研究目的
To evaluate machine learning models to predict patients’ overall survival (OS) and progression‐free survival (PFS) on the basis of clinical, pathological, semantic MRI‐based, and FET‐PET/CT‐derived information, and to assess the value of adding treatment features.
研究成果
MRI‐based features were the most relevant feature class for prognostic assessment in GBM patients. Combining clinical, pathological, and imaging information increased predictive power for OS and PFS. Adding treatment features further enhanced prognostic performance, suggesting their potential role in optimizing follow‐up procedures or second‐line therapy regimens as part of clinical decision support systems.
研究不足
The study was performed on a retrospective patient cohort, which may introduce biases. The patient number with available PET data was relatively low, and two distinct reconstruction methods were used for PET measures, which may have led to inconsistencies. The model generation requires relatively large training sets, and limited patient numbers may foster instability of model performances.
1:Experimental Design and Method Selection:
The study retrospectively analyzed 189 patients with GBM treated with radiation therapy from 2009 to
2:Machine learning models were developed using the random survival forest algorithm to predict OS and PFS based on clinical, pathological, MRI‐based, and FET‐PET/CT‐derived features. Treatment features were also included to evaluate their impact on prognostic performance. Sample Selection and Data Sources:
20 Patient records were assessed for clinical, pathological, and treatment information. Preoperative MRIs and FET‐PET/CT images were analyzed for semantic imaging features and metabolic information, respectively.
3:List of Experimental Equipment and Materials:
MRIs were analyzed for semantic features, and FET‐PET/CT images were processed using Matlab for metabolic information.
4:Experimental Procedures and Operational Workflow:
The dataset was split into a development subset (2/3 of patients) and an independent test subset (1/3 of patients). Seven prediction models based on different feature classes were trained and validated.
5:Data Analysis Methods:
The performance of the models was assessed using the concordance index (C‐index) and compared using statistical tests. Feature importance was evaluated using permutation feature importance.
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