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Abstract #0714

Multiparametric radiomics-based machine learning predicts consensus molecular subtype 4 of colorectal cancer: a multi-center study

Zonglin Liu1, Meng Runqi2, Yiqun Sun1, Li Rong1, Fu Caixia3, Tong Tong1, and Shen Dinggang2
1Fudan University Shanghai Cancer Center, Shanghai, China, 2ShanghaiTech University, Shanghai, China, 3MR Application Development, Siemens Shenzhen Magnetic Resonance Ltd, Shenzhen, China

Synopsis

Keywords: Pelvis, Multimodal

Motivation: The consensus molecular subtype (CMS) is a novel classification system that reflects the genetic characteristics of the tumor. CMS4 is associated with the worst prognosis.

Goal(s): To investigate whether a radiomics-based machine learning approach could predict CMS4 status in CRC patients.

Approach: The sequencing data was input into the CMS classification system to generate CMS subtype outcomes. Radiomics features were extracted from baseline T2WI and contrast-enhanced MRI. Machine learning algorithms were applied to explore the best-performing and most robust model.

Results: The best performing model achieved AUCs of 0.855 and 0.759 in the test set and external validation set.

Impact: The genetic phenotype of CMS4 colorectal cancer may be potentially associated with morphological features. Multiparametric radiomics-based machine learning shows promising potential in distinguishing CMS4 from other subtypes of CRC.

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