RESUMO
This meta-analysis investigates the prognostic value of MRI-based radiomics in nasopharyngeal carcinoma treatment outcomes, specifically focusing on overall survival (OS) variability. The study protocol was registered with INPLASY (INPLASY202420101). Initially, a systematic review identified 15 relevant studies involving 6243 patients through a comprehensive search across PubMed, Embase, and Web of Science, adhering to PRISMA guidelines. The methodological quality was assessed using the Quality in Prognosis Studies (QUIPS) tool and the Radiomics Quality Score (RQS), highlighting a low risk of bias in most domains. Our analysis revealed a significant average concordance index (c-index) of 72% across studies, indicating the potential of radiomics in clinical prognostication. However, moderate heterogeneity was observed, particularly in OS predictions. Subgroup analyses and meta-regression identified validation methods and radiomics software as significant heterogeneity moderators. Notably, the number of features in the prognosis model correlated positively with its performance. These findings suggest radiomics' promising role in enhancing cancer treatment strategies, though the observed heterogeneity and potential biases call for cautious interpretation and standardization in future research.
RESUMO
Extraction of various perfusion components from dynamic-susceptibility-contrast (DSC) MR brain images is critical for the analysis of brain perfusion. According to the variation of temporal signal on different brain tissues, one can segment whole brain area into distinct blood supply patterns which are vital for the profound analysis of cerebral hemodynamics. In this study, independent component analysis (ICA) is used to project the perfusion image data into independent components from which each elucidated tissue cluster can be automatically segment out by using the hierarchical clustering (HC). Five normal subjects and a case of internal carotid artery stenosis subjects were analyzed. The results demonstrated that ICA-HC is effective in multi-tissue hemodynamic classification which improves differentiation of pathological and physiological hemodynamics.
