| خلاصه مقاله | Purpose:
Non-small cell lung cancer (NSCLC) is considered the second most commonly diagnosed cancer, accounting for almost 30% of adult deaths. Brain is one of the most frequent
regions for NSCLC metastasis. Magnetic resonance imaging (MRI) is a common imaging
modality for diagnosing NSCLC. In addition, computed tomography (CT) and positron
emission tomography-CT (18-FDG-PET-CT) have complementary aid. Nevertheless, these
methods are highly invasive and fail to reduce the risk of brain metastasis (BM) in NSCLC
patients. Introducing noninvasive methods for predicting and monitoring NSCLC patients
with BM seems to be helpful. Radiomics is the science of extracting quantitative data from
medical images using mathematical algorithms and finding correlations with biological or
clinical outcomes via machine learning. This study aimed to investigate whether radiomics is
a valuable and predictive method for clinically managing NSCLC patients with BM.
Methods:
The keywords of “Radiomics”, “NSCLC”, “Brain metastasis”, “MRI”, “CT”, “18-FDG-PETCT”, and “Machine learning” were entered into scientific databases of Google scholar, Scopus, PubMed, and Elsevier. About ten fully relevant papers were extracted and reviewed.
Results:
CT was the most used modality for the analysis of NSCLC patients with BM followed by
MRI and PET. All papers indicated that textural-based radiomics features (especially gray
level co-occurrence matrix group) were highly predictive of BM. Also, age and tumor location were the two important clinical factors for the prediction of BM in NSCLCs. Machine learningbased models showed an area under the ROC curve (AUC) of about [.71-0.81], [0.62-0.83], and [0.62-0.91] for clinical, radiomics, and combined (clinical and radiomics) models, respectively.
Conclusion:
It seems that radiomics-based quantitative analysis in combination with clinical factors
can significantly help in the prediction of BM and better management of NSCLC patients. |