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- PublicationMachine Learning-Based Integration of Prognostic Magnetic Resonance Imaging Biomarkers for Myometrial Invasion Stratification in Endometrial Cancer(John Wiley & Sons, 2021-09) Rodríguez Ortega, Alejandro; Alegre, Alberto; Lago, Victor; Carot Sierra, José Miguel; Ten-Esteve, Amadeo; Montoliu, Guillermina; Domingo, Santiago; Alberich-Bayarri, Angel; Marti-Bonmati, Luis; Dpto. de Estadística e Investigación Operativa Aplicadas y Calidad; Dpto. de Ingeniería Gráfica; Escuela Técnica Superior de Ingeniería Industrial; Centro de Gestión de la Calidad y del Cambio; Global Investigator Initiated Research Committee[EN] Background: Estimation of the depth of myometrial invasion (MI) in endometrial cancer is pivotal in the preoperatively staging. Magnetic resonance (MR) reports suffer from human subjectivity. Multiparametric MR imaging radiomics and parameters may improve the diagnostic accuracy. Purpose: To discriminate between patients with MI ¿ 50% using a machine learning-based model combining texture features and descriptors from preoperatively MR images. Study Type: Retrospective. Population: One hundred forty-three women with endometrial cancer were included. The series was split into training (n = 107, 46 with MI ¿ 50%) and test (n = 36, 16 with MI ¿ 50%) cohorts. Field Strength/Sequences: Fast spin echo T2-weighted (T2W), diffusion-weighted (DW), and T1-weighted gradient echo dynamic contrast-enhanced (DCE) sequences were obtained at 1.5 or 3 T magnets. Assessment: Tumors were manually segmented slice-by-slice. Texture metrics were calculated from T2W and ADC map images. Also, the apparent diffusion coefficient (ADC), wash-in slope, wash-out slope, initial area under the curve at 60 sec and at 90 sec, initial slope, time to peak and peak amplitude maps from DCE sequences were obtained as parameters. MR diagnostic models using single-sequence features and a combination of features and parameters from the three sequences were built to estimate MI using Adaboost methods. The pathological depth of MI was used as gold standard. Statistical Test: Area under the receiver operating characteristic curve (AUROC), sensitivity, specificity, accuracy, positive predictive value, negative predictive value, precision and recall were computed to assess the Adaboost models performance. Results: The diagnostic model based on the features and parameters combination showed the best performance to depict patient with MI ¿ 50% in the test cohort (accuracy = 86.1% and AUROC = 87.1%). The rest of diagnostic models showed a worse accuracy (accuracy = 41.67%¿63.89% and AUROC = 41.43%¿63.13%). Data Conclusion: The model combining the texture features from T2W and ADC map images with the semi-quantitative parameters from DW and DCE series allow the preoperative estimation of myometrial invasion. Evidence Level: 4 Technical Efficacy: Stage 3
- PublicationReproducibility Analysis of Radiomic Features on T2-weighted MR Images after Processing and Segmentation Alterations in Neuroblastoma Tumors(Radiological Society of North America, 2024-07) Veiga Canuto, Diana; Fernandez Patón, Matías; Cerdá Alberich, Leonor; Jimenez-Pastor, Ana Maria; Gomis Maya, Armando; Carot Sierra, José Miguel; Sanguesa Nebot, Cinta; Martínez de las Heras, Blanca; Pötschger, Ulrike; Taschner-Mandl, Sabine; Neri, Emanuele; Cañete, Adela; Ladenstein, Ruth; Hero, Barbara; Alberich-Bayarri, Ángel; Martí-Bonmatí, Luis; Escuela Técnica Superior de Ingeniería del Diseño; Escuela Técnica Superior de Ingeniería Industrial; Centro de Gestión de la Calidad y del Cambio; Dpto. de Estadística e Investigación Operativa Aplicadas y Calidad; European Commission[EN] Purpose: To evaluate the reproducibility of radiomics features extracted from T2-weighted MR images in patients with neuroblastoma. Materials and Methods: A retrospective study included 419 patients (mean age, 29 months +/- 34 [SD]; 220 male, 199 female) with neuroblastic tumors diagnosed between 2002 and 2023, within the scope of the PRedictive In-silico Multiscale Analytics to support cancer personalized diaGnosis and prognosis, Empowered by imaging biomarkers (ie, PRIMAGE) project, involving 746 T2/T2*-weighted MRI sequences at diagnosis and/or after initial chemotherapy. Images underwent processing steps (denoising, inhomogeneity