Radiomics analysis of thoracic vertebral bone marrow microenvironment changes before bone metastasis of breast cancer based on chest CT
- PMID: 39712652
- PMCID: PMC11655691
- DOI: 10.1016/j.jbo.2024.100653
Radiomics analysis of thoracic vertebral bone marrow microenvironment changes before bone metastasis of breast cancer based on chest CT
Abstract
Bone metastasis from breast cancer significantly elevates patient morbidity and mortality, making early detection crucial for improving outcomes. This study utilizes radiomics to analyze changes in the thoracic vertebral bone marrow microenvironment from chest computerized tomography (CT) images prior to bone metastasis in breast cancer, and constructs a model to predict metastasis.
Methods: This study retrospectively gathered data from breast cancer patients who were diagnosed and continuously monitored for five years from January 2013 to September 2023. Radiomic features were extracted from the bone marrow of thoracic vertebrae on non-contrast chest CT scans. Multiple machine learning algorithms were utilized to construct various radiomics models for predicting the risk of bone metastasis, and the model with optimal performance was integrated with clinical features to develop a nomogram. The effectiveness of this combined model was assessed through receiver operating characteristic (ROC) analysis as well as decision curve analysis (DCA).
Results: The study included a total of 106 patients diagnosed with breast cancer, among whom 37 developed bone metastases within five years. The radiomics model's area under the curve (AUC) for the test set, calculated using logistic regression, is 0.929, demonstrating superior predictive performance compared to alternative machine learning models. Furthermore, DCA demonstrated the potential of radiomics models in clinical application, with a greater clinical benefit in predicting bone metastasis than clinical model and nomogram.
Conclusion: CT-based radiomics can capture subtle changes in the thoracic vertebral bone marrow before breast cancer bone metastasis, offering a predictive tool for early detection of bone metastasis in breast cancer.
Keywords: Bone marrow microenvironment; Bone metastasis; Breast cancer; Radiomics; Tomography; X-ray computed.
© 2024 The Author(s).
Conflict of interest statement
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Figures








Similar articles
-
Development and validation of machine learning models for predicting no. 253 lymph node metastasis in left-sided colorectal cancer using clinical and CT-based radiomic features.Cancer Imaging. 2025 Apr 29;25(1):57. doi: 10.1186/s40644-025-00876-y. Cancer Imaging. 2025. PMID: 40301906 Free PMC article.
-
Development and Validation of a Computed Tomography-Based Radiomics Nomogram for the Preoperative Prediction of Central Lymph Node Metastasis in Papillary Thyroid Microcarcinoma.Acad Radiol. 2024 May;31(5):1805-1817. doi: 10.1016/j.acra.2023.11.030. Epub 2023 Dec 9. Acad Radiol. 2024. PMID: 38071100
-
Prediction of Bone Marrow Metastases Using Computed Tomography (CT) Radiomics in Patients with Gastric Cancer: Uncovering Invisible Metastases.Diagnostics (Basel). 2024 Aug 5;14(15):1689. doi: 10.3390/diagnostics14151689. Diagnostics (Basel). 2024. PMID: 39125564 Free PMC article.
-
Radiomic Nomogram for Predicting Axillary Lymph Node Metastasis in Patients with Breast Cancer.Acad Radiol. 2024 Mar;31(3):788-799. doi: 10.1016/j.acra.2023.10.026. Epub 2023 Nov 4. Acad Radiol. 2024. PMID: 37932165
-
Predicting bone metastasis risk of colorectal tumors using radiomics and deep learning ViT model.J Bone Oncol. 2024 Dec 31;51:100659. doi: 10.1016/j.jbo.2024.100659. eCollection 2025 Apr. J Bone Oncol. 2024. PMID: 39902382 Free PMC article.
Cited by
-
Refractory Denosumab-induced Hypocalcemia in a High-risk Patient With Osteoblastic Metastatic Prostate Adenocarcinoma.JCEM Case Rep. 2025 Jun 13;3(8):luaf121. doi: 10.1210/jcemcr/luaf121. eCollection 2025 Aug. JCEM Case Rep. 2025. PMID: 40520041 Free PMC article.
-
Deep learning and radiomics-driven algorithm for automated identification of May-Thurner syndrome in Iliac CTV imaging.Front Med (Lausanne). 2025 Apr 29;12:1526144. doi: 10.3389/fmed.2025.1526144. eCollection 2025. Front Med (Lausanne). 2025. PMID: 40365495 Free PMC article.
References
LinkOut - more resources
Full Text Sources