ArticleStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2026
Application of delta radiomics based on cone-beam computed tomography in predicting radiotherapy efficacy for nasopharyngeal carcinoma.
Article in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2026. 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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Abstract
purposeTo investigate the value of cone-beam computed tomography (CBCT)-based delta radiomics for predicting short-term radiotherapy (RT) response in nasopharyngeal carcinoma (NPC).
methodsA total of 132 pathologically confirmed NPC patients receiving RT were retrospectively enrolled. Serial CBCT images during weeks 1-4 were collected. Patients were grouped by therapeutic response and randomly divided into training and test sets (7:3). Radiomic features from fractional CBCTs were extracted via Pyradiomics. Temporal delta-radiomic features were derived from interfraction differences. After applying feature normalization and dimensionality reduction, optimal features were selected using analysis of variance (ANOVA), recursive feature elimination, relevant features, and Kruskal-Wallis tests. Ten classifiers, including logistic regression (LR), were trained with 5‑fold cross-validation strategy. Predictive performance was evaluated by receiver operating characteristic (ROC) curves, decision curve analysis (DCA), and the DeLong's test.
resultsThe LR model based on the CBCT
conclusionThe CBCT-based delta radiomics models can dynamically assess short-term RT response in NPC patients. This approach offers potential as an early-warning indicator during the RT course and provides a novel approach to guiding personalized precision radiotherapy for NPC.
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