ArticleEuropean journal of nuclear medicine and molecular imaging2026
The deep learning radiomics nomogram for risk stratification in multiple myeloma using automatic whole-body [
Article in European journal of nuclear medicine and molecular imaging, 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 develop a deep learning (DL) approach for automatic segmentation and accurate risk stratification in multiple myeloma (MM) using whole-body [
methodsThis retrospective study included MM patients who underwent [
resultsThe study included 345 patients (median age, 59 years [IQR, 35-67 years], 198 male). The nnU-Net achieved a median DSC of 0.64-0.77 for focal lesions segmentation across cohorts. The DLRN was constructed by integrating deep learning radiomics score (DLRS), lactate dehydrogenase (LDH), and β2-microglobulin (β2-MG). The DLRN achieved an area under ROC curve (AUC) of 0.87 (95% confidence interval [CI]: 0.82-0.93), 0.84 (95% CI: 0.73-0.96), and 0.88 (95% CI: 0.76-0.99) for 3-year overall survival (OS) status prediction in the training, internal and external testing cohorts, which outperformed the International Staging System (ISS) (all P < 0.05). Furthermore, the DLRN can effectively identify high-risk individuals (all P < 0.05), demonstrated good agreement between predicted and observed survival probabilities, and provided clinical net benefit.
conclusionThe pattern-specific DL approach achieved automated whole-body tumor segmentation in MM, and the established DLRN demonstrated improved risk stratification capability.
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