampling. The study population included all registered MITS students at the research site who completed a SLCP. This study was undertaken using a phased approach, phase A: a document analysis of reflective reports, phase B: one-on-one semi-structured interviews and phase C: the development of recommendations. Participation was voluntary and a reflexive thematic analysis technique was used to analyse the data.</p></div><div><h3>Results</h3><p>Three main themes were developed: 1) challenges and barriers, 2) positive lecturer attributes and 3) positive project outcomes. Although the participants shared some of their challenges while engaged in SL, several positive outcomes were also highlighted which encouraged them to want to give back to their communities. The support received from their lecturer was highly recognised. Recommendations for educators that were developed included having regular check-in sessions, finding methods to develop a trusting relationship with the students and the consideration of an earlier introduction of SL in the curriculum.</p></div><div><h3>Conclusion</h3><p>It is clear, from the findings of this study, that SL is able to bridge the gap between theoretical knowledge and practical application. Within the undergraduate curriculum of healthcare students, SL is considered a key instrument towards cultivating an enhanced sense of civic responsibility. Effective time management and finding sponsors were noted as critical for the successful completion of a SLCP. Personal- and professional growth was evident amongst the sampled participants and the importance of interdisciplinary learning was highlighted. Participants furthermore expressed their appreciation for the opportunity that SL provided them by being able to collaborate with, and learn from, other healthcare professionals.</p></div><div><h3>Introduction</h3><p>L'Afrique du
虽然学员们分享了他们在参与 SA 活动过程中遇到的一些挑战,但也强调了一些积极的成果,这些成果鼓励他们愿意回馈社区。他们的老师对他们的支持得到了高度评价。对教育者的建议包括组织定期的监督会议,研究与学生建立信任的方法,以及在课程中更早地引入 "边做边学 "的可能性。作为医学生本科课程的一部分,SA 被视为培养高度公民责任感的重要工具。有效的时间管理和寻找赞助商被认为是成功完成 PCAS 项目的关键。个人和专业发展在样本参与者中十分明显,跨学科学习的重要性也得到了强调。参与者还表示,他们非常感谢 SA 为他们提供了与其他医护专业人员合作并向他们学习的机会。
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引用次数: 0
Use of 3D printing technology for custom bolus fabrication in the management of palmar or plantar fibromatosis with radiotherapy: A retrospective case series 在放疗治疗掌跖纤维瘤中使用 3D 打印技术定制栓剂:回顾性病例系列。
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-09-05 DOI: 10.1016/j.jmir.2024.101747

Purpose

Palmar or plantar fibromatosis is a benign fibroproliferative disorder affecting the fascia of the hands or feet. Management involves surgery, typically reserved for cases where progression limits function. Retrospective series demonstrate that radiation therapy (RT) can stabilize the disease course in many patients and improve symptoms in some cases. RT techniques vary between the use of electrons and superficial or orthovoltage photons and often require lead cutouts or custom boluses. We present a new approach demonstrating the implementation and effectiveness of three-dimensional (3D)-printed bolus material in patients receiving RT for fibromatosis.

Materials and methods

A total of 3 patients, one with plantar and two with palmar fibromatosis, were treated with radiation using 3D-printed boluses over the past year. Bolus's design was based on computed tomography (CT) imaging data. Palmar patients were treated with a single en-face electron field, with a two-part accessory as a bolus and an immobilization device encasing the hand. The plantar case required 6MV photons delivered with a Volumetric Modulated Arc Therapy (VMAT) technique to cover the deeper target volume adequately. Dose and fractionation were based on guidelines from the Royal College of Radiologists in the United Kingdom. CT was used to assess printed shape and density accuracy.

Results

The mean deviations in shape between the printed bolus pieces and their designs were all less than 0.4 mm. The differences in mean Hounsefield units (HU) between the printed boluses and their expected values were between 7 and 44 HU. No significant issues were encountered when applying the bolus to patients. The thermoluminescent dosimeters (TLD) used demonstrated dose accuracy to within TLD precision (5 %).

Conclusions

3D printing bolus technology represents a novel approach to treating fibromatosis with radiation. It offers superior dosimetry through the reduction of air gaps and by permitting custom bolus thickness. Also, it simplifies clinical set-up by acting as an immobilization device and a visual aid for daily field placement.

