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This retrospective, hypothesis-generating study included 20 The Cancer Genome Atlas Ovarian Cancer Collection (TCGA-OV) patients with HGSOC prior to primary cytoreductive surgery. Two readers independently assessed the contrast-enhanced computed tomography (CT) images and extracted 33 imaging traits, with a third reader adjudicating in the event of a disagreement. In addition, all sites of suspected HGSOC were manually segmented texture features were computed from each tumour site. Three texture features that represented intra-and inter-site tumour heterogeneity were used for analysis. An integrated analysis of transcriptomic and proteomic data identified proteins with conserved expression between primary tumour sites and metastasis. Correlations between protein-abundance and various CT imaging traits and texture features were assessed using the Kendall tau rank correlation-coefficient and the Mann-Whitney U test, whereas the area under the receiver-operating characteristic curve (AUC) was reported as a metric of the strength and the direction of the association. p values < 0.05 were considered significant.
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