CT Radiomics and Whole Genome Sequencing in Patients with Pancreatic Ductal Adenocarcinoma: Predictive Radiogenomics Modeling.
Ricarda HinzpeterRoshini KulanthaiveluAndres KohanLisa AveryNhu-An PhamClaudia OrtegaUr MetserMasoom HaiderPatrick Veit-HaibachPublished in: Cancers (2022)
We investigate whether computed tomography (CT) derived radiomics may correlate with driver gene mutations in patients with pancreatic ductal adenocarcinoma (PDAC). In this retrospective study, 47 patients (mean age 64 ± 11 years; range: 42-86 years) with PDAC, who were treated surgically and who underwent preoperative CT imaging at our institution were included in the study. Image segmentation and feature extraction was performed semi-automatically with a commonly used open-source software platform. Genomic data from whole genome sequencing (WGS) were collected from our institution's web-based resource. Two statistical models were then built, in order to evaluate the predictive ability of CT-derived radiomics feature for driver gene mutations in PDAC. 30/47 of all tumor samples harbored 2 or more gene mutations. Overall, 81% of tumor samples demonstrated mutations in KRAS, 68% of samples had alterations in TP53, 26% in SMAD4 and 19% in CDKN2A. Extended statistical analysis revealed acceptable predictive ability for KRAS and TP53 (Youden Index 0.56 and 0.67, respectively) and mild to acceptable predictive signal for SMAD4 and CDKN2A (Youden Index 0.5, respectively). Our study establishes acceptable correlation of radiomics features and driver gene mutations in PDAC, indicating an acceptable prognostication of genomic profiles using CT-derived radiomics. A larger and more homogenous cohort may further enhance the predictive ability.
Keyphrases
- contrast enhanced
- computed tomography
- dual energy
- image quality
- magnetic resonance imaging
- magnetic resonance
- positron emission tomography
- deep learning
- machine learning
- epithelial mesenchymal transition
- high resolution
- prognostic factors
- electronic health record
- gene expression
- transforming growth factor
- squamous cell carcinoma
- convolutional neural network
- chronic kidney disease
- high throughput
- mass spectrometry
- dna methylation