Gassert, F.G.* ; Lang, D.M. ; Hesse, N.* ; Dürr, H.R.* ; Klein, A.* ; Kohll, L.* ; Hinterwimmer, F.* ; Luitjens, J.* ; Weissinger, S.E.* ; Peeken, J.C. ; Mogler, C.* ; Knebel, C.* ; Bartzsch, S. ; Gassert, F.T.* ; Gersing, A.S.*
A deep learning model for classification of chondroid tumors on CT images.
BMC Cancer 25:561 (2025)
BACKGROUND: Differentiating chondroid tumors is crucial for proper patient management. This study aimed to develop a deep learning model (DLM) for classifying enchondromas, atypical cartilaginous tumors (ACT), and high-grade chondrosarcomas using CT images. METHODS: This retrospective study analyzed chondroid tumors from two independent cohorts. Tumors were segmented on CT images. A 2D convolutional neural network was developed and tested using split-sample and geographical validation. Four radiologists blinded to patient data and the DLM results with various levels of experience performed readings of the external test dataset for comparison. Performance metrics included accuracy, sensitivity, specificity, and area under the curve (AUC). RESULTS: CTs from 344 patients (175 women; age = 50.3 ± 14.3 years;) with diagnosed enchondroma (n = 124), ACT (n = 92) or high-grade chondrosarcoma (n = 128) were analyzed. The DLM demonstrated comparable performance to radiologists (p > 0.05), achieving an AUC of 0.88 for distinguishing enchondromas from chondrosarcomas and 0.82 for differentiating enchondromas from ACTs. The DLM and musculoskeletal expert showed similar performance in differentiating ACTs from high-grade chondrosarcomas (p = 0.26), with an AUC of 0.64 and 0.56, respectively. CONCLUSIONS: The DLM reliably differentiates benign from malignant cartilaginous tumors and is particularly useful for the differentiation between ACTs and Enchondromas, which is challenging based on CT images only. However, the differentiation between ACTs and high-grade chondrosarcomas remains difficult, reflecting known diagnostic challenges in radiology.
Impact Factor
Scopus SNIP
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Times Cited
Scopus
Cited By
Altmetric
Publikationstyp
Artikel: Journalartikel
Dokumenttyp
Wissenschaftlicher Artikel
Typ der Hochschulschrift
Herausgeber
Schlagwörter
Chondrosarcoma ; Computed Tomography ; Deep Learning ; Enchondroma; Atypical Cartilaginous Tumors; Primary Bone-tumors; Enchondroma; Grade; Chondrosarcoma; Features
Keywords plus
Sprache
englisch
Veröffentlichungsjahr
2025
Prepublished im Jahr
0
HGF-Berichtsjahr
2025
ISSN (print) / ISBN
1471-2407
e-ISSN
1471-2407
ISBN
Bandtitel
Konferenztitel
Konferzenzdatum
Konferenzort
Konferenzband
Quellenangaben
Band: 25,
Heft: 1,
Seiten: ,
Artikelnummer: 561
Supplement: ,
Reihe
Verlag
BioMed Central
Verlagsort
Campus, 4 Crinan St, London N1 9xw, England
Tag d. mündl. Prüfung
0000-00-00
Betreuer
Gutachter
Prüfer
Topic
Hochschule
Hochschulort
Fakultät
Veröffentlichungsdatum
0000-00-00
Anmeldedatum
0000-00-00
Anmelder/Inhaber
weitere Inhaber
Anmeldeland
Priorität
Begutachtungsstatus
Peer reviewed
POF Topic(s)
30203 - Molecular Targets and Therapies
Forschungsfeld(er)
Radiation Sciences
PSP-Element(e)
G-501300-001
Förderungen
Technische Universitt Mnchen (1025)
Copyright
Erfassungsdatum
2025-05-09