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13-02-2024 | Endometrial Cancer | Diagnostic Imaging in Oncology

Application of magnetic resonance imaging radiomics in endometrial cancer: a systematic review and meta-analysis

Authors: Meng-Lin Huang, Jing Ren, Zheng-Yu Jin, Xin-Yu Liu, Yuan Li, Yong-Lan He, Hua-Dan Xue

Published in: La radiologia medica | Issue 3/2024

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Abstract

Purpose

We aimed to systematically assess the methodological quality and clinical potential application of published magnetic resonance imaging (MRI)-based radiomics studies about endometrial cancer (EC).

Methods

Studies of EC radiomics analyses published between 1 January 2000 and 19 March 2023 were extracted, and their methodological quality was evaluated using the radiomics quality score (RQS) and Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS-2). Pairwise correlation analyses and separate meta-analyses of studies exploring differential diagnoses and risk prediction were also performed.

Results

Forty-five studies involving 3 aims were included. The mean RQS was 13.77 (range: 9–22.5); publication bias was observed in the areas of ‘index test’ and ‘flow and timing’. A high RQS was significantly associated with therapy selection-aimed studies, low QUADAS-2 risk, recent publication year, and high-performance metrics. Raw data from 6 differential diagnosis and 34 risk prediction models were subjected to meta-analysis, revealing diagnostic odds ratios of 23.81 (95% confidence interval [CI] 8.48–66.83) and 18.23 (95% CI 13.68–24.29), respectively.

Conclusion

The methodological quality of radiomics studies involving patients with EC is unsatisfactory. However, MRI-based radiomics analyses showed promising utility in terms of differential diagnosis and risk prediction.
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Metadata
Title
Application of magnetic resonance imaging radiomics in endometrial cancer: a systematic review and meta-analysis
Authors
Meng-Lin Huang
Jing Ren
Zheng-Yu Jin
Xin-Yu Liu
Yuan Li
Yong-Lan He
Hua-Dan Xue
Publication date
13-02-2024
Publisher
Springer Milan
Published in
La radiologia medica / Issue 3/2024
Print ISSN: 0033-8362
Electronic ISSN: 1826-6983
DOI
https://doi.org/10.1007/s11547-024-01765-3