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MRI列线图模型对软组织肉瘤病理分级预测价值

梁皓昱 王鹤翔 侯峰 王童语 李琪媛 高传平

青岛大学学报(医学版)2023,Vol.59Issue(5):693-697,5.
青岛大学学报(医学版)2023,Vol.59Issue(5):693-697,5.DOI:10.11712/jms.2096-5532.2023.59.173

MRI列线图模型对软组织肉瘤病理分级预测价值

VALUE OF PREOPERATIVE NOMOGRAM MODEL BASED ON MRI FEATURES FOR PREDICTING THE PATHOLOGICAL GRADE OF SOFT TISSUE SARCOMA

梁皓昱 1王鹤翔 1侯峰 2王童语 1李琪媛 1高传平1

作者信息

  • 1. 青岛大学附属医院,放射科 山东青岛 266003
  • 2. 青岛大学附属医院,病理科 山东青岛 266003
  • 折叠

摘要

Abstract

Objective To investigate the value of the preoperative magnetic resonance imaging(MRI)features-based no-mogram model for predicting the pathological grade of soft tissue sarcoma(STS).Methods Preoperative MRI data from 137 pa-tients with STS confirmed by postoperative pathology were retrospectively collected.According to the French Federation of Cancer Centers Histologic Grading System,82 patients were defined as low-grade STS(grades Ⅰ-Ⅱ),and 55 patients were defined as high-grade STS(grade Ⅲ).Univariate and multivariate Logistic regression analyses were applied to screen out the predictors for the pathological grade of STS.The MRI features-based predictive nomogram model was established based on the predictors.The 10-fold cross validation was applied to evaluate the model performance,and the median area under the receiver operating characte-ristic curve(AUC)and median accuracy were used to evaluate the prediction efficiency of the model.Results According to the result of univariate and multivariate Logistic regression analyses,N-stage,depth,heterogeneous signal intensity at T2WI,and pe-ritumoral enhancement were identified as predictors for the pathological grade of STS.The predictive nomogram model showed the median AUC value of 0.898 and median accuracy of 82.1%.Conclusion The preoperative MRI-features-based nomogram model can predict the pathological grade of STS effectively.

关键词

磁共振成像/软组织肿瘤/肉瘤/列线图/病理学,临床

Key words

magnetic resonance imaging/soft tissue neoplasms/sarcoma/nomograms/pathology,clinical

分类

医药卫生

引用本文复制引用

梁皓昱,王鹤翔,侯峰,王童语,李琪媛,高传平..MRI列线图模型对软组织肉瘤病理分级预测价值[J].青岛大学学报(医学版),2023,59(5):693-697,5.

基金项目

山东省自然科学基金资助项目(ZR2021MH159) (ZR2021MH159)

青岛大学学报(医学版)

OACSTPCD

1672-4488

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