Preoperative T-2-weighted MR imaging texture analysis of gastric cancer: prediction of TNM stages
ABDOMINAL RADIOLOGY
Authors: Qiao, Xiangmei; Li, Zhengliang; Li, Lin; Ji, Changfeng; Li, Hui; Shi, Tingting; Gu, Qing; Liu, Song; Zhou, Zhengyang; Zhou, Kefeng
Abstract
Purpose To explore the capability of algorithms to build multivariate models integrating morphological and texture features derived from preoperative T-2-weighted magnetic resonance (MR) images of gastric cancer (GC) to evaluate tumor- (T), node- (N), and metastasis- (M) stages. Methods A total of 80 patients at our hospital who underwent abdominal MR imaging and were diagnosed with GC from December 2011 to November 2016 were retrospectively included. Texture features were calculated using T-2-weighted images with a manual region of interest. Morphological characteristics were also evaluated. Classifiers and regression analyses were used to build multivariate models. Receiver operating characteristic (ROC) curve analysis was performed to assess diagnostic efficacy. Results There were 8, 10, and 3 texture parameters that showed significant differences in GCs at different overall (I-II vs. III-IV), T (1-2 vs. 3-4), and N (- vs. +) stages (allp< 0.05), respectively. Mild thickening was more common in stages I-II, T1-2, and N- GCs (allp< 0.05). An irregular outer contour was more commonly observed in stages III-IV (p= 0.001) and T3-4 (p= 0.001) GCs. T3-4 and N+ GCs tended to be thickening type lesions (p= 0.005 and 0.032, respectively). The multivariate models using the naive bayes algorithm showed the highest diagnostic efficacy in predicting T and N stages (area under the ROC curves [AUC] = 0.900 and 0.863, respectively), and the model based on regression analysis had the best predictive performance in overall staging (AUC = 0.839). Conclusion Multivariate models combining morphological characteristics with texture parameters based on machine learning algorithms were able to improve diagnostic efficacy in predicting the overall, T, and N stages of GCs.
A Prospective Randomized Clinical Trial to Evaluate the Slot Size on Pain and Oral Health-Related Quality of Life (OHRQoL) in Orthodontics during the First Month of Treatment with Conventional and Low-Friction Brackets
APPLIED SCIENCES-BASEL
Authors: Curto, Adrian; Albaladejo, Alberto; Montero, Javier; Alvarado-Lorenzo, Mario; Garcovich, Daniele; Alvarado-Lorenzo, Alfonso
Abstract
The aim of this research project was to analyze the influence of slot size and low-friction on pain and the oral health-related quality of life (OHRQoL) of subjects receiving fixed appliances. A group of 120 patients (61 male, 59 female) were chosen for this randomized clinical trial. Participants were classified into four groups (30 patients in each). We compared conventional (C group) and low-friction (LF group) brackets and 0.018 '' and 0.022 '' slots. Pain was assessed at 4 (T0), 8 (T1), and 24 (T2) hours, and 2 (T3), 3 (T4), 4 (T5), 5 (T6), 6 (T7), and 7 (T8) days after the start of treatment by using the visual analogue scale (VAS). OHRQoL was assessed at 1 month using the Oral Health Impact Profile (OHIP-14). Data was analyzed using the analysis of variance (ANOVA) test with post-hoc Bonferroni correction. For pain on the visual analogue scale, statistically significant differences (p < 0.05) were found for T0 and T3. For OHRQoL, statistically significant differences (p < 0.01) were found in the domains of physical pain, psychological discomfort, psychological disability, and overall OHIP. The group with 0.022 '' low-friction brackets showed a lower pain score and less impact on OHRQoL. The type of bracket system used and bracket slot size influenced patients' perceptions of pain and their OHRQoL.