The clinical value of radiomics models based on multi-parameter MRI features in evaluating the different expression status of HER2 in breast cancer.

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Tác giả: Yanni Jiang, Jialu Lin, Tingting Liu, Jianjuan Lou, Cong Wang, Siqi Wang, Jiulou Zhang, Qigui Zou

Ngôn ngữ: eng

Ký hiệu phân loại:

Thông tin xuất bản: England : Acta radiologica (Stockholm, Sweden : 1987) , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 741844

BACKGROUND: Accurate preoperative non-invasive assessment of HER2 expression in breast cancer is crucial for personalized treatment and prognostic stratification. PURPOSE: To evaluate the effectiveness of radiomics models based on multi-parametric magnetic resonance imaging (MRI) in distinguishing HER2 expression status in invasive breast cancer. MATERIAL AND METHODS: We conducted a retrospective analysis of baseline MRI scans and clinical data from 400 patients with breast cancer between January 2018 and December 2019. Two-dimensional regions of interest were manually segmented on the maximum tumor images obtained from turbo inversion recovery magnitude (TIRM), dynamic contrast-enhanced magnetic resonance imaging phase 2 (DCE2), dynamic contrast-enhanced magnetic resonance imaging phase 4 (DCE4), diffusion-weighted imaging (DWI), and apparent diffusion coefficient (ADC) sequences using ITK-SNAP software. Features were extracted and screened for dimensionality reduction. Logistic regression models were developed to predict HER2 expression status. RESULTS: In distinguishing HER2-overexpression from non-HER2-overexpression, the DCE2 model outperformed other single-parameter models, with areas under the curve (AUCs) of 0.91 (training) and 0.88 (test). Combination models with DCE features showed significantly improved performance ( CONCLUSION: Radiomics models based on multi-parametric MRI features demonstrated strong clinical utility in assessing HER2 expression status in invasive breast cancer, particularly in identifying HER2-overexpression and HER2-low expression subtypes.
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