Abstract
Background: To extract the texture features of Apparent Diffusion Coefficient (ADC) images in Mp-MRI and build a machine learning model based on radiomics texture analysis to determine its ability to distinguish benign from prostate cancer (PCa) lesions using PI-RADS 4/5 score.Materials and methods: First, use ImageJ software to obtain texture feature parameters based on ADC images; use R language to standardize texture feature parameters, and use Lasso regression to reduce the dimensionality of multiple feature parameters; then, use the feature parameters after dimensionality reduction to construct image-based groups. Learn R-Logistic, R-SVM, R-AdaBoost to identify the machine learning classification model of prostate benign and malignant nodules. Secondly, the clinical indicators of the patients were statistically analyzed, and the three clinical indicators with the largest AUC values were selected to establish a classification model based on clinical indicators of benign and malignant prostate nodules. Finally, compare the performance of the model based on radiomics texture features and clinical indicators to identify benign and malignant prostate nodules in PI-RADS 4/5.Results: The experimental results show that the AUC of the R-Logistic model test set is 0.838, which is higher than the R-SVM and R-AdaBoost classification models. At this time, the corresponding R-Logistic classification model formula is: Y_radiomics=9.396-7.464*median ADC-0.584 *kurtosis+0.627*skewness+0.576*MRI lesions volume; analysis of clinical indicators shows that the 3 indicators with the highest discrimination efficiency are PSA, Fib, LDL-C, and the corresponding C-Logistic classification model formula is: Y_clinical =-2.608 +0.324*PSA-3.045*Fib+4.147*LDL-C, the AUC value of the model training set is 0.860, which is smaller than the training set R-Logistic classification model AUC value of 0.936.Conclusion: The machine learning classifier model is established based on the texture features of radiomics. It has a good classification performance in identifying benign and malignant nodules of the prostate in PI-RADS 4/5. This has certain potential and clinical value for patients with prostate cancer to adopt different treatment methods and prognosis.