ObjectivesTo investigate the capability of computed-tomography (CT) radiomic features to predict the therapeutic response of Esophageal Carcinoma (EC) to chemoradiotherapy (CRT).MethodsPretreatment contrast-enhanced CT images of 49 EC patients (33 responders, 16 nonresponders) who received with CRT were retrospectively analyzed. The region of tumor was contoured by two radiologists. A total of 214 features were extracted from the tumor region. Kruskal-Wallis test and receiver operating characteristic (ROC) analysis were performed to evaluate the capability of each feature on treatment response classification. Support vector machine (SVM) and artificial neural network (ANN) algorithms were used to build models for prediction of the treatment response. The statistical difference between the performances of the models was assessed using McNemar’s test.ResultsRadiomic-based classification showed significance in differentiating responders from nonresponders. Five features were found to discriminate nonresponders from responders (AUCs from 0.686 to 0.727). Considering these features, two features (Histogram2D_skewness: P = 0.015. Histogram2D_kurtosis: P = 0.039) were significant for differentiating SDs (stable disease) from PRs (partial response) and one feature (Histogram2D_skewness: P = 0.027) for differentiating SDs from CRs (complete response). Both classifiers showed potential in predicting the treatment response with higher accuracy (ANN: 0.972, SVM: 0.891). No statistically significant difference was observed in the performance of the two classifiers (P = 0.250).ConclusionsCT-based radiomic features can be used as imaging biomarkers to predict tumor response to CRT in EC patients.

Objective: To analyze the recurrence patterns and reasons in patients with nasopharyngeal carcinoma (NPC) treated with intensity-modulated radiotherapy (IMRT) and to investigate the feasibility of radiomics for analysis of radioresistance.Methods: We analyzed 306 NPC patients treated with IMRT from Jul-2009 to Aug-2016, 20 of whom developed with recurrence. For the NPCs with recurrence, CT, MR, or PET/CT images of recurrent disease were registered with the primary planning CT for dosimetry analysis. The recurrences were defined as in-field, marginal or out-of-field, according to dose-volume histogram (DVH) of the recurrence volume. To explore the predictive power of radiomics for NPCs with in-field recurrences (NPC-IFR), 16 NPCs with non-progression disease (NPC-NPD) were used for comparison. For these NPC-IFRs and NPC-NPDs, 1117 radiomic features were quantified from the tumor region using pre-treatment spectral attenuated inversion-recovery T2-weighted (SPAIR T2W) magnetic resonance imaging (MRI). Intraclass correlation coefficients (ICC) and Pearson correlation coefficient (PCC) was calculated to identify influential feature subset. Kruskal-Wallis test and receiver operating characteristic (ROC) analysis were employed to assess the capability of each feature on NPC-IFR prediction. Principal component analysis (PCA) was performed for feature reduction. Artificial neural network (ANN), k-nearest neighbor (KNN), and support vector machine (SVM) models were trained and validated by using stratified 10-fold cross validation.Results: The median follow up was 26.5 (range 8–65) months. 9/20 (45%) occurred in the primary tumor, 8/20 (40%) occurred in regional lymph nodes, and 3/20 (15%) patients developed a primary and regional failure. Dosimetric and target volume analysis of the recurrence indicated that there were 18 in-field, and 1 marginal as well as 1 out-of-field recurrence. With pre-therapeutic SPAIR T2W MRI images available, 11 NPC-IFRs (11 of 18 NPC-IFRs who had available pre-therapeutic MRI) and 16 NPC-NPDs were subsequently employed for radiomic analysis. Results showed that NPC-IFRs vs. NPC-NPDs could be differentiated by 8 features (AUCs: 0.727–0.835). The classification models showed potential in prediction of NPC-IFR with higher accuracies (ANN: 0.812, KNN: 0.775, SVM: 0.732).Conclusion: In-field and high-dose region relapse were the main recurrence patterns which may be due to the radioresistance. After integration in the clinical workflow, radiomic analysis can be served as imaging biomarkers to facilitate early salvage for NPC patients who are at risk of in-field recurrence.

Pretreatment radiomic analysis using CECT can potentially provide important information regarding the therapeutic response to PLDRT for GCACM, improving risk stratification.

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Radiomic analysis based on pretreatment T2W- and SPAIR T2W-MRI can be served as imaging biomarkers to predict treatment response to CRT in ESCC patients.

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Different gold mining and smelting processes can lead to distinctive heavy metal contamination patterns and results. This work examined heavy metal pollution from a large-scale cyanidation gold mining operation, which is distinguished from artisanal and small-scale amalgamation gold mining, in Jilin Province, China. A total of 20 samples including one background sample were collected from the surface of the mining area and the tailings pond in June 2013. These samples were analyzed for heavy metal concentrations and degree of pollution as well as sources of Cr, Cu, Zn, Pb, Ni, Cd, As, and Hg. The mean concentrations of Pb, Hg, and Cu (819.67, 0.12, and 46.92 mg kg, respectively) in soil samples from the gold mine area exceeded local background values. The mean Hg content was less than the first-class standard of the Environmental Quality for Soils, which suggested that the cyanidation method is helpful for reducing Hg pollution. The geochemical accumulation index and enrichment factor results indicated clear signs that enrichment was present for Pb, Cu, and Hg, with the presence of serious Pb pollution and moderate presence to none of Hg and Cu pollution. Multivariate statistical analysis showed that there were three metal sources: (1) Pb, Cd, Cu, and As came from anthropogenic sources; (2) Cr and Zn were naturally occurring; whereas (3) Hg and Ni had a mix of anthropogenic and natural sources. Moreover, the tailings dam plays an important role in intercepting the tailings. Furthermore, the potential ecological risk assessment results showed that the study area poses a potentially strong risk to the ecological health. Furthermore, Pb and Hg (due to high concentration and high toxicity, respectively) are major pollutants on the risk index, and both Pb and Hg pollution should be of great concern at the Haigou gold mines in Jilin, China.

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