scholarly journals Histological classification of non-small cell lung cancer using Gabor filtering Minkowski functionals and Neighborhood Component Analysis on CT images.

Author(s):  
Kentaro Yamagishi ◽  
Norihito Naruto ◽  
Tatsuji Mizukami ◽  
Junichi Saito ◽  
kyo Noguchi

Abstract Information regarding the histological types of non-small cell lung cancer is essential to determine the treatment strategy. Although several radiomics studies using almost similar feature variables were reported, a considerable variation in the performances has been observed. In this study, as novel radiomic features, 2D Gabor filtering Minkowski functionals were used. They were calculated in rotational invariant and both scale and rotational invariant ways using circular shift operations of Gabor filters on nonenhanced computed tomographic images. Eighty-six patients (47 adenocarcinomas, 39 squamous cell carcinomas) were analyzed. Two independent observers manually delineated a single slice segmentation of a tumor. Feature selection was made by neighborhood component analysis. Among various classifiers, 1-nearest neighbor gave a promising performance. The observer-averaged accuracy of rotational invariant analysis was 86.28% and that of both scale and rotational invariant one was 88.27%. However, there was no common feature among the ten top-ranked features of each observer with the identical Gabor filtering type. Hence further study of the robustness is necessary to create a more reliable model.

Author(s):  
W. Hugo van Joolingen ◽  
Marnix J. A. Rasing ◽  
Max Peters ◽  
Anne S. R. van Lindert ◽  
Linda M. de Heer ◽  
...  

Abstract Purpose Irradical resection of non-small-cell lung cancer (NSCLC) is a detrimental prognostic factor. Recently, Rasing et al. presented an internationally validated risk score for pre-treatment prediction of irradical resection. We hypothesized that chemoradiation therapy (CRT) could serve as an alternative approach in patients with a high risk score and compared overall survival (OS) outcomes between surgery and CRT. Methods Patients from a population-based cohort with stage IIB–III NSCLC between 2015 and 2018 in The Netherlands were selected. Patients with a ‘Rasing score’ > 4 who underwent surgery were matched with patients who underwent CRT using 1:1 nearest-neighbor propensity score matching. The primary endpoint of OS was compared using a Kaplan–Meier analysis. Results In total, 2582 CRT and 638 surgery patients were eligible. After matching, 523 well-balanced pairs remained. Median OS in the CRT group was 27.5 months, compared with 45.6 months in the surgery group (HR 1.44, 95% CI 1.23–1.70, p < 0.001). The 114 surgical patients who underwent an R1–2 resection (21.8%) had a worse median OS than the CRT group (20.2 versus 27.5 months, HR 0.77, 95% CI 0.61–0.99, p = 0.039). Conclusion In NSCLC patients at high predicted risk of irradical resection, CRT appears to yield inferior survival compared with surgery. Therefore, choosing CRT instead of surgery cannot solely be based on the Rasing score. Since patients receiving an R1–2 resection do have detrimental outcomes compared with primary CRT, the treatment decision should be based on additional information, such as imaging features, comorbidities, patient preference, and the surgeon’s confidence in achieving an R0 resection.


2016 ◽  
Vol 22 ◽  
pp. 176
Author(s):  
Genevieve Streb ◽  
Narjust Duma ◽  
Natasha Piracha ◽  
Sejal Kothadia ◽  
Komal Patel ◽  
...  

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