Evidence map›Paper›PMID 39215773›Full record

ArticleAbdominal radiology (New York)2025

Multiparametric MRI-based radiomics nomogram for differentiation of primary mucinous ovarian cancer from metastatic ovarian cancer.

Shu Yi Shi, Yong Ai Li, Jin Wei Qiang

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Article in Abdominal radiology (New York), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

3 authors.

Shu Yi Shi *Department of Radiology, Jinshan Hospital, Fudan University, Shanghai, China.
Yong Ai Li *Department of Radiology, Jinshan Hospital, Fudan University, Shanghai, China.
Jin Wei QiangDepartment of Radiology, Jinshan Hospital, Fudan University, Shanghai, China. dr.jinweiqiang@163.com.

Funding

Jinshan District Health System JSZK2023A02Shanghai Municipal Health System ZK2019B01
6 · The paper itself

Abstract

objectiveTo develop a multiparametric magnetic resonance imaging (mpMRI)-based radiomics nomogram and evaluate its performance in differentiating primary mucinous ovarian cancer (PMOC) from metastatic ovarian cancer (MOC).

methodsA total of 194 patients with PMOC (n = 72) and MOC (n = 122) confirmed by histology were randomly divided into the primary cohort (n = 137) and validation cohort (n = 57). Radiomics features were extracted from axial fat-saturated T2-weighted imaging (FS-T2WI), diffusion-weighted imaging (DWI), and contrast-enhanced T1-weighted imaging (CE-T1WI) sequences of each lesion. The effective features were selected by minimum redundancy maximum relevance (mRMR) and least absolute shrinkage and selection operator (LASSO) regression to develop a radiomics model. Combined with clinical features, multivariate logistic regression analysis was employed to develop a radiomics nomogram. The efficiency of nomogram was evaluated using the receiver operating characteristic (ROC) curve analysis and compared using DeLong test. Finally, the goodness of fit and clinical benefit of nomogram were assessed by calibration curves and decision curve analysis, respectively.

resultsThe radiomics nomogram, by combining the mpMRI radiomics features with clinical features, yielded area under the curve (AUC) values of 0.931 and 0.934 in the primary and validation cohorts, respectively. The predictive performance of the radiomics nomogram was significantly superior to the radiomics model (0.931 vs. 0.870, P = 0.004; 0.934 vs. 0.844, P = 0.032), the clinical model (0.931 vs. 0.858, P = 0.005; 0.934 vs. 0.847, P = 0.030), and radiologists (all P < 0.05) in the primary and validation cohorts, respectively. The decision curve analysis revealed that the nomogram could provide higher net benefit to patients.

conclusionThe mpMRI-based radiomics nomogram exhibited notable predictive performance in differentiating PMOC from MOC, emerging as a non-invasive preoperative imaging approach.

Indexed as

Adenocarcinoma, MucinousMultiparametric Magnetic Resonance ImagingNomogramsOvarian NeoplasmsAdultAgedContrast MediaDiagnosis, DifferentialFemaleHumansMiddle AgedRadiomicsRetrospective StudiesContrast MediaMagnetic resonance imagingMetastatic ovarian cancerNomogramPrimary mucinous ovarian cancerRadiomics

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.