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ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2024

Computed tomography-based radiomics nomogram for predicting therapeutic response to neoadjuvant chemotherapy in locally advanced gastric cancer : A scale for treatment predicting.

Wenjing Chen, Weiteng Zhang, Xietao Chen, Weisong Dong, Yiqi Cai, Jun Cheng, Jinji Jin

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Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Wenjing Chen *Department of Gastrointestinal Surgery, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Weiteng Zhang *Department of Gastrointestinal Surgery, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Xietao ChenSchool of Basic Medical Sciences, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Weisong DongDepartment of Pathology, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Yiqi CaiDepartment of Gastrointestinal Surgery, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Jun ChengDepartment of Gastrointestinal Surgery, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China. zjwzcj24@163.com.
Jinji JinDepartment of Gastrointestinal Surgery, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China. wzjinjinji@163.com.ORCID http://orcid.org/0000-0002-8437-4004

Funding

National Natural Science Foundation of China No. 32070151
6 · The paper itself

Abstract

BACKGROUND AND

objectiveNeoadjuvant chemotherapy results in various responses when used to treat locally advanced gastric cancer, we aimed to develop and validate a predictive model of the response to neoadjuvant chemotherapy in patients with gastric cancer.

methodsA total of 128 patients with locally advanced gastric cancer who underwent pre-treatment computed tomography (CT) scanning followed by neoadjuvant chemoradiotherapy were included (training cohort: n = 64; validation cohort: n = 64). We built a radiomics score combined with laboratory parameters to create a nomogram for predicting the efficacy of neoadjuvant chemotherapy and calculating scores for risk factors.

resultsThe radiomics score system demonstrated good stability and prediction performance for the response to neoadjuvant chemotherapy, with the area under the curve of the training and validation cohorts being 0.8 and 0.64, respectively. The radiomics score proved to be an independent risk factor affecting the efficacy of neoadjuvant chemotherapy. In addition to the radiomics score, four other risk factors were included in the nomogram, namely the platelet-to-lymphocyte ratio, total bilirubin, ALT/AST, and CA199. The model had a C-index of 0.8.

conclusionsOur results indicated that radiomics features could be potential biomarkers for the early prediction of the response to neoadjuvant treatment.

Indexed as

Neoadjuvant TherapyNomogramsStomach NeoplasmsTomography, X-Ray ComputedAdultAgedAntigens, Tumor-Associated, CarbohydrateAntineoplastic Combined Chemotherapy ProtocolsArea Under CurveBilirubinFemaleHumansMaleMiddle AgedPlatelet CountRadiomicsAntigens, Tumor-Associated, CarbohydrateBilirubincarbohydrate antigen 199, humanComputed tomographyGastric cancerNeoadjuvant chemotherapyNomogramRadiomic

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