Predicting the Local Response of Esophageal Squamous Cell Carcinoma to Neoadjuvant Chemoradiotherapy by Radiomics with a Machine Learning Method Using <sup>18</sup>F-FDG PET Images

Background: This study aimed to propose a machine learning model to predict the local response of resectable locally advanced esophageal squamous cell carcinoma (LA-ESCC) treated by neoadjuvant chemoradiotherapy (NCRT) using pretreatment 18-fluorodeoxyglucose positron emission tomography (FDG PET) i...

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Main Authors: Yuji Murakami, Daisuke Kawahara, Shigeyuki Tani, Katsumaro Kubo, Tsuyoshi Katsuta, Nobuki Imano, Yuki Takeuchi, Ikuno Nishibuchi, Akito Saito, Yasushi Nagata
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/11/6/1049
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author Yuji Murakami
Daisuke Kawahara
Shigeyuki Tani
Katsumaro Kubo
Tsuyoshi Katsuta
Nobuki Imano
Yuki Takeuchi
Ikuno Nishibuchi
Akito Saito
Yasushi Nagata
author_facet Yuji Murakami
Daisuke Kawahara
Shigeyuki Tani
Katsumaro Kubo
Tsuyoshi Katsuta
Nobuki Imano
Yuki Takeuchi
Ikuno Nishibuchi
Akito Saito
Yasushi Nagata
author_sort Yuji Murakami
collection DOAJ
description Background: This study aimed to propose a machine learning model to predict the local response of resectable locally advanced esophageal squamous cell carcinoma (LA-ESCC) treated by neoadjuvant chemoradiotherapy (NCRT) using pretreatment 18-fluorodeoxyglucose positron emission tomography (FDG PET) images. Methods: The local responses of 98 patients were categorized into two groups (complete response and noncomplete response). We performed a radiomics analysis using five segmentations created on FDG PET images, resulting in 4250 features per patient. To construct a machine learning model, we used the least absolute shrinkage and selection operator (LASSO) regression to extract radiomics features optimal for the prediction. Then, a prediction model was constructed by using a neural network classifier. The training model was evaluated with 5-fold cross-validation. Results: By the LASSO analysis of the training data, 22 radiomics features were extracted. In the testing data, the average accuracy, sensitivity, specificity, and area under the receiver operating characteristic curve score of the five prediction models were 89.6%, 92.7%, 89.5%, and 0.95, respectively. Conclusions: The proposed machine learning model using radiomics showed promising predictive accuracy of the local response of LA-ESCC treated by NCRT.
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spelling doaj.art-10118f6ccc9a4d9393c19ebcd6e44bf62023-11-21T23:07:01ZengMDPI AGDiagnostics2075-44182021-06-01116104910.3390/diagnostics11061049Predicting the Local Response of Esophageal Squamous Cell Carcinoma to Neoadjuvant Chemoradiotherapy by Radiomics with a Machine Learning Method Using <sup>18</sup>F-FDG PET ImagesYuji Murakami0Daisuke Kawahara1Shigeyuki Tani2Katsumaro Kubo3Tsuyoshi Katsuta4Nobuki Imano5Yuki Takeuchi6Ikuno Nishibuchi7Akito Saito8Yasushi Nagata9Department of Radiation Oncology, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima 734-8551, JapanDepartment of Radiation Oncology, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima 734-8551, JapanSchool of Medicine, Hiroshima University, Hiroshima 734-8551, JapanDepartment of Radiation Oncology, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima 734-8551, JapanDepartment of Radiation Oncology, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima 734-8551, JapanDepartment of Radiation Oncology, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima 734-8551, JapanDepartment of Radiation Oncology, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima 734-8551, JapanDepartment of Radiation Oncology, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima 734-8551, JapanDepartment of Radiation Oncology, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima 734-8551, JapanDepartment of Radiation Oncology, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima 734-8551, JapanBackground: This study aimed to propose a machine learning model to predict the local response of resectable locally advanced esophageal squamous cell carcinoma (LA-ESCC) treated by neoadjuvant chemoradiotherapy (NCRT) using pretreatment 18-fluorodeoxyglucose positron emission tomography (FDG PET) images. Methods: The local responses of 98 patients were categorized into two groups (complete response and noncomplete response). We performed a radiomics analysis using five segmentations created on FDG PET images, resulting in 4250 features per patient. To construct a machine learning model, we used the least absolute shrinkage and selection operator (LASSO) regression to extract radiomics features optimal for the prediction. Then, a prediction model was constructed by using a neural network classifier. The training model was evaluated with 5-fold cross-validation. Results: By the LASSO analysis of the training data, 22 radiomics features were extracted. In the testing data, the average accuracy, sensitivity, specificity, and area under the receiver operating characteristic curve score of the five prediction models were 89.6%, 92.7%, 89.5%, and 0.95, respectively. Conclusions: The proposed machine learning model using radiomics showed promising predictive accuracy of the local response of LA-ESCC treated by NCRT.https://www.mdpi.com/2075-4418/11/6/1049esophageal cancersquamous cell carcinomaneoadjuvant chemoradiotherapypathological responsemachine learningradiomics
spellingShingle Yuji Murakami
Daisuke Kawahara
Shigeyuki Tani
Katsumaro Kubo
Tsuyoshi Katsuta
Nobuki Imano
Yuki Takeuchi
Ikuno Nishibuchi
Akito Saito
Yasushi Nagata
Predicting the Local Response of Esophageal Squamous Cell Carcinoma to Neoadjuvant Chemoradiotherapy by Radiomics with a Machine Learning Method Using <sup>18</sup>F-FDG PET Images
Diagnostics
esophageal cancer
squamous cell carcinoma
neoadjuvant chemoradiotherapy
pathological response
machine learning
radiomics
title Predicting the Local Response of Esophageal Squamous Cell Carcinoma to Neoadjuvant Chemoradiotherapy by Radiomics with a Machine Learning Method Using <sup>18</sup>F-FDG PET Images
title_full Predicting the Local Response of Esophageal Squamous Cell Carcinoma to Neoadjuvant Chemoradiotherapy by Radiomics with a Machine Learning Method Using <sup>18</sup>F-FDG PET Images
title_fullStr Predicting the Local Response of Esophageal Squamous Cell Carcinoma to Neoadjuvant Chemoradiotherapy by Radiomics with a Machine Learning Method Using <sup>18</sup>F-FDG PET Images
title_full_unstemmed Predicting the Local Response of Esophageal Squamous Cell Carcinoma to Neoadjuvant Chemoradiotherapy by Radiomics with a Machine Learning Method Using <sup>18</sup>F-FDG PET Images
title_short Predicting the Local Response of Esophageal Squamous Cell Carcinoma to Neoadjuvant Chemoradiotherapy by Radiomics with a Machine Learning Method Using <sup>18</sup>F-FDG PET Images
title_sort predicting the local response of esophageal squamous cell carcinoma to neoadjuvant chemoradiotherapy by radiomics with a machine learning method using sup 18 sup f fdg pet images
topic esophageal cancer
squamous cell carcinoma
neoadjuvant chemoradiotherapy
pathological response
machine learning
radiomics
url https://www.mdpi.com/2075-4418/11/6/1049
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