CN107368695A - The construction method of GISTs malignant potential disaggregated model based on radiation group - Google Patents
The construction method of GISTs malignant potential disaggregated model based on radiation group Download PDFInfo
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Abstract
The invention belongs to oncology, iconography, computer-aided medical science field, is related to a kind of construction method of the gastrointestinal stromal tumor malignant potential disaggregated model based on radiation group.Construction method of the present invention includes:Data acquisition:Belly strengthens phase thin-layer CT IMAQ;Extract radiation group feature;Statistical analysis;Feature selecting is built with radiation group characteristic model;Radiation group characteristic model is verified and calibration.The GISTs malignant potential disaggregated model based on radiation group constructed by the method for the invention accurately can be classified the GIST with different malignant potentials, belong to a kind of atraumatic technique, and the extra charge of patient will not be increased, operation is simple, is easy to clinical expansion to use.
Description
Technical field
The invention belongs to oncology, iconography, computer-aided medical science field, is related to a kind of stomach and intestine based on radiation group
The construction method of road mesenchymoma (Gastrointestinal Stromal Tumors, GIST) malignant potential disaggregated model.
Background technology
Gastrointestinal stromal tumor (Gastrointestinal Stromal Tumors, GIST) is that one kind originates from intestines and stomach
The tumour of interstitial tissue, account for the major part of leaf tumour between alimentary canal.SABC detection is often expressed as CD117, shows Ka Haer
Cell (Cajal cell) breaks up, and most of cases have c-kit or PDGFRA Activating mutations.In recent years, GIST is in China
The incidence of disease is in the trend rapidly risen.Radical cure GIST unique method is surgery excision, but GIST high-risk patients postoperative recurrence turns
Shifting rate may be up to 55%~90%.And the tumour to recurring potential with height carries out small molecule targeted drug --- Imatinib
Auxiliary treatment, the recurrence of tumour and transfer probability can be significantly reduced.Therefore, clinically most of GIST patients are after surgery
Receive the auxiliary treatment of Imatinib.But, if there is patient to be only just cured by operation in factWhether have again
GIST high-risk patients cause death because selection is let slip a golden opportunity without treatment with imatinibIt is how accurate in face of above mentioned problem
Really differentiating and distinguish the GIST of different malignant potentials turns into the key point of clinical diagnosis and treatment.
At present clinically, GIST sorting technique mainly includes two kinds:Improve NIH and AFIP.It is equal to improve NIH and AFIP
Three tumour maximum diameter, Mitotic count and tumor locus parameters are introduced, wherein improvement NIH also introduces tumour and ruptures this
Individual parameter.But due to AFIP not as NIH it is directly perceived, therefore, limit its extensive use to a certain extent.
However, and not all GIST biological behaviour and Clinical Outcome can be solved with these foregoing sorting techniques
Release, for example the GIST of a part of very little with rapid progression and can develop into hepatic metastasis;Also it is no lack of a part of big GIST patient
Even if do not receive postoperative adjuvant therapy still keeps disease-free survival for a long time.Meanwhile unlike plain edition GIST, Mitotic index
SDH deficiencies GIST risk factor can not be assessed.SDH deficiency GIST patient's Mitotic index it is few can liver metastasis, core point
Split as more can not but shift, and the intermittent phase shifted is longer, it is necessary to long term follow-up.Many plain editions shifted
GIST patient is dead generally in 1~2 year, and SDH deficiencies GIST patient can often survive 5 years after TKI inhibitor for treating or
More than.In summary, though existing GIST sorting techniques can provide some clues and direction for the diagnosis and treatment of clinician, but still have
Larger lifting and improved space.
The content of the invention
It is an object of the invention to provide a kind of gastrointestinal stromal tumor (GIST) malignant potential classification based on radiation group
The method of model, it extracts characteristic parameter therein, then pass through meter according to the iconography image of GIST patient by computer
Calculation machine function is classified the GIST with different malignant potentials, so as to establish a kind of Gastrointestinal Stromal based on radiation group
Knurl malignant potential disaggregated model, to help clinician to make more preferable clinical decision.
