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Abstract #3769

An MRI-based nomogram predicts intracranial recurrence of brain metastases after surgery in lung cancer patients: A multicenter study

Baoxun Li1, Jiaji Mao1, Haojiang Li1, Junwei Chen1, Fang Xiao2, Xuewen Fang3, Ruomi Guo4, Manqiu Liang3, Xiaowen Luo4, Zhiyuan Wu5, Jianing Li1, Zhixuan Hu1, Qin Wen1, and Jun Shen1
1Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China, 2The First Affiliated Hospital of USTC, Hefei, China, 3The Tenth Affiliated Hospital of Southern Medical University, Dongguan People's Hospital, Dongguan, China, 4Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China, 5Capital Medical University, Beijing, China

Synopsis

Keywords: Diagnosis/Prediction, Machine Learning/Artificial Intelligence

Motivation: There is currently no reliable tool to predict postoperative recurrence for patients who undergo surgery for brain metastases (BrMs).

Goal(s): This study aimed to develop and externally validate a prognostic model to predict intracranial recurrence and recurrence-free survival (RFS) for lung cancer patients receiving BrM surgery.

Approach: A combined prognostic model-based nomogram was developed by incorporating clinical and structural MRI predictors, radiomics and deep signatures extracted from MR images.

Results: The nomogram predicted accurately for RFS and intracranial recurrence prediction, both in the training and test sets .

Impact: The combined prognostic model-based nomogram can be used as a preoperative tool to predict intracranial recurrence and recurrence-free survival after surgical resection of brain metastases in lung cancer patients.

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Keywords