Stratification of Anatomical Imaging Features Between High-Risk and Non-High-Risk Groups in Neuroblastoma

Background This study compared anatomical imaging features between high-risk and non-high-risk groups in neuroblastoma with at least one image-defined risk factor (IDRF). It also assessed the diagnostic performance of these features in identifying the high-risk group. Methods A retrospective analysi...

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Main Authors: Haoru Wang MD, Xin Chen MD, Ling He MD, Jinhua Cai MD, PhD
Format: Article
Language:English
Published: SAGE Publishing 2025-01-01
Series:Cancer Control
Online Access:https://doi.org/10.1177/10732748251315883
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author Haoru Wang MD
Xin Chen MD
Ling He MD
Jinhua Cai MD, PhD
author_facet Haoru Wang MD
Xin Chen MD
Ling He MD
Jinhua Cai MD, PhD
author_sort Haoru Wang MD
collection DOAJ
description Background This study compared anatomical imaging features between high-risk and non-high-risk groups in neuroblastoma with at least one image-defined risk factor (IDRF). It also assessed the diagnostic performance of these features in identifying the high-risk group. Methods A retrospective analysis of neuroblastoma patients with at least one IDRF was conducted. Imaging features, including estimated tumor volume and IDRFs, were compared between the two groups. The diagnostic performance of these features was assessed using receiver operating characteristic (ROC) curves, and the areas under the ROC curves (AUCs) along with their 95% confidence intervals (CIs) were calculated. Additionally, to internally validate their diagnostic performance, the bootstrap resampling method with 1000 bootstrap resamples was employed. Results The study included 255 patients (185 high-risk cases, 70 non-high-risk cases). Significant differences were found in estimated tumor volume and IDRF number between the high-risk and non-high-risk groups ( P < 0.001). The estimated tumor volume and the IDRF number-based cluster were independent risk factors, and their combination achieved an AUC of 0.801 (95% CI: 0.747-0.848) for high-risk group diagnosis, with the average AUC of the 1000 bootstrap samples of 0.800 (95% CI: 0.798-0.802). In abdominal lesions, specific IDRF categories differed between high-risk and non-high-risk groups ( P < 0.05). Conclusion Our study reveals anatomical imaging differences between high-risk and non-high-risk groups in neuroblastoma with at least one IDRF.
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spelling doaj-art-f77165bc2bf940f78f66635095ff0bc62025-01-21T05:03:19ZengSAGE PublishingCancer Control1526-23592025-01-013210.1177/10732748251315883Stratification of Anatomical Imaging Features Between High-Risk and Non-High-Risk Groups in NeuroblastomaHaoru Wang MDXin Chen MDLing He MDJinhua Cai MD, PhDBackground This study compared anatomical imaging features between high-risk and non-high-risk groups in neuroblastoma with at least one image-defined risk factor (IDRF). It also assessed the diagnostic performance of these features in identifying the high-risk group. Methods A retrospective analysis of neuroblastoma patients with at least one IDRF was conducted. Imaging features, including estimated tumor volume and IDRFs, were compared between the two groups. The diagnostic performance of these features was assessed using receiver operating characteristic (ROC) curves, and the areas under the ROC curves (AUCs) along with their 95% confidence intervals (CIs) were calculated. Additionally, to internally validate their diagnostic performance, the bootstrap resampling method with 1000 bootstrap resamples was employed. Results The study included 255 patients (185 high-risk cases, 70 non-high-risk cases). Significant differences were found in estimated tumor volume and IDRF number between the high-risk and non-high-risk groups ( P < 0.001). The estimated tumor volume and the IDRF number-based cluster were independent risk factors, and their combination achieved an AUC of 0.801 (95% CI: 0.747-0.848) for high-risk group diagnosis, with the average AUC of the 1000 bootstrap samples of 0.800 (95% CI: 0.798-0.802). In abdominal lesions, specific IDRF categories differed between high-risk and non-high-risk groups ( P < 0.05). Conclusion Our study reveals anatomical imaging differences between high-risk and non-high-risk groups in neuroblastoma with at least one IDRF.https://doi.org/10.1177/10732748251315883
spellingShingle Haoru Wang MD
Xin Chen MD
Ling He MD
Jinhua Cai MD, PhD
Stratification of Anatomical Imaging Features Between High-Risk and Non-High-Risk Groups in Neuroblastoma
Cancer Control
title Stratification of Anatomical Imaging Features Between High-Risk and Non-High-Risk Groups in Neuroblastoma
title_full Stratification of Anatomical Imaging Features Between High-Risk and Non-High-Risk Groups in Neuroblastoma
title_fullStr Stratification of Anatomical Imaging Features Between High-Risk and Non-High-Risk Groups in Neuroblastoma
title_full_unstemmed Stratification of Anatomical Imaging Features Between High-Risk and Non-High-Risk Groups in Neuroblastoma
title_short Stratification of Anatomical Imaging Features Between High-Risk and Non-High-Risk Groups in Neuroblastoma
title_sort stratification of anatomical imaging features between high risk and non high risk groups in neuroblastoma
url https://doi.org/10.1177/10732748251315883
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