Evidence map›Paper›PMID 40105553›Full record

ArticleRevista da Associacao Medica Brasileira (1992)2025

Multisequence combined magnetic resonance imaging radiomics model to noninvasively predict nuclear grade of clear cell renal cell carcinoma: interpretable model development.

Esat Kaba, Hande Melike Bülbül, Mehmet Kıvrak, Nur Hürsoy

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Article in Revista da Associacao Medica Brasileira (1992), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Esat KabaRecep Tayyip Erdogan University, Department of Radiology - Rize, Turkey.ORCID http://orcid.org/0000-0001-7464-988X
Hande Melike BülbülRecep Tayyip Erdogan University, Department of Radiology - Rize, Turkey.ORCID http://orcid.org/0000-0001-9492-093X
Mehmet KıvrakRecep Tayyip Erdogan University, Department of Biostatistics and Medical Informatics - Rize, Turkey.ORCID http://orcid.org/0000-0002-2405-8552
Nur HürsoyRecep Tayyip Erdogan University, Department of Radiology - Rize, Turkey.ORCID http://orcid.org/0000-0001-5059-2268

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe nuclear grade of clear cell renal cell carcinoma directly relates to prognosis and is usually determined through invasive methods like biopsy or surgery. This study aimed to predict the nuclear grade of clear cell renal cell carcinoma using a noninvasive method: multisequence magnetic resonance imaging-based radiomics analysis.

methodsA total of 42 clear cell renal cell carcinomas (29 low grade, 13 high grade) were included in the study. T2, fat-suppressed T2, noncontrast T1, corticomedullary phase, nephrographic phase, excretory phase, and apparent diffusion coefficient sequences of patients were used for radiomics analysis. Inter-observer agreement was assessed for these sequences, and following reproducibility analysis and feature selection, three new groups were formed: noncontrast enhancement, contrast enhancement, and combined groups, with different combinations of features extracted from these sequences. As a result, seven different sequences and three different groups constituted 10 classification groups. An extreme gradient boosting model was used for classification, employing 10-fold cross-validation.

resultsRadiomics features from corticomedullary phase and nephrographic phase sequences showed excellent inter-observer agreement, with Pearson correlation coefficient values of 0.88 for corticomedullary phase and 0.90 for nephrographic phase. The study included 42 clear cell renal cell carcinomas with a mean age of 60.8 years. Individually, the corticomedullary phase sequence achieved the highest area under the curve and accuracy values (0.88 and 0.85), followed by the apparent diffusion coefficient sequence (0.87 and 0.79). In the combined sequence group, the contrast enhancement group showed the highest area under the curve and accuracy (0.93 and 0.87), ranking highest across the entire study.

conclusionMultisequence magnetic resonance imaging radiomics has great potential to predict the nuclear grade of clear cell renal cell carcinoma and guide the treatment plan noninvasively.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsMagnetic Resonance ImagingAdultAgedFemaleHumansMaleMiddle AgedNeoplasm GradingObserver VariationPredictive Value of TestsRadiomicsReproducibility of ResultsRetrospective Studies

Identifiers

PMID40105553
PMCPMC11918848

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