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Advances in Radiotherapy
            & Nuclear Medicine                                                           Radiomics for gastric cancer




            Table 2. Summary of studies on radiomics for distinguishing tumor‑node‑metastasis stage in gastric cancer
            Authors      Year  Image      Purpose          Sample        Features             Result
            Chen et al. 35  2019  MRI  Prediction of LNM in   146 (Multi-center)  Radiomics+clinical  The specificity, sensitivity, and
                                     patients with advanced                         accuracy were 0.846, 0.853, and 0.851,
                                     GC                                             respectively, in the internal validation
                                                                                    cohort, and 0.714, 0.952, and 0.893,
                                                                                    respectively, in the external validation
                                                                                    cohort
            Jiang et al. 36  2019  CT  Radiomic feature-based   1,689 (Multi-center)  Radiomics+clinical  The radiomic models exhibited good
                                     CT to predict LNM in                           discriminability for LN staging in
                                     GC                                             the training, internal, and external
                                                                                    validation cohorts
            Feng et al. 37  2019  CT  Prediction of LNM in   490 (Single center)  Radiomics+clinical  In the training data, the predicted
                                     patients with GC based                         AUC of LN+was 0.824 and the
                                     on CT radiomics                                predicted AUC of the test data was
                                                                                    0.764
            Wang et al. 38  2020  CT  To investigate the value   244 (Single center)  Radiomics  Arterial phase-based radiomic model
                                     of CT-based radiomics                          exhibited an AUC of 0.899 in the
                                     in differentiating stage                       training cohort and 0.825 in the test
                                     T2 and stage T3/4 GC                           cohort
            Gao et al. 39  2020  CT  Prediction of LNM in   463 (Single center)  Radiomics+clinical  A radiomic model that incorporated
                                     early GC                                       radiomic signature and CT-reported
                                                                                    LN status exhibited a good
                                                                                    discrimination in the training cohort
                                                                                    (AUC=0.91) and testing cohort
                                                                                    (AUC=0.89)
            Gao et al. 40  2020  CT  Prediction of LNM in   768 (Multi-center)  Radiomics+clinical  A radiomic model that incorporated
                                     GC                                             radiomic signature, serum CA72-4,
                                                                                    and CT-reported LN status exhibited
                                                                                    a good discrimination in the training
                                                                                    cohort (AUC=0.92) and validation
                                                                                    cohort (AUC=0.86)
            Wang et al. 41  2020  CT  Prediction of LNM in   274 (Single center)  Radiomics+clinical  The nomogram consisted of radiomic
                                     GC                                             scores and the CT-reported LN status
                                                                                    exhibited excellent discrimination
                                                                                    in the training and test cohorts with
                                                                                    AUCs of 0.886 and 0.881, respectively
            Yardımcı et al. 42  2020  CT  To predict the clinical T   114 (Single center)  Radiomics  Based on the texture features, the
                                     and N stages and tumor                         differential ability of T stage, N stage,
                                     grade of patients with                         and tumor grade was 90.4%, 81.6%,
                                     GC before pre-operative                        and 64.5%, respectively
                                     NAC
            Yang et al. 43  2020  CT  Prediction of LNM in   170 (Single center)  Radiomics  The radiomic-clinicopathologic model
                                     GC                                             (training cohort=0.9432±0.0129,
                                                                                    validation cohort=0.8764±0.0322)
                                                                                    showed a good discrimination
                                                                                    capability
            Wang et al. 44  2021  CT  Identification of no. 10   515 (Single center)  Radiomics+clinical  CT-based radiomic nomogram
                                     LNs status in advanced                         yielded classification accuracy,
                                     proximal GC                                    with AUCs of 0.896 and 0.814 in
                                                                                    the training and validation cohort,
                                                                                    respectively.
            Sun et al. 45  2021  CT  Prediction of LNM   1,618 (Multi-center)  Radiomics+clinical  The radiomic nomograms revealed
                                     status based on                                good prediction performances, with
                                     pre-operative CT images                        AUCs of 0.716 – 0.871 in the training
                                                                                    cohort and 0.678 – 0.768 in the
                                                                                    external validation cohort
                                                                                                       (Cont’d...)

            Volume 3 Issue 2 (2025)                         28                             doi: 10.36922/arnm.8350
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