0059
Radiomics based classification of breast mass with a multiparametric MRI protocol with DCE-MRI, T2, and DWI
Jing Zhang1, Chenao Zhan2, Tao Ai2, Xu Yan3, and Guang Yang1
1Shanghai key lab of magnetic resonance, shanghai, China, 2Tongji Medical College, Huazhong University of Science and Technology, Department of Radiology,Tongji Hospital, Wuhan, Hubei Province, China, 3Siemens Healthcare, MR Scientific Marketing, shanghai, China
    A combined radiomics model using features from multi-parametric MRI achieved an AUC of 0.948 to differentiate maglinant and benign breast cancers in the test cohort, with an increased accuracy and a decreased false positive rate.
Figure 1 Flow chart. A tumor region was contoured manually on T1Wpost 90s­, to which other images were aligned. First order and texture features were extracted from T1W, DCE kinetic maps, T2W, and ADC maps, and used to build radiomics models, together with shape features. The dataset was split into training and test cohort by scanning date. After feature selection, radiomics models were constructed using SVM or LR, before evaluated with ROC analysis, DCA
Figure 2 Model evaluation. (a) ROC in internel test cohort. (b) Decision curve analysis for each model in the testing dataset. The decision curve showed that when the threshold probability is in the range 0.85-0.95, the application of the final model adds more benefit than treating all or none of the patients and other models. (c) Calibration curve of the union model prediction in the internal and external test cohort. (d) Weights of selected features in the final model