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Association between radiomics features of DCE-MRI and CD8+ and CD4+ TILs in advanced gastric cancer.
Huang, Huizhen; Li, Zhiheng; Xia, Yue; Zhao, Zhenhua; Wang, Dandan; Jin, Hongyan; Liu, Fang; Yang, Ye; Shen, Liyijing; Lu, Zengxin.
Afiliación
  • Huang H; Shaoxing of Medicine, Shaoxing University, Shaoxing, China.
  • Li Z; Department of Radiology, Anhui Provincial Hospital, Hefei, China.
  • Xia Y; Shaoxing of Medicine, Shaoxing University, Shaoxing, China.
  • Zhao Z; Department of Radiology, Shaoxing People's Hospital, Shaoxing, China.
  • Wang D; Department of Radiology, Shaoxing People's Hospital, Shaoxing, China.
  • Jin H; Country Department of Pathology, Shaoxing People's Hospital, Shaoxing, China.
  • Liu F; Country Department of Pathology, Shaoxing People's Hospital, Shaoxing, China.
  • Yang Y; Country Department of Pathology, Shaoxing People's Hospital, Shaoxing, China.
  • Shen L; Department of Radiology, Shaoxing People's Hospital, Shaoxing, China.
  • Lu Z; Department of Radiology, Shaoxing People's Hospital, Shaoxing, China.
Pathol Oncol Res ; 29: 1611001, 2023.
Article en En | MEDLINE | ID: mdl-37342362
Objective: The aim of this investigation was to explore the correlation between the levels of tumor-infiltrating CD8+ and CD4+ T cells and the quantitative pharmacokinetic parameters of dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) in patients with advanced gastric cancer. Methods: We retrospectively analyzed the data of 103 patients with histopathologically confirmed advanced gastric cancer (AGC). Three pharmacokinetic parameters, Kep, Ktrans, and Ve, and their radiomics characteristics were obtained by Omni Kinetics software. Immunohistochemical staining was used to determine CD4+ and CD8+ TILs. Statistical analysis was subsequently performed to assess the correlation between radiomics characteristics and CD4+ and CD8+ TIL density. Results: All patients included in this study were finally divided into either a CD8+ TILs low-density group (n = 51) (CD8+ TILs < 138) or a high-density group (n = 52) (CD8+ TILs ≥ 138), and a CD4+ TILs low-density group (n = 51) (CD4+ TILs < 87) or a high-density group (n = 52) (CD4+ TILs ≥ 87). ClusterShade and Skewness based on Kep and Skewness based on Ktrans both showed moderate negative correlation with CD8+ TIL levels (r = 0.630-0.349, p < 0.001), with ClusterShade based on Kep having the highest negative correlation (r = -0.630, p < 0.001). Inertia-based Kep showed a moderate positive correlation with the CD4+ TIL level (r = 0.549, p < 0.001), and the Correlation based on Kep showed a moderate negative correlation with the CD4+ TIL level, which also had the highest correlation coefficient (r = -0.616, p < 0.001). The diagnostic efficacy of the above features was assessed by ROC curves. For CD8+ TILs, ClusterShade of Kep had the highest mean area under the curve (AUC) (0.863). For CD4+ TILs, the Correlation of Kep had the highest mean AUC (0.856). Conclusion: The radiomics features of DCE-MRI are associated with the expression of tumor-infiltrating CD8+ and CD4+ T cells in AGC, which have the potential to noninvasively evaluate the expression of CD8+ and CD4+ TILs in AGC patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Gástricas Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Pathol Oncol Res Asunto de la revista: NEOPLASIAS / PATOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: China Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Gástricas Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Pathol Oncol Res Asunto de la revista: NEOPLASIAS / PATOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: China Pais de publicación: Suiza