Radiomics analysis of intratumoral and different peritumoral regions from multiparametric MRI for evaluating HER2 status of breast cancer: A comparative study

Purpose: To investigate the potential of radiomics signatures (RSs) from intratumoral and peritumoral regions on multiparametric magnetic resonance imaging (MRI) to noninvasively evaluate HER2 status in breast cancer. Method: In this retrospective study, 992 patients with pathologically confirmed br...

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Main Authors: Jing Zhou, Xuan Yu, Qingxia Wu, Yaping Wu, Cong Fu, Yunxia Wang, Menglu Hai, Hongna Tan, Meiyun Wang
Format: Article
Language:English
Published: Elsevier 2024-04-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844024047534
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author Jing Zhou
Xuan Yu
Qingxia Wu
Yaping Wu
Cong Fu
Yunxia Wang
Menglu Hai
Hongna Tan
Meiyun Wang
author_facet Jing Zhou
Xuan Yu
Qingxia Wu
Yaping Wu
Cong Fu
Yunxia Wang
Menglu Hai
Hongna Tan
Meiyun Wang
author_sort Jing Zhou
collection DOAJ
description Purpose: To investigate the potential of radiomics signatures (RSs) from intratumoral and peritumoral regions on multiparametric magnetic resonance imaging (MRI) to noninvasively evaluate HER2 status in breast cancer. Method: In this retrospective study, 992 patients with pathologically confirmed breast cancers who underwent preoperative MRI were enrolled. The breast cancer lesions were segmented manually, and the intratumor region of interest (ROIIntra) was dilated by 2, 4, 6 and 8 mm (ROIPeri2mm, ROIPeri4mm, ROIPeri6mm, and ROIPeri8mm, respectively). Quantitative radiomics features were extracted from dynamic contrast-enhanced T1-weighted imaging (DCE-T1), fat‐saturated T2‐weighted imaging (T2) and diffusion-weighted imaging (DWI). A three-step procedure was performed for feature selection, and RSs were constructed using a support vector machine (SVM) to predict HER2 status. Result: The best single-area RSs for predicting HER2 status were DCE_Peri4mm-RS, T2_Peri4mm-RS, and DWI_Peri4mm-RS, yielding areas under the curve (AUCs) of 0.716 (95% confidence interval (CI), 0.648–0.778), 0.706 (95% CI, 0.637–0.768), and 0.719 (95% CI, 0.651–0.780), respectively, in the test set. The optimal RSs combining intratumoral and peritumoral regions for evaluating HER2 status were DCE-T1_Intra + DCE_Peri4mm-RS, T2_Intra + T2_Peri6mm-RS and DWI_Intra + DWI_Peri4mm-RS, with AUCs of 0.752 (95% CI, 0.686–0.810), 0.754 (95% CI, 0.688–0.812) and 0.725 (95% CI, 0.657–0.786), respectively, in the test set. Combining three sequences in the ROIIntra, ROIPeri2mm, ROIPeri4mm, ROIPeri6mm and ROIPeri8mm areas, the optimal RS was DCE-T1_Peri4mm + T2_Peri4mm + DWI_Peri4mm-RS, achieving an AUC of 0.795 (95% CI, 0.733–0.849) in the test set. Conclusion: This study systematically explored the influence of the intratumoral region, different peritumoral sizes and their combination in radiomics analysis for predicting HER2 status in breast cancer based on multiparametric MRI and found the optimal RS.
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spelling doaj.art-97536f8b1ff2480f818158b83d6466182024-04-10T04:29:09ZengElsevierHeliyon2405-84402024-04-01107e28722Radiomics analysis of intratumoral and different peritumoral regions from multiparametric MRI for evaluating HER2 status of breast cancer: A comparative studyJing Zhou0Xuan Yu1Qingxia Wu2Yaping Wu3Cong Fu4Yunxia Wang5Menglu Hai6Hongna Tan7Meiyun Wang8Department of Medical Imaging, Henan Provincial People's Hospital & People's Hospital of Zhengzhou University & Imaging Diagnosis of Neurological Diseases and Research Laboratory of Henan Province, Zhengzhou, 450003, Henan Province, ChinaDepartment of Medical Imaging, Henan Provincial People's Hospital & People's Hospital of Zhengzhou University & Imaging Diagnosis of Neurological Diseases and Research Laboratory of Henan Province, Zhengzhou, 450003, Henan Province, ChinaBeijing United Imaging Research Institute of Intelligent Imaging & United Imaging Intelligence (Beijing) Co., Ltd., Beijing, 100089, ChinaDepartment of Medical Imaging, Henan Provincial People's Hospital & People's Hospital of Zhengzhou University & Imaging Diagnosis of Neurological Diseases and Research Laboratory of Henan Province, Zhengzhou, 450003, Henan Province, ChinaDepartment of Medical Imaging, Henan Provincial People's Hospital & People's Hospital of Zhengzhou University & Imaging Diagnosis of Neurological Diseases and Research Laboratory of Henan Province, Zhengzhou, 450003, Henan Province, ChinaDepartment of Medical