Table 1.
CT radiomics in head and neck cancer
Author and year of publication | Sample size and disease stage | Time of imaging and study type | Therapy | Number of parameters derived | Method of feature grouping/selectionand number of parametrs derived | Outcome parameter | Result |
---|---|---|---|---|---|---|---|
M.Bogowicz16 May 2017 |
N = 93 TC N = 56 VC Stage III and IV HNSCC (Orp,Hyp,Lar,OC) |
Pre-treatment retrospective for TC prospective for VC |
Definitive IMRT 70 Gy with cisplatin or cetuximab. | Shape Intensity Texture Wavelet transform 317 features |
Grouping: PCA Selection: UVCRA for prognosis (9) For comparison with clinical and combined radiomics-clinical model: MVCRA(3) Split ROC curves at 18 mths |
Predict LC: using CI Compare radiomics versus clinical model and a combined clinicoradiomic model for LC |
Radiomics signature significantly associated with LC Combined Radiomics + Clinical model performed better than Radiomics model alone in TC, but not VC |
H. Zhang et alDec17 2013 |
N = 72 Stage III and IV HNSCC (Orp,Hyp,Lar,OC) |
Pretreatment Retrospective Median follow up time: 1.9 years Median OS of entire cohort: 2.6 years |
All induction TPF chemotherapy. | First-order texture and histogram analysis, Multiple spatial filters applied from fine to coarse. Number of features = NM |
MVCRA for primary mass parameters with OS MVA for model with primary size and N stage. No internal validation/bootstrapping |
Predict OS: HR, CI and p-value | MVA: Entropy and skewness with multiple filters associated with OS. MVA of clinical and imaging variables: Entropy and skewness with 1.0 spatial filter associated with OS. |
D.Ou et al18 June 2017 |
N = 120 Stage III-IVb HNSCC |
Pretreatment Retrospective Median follow-up time: 49.3 months 5 year actuarial OS: 61.2% |
3D-CRT or IMRT with Cisplatin or Cetuximab Matched 2:1 into Concurrent Chemoradiotherapy vs BioRadiotherapy |
Shape Intensity Texture Filter based wavelet 544 |
Grouping: PCA Feature selection: UVCPHA(24) Data dichotomized: low and high radiomics score Internal validation: dichotomizing data and two sided p values |
Prognosis and Prediction : OS, PFS AUC at 5 years MVA with HR Test radiomics with combined model using p16 |
Radiomics model alone, and in combination with p16 predicted OS and PFS. Patients with high signature score significantly benefited more from CRT ( vs BRT) in terms of OS and PFS, while no benefit difference between CRT and BRT in patients with low signature score. |
HR, Hazard Ratios; Hyp, Hypopharynx; IMRT, Intensity Modulated Radiotherapy; LC, Local Control; Lar, Larynx; MVA, Multivariate analysis; MVCRA, Multivariate Cox Regression Analysis; N, Number of patients; NM, Not mentioned; OC, Oral cavity; Orp, Oropharnx; PCA, Principal Component Analysis; ROC, Reciever Operated Curves; TC, Training Cohort; TPF, cisplatin, 5-fluorouracil, and docetaxel; UVCRA, Univariate Cox Regression Analysis; VC, Validation Cohort.