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Khodrog OA, Cui F, Xu N, Han Q, Liu J, Gong T, Yuan Q. Prediction of squamous cell carcinoma cases from squamous cell hyperplasia in throat lesions using CT radiomics model. Saudi Med J 2021; 42:284-292. [PMID: 33632907 PMCID: PMC7989270 DOI: 10.15537/smj.2021.42.3.20200617] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2020] [Accepted: 02/01/2021] [Indexed: 12/23/2022] Open
Abstract
Objectives: To differentiate squamous cell hyperplasia (SCH) (benign) from squamous cell carcinoma (SCC) malignant) using textural features extracted from CT images and thereby, facilitate the preoperative medical diagnosis and treatment of throat cancers without the need for sample biopsies. Methods: In total, 100 throat cancer patients were selected for this retrospective study. The cases were collected from the Second Hospital of Jilin University, Changchun, China, from June 2017 to January 2019. The patients were separated into a training and validation cohort consisting of 70 and 30 cases, respectively. The Artificial Intelligence Kit software (A.K. software) was used to extract the radiomics features from the CT images. These features were further processed using the minimum redundancy maximum relevance (mRMR) and least absolute shrinkage and selection operator (LASSO) methods to obtain a subset of optimal features. The radiomics model was validated based on area-under-the-curve (AUC) values, accuracy, specificity, and sensitivity using the R-studio software. Results: The diagnostic accuracy, specificity, PPV, NPV, and AUC values obtained for the training cohort was 0.91, 0.9, 0.93, 0.9, and 0.96 CT angiography (CTA), 0.93, 0.93, 0.95, 0.90, and 0.96 computed tomography normal (CTN), and 0.92, 0.87, 0.91, 0.96, and 0.96 CT venogram (CTV). These values were subsequently confirmed in the validation cohort. Conclusion: The radiomics-based prediction model proposed in this study successfully differentiated between SCH and SCC throat cancers using CT imaging, thereby facilitating the development of accurate preoperative diagnosis based on specific biomarkers and cancer phenotypes.
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Affiliation(s)
- Osama A. Khodrog
- From the Department of Radiology (Khodrog, Cui, Xu, Han, Liu, Gong, Yuan), the Second Hospital of Jilin University, Changchun, China and from the Department of Medical Imaging (Khodrog), Faculty of Applied Medical Health, Palestine Ahliya University, Bethlehem, Palestine.
| | - Fengzhi Cui
- From the Department of Radiology (Khodrog, Cui, Xu, Han, Liu, Gong, Yuan), the Second Hospital of Jilin University, Changchun, China and from the Department of Medical Imaging (Khodrog), Faculty of Applied Medical Health, Palestine Ahliya University, Bethlehem, Palestine.
| | - Nannan Xu
- From the Department of Radiology (Khodrog, Cui, Xu, Han, Liu, Gong, Yuan), the Second Hospital of Jilin University, Changchun, China and from the Department of Medical Imaging (Khodrog), Faculty of Applied Medical Health, Palestine Ahliya University, Bethlehem, Palestine.
| | - Qinghe Han
- From the Department of Radiology (Khodrog, Cui, Xu, Han, Liu, Gong, Yuan), the Second Hospital of Jilin University, Changchun, China and from the Department of Medical Imaging (Khodrog), Faculty of Applied Medical Health, Palestine Ahliya University, Bethlehem, Palestine.
| | - Jianhua Liu
- From the Department of Radiology (Khodrog, Cui, Xu, Han, Liu, Gong, Yuan), the Second Hospital of Jilin University, Changchun, China and from the Department of Medical Imaging (Khodrog), Faculty of Applied Medical Health, Palestine Ahliya University, Bethlehem, Palestine.
| | - Tingting Gong
- From the Department of Radiology (Khodrog, Cui, Xu, Han, Liu, Gong, Yuan), the Second Hospital of Jilin University, Changchun, China and from the Department of Medical Imaging (Khodrog), Faculty of Applied Medical Health, Palestine Ahliya University, Bethlehem, Palestine.
| | - Qinghai Yuan
- From the Department of Radiology (Khodrog, Cui, Xu, Han, Liu, Gong, Yuan), the Second Hospital of Jilin University, Changchun, China and from the Department of Medical Imaging (Khodrog), Faculty of Applied Medical Health, Palestine Ahliya University, Bethlehem, Palestine.
