Baseline 18F-FDG PET/CT Radiomics in Classical Hodgkin’s Lymphoma: The Predictive Role of the Largest and the Hottest Lesions.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_C94C68D79B02
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Baseline 18F-FDG PET/CT Radiomics in Classical Hodgkin’s Lymphoma: The Predictive Role of the Largest and the Hottest Lesions.
Journal
Diagnostics
Author(s)
Triumbari EKA, Gatta R., Maiolo E., De Summa M., Boldrini L., Mayerhoefer M.E., Hohaus S., Nardo L., Morland D., Annunziata S.
ISSN
2075-4418 (Print)
ISSN-L
2075-4418
Publication state
Published
Issued date
11/04/2023
Peer-reviewed
Oui
Volume
13
Number
8
Pages
1391
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
This study investigated the predictive role of baseline <sup>18</sup> F-FDG PET/CT (bPET/CT) radiomics from two distinct target lesions in patients with classical Hodgkin's lymphoma (cHL). cHL patients examined with bPET/CT and interim PET/CT between 2010 and 2019 were retrospectively included. Two bPET/CT target lesions were selected for radiomic feature extraction: Lesion_A, with the largest axial diameter, and Lesion_B, with the highest SUV <sub>max</sub> . Deauville score at interim PET/CT (DS) and 24-month progression-free-survival (PFS) were recorded. Mann-Whitney test identified the most promising image features (p < 0.05) from both lesions with regards to DS and PFS; all possible radiomic bivariate models were then built through a logistic regression analysis and trained/tested with a cross-fold validation test. The best bivariate models were selected based on their mean area under curve (mAUC). A total of 227 cHL patients were included. The best models for DS prediction had 0.78 ± 0.05 maximum mAUC, with a predominant contribution of Lesion_A features to the combinations. The best models for 24-month PFS prediction reached 0.74 ± 0.12 mAUC and mainly depended on Lesion_B features. bFDG-PET/CT radiomic features from the largest and hottest lesions in patients with cHL may provide relevant information in terms of early response-to-treatment and prognosis, thus representing an earlier and stronger decision-making support for therapeutic strategies. External validations of the proposed model are planned.
Keywords
18F-FDG PET/CT, classical Hodgkin’s lymphoma, radiomics
Pubmed
Web of science
Open Access
Yes
Create date
23/05/2023 13:29
Last modification date
08/08/2024 6:40
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