A Radiomics Model Utilizing CT Imaging to Forecast Pain Relief Following Radiotherapy in Bone Metastasis Patients: Findings from a Dual-Center Investigation - Summary - MDSpire

A Radiomics Model Utilizing CT Imaging to Forecast Pain Relief Following Radiotherapy in Bone Metastasis Patients: Findings from a Dual-Center Investigation

  • By

  • Zhiling Wan

  • Kangning Liu

  • Heyao Xu

  • Fei Zhao

  • Xiaohan Qin

  • Zexian Wang

  • Weijia Li

  • Yuhang Wu

  • Bowen Hu

  • Chong Zhou

  • Xiaojin Wu

  • April 21, 2026

  • 0 min

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Objective:

To develop and validate a CT-based radiomics model for predicting pain relief after palliative radiotherapy in patients with bone metastases.

Key Findings:
  • 134 patients included: 53 in the pain relief group and 81 in the non-relief group.
  • K-nearest neighbors (KNN) model showed the best performance with AUCs of 0.823, 0.812, and 0.818 across training, internal validation, and external test sets, respectively.
  • Seven radiomic features were selected for modeling after feature screening.
Interpretation:

The KNN model effectively predicts pain relief outcomes post-radiotherapy, indicating its potential for clinical application in identifying patients likely to benefit from treatment.

Limitations:
  • Retrospective design may introduce bias.
  • Sample size, while adequate, may limit generalizability.
  • External validation was performed on a relatively small cohort.
Conclusion:

The CT radiomics-based KNN model can serve as a valuable tool for predicting pain relief in bone metastasis patients undergoing palliative radiotherapy.

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