Cancers, Vol. 13, Pages 339: Radiomics and Dosiomics for Predicting Local Control After Carbon-Ion Radiotherapy in Skull-Base Chordoma

Cancers, Vol. 13, Pages 339: Radiomics and Dosiomics for Predicting Local Control After Carbon-Ion Radiotherapy in Skull-Base Chordoma Cancers doi: 10.3390/cancers13020339 Authors: Giulia Buizza Chiara Paganelli Emma D’Ippolito Giulia Fontana Silvia Molinelli Lorenzo Preda Giulia Riva Alberto Iannalfi Francesca Valvo Ester Orlandi Guido Baroni Skull-base chordoma (SBC) can be treated with carbon ion radiotherapy (CIRT) to improve local control (LC). The study aimed to explore the role of multi-parametric radiomic, dosiomic and clinical features as prognostic factors for LC in SBC patients undergoing CIRT. Before CIRT, 57 patients underwent MR and CT imaging, from which tumour contours and dose maps were obtained. MRI and CT-based radiomic, and dosiomic features were selected and fed to two survival models, singularly or by combining them with clinical factors. Adverse LC was given by in-field recurrence or tumour progression. The dataset was split in development and test sets and the models’ performance evaluated using the concordance index (C-index). Patients were then assigned a low- or high-risk score. Survival curves were estimated, and risk groups compared through log-rank tests (after Bonferroni correction α = 0.0083). The best performing models were built on features describing tumour shape and dosiomic heterogeneity (median/interquartile range validation C-index: 0.80/024 and 0.79/0.26), followed by combined (0...
Source: Cancers - Category: Cancer & Oncology Authors: Tags: Article Source Type: research