目的:掌跖纤维瘤病是一种影响手部或足部筋膜的良性纤维增生性疾病。治疗方法包括手术,通常用于病情发展限制功能的病例。回顾性系列研究表明,放射治疗(RT)可以稳定许多患者的病程,并改善某些病例的症状。放射治疗技术因使用电子、表层或正电压光子而异,通常需要剪切导联或定制栓剂。我们介绍了一种新方法,展示了三维(3D)打印栓剂材料在接受纤维瘤病 RT 治疗的患者中的应用和有效性:在过去一年中,共有 3 名患者(1 名足底纤维瘤患者和 2 名掌底纤维瘤患者)接受了三维打印栓剂放射治疗。注射器的设计基于计算机断层扫描(CT)成像数据。掌部患者使用单个面阵电子场进行治疗,该电子场由两部分组成,分别是栓剂和包裹手部的固定装置。跖部病例需要使用体积调制弧治疗(VMAT)技术发射6MV光子,以充分覆盖较深的靶区。剂量和分次是根据英国皇家放射学院的指导原则确定的。CT用于评估打印形状和密度的准确性:结果:打印出的栓剂碎片与其设计之间的平均形状偏差均小于 0.4 毫米。打印出的栓剂与其预期值之间的平均 Hounsefield 单位 (HU) 差异在 7 到 44 HU 之间。给患者使用栓剂时没有遇到重大问题。使用的热释光剂量计(TLD)显示剂量精确度在 TLD 精确度(5%)范围内:三维打印栓剂技术是放射治疗纤维瘤病的一种新方法。结论:三维打印栓剂技术是用放射治疗纤维瘤病的新方法,它通过减少气隙和允许定制栓剂厚度来提供出色的剂量测定。此外,它还可以作为固定装置和日常野放置的视觉辅助工具,从而简化临床设置。
{"title":"Use of 3D printing technology for custom bolus fabrication in the management of palmar or plantar fibromatosis with radiotherapy: A retrospective case series","authors":"","doi":"10.1016/j.jmir.2024.101747","DOIUrl":"10.1016/j.jmir.2024.101747","url":null,"abstract":"<div><h3>Purpose</h3><p>Palmar or plantar fibromatosis is a benign fibroproliferative disorder affecting the fascia of the hands or feet. Management involves surgery, typically reserved for cases where progression limits function. Retrospective series demonstrate that radiation therapy (RT) can stabilize the disease course in many patients and improve symptoms in some cases. RT techniques vary between the use of electrons and superficial or orthovoltage photons and often require lead cutouts or custom boluses. We present a new approach demonstrating the implementation and effectiveness of three-dimensional (3D)-printed bolus material in patients receiving RT for fibromatosis.</p></div><div><h3>Materials and methods</h3><p>A total of 3 patients, one with plantar and two with palmar fibromatosis, were treated with radiation using 3D-printed boluses over the past year. Bolus's design was based on computed tomography (CT) imaging data. Palmar patients were treated with a single en-face electron field, with a two-part accessory as a bolus and an immobilization device encasing the hand. The plantar case required 6MV photons delivered with a Volumetric Modulated Arc Therapy (VMAT) technique to cover the deeper target volume adequately. Dose and fractionation were based on guidelines from the Royal College of Radiologists in the United Kingdom. CT was used to assess printed shape and density accuracy.</p></div><div><h3>Results</h3><p>The mean deviations in shape between the printed bolus pieces and their designs were all less than 0.4 mm. The differences in mean Hounsefield units (HU) between the printed boluses and their expected values were between 7 and 44 HU. No significant issues were encountered when applying the bolus to patients. The thermoluminescent dosimeters (TLD) used demonstrated dose accuracy to within TLD precision (5 %).</p></div><div><h3>Conclusions</h3><p>3D printing bolus technology represents a novel approach to treating fibromatosis with radiation. It offers superior dosimetry through the reduction of air gaps and by permitting custom bolus thickness. Also, it simplifies clinical set-up by acting as an immobilization device and a visual aid for daily field placement.</p></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142147209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Introducing article numbering to Journal of Medical Imaging and Radiation Sciences 医学影像与放射科学杂志》文章编号介绍
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-09-01 DOI: 10.1016/S1939-8654(24)00486-7
{"title":"Introducing article numbering to Journal of Medical Imaging and Radiation Sciences","authors":"","doi":"10.1016/S1939-8654(24)00486-7","DOIUrl":"10.1016/S1939-8654(24)00486-7","url":null,"abstract":"","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1939865424004867/pdfft?md5=bc5734a2813b865e241cc21f0c4762e6&pid=1-s2.0-S1939865424004867-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142122754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The role of families in radiological investigations for suspected physical abuse: Why is it important? 家庭在疑似身体虐待放射学调查中的作用:为什么很重要?
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-09-01 DOI: 10.1016/j.jmir.2024.101748
{"title":"The role of families in radiological investigations for suspected physical abuse: Why is it important?","authors":"","doi":"10.1016/j.jmir.2024.101748","DOIUrl":"10.1016/j.jmir.2024.101748","url":null,"abstract":"","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142097883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Subscription 订阅
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-09-01 DOI: 10.1016/S1939-8654(24)00483-1
{"title":"Subscription","authors":"","doi":"10.1016/S1939-8654(24)00483-1","DOIUrl":"10.1016/S1939-8654(24)00483-1","url":null,"abstract":"","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142122753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Working interprofessionally – Editor's message 跨专业工作 - 编者的话
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-09-01 DOI: 10.1016/j.jmir.2024.05.002
{"title":"Working interprofessionally – Editor's message","authors":"","doi":"10.1016/j.jmir.2024.05.002","DOIUrl":"10.1016/j.jmir.2024.05.002","url":null,"abstract":"","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142122757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interprofessional practice – Editor's message 跨专业实践 - 编者的话
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-09-01 DOI: 10.1016/j.jmir.2024.05.001
{"title":"Interprofessional practice – Editor's message","authors":"","doi":"10.1016/j.jmir.2024.05.001","DOIUrl":"10.1016/j.jmir.2024.05.001","url":null,"abstract":"","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142122758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Medical Imaging and Radiation Sciences
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