The construction method of GISTs malignant potential disaggregated model of the present invention based on radiation group, including with
Lower step:
A. data acquisition:Belly strengthens phase thin-layer CT IMAQ;
B. radiation group feature is extracted:ROI is sketched out using ITK-SNAP softwares, tumor's profiles are successively sketched out,
Then two-dimentional ROI is subjected to Multi-slice spiral CT to generate VOI, characteristic is therefrom extracted using Matlab 2014b softwares,
Including textural characteristics and non-grain feature;
C. statistical analysis:Using statistical method, assess in main queue with examining tumor size, nuclear fission in queue
As the single factor test between clinical risk factors and radiation group feature such as, gene expression characteristicses associates;
D. feature selecting is built with radiation group characteristic model:
1) model is established using LASSO algorithms:High dimensional data is subjected to dimensionality reduction, concentrates screening most useful from initial data
The category feature of two category features, respectively Global and GLSZM two, the anticipation function of the linear combination of feature selected by foundation:
Rad score=0.1335-0.2209 × GLSZM_RLV (r=0.5, s=4, a=Equal, n=64)
- 0.0061 × Global_Variance (r=2/3, s=4, a=Lloyd, n=8);
2) data analysis, including training group and validation group are carried out to each patient by the anticipation function, establishes DICOM
Database, design disaggregated model;
E. the checking of radiation group characteristic model and calibration:Calibration curve is drawn to assess the characteristic model of gained, is carried out
The Hosmer-Lemenshow goodness of fit is tested, and the C- indexes of relative calibration is calculated, to carry out system calibration;Wherein, training group
C- indexes be 0.8161 (95%CI, 0.7453 to 0.8988), the C- indexes of test group for 0.8079 (95%CI, 0.7279
To 0.9042).
The construction method of GISTs malignant potential disaggregated model of the present invention based on radiation group have with
Lower beneficial effect:
(1) radiation group can disclose the predictive signal of tumour, can capture intra-tumor heterogeneity;
(2) model establishes data source in the preoperative conventional CT images of patient in the present invention, avoids Conventional diagnostic method
Damage to patient body, belong to a kind of noninvasive method, and the extra charge of patient will not be increased.
(3) present invention be based on the present computer technology, accurate, efficient and substantially reduce fault rate;The present invention can be based on
Exercisable software is write, beneficial to the application of clinician.
(4) present invention reduces influence of the other influences factor to this model by LASSO simplified models, improve result with
The degree of association of Clinical symptoms.
Using the GIST classification based on radiation group constructed by the method for the invention estimate model be look for another way from
The Features of GIST patient are started with, and are a kind of modes of non-invasive.By being carried with high throughput from the CT images of patient
Take and analyze a large amount of advanced, quantitative Features, using substantial amounts of automation data characterization algorithm, by area-of-interest
(ROI:Region of interest) image data be converted into feature space data that are high-resolution, can excavating,
So as to classify to the GSIT with different malignant potentials, the efficiency and effect of the diagnosis and treatment of clinician are improved.
Brief description of the drawings
Fig. 1 shows Multi-slice spiral CT generation VOI, wherein, A is the segmentation of patient CT tumor boundaries;B is three-dimensional volume
Rebuild the VOI of generation.
Fig. 2 shows the span of lambda values in feature extraction, and position corresponding to the stringer cut-off rule of figure Green is
Final preferred feature numerical value.
Fig. 3 shows scoring distribution of the anticipation function to training group patient;Rad-score(Radiomics signature
Score, the scoring of radiation group anticipation function).
Fig. 4 shows scoring distribution of the anticipation function to test group patient;Rad-score(Radiomics signature
Score radiation groups anticipation function scores).
Fig. 5 shows that the gastro-intestinal stromal disaggregated model based on radiation group uses interface;Image is image input windows;AUC
(area under area under Receiver Operating Characteristic Receiver operating curves);
RadScore exports for radiation group anticipation function appraisal result.
Embodiment
1. data acquisition:
(1) standard is formulated, the GIST patient (b) that such as (a) on patient did not carried out Imatinib auxiliary treatment passes through
The GIST (c) for completing excision is less than the belly enhanced CT of preoperative 15 days.Exclude influence of the other factors to this experiment.
(2) abdominal CT images for the GIST patient for not carrying out Imatinib auxiliary treatment are obtained, are divided into training group and pre-
Survey group.
(3) made between each case of inspection on underlying factors such as age-sex, tumour original site, histological grades
Into difference it is whether statistically significant.
2. extract radiation group feature:
ROI is sketched out using ITK-SNAP softwares, tumor's profiles are successively sketched out, two-dimentional ROI is then carried out three
Volume reconstruction is tieed up to generate VOI (as shown in Figure 1), characteristic, including texture are therefrom extracted using Matlab 2014b softwares
Feature and non-grain feature.
