Frontiers in Oncology (Oct 2021)

Deep Learning Radiomics to Predict Regional Lymph Node Staging for Hilar Cholangiocarcinoma

  • Yubizhuo Wang,
  • Yubizhuo Wang,
  • Jiayuan Shao,
  • Pan Wang,
  • Lintao Chen,
  • Mingliang Ying,
  • Siyuan Chai,
  • Shijian Ruan,
  • Wuwei Tian,
  • Yongna Cheng,
  • Hongbin Zhang,
  • Xiuming Zhang,
  • Xiangming Wang,
  • Yong Ding,
  • Wenjie Liang,
  • Liming Wu

DOI
https://doi.org/10.3389/fonc.2021.721460
Journal volume & issue
Vol. 11

Abstract

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BackgroundOur aim was to establish a deep learning radiomics method to preoperatively evaluate regional lymph node (LN) staging for hilar cholangiocarcinoma (HC) patients. Methods and MaterialsOf the 179 enrolled HC patients, 90 were pathologically diagnosed with lymph node metastasis. Quantitative radiomic features and deep learning features were extracted. An LN metastasis status classifier was developed through integrating support vector machine, high-performance deep learning radiomics signature, and three clinical characteristics. An LN metastasis stratification classifier (N1 vs. N2) was also proposed with subgroup analysis.ResultsThe average areas under the receiver operating characteristic curve (AUCs) of the LN metastasis status classifier reached 0.866 in the training cohort and 0.870 in the external test cohorts. Meanwhile, the LN metastasis stratification classifier performed well in predicting the risk of LN metastasis, with an average AUC of 0.946.ConclusionsTwo classifiers derived from computed tomography images performed well in predicting LN staging in HC and will be reliable evaluation tools to improve decision-making.

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