ArticleJournal of the National Cancer Center2026
Construction and external validation of radiomics models to detect primary prostate cancer with machine learning: a multicenter study based on
Article in Journal of the National Cancer Center, 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
Objective: Recent studies have shown that Methods: This study enrolled consecutive patients with suspected PCa who underwent systematic biopsy (SB) and PSMA PET/CT-targeted biopsy (TB) after Results: Overall, 609 patients were recruited, including 195 patients with benign prostate diseases (BPD), 30 patients with clinically insignificant prostate cancer (ciPCa, Gleason score [GS] = 3 + 3), and 384 patients with clinically significant prostate cancer (csPCa, GS ≥ 3 + 4). For csPCa prediction, the radiomics model developed by the eXtreme Gradient Boosting (XGBoost) algorithm demonstrated the best performance. After integrating with SUVmax, the combined model achieved the highest AUC of 0.921 in internal validation cohort. External validation cohort 1 and 2 also showed promising results with AUC of 0.906 and 0.898, respectively. For PCa prediction, the XGBoost algorithm combined with SUVmax also peformed well in three validation cohorts with the AUC ranging from 0.860 to 0.918. Conclusions: This is the largest multicenter study to date, providing a noninvasive and quantitative method based on
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