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Abstract #3785

Machine-learning-based multimodality radiomics analysis for the preoperative prediction for local relapse in osteosarcoma

Zhendong Luo1, Renyi Liu2, Jing Li3, Weiyin Vivian Liu4, and Xinping Shen5
1Department of Radiology, The University of Hong Kong-Shenzhen Hospital, ShenZhen, China, 2Department of Radiology, Zhongshan Hospital of Traditional Chinese Medicine, Zhongshan, China, 3Department of Radiology, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China, 4GE Healthcare, MR Research, Beijing, China, 5Department of Radiology, The University of Hong Kong - Shenzhen Hospital, Shenzhen, China

Synopsis

Keywords: Diagnosis/Prediction, Bone, Osteosarcoma

Motivation: To compare the efficacy of radiomics models using four machine learning algorithms in predicting for local relapse of osteosarcoma before surgery.

Goal(s): This study established a robust prediction model of local relapse to improve prognosis efficacy of osteosarcoma and aid a personalized treatment planning.

Approach: Comparison of four algorithms in classifying high-risk local-relapse patients from low-risk ones based on only preoperative radiographic, MR, and both radiomic features.

Results: The random-forest based prediction model using both radiograph-MRI radiomic features had the best performance on differentiating patients with local relapse from those with non-local relapse with AUC of 0.868, sensitivity of 0.909, specificity of 0.750.

Impact: This study facilitated early identification of high-risk local-relapse osteosarcoma patients who may benefit from model-guided therapeutic interventions and have better long-term outcomes.

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Keywords