To develop a clinical-radiomics nomogram for predicting visual acuity improvement in patients with indirect traumatic optic neuropathy (ITON) following optic canal decompression (OCD), addressing the variability in surgical outcomes.
Key Findings:
The nomogram included nine radiomics features and three clinical predictors.
Area under the curve values were 0.840 in the training set and 0.832 in the test set.
VA improvement rates were significantly higher in the low-risk group (87.9% in training, 87.0% in test) compared to the high-risk group (30.5% in training, 28.6% in test).
Interpretation:
The nomogram effectively stratifies patients into risk groups for visual acuity recovery, enhancing preoperative decision-making for OCD in ITON patients and potentially improving surgical outcomes.
Limitations:
Single-center study may limit generalizability.
Retrospective design may introduce selection bias, affecting the robustness of findings.
Conclusion:
The clinical-radiomics nomogram is a valuable non-invasive tool for predicting visual acuity improvement post-OCD in ITON patients, aiding in personalized treatment strategies and improving patient selection for surgery.
