Two-dimensional and three-dimensional T2 weighted imaging-based radiomic signatures for the preoperative discrimination of ovarian borderline tumors and malignant tumors

Abstract Background Ovarian cancer is the most women malignancy in the whole world. It is difficult to differentiate ovarian cancers from ovarian borderline tumors because of some similar imaging findings.Radiomics study may help clinicians to make a proper diagnosis before invasive surgery. Purpose...

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Main Authors: Xuefen Liu, Tianping Wang, Guofu Zhang, Keqin Hua, Hua Jiang, Shaofeng Duan, Jun Jin, He Zhang
Format: Article
Language:English
Published: BMC 2022-02-01
Series:Journal of Ovarian Research
Subjects:
Online Access:https://doi.org/10.1186/s13048-022-00943-z
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author Xuefen Liu
Tianping Wang
Guofu Zhang
Keqin Hua
Hua Jiang
Shaofeng Duan
Jun Jin
He Zhang
author_facet Xuefen Liu
Tianping Wang
Guofu Zhang
Keqin Hua
Hua Jiang
Shaofeng Duan
Jun Jin
He Zhang
author_sort Xuefen Liu
collection DOAJ
description Abstract Background Ovarian cancer is the most women malignancy in the whole world. It is difficult to differentiate ovarian cancers from ovarian borderline tumors because of some similar imaging findings.Radiomics study may help clinicians to make a proper diagnosis before invasive surgery. Purpose To evaluate the ability of T2-weighted imaging (T2WI)-based radiomics to discriminate ovarian borderline tumors (BOTs) from malignancies based on two-dimensional (2D) and three-dimensional (3D) lesion segmentation methods. Methods A total of 95 patients with pathologically proven ovarian BOTs and 101 patients with malignancies were retrospectively included in this study. We evaluated the diagnostic performance of the signatures derived from T2WI-based radiomics in their ability to differentiate between BOTs and malignancies and compared the performance differences in the 2D and 3D segmentation models. The least absolute shrinkage and selection operator method (Lasso) was used for radiomics feature selection and machine learning processing. Results The radiomics score between BOTs and malignancies in four types of selected T2WI-based radiomics models differed significantly at the statistical level (p < 0.0001). For the classification between BOTs and malignant masses, the 2D and 3D coronal T2WI-based radiomics models yielded accuracy values of 0.79 and 0.83 in the testing group, respectively; the 2D and 3D sagittal fat-suppressed (fs) T2WI-based radiomics models yielded an accuracy of 0.78 and 0.99, respectively. Conclusions Our results suggest that T2WI-based radiomic features were highly correlated with ovarian tumor subtype classification. 3D-sagittal MRI radiomics features may help clinicians differentiate ovarian BOTs from malignancies with high ACC.
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spelling doaj.art-6a5f914b7957495e92455acb30ecd94b2023-01-02T05:50:47ZengBMCJournal of Ovarian Research1757-22152022-02-011511910.1186/s13048-022-00943-zTwo-dimensional and three-dimensional T2 weighted imaging-based radiomic signatures for the preoperative discrimination of ovarian borderline tumors and malignant tumorsXuefen Liu0Tianping Wang1Guofu Zhang2Keqin Hua3Hua Jiang4Shaofeng Duan5Jun Jin6He Zhang7Department of Radiology, Obstetrics and Gynecology Hospital, Fudan UniversityDepartment of Radiology, Obstetrics and Gynecology Hospital, Fudan UniversityDepartment of Radiology, Obstetrics and Gynecology Hospital, Fudan UniversityDepartment of Gynecology, Obstetrics and Gynecology Hospital, Fudan UniversityDepartment of Gynecology, Obstetrics and Gynecology Hospital, Fudan UniversityGE HealthcareDepartment of Pathology, Obstetrics and Gynecology Hospital, Fudan UniversityDepartment of Radiology, Obstetrics and Gynecology Hospital, Fudan UniversityAbstract Background Ovarian cancer is the most women malignancy in the whole world. It is difficult to differentiate ovarian cancers from ovarian borderline tumors because of some similar imaging findings.Radiomics study may help clinicians to make a proper diagnosis before invasive surgery. Purpose To evaluate the ability of T2-weighted imaging (T2WI)-based radiomics to discriminate ovarian borderline tumors (BOTs) from malignancies based on two-dimensional (2D) and three-dimensional (3D) lesion segmentation methods. Methods A total of 95 patients with pathologically proven ovarian BOTs and 101 patients with malignancies were retrospectively included in this study. We evaluated the diagnostic performance of the signatures derived from T2WI-based radiomics in their ability to differentiate between BOTs and malignancies and compared the performance differences in the 2D and 3D segmentation models. The least absolute shrinkage and selection operator method (Lasso) was used for radiomics feature selection and machine learning processing. Results The radiomics score between BOTs and malignancies in four types of selected T2WI-based radiomics models differed significantly at the statistical level (p < 0.0001). For the classification between BOTs and malignant masses, the 2D and 3D coronal T2WI-based radiomics models yielded accuracy values of 0.79 and 0.83 in the testing group, respectively; the 2D and 3D sagittal fat-suppressed (fs) T2WI-based radiomics models yielded an accuracy of 0.78 and 0.99, respectively. Conclusions Our results suggest that T2WI-based radiomic features were highly correlated with ovarian tumor subtype classification. 3D-sagittal MRI radiomics features may help clinicians differentiate ovarian BOTs from malignancies with high ACC.https://doi.org/10.1186/s13048-022-00943-zOvarian neoplasmMagnetic resonance imagingComputer-Assisted DiagnosisRadiomics
spellingShingle Xuefen Liu
Tianping Wang
Guofu Zhang
Keqin Hua
Hua Jiang
Shaofeng Duan
Jun Jin
He Zhang
Two-dimensional and three-dimensional T2 weighted imaging-based radiomic signatures for the preoperative discrimination of ovarian borderline tumors and malignant tumors
Journal of Ovarian Research
Ovarian neoplasm
Magnetic resonance imaging
Computer-Assisted Diagnosis
Radiomics
title Two-dimensional and three-dimensional T2 weighted imaging-based radiomic signatures for the preoperative discrimination of ovarian borderline tumors and malignant tumors
title_full Two-dimensional and three-dimensional T2 weighted imaging-based radiomic signatures for the preoperative discrimination of ovarian borderline tumors and malignant tumors
title_fullStr Two-dimensional and three-dimensional T2 weighted imaging-based radiomic signatures for the preoperative discrimination of ovarian borderline tumors and malignant tumors
title_full_unstemmed Two-dimensional and three-dimensional T2 weighted imaging-based radiomic signatures for the preoperative discrimination of ovarian borderline tumors and malignant tumors
title_short Two-dimensional and three-dimensional T2 weighted imaging-based radiomic signatures for the preoperative discrimination of ovarian borderline tumors and malignant tumors
title_sort two dimensional and three dimensional t2 weighted imaging based radiomic signatures for the preoperative discrimination of ovarian borderline tumors and malignant tumors
topic Ovarian neoplasm
Magnetic resonance imaging
Computer-Assisted Diagnosis
Radiomics
url https://doi.org/10.1186/s13048-022-00943-z
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