bias field correction, normalization, and resampling). Tumors were automatically segmented, and 107 shape, first-order, and second-order radiomics features were extracted, considered as the reference standard. Subsequently, the previous image processing settings were modified, and volumetric masks were applied. New radiomics features were extracted and compared with the reference standard. Reproducibility was assessed using the concordance correlation coefficient (CCC); intrasubject repeatability was measured using the coefficient of variation (CoV). Results: When normalization was omitted, only 5% of the radiomics features demonstrated high reproducibility. Statistical analysis revealed significant changes in the normalization and resampling processes (P P < .001). Inhomogeneities removal had the least impact on radiomics (83% of parameters remained stable). Shape features remained stable after mask modifications, with a CCC greater than 0.90. Mask modifications were the most favorable changes for achieving high CCC values, with a radiomics features stability of 70%. Only 7% of second-order radiomics features showed an excellent CoV of less than 0.10. Conclusion: Modifications in the T2-weighted MRI preparation process in patients with neuroblastoma resulted in changes in radiomics features, with normalization identified as the most influential factor for reproducibility. Inhomogeneities removal had the least impact on radiomics features.
- PublicationReproducibility Analysis of Radiomic Features on T2-weighted MR Images after Processing and Segmentation Alterations in Neuroblastoma Tumors(Radiological Society of North America, 2024-07) Veiga Canuto, Diana; Fernandez Patón, Matías; Cerdá Alberich, Leonor; Jimenez-Pastor, Ana Maria; Gomis Maya, Armando; Carot Sierra, José Miguel; Sanguesa Nebot, Cinta; Martínez de las Heras, Blanca; Pötschger, Ulrike; Taschner-Mandl, Sabine; Neri, Emanuele; Cañete, Adela; Ladenstein, Ruth; Hero, Barbara; Alberich-Bayarri, Ángel; Martí-Bonmatí, Luis; Escuela Técnica Superior de Ingeniería del Diseño; Escuela Técnica Superior de Ingeniería Industrial; Centro de Gestión de la Calidad y del Cambio; Dpto. de Estadística e Investigación Operativa Aplicadas y Calidad; European Commission[EN] Purpose: To evaluate the reproducibility of radiomics features extracted from T2-weighted MR images in patients with neuroblastoma. Materials and Methods: A retrospective study included 419 patients (mean age, 29 months +/- 34 [SD]; 220 male, 199 female) with neuroblastic tumors diagnosed between 2002 and 2023, within the scope of the PRedictive In-silico Multiscale Analytics to support cancer personalized diaGnosis and prognosis, Empowered by imaging biomarkers (ie, PRIMAGE) project, involving 746 T2/T2*-weighted MRI sequences at diagnosis and/or after initial chemotherapy. Images underwent processing steps (denoising, inhomogeneity bias field correction, normalization, and resampling). Tumors were automatically segmented, and 107 shape, first-order, and second-order radiomics features were extracted, considered as the reference standard. Subsequently, the previous image processing settings were modified, and volumetric masks were applied. New radiomics features were extracted and compared with the reference standard. Reproducibility was assessed using the concordance correlation coefficient (CCC); intrasubject repeatability was measured using the coefficient of variation (CoV). Results: When normalization was omitted, only 5% of the radiomics features demonstrated high reproducibility. Statistical analysis revealed significant changes in the normalization and resampling processes (P P < .001). Inhomogeneities removal had the least impact on radiomics (83% of parameters remained stable). Shape features remained stable after mask modifications, with a CCC greater than 0.90. Mask modifications were the most favorable changes for achieving high CCC values, with a radiomics features stability of 70%. Only 7% of second-order radiomics features showed an excellent CoV of less than 0.10. Conclusion: Modifications in the T2-weighted MRI preparation process in patients with neuroblastoma resulted in changes in radiomics features, with normalization identified as the most influential factor for reproducibility. Inhomogeneities removal had the least impact on radiomics features.