Research Article

A Clinical Radiomics Nomogram Was Developed by Integrating Radiomics Signatures and Clinical Variables to Distinguish High-Grade ccRCC from Type 2 pRCC

Table 2

Clinical factors in the training cohort and testing cohort.

Clinical factorsTraining cohort (n=98)Testing cohort (n=44)
ccRCCpRCCccRCCpRCC

Gender0.6280.296
 Male39 (80%)37 (76%)15 (68%)18 (82%)
 Female10 (20%)12 (24%)7 (32%)4 (18%)
Age (years)61 (54–65)57 (51–67)0.71954 (50–66)61 (55–71)0.208
Maximum diameter (cm)6.8 (4.7–8.9)6.1 (4.5–7.5)0.2166.4 (4.1–8.3)5.5 (3.4–7.5)0.291
Shape0.2250.066
 Round23 (47%)26 (53%)612
 Not round26 (53%)23 (47%)1610
Location0.4170.226
 Left25 (51%)29 (59%)8 (36%)12 (55%)
 Right24 (49%)20 (41%)14 (64%)10 (45%)
Boundary0.0650.033
 Clear16 (33%)25 (51%)6 (27%)13 (59%)
 Blurred33 (67%)24 (49%)16 (73%)9 (41%)
Calcification0.2580.240
 Present11 (22%)16 (33%)2 (9%)6 (27%)
 Absent38 (78%)33 (67%)20 (91%)16 (73%)
Necrosis0.0510.531
 Present38 (78%)20 (41%)15 (68%)13 (59%)
 Absent11 (22%)29 (59%)7 (32%)9 (41%)
Renal vein invasion0.7980.750
 Present10 (20%)9 (18%)8 (36%)7 (32%)
 Absent39 (80%)40 (82%)14 (64%)15 (62%)
Lymph node metastasis0.6470.757
 Present14 (29%)12 (24%)9 (41%)8 (36%)
 Absent35 (71%)37 (76%)13 (59%)14 (64%)
TEV1 (HU)70 (48–84)22 (17–34)<0.00159 (26–112)15 (9–19)<0.001
TEV2 (HU)72 (58–83)40 (26–57)<0.00181 (53–104)27 (19–37)<0.001
REV10.77 (0.58–0.91)0.25 (0.17–0.38)<0.0010.64 (0.29–0.95)0.17 (0.11–0.27)<0.001
REV20.60 (0.50–0.73)0.31 (0.22–0.49)<0.0010.65 (0.52–0.76)0.26 (0.18–0.36)<0.001

TEV, tumor enhancement value; REV, relative enhancement value; 1, corticomedullary phase; 2, nephrographic phase.