中国临床医学影像杂志
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乳腺DBT影像组学对乳腺肿块良恶性的鉴别研究
姜文研1,牛淑娴2,张梦瑶2,崔林鹏2,董  越1,艾  华2,周晓娅3,于  韬1,罗娅红1
1. 辽宁省肿瘤医院(中国医科大学肿瘤医院)医学影像科,辽宁 沈阳  110042;2. 中国医科大学生物医学工程系,
辽宁 沈阳  110122;3. 济宁医学院基础医学院分子医学与化学实验室,山东 济宁  272067
DBT-based radiomics for differentiating benign and malignant breast lesions
JIANG Wen-yan1, NIU Shu-xian2, ZHANG Meng-yao2, CUI Lin-peng2, #br# DONG Yue1, AI Hua1, ZHOU Xiao-ya3, YU Tao1, LUO Ya-hong1
1. Department of Imaging, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & Institute, Shenyang 110042, China; 
2. Department of Biomedical Engineering, China Medical University, Shenyang 110122, China;
3. College of Basic Medicine, Jining Medical University, Jining Shandong 272067, China
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摘要 目的:探讨基于数字乳腺断层摄影(DBT)的影像组学方法在乳腺肿块良恶性鉴别中的作用。方法:回顾性分析了2017年9月—2018年4月辽宁省肿瘤医院收治的160例乳腺肿块患者的影像资料。通过提取和筛选乳腺DBT影像组学特征,建立了影像组学诺模图模型,绘制工作特性(ROC)曲线并计算曲线下面积(AUC)评估模型的鉴别能力,通过决策曲线(DCA)分析评估模型的临床适用性。结果:本研究建立的诺模图模型在训练集和测试集上获得AUC值分别为0.942(敏感性=0.833,特异性=0.928)和0.928(敏感性=0.926,特异性=0.839),DCA分析表明模型具有良好的临床价值。结论:基于DBT影像构建的诺模图模型是作为无创辅助鉴别乳腺肿块良恶性的有效方法。
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关键词 乳腺肿瘤乳腺疾病放射摄影术    
Abstract:Objective: To evaluate the role of DBT-based radiomics in differentiating benign and malignant breast lesions. Methods: Breast DBT data of 160 patients were collected from Liaoning Cancer Hospital from September 2017 to April 2018 were analyzed. Radiomics features were extracted and analyzed. A nomogram model for distinguishing benign and malignant lesions was constructed. The clinical applicability of the nomogram was further evaluated by decision curve analysis. The predictive abilities of the models were evaluated by ROC curves and AUC values. Result: The AUC values of the constructed nomogram were 0.942(SEN=0.833, SPE=0.928) and 0.928(SEN=0.926, SPE=0.839) in the training and validation cohorts, respectively. The DCA analyses showed that our nomogram had good clinical value. Conclusion: Our nomogram model based on breast DBT image features has great potential in non-invasive distinguishing benign and malignant lesions.
Key wordsBreast neoplasms    Breast diseases    Radiology
收稿日期: 2019-10-22     
PACS:  R737.9  
  R655.8  
通讯作者: 罗娅红,辽宁省肿瘤医院(中国医科大学肿瘤医院)医学影像科,110042。E-mail:luoyahong8888@hotmail.com   
作者简介: 姜文研(1983-),女,内蒙古赤峰人,主治医师。E-mail:22852590@qq.com
引用本文:   
姜文研1,牛淑娴2,张梦瑶2,崔林鹏2,董 越1,艾 华2,周晓娅3,于 韬1,罗娅红1. 乳腺DBT影像组学对乳腺肿块良恶性的鉴别研究[J]. 中国临床医学影像杂志, 2020, 31(6): 398-402.
JIANG Wen-yan1, NIU Shu-xian2, ZHANG Meng-yao2, CUI Lin-peng2, . DBT-based radiomics for differentiating benign and malignant breast lesions. JOURNAL OF CHINA MEDICAL IMAGING, 2020, 31(6): 398-402.
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http://www.jccmi.com.cn/CN/10.12117/jccmi.2020.06.005     或     http://www.jccmi.com.cn/CN/Y2020/V31/I6/398
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