Contrast-Enhanced CT Texture Analysis for Distinguishing Fat-Poor Renal Angiomyolipoma From Chromophobe Renal Cell Carcinoma

Objective: To evaluate the value of 2-dimensional (2D) and 3-dimensional (3D) computed tomography texture analysis (CTTA) models in distinguishing fat-poor angiomyolipoma (fpAML) from chromophobe renal cell carcinoma (chRCC). Methods: We retrospectively enrolled 32 fpAMLs and 24 chRCCs. Texture feat...

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Main Authors: Guangjie Yang MD, Aidi Gong BS, Pei Nie MD, Lei Yan BS, Wenjie Miao BS, Yujun Zhao BS, Jie Wu MD, Jingjing Cui BS, Yan Jia BS, Zhenguang Wang MD
Format: Article
Language:English
Published: SAGE Publications 2019-10-01
Series:Molecular Imaging
Online Access:https://doi.org/10.1177/1536012119883161
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author Guangjie Yang MD
Aidi Gong BS
Pei Nie MD
Lei Yan BS
Wenjie Miao BS
Yujun Zhao BS
Jie Wu MD
Jingjing Cui BS
Yan Jia BS
Zhenguang Wang MD
author_facet Guangjie Yang MD
Aidi Gong BS
Pei Nie MD
Lei Yan BS
Wenjie Miao BS
Yujun Zhao BS
Jie Wu MD
Jingjing Cui BS
Yan Jia BS
Zhenguang Wang MD
author_sort Guangjie Yang MD
collection DOAJ
description Objective: To evaluate the value of 2-dimensional (2D) and 3-dimensional (3D) computed tomography texture analysis (CTTA) models in distinguishing fat-poor angiomyolipoma (fpAML) from chromophobe renal cell carcinoma (chRCC). Methods: We retrospectively enrolled 32 fpAMLs and 24 chRCCs. Texture features were extracted from 2D and 3D regions of interest in triphasic CT images. The 2D and 3D CTTA models were constructed with the least absolute shrinkage and selection operator algorithm and texture scores were calculated. The diagnostic performance of the 2D and 3D CTTA models was evaluated with respect to calibration, discrimination, and clinical usefulness. Results: Of the 177 and 183 texture features extracted from 2D and 3D regions of interest, respectively, 5 2D features and 8 3D features were selected to build 2D and 3D CTTA models. The 2D CTTA model (area under the curve [AUC], 0.811; 95% confidence interval [CI], 0.695-0.927) and the 3D CTTA model (AUC, 0.915; 95% CI, 0.838-0.993) showed good discrimination and calibration ( P > .05). There was no significant difference in AUC between the 2 models ( P = .093). Decision curve analysis showed the 3D model outperformed the 2D model in terms of clinical usefulness. Conclusions: The CTTA models based on contrast-enhanced CT images had a high value in differentiating fpAML from chRCC.
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spelling doaj.art-4747d2b9eb7d420da29c7a9cd1ccbe8f2024-03-03T08:19:05ZengSAGE PublicationsMolecular Imaging1536-01212019-10-011810.1177/1536012119883161Contrast-Enhanced CT Texture Analysis for Distinguishing Fat-Poor Renal Angiomyolipoma From Chromophobe Renal Cell CarcinomaGuangjie Yang MD0Aidi Gong BS1Pei Nie MD2Lei Yan BS3Wenjie Miao BS4Yujun Zhao BS5Jie Wu MD6Jingjing Cui BS7Yan Jia BS8Zhenguang Wang MD9 PET-CT Center, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China PET-CT Center, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China Radiology Department, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China PET-CT Center, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China PET-CT Center, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China PET-CT Center, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China Pathology Department, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China Huiying Medical Technology Co, Ltd, Beijing, China Huiying Medical Technology Co, Ltd, Beijing, China PET-CT Center, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, ChinaObjective: To evaluate the value of 2-dimensional (2D) and 3-dimensional (3D) computed tomography texture analysis (CTTA) models in distinguishing fat-poor angiomyolipoma (fpAML) from chromophobe renal cell carcinoma (chRCC). Methods: We retrospectively enrolled 32 fpAMLs and 24 chRCCs. Texture features were extracted from 2D and 3D regions of interest in triphasic CT images. The 2D and 3D CTTA models were constructed with the least absolute shrinkage and selection operator algorithm and texture scores were calculated. The diagnostic performance of the 2D and 3D CTTA models was evaluated with respect to calibration, discrimination, and clinical usefulness. Results: Of the 177 and 183 texture features extracted from 2D and 3D regions of interest, respectively, 5 2D features and 8 3D features were selected to build 2D and 3D CTTA models. The 2D CTTA model (area under the curve [AUC], 0.811; 95% confidence interval [CI], 0.695-0.927) and the 3D CTTA model (AUC, 0.915; 95% CI, 0.838-0.993) showed good discrimination and calibration ( P > .05). There was no significant difference in AUC between the 2 models ( P = .093). Decision curve analysis showed the 3D model outperformed the 2D model in terms of clinical usefulness. Conclusions: The CTTA models based on contrast-enhanced CT images had a high value in differentiating fpAML from chRCC.https://doi.org/10.1177/1536012119883161
spellingShingle Guangjie Yang MD
Aidi Gong BS
Pei Nie MD
Lei Yan BS
Wenjie Miao BS
Yujun Zhao BS
Jie Wu MD
Jingjing Cui BS
Yan Jia BS
Zhenguang Wang MD
Contrast-Enhanced CT Texture Analysis for Distinguishing Fat-Poor Renal Angiomyolipoma From Chromophobe Renal Cell Carcinoma
Molecular Imaging
title Contrast-Enhanced CT Texture Analysis for Distinguishing Fat-Poor Renal Angiomyolipoma From Chromophobe Renal Cell Carcinoma
title_full Contrast-Enhanced CT Texture Analysis for Distinguishing Fat-Poor Renal Angiomyolipoma From Chromophobe Renal Cell Carcinoma
title_fullStr Contrast-Enhanced CT Texture Analysis for Distinguishing Fat-Poor Renal Angiomyolipoma From Chromophobe Renal Cell Carcinoma
title_full_unstemmed Contrast-Enhanced CT Texture Analysis for Distinguishing Fat-Poor Renal Angiomyolipoma From Chromophobe Renal Cell Carcinoma
title_short Contrast-Enhanced CT Texture Analysis for Distinguishing Fat-Poor Renal Angiomyolipoma From Chromophobe Renal Cell Carcinoma
title_sort contrast enhanced ct texture analysis for distinguishing fat poor renal angiomyolipoma from chromophobe renal cell carcinoma
url https://doi.org/10.1177/1536012119883161
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