Imaging, Henan Provincial People's Hospital & People's Hospital of Zhengzhou University & Imaging Diagnosis of Neurological Diseases and Research Laboratory of Henan Province, Zhengzhou, 450003, Henan Province, ChinaDepartment of Radiology, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, 450008, Henan Province, ChinaDepartment of Medical Imaging, Henan Provincial People's Hospital & People's Hospital of Zhengzhou University & Imaging Diagnosis of Neurological Diseases and Research Laboratory of Henan Province, Zhengzhou, 450003, Henan Province, China; Corresponding author.Department of Medical Imaging, Henan Provincial People's Hospital & People's Hospital of Zhengzhou University & Imaging Diagnosis of Neurological Diseases and Research Laboratory of Henan Province, Zhengzhou, 450003, Henan Province, China; Corresponding author.Purpose: To investigate the potential of radiomics signatures (RSs) from intratumoral and peritumoral regions on multiparametric magnetic resonance imaging (MRI) to noninvasively evaluate HER2 status in breast cancer. Method: In this retrospective study, 992 patients with pathologically confirmed breast cancers who underwent preoperative MRI were enrolled. The breast cancer lesions were segmented manually, and the intratumor region of interest (ROIIntra) was dilated by 2, 4, 6 and 8 mm (ROIPeri2mm, ROIPeri4mm, ROIPeri6mm, and ROIPeri8mm, respectively). Quantitative radiomics features were extracted from dynamic contrast-enhanced T1-weighted imaging (DCE-T1), fat‐saturated T2‐weighted imaging (T2) and diffusion-weighted imaging (DWI). A three-step procedure was performed for feature selection, and RSs were constructed using a support vector machine (SVM) to predict HER2 status. Result: The best single-area RSs for predicting HER2 status were DCE_Peri4mm-RS, T2_Peri4mm-RS, and DWI_Peri4mm-RS, yielding areas under the curve (AUCs) of 0.716 (95% confidence interval (CI), 0.648–0.778), 0.706 (95% CI, 0.637–0.768), and 0.719 (95% CI, 0.651–0.780), respectively, in the test set. The optimal RSs combining intratumoral and peritumoral regions for evaluating HER2 status were DCE-T1_Intra + DCE_Peri4mm-RS, T2_Intra + T2_Peri6mm-RS and DWI_Intra + DWI_Peri4mm-RS, with AUCs of 0.752 (95% CI, 0.686–0.810), 0.754 (95% CI, 0.688–0.812) and 0.725 (95% CI, 0.657–0.786), respectively, in the test set. Combining three sequences in the ROIIntra, ROIPeri2mm, ROIPeri4mm, ROIPeri6mm and ROIPeri8mm areas, the optimal RS was DCE-T1_Peri4mm + T2_Peri4mm + DWI_Peri4mm-RS, achieving an AUC of 0.795 (95% CI, 0.733–0.849) in the test set. Conclusion: This study systematically explored the influence of the intratumoral region, different peritumoral sizes and their combination in radiomics analysis for predicting HER2 status in breast cancer based on multiparametric MRI and found the optimal RS.http://www.sciencedirect.com/science/article/pii/S2405844024047534Breast cancerRadiomicsHuman epithelial growth factor receptor 2Multiparametric MRI
spellingShingle Jing Zhou
Xuan Yu
Qingxia Wu
Yaping Wu
Cong Fu
Yunxia Wang
Menglu Hai
Hongna Tan
Meiyun Wang
Radiomics analysis of intratumoral and different peritumoral regions from multiparametric MRI for evaluating HER2 status of breast cancer: A comparative study
Heliyon
Breast cancer
Radiomics
Human epithelial growth factor receptor 2
Multiparametric MRI
title Radiomics analysis of intratumoral and different peritumoral regions from multiparametric MRI for evaluating HER2 status of breast cancer: A comparative study
title_full Radiomics analysis of intratumoral and different peritumoral regions from multiparametric MRI for evaluating HER2 status of breast cancer: A comparative study
title_fullStr Radiomics analysis of intratumoral and different peritumoral regions from multiparametric MRI for evaluating HER2 status of breast cancer: A comparative study
title_full_unstemmed Radiomics analysis of intratumoral and different peritumoral regions from multiparametric MRI for evaluating HER2 status of breast cancer: A comparative study
title_short Radiomics analysis of intratumoral and different peritumoral regions from multiparametric MRI for evaluating HER2 status of breast cancer: A comparative study
title_sort radiomics analysis of intratumoral and different peritumoral regions from multiparametric mri for evaluating her2 status of breast cancer a comparative study
topic Breast cancer
Radiomics
Human epithelial growth factor receptor 2
Multiparametric MRI
url http://www.sciencedirect.com/science/article/pii/S2405844024047534
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