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[期刊论文]

Noninvasive Evaluation of the Pathologic Grade of Hepatocellular Carcinoma Using MCF-3DCNN: A Pilot Study

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作者:

Yang, Da-wei (Yang, Da-wei.) | Jia, Xi-bin (Jia, Xi-bin.) (学者:贾熹滨) | Xiao, Yu-jie (Xiao, Yu-jie.) | 展开

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摘要:

Purpose. To evaluate the diagnostic performance of deep learning with a multichannel fusion three-dimensional convolutional neural network (MCF-3DCNN) in the differentiation of the pathologic grades of hepatocellular carcinoma (HCC) based on dynamic contrast-enhanced magnetic resonance images (DCE-MR images). Methods and Materials. Fifty-one histologically proven HCCs from 42 consecutive patients from January 2015 to September 2017 were included in this retrospective study. Pathologic examinations revealed nine well-differentiated (WD), 35 moderately differentiated (MD), and seven poorly differentiated (PD) HCCs. DCE-MR images with five phases were collected using a 3.0 Tesla MR scanner. The 4D-tensor representation was employed to organize the collected data in one temporal and three spatial dimensions by referring to the phases and 3D scanning slices of the DCE-MR images. A deep learning diagnosis model with MCF-3DCNN was proposed, and the structure of MCF-3DCNN was determined to approximate clinical diagnosis experience by taking into account the significance of the spatial and temporal information from DCE-MR images. Then, MCF-3DCNN was trained based on well-labeled samples of HCC lesions from real patient cases by experienced radiologists. The accuracy when differentiating the pathologic grades of HCC was calculated, and the performance of MCF-3DCNN in lesion diagnosis was assessed. Additionally, the areas under the receiver operating characteristic curves (AUC) for distinguishing WD, MD, and PD HCCs were calculated. Results. MCF-3DCNN achieved an average accuracy of 0.7396 +/- 0.0104 with regard to totally differentiating the pathologic grade of HCC. MCF-3DCNN also achieved the highest diagnostic performance for discriminating WD HCCs from others, with an average AUC, accuracy, sensitivity, and specificity of 0.96, 91.00%, 96.88%, and 89.62%, respectively. Conclusions. This study indicates that MCF-3DCNN can be a promising technology for evaluating the pathologic grade of HCC based on DCE-MR images.

作者机构:

  • [ 1 ] [Yang, Da-wei]Capital Med Univ, Beijing Friendship Hosp, Dept Radiol, Beijing 100050, Peoples R China
  • [ 2 ] [Wang, Xiao-pei]Capital Med Univ, Beijing Friendship Hosp, Dept Radiol, Beijing 100050, Peoples R China
  • [ 3 ] [Wang, Zhen-chang]Capital Med Univ, Beijing Friendship Hosp, Dept Radiol, Beijing 100050, Peoples R China
  • [ 4 ] [Yang, Zheng-han]Capital Med Univ, Beijing Friendship Hosp, Dept Radiol, Beijing 100050, Peoples R China
  • [ 5 ] [Yang, Da-wei]Beijing Key Lab Translat Med Liver Cirrhosis, Beijing 100050, Peoples R China
  • [ 6 ] [Jia, Xi-bin]Beijing Univ Technol, Fac Informat Technol, Beijing 100124, Peoples R China
  • [ 7 ] [Xiao, Yu-jie]Beijing Univ Technol, Fac Informat Technol, Beijing 100124, Peoples R China

通讯作者信息:

  • [Wang, Zhen-chang]Capital Med Univ, Beijing Friendship Hosp, Dept Radiol, Beijing 100050, Peoples R China;;[Yang, Zheng-han]Capital Med Univ, Beijing Friendship Hosp, Dept Radiol, Beijing 100050, Peoples R China

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来源 :

BIOMED RESEARCH INTERNATIONAL

ISSN: 2314-6133

年份: 2019

卷: 2019

ESI学科: BIOLOGY & BIOCHEMISTRY;

ESI高被引阀值:169

JCR分区:3

被引次数:

WoS核心集被引频次: 18

SCOPUS被引频次: 24

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