Can CT-based radiomics signature predict KRAS/NRAS/BRAF mutations in colorectal cancer?
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To investigate whether CT-based radiomics signature can predict KRAS/NRAS/BRAF mutations in colorectal cancer (CRC).
This retrospective study consisted of a primary cohort (n = 61) and a validation cohort (n = 56) with pathologically confirmed CRC. Patients underwent KRAS/NRAS/BRAF mutation tests and contrast-enhanced CT before treatment. A total of 346 radiomics features were extracted from portal venous-phase CT images of the entire primary tumour. Associations between the genetic mutations and clinical background, tumour staging, and histological differentiation were assessed using univariate analysis. RELIEFF and support vector machine methods were performed to select key features and build a radiomics signature.
The radiomics signature was significantly associated with KRAS/NRAS/BRAF mutations (P < 0.001). The area under the curve, sensitivity, and specificity for predicting KRAS/NRAS/BRAF mutations were 0.869, 0.757, and 0.833 in the primary cohort, respectively, while they were 0.829, 0.686, and 0.857 in the validation cohort, respectively. Clinical background, tumour staging, and histological differentiation were not associated with KRAS/NRAS/BRAF mutations in both cohorts (P>0.05).
The proposed CT-based radiomics signature is associated with KRAS/NRAS/BRAF mutations. CT may be useful for analysis of tumour genotype in CRC and thus helpful to determine therapeutic strategies.
• Key features were extracted from CT images of the primary colorectal tumour.
• The proposed radiomics signature was significantly associated with KRAS/NRAS/BRAF mutations.
• In the primary cohort, the proposed radiomics signature predicted mutations.
• Clinical background, tumour staging, and histological differentiation were unable to predict mutations.
KeywordsColorectal neoplasms Adenocarcinoma Mutation Diagnostic imaging ROC curve
Abbreviations and Acronyms
Area under curve
Carbohydrate antigen 199
Carbohydrate antigen 242
Carbohydrate antigen 724
Epidermal growth factor receptor
- 18F-FDG PET/CT
Positron emession tomography/computerd tomography with 18F-fluorodexyglucose
Formalin-fixed paraffin- embedded
Gray-level co-occurrence matrix
Gray-level run-length matrix
Intra-/inter-class correlation coefficients
Nationgal comprehensive cancer network
Picture archiving and communication system
Receiver operating characteristic
Standardized uptake value
Tissue polypeptide specific antigen
Compliance with ethical standards
The scientific guarantor of this publication is Jie Tian.
Conflict of interest
The authors of this manuscript declare no relationships with any companies, whose products or services may be related to the subject matter of the article.
Statistics and biometry
No complex statistical methods were necessary for this paper.
Written informed consent was waived in this study.
Institutional Review Board approval was obtained.
• diagnostic experimental
• performed at one institution
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