Application of radiomics model based on lumbar computed tomography in diagnosis of elderly osteoporosis.

Journal: Journal of orthopaedic research : official publication of the Orthopaedic Research Society
Published Date:

Abstract

A metabolic bone disease characterized by decreased bone formation and increased bone resorption is osteoporosis. It can cause pain and fracture of patients. The elderly are prone to osteoporosis and are more vulnerable to osteoporosis. In this study, radiomics are extracted from computed tomography (CT) images to screen osteoporosis in the elderly. Collect the plain scan CT images of lumbar spine, cut the region of interest of the image and extract radiomics features, use Lasso regression to screen variables and adjust complexity, use python language to model random forests, support vector machines, K nearest neighbor, and finally use receiver operating characteristic curve to evaluate the performance of the model, including precision, recall, accuracy and area under the curve (AUC). For the model, 14 radiolomics features were selected. The diagnosis performance of random forest model and support vector machine is good, all around 0.9. The AUC of K nearest neighbor model in training set and test set is 0.828 and 0.796, respectively. We selected the plain scan CT images of the elderly lumbar spine to build radiomics features model, which has good diagnostic performance and can be used as a tool to assist the diagnosis of osteoporosis in the elderly.

Authors

  • Baisen Chen
    Department of Orthopedics, Nantong City No. 1 People's Hospital and Second Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, China.
  • Jiaming Cui
    The First People's Hospital of Nantong, Research Institute for Spine and Spinal Cord Disease of Nantong University, The Second Affiliated Hospital of Nantong University, Nantong, China.
  • Chaochen Li
    Department of Orthopedics, Nantong City No. 1 People's Hospital and Second Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, China.
  • Pengjun Xu
    Department of Orthopedics, Nantong University Affiliated Hospital, Nantong, Jiangsu, China.
  • Guanhua Xu
  • Jiawei Jiang
    Department of Clinical Research Center, Dazhou Central Hospital, Dazhou 635000, China.
  • Pengfei Xue
    Department of Orthopedics, Nantong City No. 1 People's Hospital and Second Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, China.
  • Yuyu Sun
    Department of Orthopedic, Nantong Third People's Hospital, Nantong, Jiangsu Province, China.
  • Zhiming Cui
    The Institute of Information Processing and Application, Soochow University, Suzhou 215006, China.