Using CT texture analysis to differentiate between peripheral lung cancer and pulmonary inflammatory pseudotumor

Abstract Background This study is to distinguish peripheral lung cancer and pulmonary inflammatory pseudotumor using CT-radiomics features extracted from PET/CT images. Methods In this study, the standard 18F-fluorodeoxyglucose positron emission tomography/ computed tomography (18 F-FDG PET/CT) imag...

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Main Authors: Chenlu Liu, Changsheng Ma, Jinghao Duan, Qingtao Qiu, Yanluan Guo, Zhenhua Zhang, Yong Yin
Format: Article
Language:English
Published: BMC 2020-07-01
Series:BMC Medical Imaging
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12880-020-00475-2
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author Chenlu Liu
Changsheng Ma
Jinghao Duan
Qingtao Qiu
Yanluan Guo
Zhenhua Zhang
Yong Yin
author_facet Chenlu Liu
Changsheng Ma
Jinghao Duan
Qingtao Qiu
Yanluan Guo
Zhenhua Zhang
Yong Yin
author_sort Chenlu Liu
collection DOAJ
description Abstract Background This study is to distinguish peripheral lung cancer and pulmonary inflammatory pseudotumor using CT-radiomics features extracted from PET/CT images. Methods In this study, the standard 18F-fluorodeoxyglucose positron emission tomography/ computed tomography (18 F-FDG PET/CT) images of 21 patients with pulmonary inflammatory pseudotumor (PIPT) and 21 patients with peripheral lung cancer were retrospectively collected. The dataset was used to extract CT-radiomics features from regions of interest (ROI), The intra-class correlation coefficient (ICC) was used to screen the robust feature from all the radiomic features. Using, then, statistical methods to screen CT-radiomics features, which could distinguish peripheral lung cancer and PIPT. And the ability of radiomics features distinguished peripheral lung cancer and PIPT was estimated by receiver operating characteristic (ROC) curve and compared by the Delong test. Results A total of 435 radiomics features were extracted, of which 361 features showed relatively good repeatability (ICC ≥ 0.6). 20 features showed the ability to distinguish peripheral lung cancer from PIPT. these features were seen in 14 of 330 Gray-Level Co-occurrence Matrix features, 1 of 49 Intensity Histogram features, 5 of 18 Shape features. The area under the curves (AUC) of these features were 0.731 ± 0.075, 0.717, 0.748 ± 0.038, respectively. The P values of statistical differences among ROC were 0.0499 (F9, F20), 0.0472 (F10, F11) and 0.0145 (F11, Mean4). The discrimination ability of forming new features (Parent Features) after averaging the features extracted at different angles and distances was moderate compared to the previous features (Child features). Conclusion Radiomics features extracted from non-contrast CT based on PET/CT images can help distinguish peripheral lung cancer and PIPT.
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spelling doaj.art-f5ad8c925a044b889ed13fe4a89e05db2022-12-21T20:12:22ZengBMCBMC Medical Imaging1471-23422020-07-0120111010.1186/s12880-020-00475-2Using CT texture analysis to differentiate between peripheral lung cancer and pulmonary inflammatory pseudotumorChenlu Liu0Changsheng Ma1Jinghao Duan2Qingtao Qiu3Yanluan Guo4Zhenhua Zhang5Yong Yin6School of Nuclear Science and Technology, University of South ChinaDepartment of Radiotherapy, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical SciencesDepartment of Radiotherapy, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical SciencesDepartment of Radiotherapy, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical SciencesDepartment of Medical Imaging, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical SciencesSchool of Nuclear Science and Technology, University of South ChinaDepartment of Radiotherapy, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical SciencesAbstract Background This study is to distinguish peripheral lung cancer and pulmonary inflammatory pseudotumor using CT-radiomics features extracted from PET/CT images. Methods In this study, the standard 18F-fluorodeoxyglucose positron emission tomography/ computed tomography (18 F-FDG PET/CT) images of 21 patients with pulmonary inflammatory pseudotumor (PIPT) and 21 patients with peripheral lung cancer were retrospectively collected. The dataset was used to extract CT-radiomics features from regions of interest (ROI), The intra-class correlation coefficient (ICC) was used to screen the robust feature from all the radiomic features. Using, then, statistical methods to screen CT-radiomics features, which could distinguish peripheral lung cancer and PIPT. And the ability of radiomics features distinguished peripheral lung cancer and PIPT was estimated by receiver operating characteristic (ROC) curve and compared by the Delong test. Results A total of 435 radiomics features were extracted, of which 361 features showed relatively good repeatability (ICC ≥ 0.6). 20 features showed the ability to distinguish peripheral lung cancer from PIPT. these features were seen in 14 of 330 Gray-Level Co-occurrence Matrix features, 1 of 49 Intensity Histogram features, 5 of 18 Shape features. The area under the curves (AUC) of these features were 0.731 ± 0.075, 0.717, 0.748 ± 0.038, respectively. The P values of statistical differences among ROC were 0.0499 (F9, F20), 0.0472 (F10, F11) and 0.0145 (F11, Mean4). The discrimination ability of forming new features (Parent Features) after averaging the features extracted at different angles and distances was moderate compared to the previous features (Child features). Conclusion Radiomics features extracted from non-contrast CT based on PET/CT images can help distinguish peripheral lung cancer and PIPT.http://link.springer.com/article/10.1186/s12880-020-00475-2Radiomics featuresPeripheral lung cancerPET/CTPulmonary inflammatory pseudotumor
spellingShingle Chenlu Liu
Changsheng Ma
Jinghao Duan
Qingtao Qiu
Yanluan Guo
Zhenhua Zhang
Yong Yin
Using CT texture analysis to differentiate between peripheral lung cancer and pulmonary inflammatory pseudotumor
BMC Medical Imaging
Radiomics features
Peripheral lung cancer
PET/CT
Pulmonary inflammatory pseudotumor
title Using CT texture analysis to differentiate between peripheral lung cancer and pulmonary inflammatory pseudotumor
title_full Using CT texture analysis to differentiate between peripheral lung cancer and pulmonary inflammatory pseudotumor
title_fullStr Using CT texture analysis to differentiate between peripheral lung cancer and pulmonary inflammatory pseudotumor
title_full_unstemmed Using CT texture analysis to differentiate between peripheral lung cancer and pulmonary inflammatory pseudotumor
title_short Using CT texture analysis to differentiate between peripheral lung cancer and pulmonary inflammatory pseudotumor
title_sort using ct texture analysis to differentiate between peripheral lung cancer and pulmonary inflammatory pseudotumor
topic Radiomics features
Peripheral lung cancer
PET/CT
Pulmonary inflammatory pseudotumor
url http://link.springer.com/article/10.1186/s12880-020-00475-2
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