Background
To evaluate the prognosis of EGFR-mutated non-small-cell lung cancer(NSCLC) patients and accurately target the patient subgroups with best potential outcome greatest, a simpler and more effective model based on readily available laboratory parameters is needed in clinical practice.
Methods
Totally, computed tomographic (CT) images from 162 EGFR-mutated NSCLC patients at the time of first diagnosis in West China Hospital of Sichuan University were retrospectively collected and analysed to describe the target area of the lesion. All patients were randomly divided into a training cohort and a validation cohort. Radiomic features from images were extracted. The least absolute shrinkage selection operator (LASSO) regression method was used to screen valuable radiomic features. The logistic regression method was used to establish a radiomic model, and the nomogram was used to evaluate the discrimination ability. Receiver characteristic curve (ROC) and decision curve analysis (DCA) were used to evaluate the performance of the model.
Results
We established a nomogram that combined 6 important clinical factors and imaging risk scores to predict the three-year and five-year survival rates of EGFR-mutated NSCLC patients. The AUC-ROC of three-year OS was 0.715, and the five-year OS was 0.705, which indicated a favourable discrimination capability of our nomogram and its great potential in targeting clinical services and predicting patient outcomes.
Conclusion
Based on chest CT imaging and clinicopathological features, including age, sex, Stage_T, Stage_N, Stage_M, clinical stage, and imaging risk score, we constructed and validated a nomogram for predicting an individualized prediction of survival for patients with EGFR‑mutated NSCLC.