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Advances in Radiotherapy
            & Nuclear Medicine                                                           Radiomics for gastric cancer




            Table 3. Summary of studies on radiomics for predicting tumor prognosis and treatment response
            Authors       Year  Image       Purpose          Sample       Features            Result
            Giganti et al. 58  2017  CT  To explore the relationship  56 (Single center)  Radiomics  A number of parameters were
                                      between pre-operative CT                      significantly associated with the
                                      texture analysis and OS in                    negative outcomes depending on the
                                      patients with GC                              threshold
            Wang et al. 59  2020  CT  To evaluate the splenic   243 (Single center)  Radiomics+clinical Splenic features extracted from
                                      tissue characteristics to                     imaging technology can accurately
                                      predict the prognosis of                      predict the long-term survival of
                                      patients with GC                              patients with GC
            Wang et al. 60  2020  CT  To establish a prognosis   353 (Multi-center)  Radiomics+clinical The radiomic nomogram
                                      model guided by                               incorporated with radiomic
                                      multi-detector CT                             signature, extramural vessel invasion,
                                                                                    clinical T stage, and clinical N stage
                                                                                    outperformed all the other models
                                                                                    (concordance index=0.720 and 0.727)
            Li et al. 61  2019  CT    To investigate the   181 (Single center)  Radiomics+clinical The Harrell concordance index
                                      prognostic significance                       of a nomogram combining
                                      of radiomic features in                       radiomic signature and significant
                                      patients with GC after                        clinicopathological risk factors was
                                      radical resection                             0.82
            Li et al. 62  2018  CT    To predict the pathological  47 (Single center)  Radiomics  The feature selection method
                                      reaction of pre-operative                     adopted by a filter based on linear
                                      chemotherapy for locally                      discriminant analysis+classifier
                                      advanced GC                                   of random forest achieved a
                                                                                    significantly prognostic performance
                                                                                    in the PP (AUC=0.722±0.108,
                                                                                    accuracy=0.793, sensitivity=0.636,
                                                                                    and specificity=0.889)
            Sun et al. 63  2020  CT   To predict the therapeutic   106 (Single center)  Radiomics+clinical In the validation cohort, the rad-score
                                      response to NAC and to                        demonstrated a good predicting
                                      investigate its efficacy in                   performance in treatment response to
                                      survival stratification                       the NAC (AUC=0.82)
            Mazzei et al. 64  2021  CT  To predict the response to   70 (Single center)  Radiomics  The AUC of all patients by logistic
                                      NAC of GC                                     regression was 0.763
            Xu et al. 65  2021  CT    To predict and early   292 (Single center)  Radiomics  The improved DR model with
                                      detect the pathological                       averaging outcome scores of PR and
                                      downstaging with NAC in                       DR models showed boosted results in
                                      advanced GC                                   two testing cohorts (AUC=0.961 and
                                                                                    AUC=0.921, respectively)
            Chen et al. 66  2021  CT  To predict the main   221 (Single center)  Radiomics+clinical The final established model
                                      pathological reactions of                     incorporates ADC differentiation
                                      advanced GC to NAC                            and rad-scores. The model showed
                                                                                    satisfactory predictive accuracy with a
                                                                                    C-index of 0.763
            Chen et al. 67  2021  CT  To predict the DFS and OS  159 (Single center)  Radiomics+clinical The combined Rad-clinical models
                                      of patients with advanced                     showed improved performance in the
                                      GC after NAC                                  testing cohort, with C-indices of 0.810
                                                                                    and 0.710 for DFS and OS, respectively
            Shin et al. 68  2021  CT  To predict the    410 (Single center)  Radiomics+clinical In internal and external validation,
                                      recurrence-free survival of                   the AUC of the combined model was
                                      locally advanced GC                           0.719 and 0.651, respectively
            Klaassen et al. 70  2018  CT  To predict the   69 (Single center)  Radiomics  The random forest model for CT scan
                                      chemotherapy response of                      lesions had an average training AUC
                                      patients with esophageal                      of 0.87 and 0.79 for the validation set
                                      GC to single hepatic
                                      metastases
                                                                                                       (Cont’d...)

            Volume 3 Issue 2 (2025)                         30                             doi: 10.36922/arnm.8350
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