Note:ITK-SNAP softwares are for the application software to three-dimensional segmentation in medical image, can be provided using master
The wide method of driving wheel, and the function such as manual semi-automatic segmentation delimited with image-guidance (http://www.itksnap.org/ pmwiki/pmwiki.php)。
Non-grain feature:Diameter, capacity, eccentricity, hardness.
Textural characteristics:Totally 9690, typonym is as shown in table 1.
Table 1:Textural characteristics
3. statistical analysis:
Using statistical method, assess in main queue with examining tumor size, Mitotic index, gene expression characteristicses etc. in queue
Single factor test between clinical risk factors and radiation group feature associates.
4. feature selecting is built with radiation group characteristic model:
1) model is established using LASSO algorithms (lasso trick algorithm):High dimensional data is subjected to dimensionality reduction, concentrates and sieves from initial data
Two most useful features (as shown in Figure 2) are selected, are belonging respectively to Global and GLSZM two types, feature selected by foundation
The anticipation function of linear combination:
Rad score=0.1335-0.2209 × GLSZM_RLV (r=0.5, s=4, a=Equal, n=64)
- 0.0061 × Global_Variance (r=2/3, s=4, a=Lloyd, n=8);
2) data analysis, including training group and validation group (such as Fig. 3,4 institutes are carried out to each patient by the anticipation function
Show), DICOM databases are established, design disaggregated model.
5. radiation group characteristic model is verified and calibration:
Calibration curve is drawn to assess the characteristic model of gained, carrying out Hosmer-Lemenshow tests, (one kind fitting is excellent
Degree test), the C- indexes of relative calibration are calculated, to carry out system calibration;Wherein, the C- indexes of training group are 0.8161 (95%
CI, 0.7453 to 0.8988), the C- indexes of test group are 0.8079 (95%CI, 0.7279 to 0.9042).
In addition, the image department doctor that selection Hospital of Southern Medical University two has more than 5 years abdominal CT diagnostic experiences
Teacher A and B carries out diagnosis diagosis to qualified 20 random cases simultaneously respectively, and it is poor to both results that applied statistics is gained knowledge
Different carry out conspicuousness comparison.As a result show, there was no significant difference for both.After a period of time, doctor A in the case of not being apprised of,
Diagnosis diagosis is carried out to above-mentioned 20 random cases, statistical analysis is carried out to two times result, draws two times result without conspicuousness
Difference.
Function is drawn by above procedure, and weaves into the software (as shown in Figure 5) of clinician's convenient use, is tried in clinic
Exercise and use, and carry out perspective checking and more external certificates.The software is to be based on the present invention by inventor and voluntarily independently opened
The software of hair.
The GISTs malignant potential disaggregated model based on radiation group constructed by the method for the invention can be accurate
GIST with different malignant potentials is classified, belongs to a kind of atraumatic technique, and the extra charge of patient will not be increased, is grasped
Make simply, to be easy to clinical expansion to use.
Claims (1)
- A kind of 1. construction method of the GISTs malignant potential disaggregated model based on radiation group, it is characterised in that including Following steps:A. data acquisition:Belly strengthens phase thin-layer CT IMAQ;B. radiation group feature is extracted:ROI is sketched out using ITK-SNAP softwares, tumor's profiles are successively sketched out, then Two-dimentional ROI is subjected to Multi-slice spiral CT to generate VOI, characteristic is therefrom extracted using Matlab 2014b softwares, including Textural characteristics and non-grain feature;C. statistical analysis:Using statistical method, assess main queue with examine tumor size in queue, Mitotic index, Single factor test between the clinical risk factors such as gene expression characteristicses and radiation group feature associates;D. feature selecting is built with radiation group characteristic model:1) model is established using LASSO algorithms:High dimensional data is subjected to dimensionality reduction, is concentrated from initial data and screens two most useful classes The category feature of feature, respectively Global and GLSZM two, the anticipation function of the linear combination of feature selected by foundation:Rad score=0.1335-0.2209 × GLSZM_RLV (r=0.5, s=4, a=Equal, n=64) -0.0061 × Global_Variance (r=2/3, s=4, a=Lloyd, n=8);2) data analysis, including training group and validation group are carried out to each patient by the anticipation function, establishes DICOM data Storehouse, design disaggregated model;E. the checking of radiation group characteristic model and calibration:Calibration curve is drawn to assess the characteristic model of gained, carries out Hosmer- The Lemenshow goodness of fit is tested, and the C- indexes of relative calibration is calculated, to carry out system calibration;Wherein, the C- indexes of training group For 0.8161 (95%CI, 0.7453 to 0.8988), the C- indexes of test group for 0.8079 (95%CI, 0.7279 to 0.9042)。
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