Frontiers in Oncology (Jan 2025)
Prediction of early postoperative recurrence of hepatocellular carcinoma by habitat analysis based on different sequence of contrast-enhanced CT
Abstract
AimTo develop a habitat imaging method for preoperative prediction of early postoperative recurrence of hepatocellular carcinoma.MethodsA retrospective cohort study was conducted to collect data on 344 patients who underwent liver resection for HCC. The internal subregion of the tumor was objectively delineated and the clinical features were also analyzed to construct clinical models. Radiomics feature extraction was performed on tumor subregions of arterial and portal venous phase images. Machine learning classification models were constructed as a fusion model combining the three different models, and the models were assessed.ResultsA comprehensive retrospective analysis was conducted on a cohort of 344 patients who underwent hepatic cancer resection at one of the two centers. it was found that the combined SVM model yielded superior results after comparing various metrics, such as the AUC, accuracy, sensitivity, specificity, and DCA.ConclusionsHabitat analysis of sequential CT images can delineate distinct subregions within a tumor, offering valuable insights for early prediction of postoperative HCC recurrence.
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