A radiomics model with pre-treatment MRI for pCR prediction and compared with two oncologists’ readings. Their performance with and without the model assistances was cross-compared to see the potential role of radiomics model in assisting clinical decision. A total of 203 patients receiving neoadjuvant CRT followed by total mesorectal excision (TME) were enrolled. For training set, AUC from radiomics model is 0.85 and AUC from clinical model is 0.74. For testing set, AUC from radiomics model is 0.82 and AUC from clinical model is 0.69. For oncologist’s reading, with the assistance of radiomics model, positive prediction value (PPV) and specificity increased significantly for both experienced and inexperienced oncologist.
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