- Address correspondence and reprint request to: Dr. Qinghai Yuan, Department of Radiology, Norman Bethune College of Medicine, The Second Hospital of Jilin University, Changchun, China. E-mail: ORCID ID: http://orcid.org/0000-0002-5337-5354
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Zhang SW, Luo RZ, Sun XY, Yang X, Yang HX, Xiong SP, Liu LL. Co-expression of SOX2 and HR-HPV RISH predicts poor prognosis in small cell neuroendocrine carcinoma of the uterine cervix. BMC Cancer 2021; 21:332. [PMID: 33789601 PMCID: PMC8011148 DOI: 10.1186/s12885-021-08059-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Accepted: 03/09/2021] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Small cell neuroendocrine carcinoma of the uterine cervix (SCNEC) is a rare cancer involving the human papilloma virus (HPV), and has few available treatments. The present work aimed to assess the feasibility of SOX2 and HPV statuses as predictive indicators of SCNEC prognosis. METHODS The associations of SOX2 and/or high-risk (HR)-HPV RNA in situ hybridization (RISH) levels with clinicopathological characteristics and prognostic outcomes for 88 neuroendocrine carcinoma (NEC) cases were analyzed. RESULTS Among these patients with SCNEC, SOX2, P16INK4A and HR-HPV RISH expression and SOX2/HR-HPV RISH co-expression were detected in 68(77.3%), 76(86.4%), 73(83.0%), and 48(54.5%), respectively. SOX2-positive and HR-HPV RISH-positive SCNEC cases were associated with poorer overall survival (OS, P = 0.0170, P = 0.0451) and disease-free survival (DFS, P = 0.0334, P = 0.0309) compared with those expressing low SOX2 and negative HR-HPV RISH. Alternatively, univariate analysis revealed that SOX2 and HR-HPV RISH expression, either separately or in combination, predicted the poor prognosis of SCNEC patients. Multivariate analysis revealed that the co-expression of SOX2 with HR-HPV RISH may be an independent factor of OS [hazard ratio = 3.597; 95% confidence interval (CI): 1.085-11.928; P = 0.036] and DFS [hazard ratio = 2.880; 95% CI: 1.199-6.919; P = 0.018] prediction in SCNEC. CONCLUSIONS Overall, the results of the present study suggest that the co-expression of SOX2 with HR-HPV RISH in SCNEC may represent a specific subgroup exhibiting remarkably poorer prognostic outcomes compared with the expression of any one marker alone.
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Affiliation(s)
- Shi-Wen Zhang
- Department of Pathology, Sun Yat-sen University Cancer Center, Guangzhou, 510060, China
- Department of Pathology, the Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, 51800, China
| | - Rong-Zhen Luo
- Department of Pathology, Sun Yat-sen University Cancer Center, Guangzhou, 510060, China
| | - Xiao-Ying Sun
- Department of Gynecological Oncology, Sun Yat-sen University Cancer Center, Guangzhou, 510060, China
| | - Xia Yang
- Department of Pathology, Sun Yat-sen University Cancer Center, Guangzhou, 510060, China
| | - Hai-Xia Yang
- Department of Pathology, Sun Yat-sen University Cancer Center, Guangzhou, 510060, China
| | - Si-Ping Xiong
- Department of Pathology, Sun Yat-sen University Cancer Center, Guangzhou, 510060, China
| | - Li-Li Liu
- Department of Pathology, Sun Yat-sen University Cancer Center, Guangzhou, 510060, China.
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