Abstract

Many studies of MRI radiomics do not include the discretization method used for the analyses, which might indicate that the discretization methods used are considered irrelevant. Our goals were to compare three frequently used discretization methods (lesion relative resampling (LRR), lesion absolute resampling (LAR) and absolute resampling (AR)) applied to the same data set, along with two different lesion segmentation approaches. We analyzed the effects of altering bin widths or bin numbers for the three different sampling methods using 40 texture indices (TIs). The impact was evaluated on brain MRI studies obtained for 71 patients divided into three different disease groups: multiple sclerosis (MS, N = 22), ischemic stroke (IS, N = 22), cancer patients (N = 27). Two different MRI acquisition protocols were considered for all patients, a T2- and a post-contrast 3D T1-weighted MRI sequence. Elliptical and manually drawn VOIs were employed for both imaging series. Three different types of gray-level discretization methods were used: LRR, LAR and AR. Hypothesis tests were done among all diseased and control areas to compare the TI values in these areas. We also did correlation analyses between TI values and lesion volumes. In general, no significant differences were reported in the results when employing the AR and LAR discretization methods. It was found that employing 38 TIs introduced variation in the results when the number of bin parameters was altered, suggesting that both the degree and direction of monotonicity between each TI value and binning parameters were characteristic for each TI. Furthermore, while TIs were changing with altering binning values, no changes correlated to neither disease nor the MRI sequence. We found that most indices correlated weakly with the volume, while the correlation coefficients were independent of both diseases analyzed and MR contrast. Several cooccurrence-matrix based texture parameters show a definite higher correlation when employing the LRR discretization method However, with the best correlations obtained for the manually drawn VOI. Hypothesis tests among all disease and control areas (co-lateral hemisphere) revealed that the AR or LAR discretization techniques provide more suitable texture features than LRR. In addition, the manually drawn segmentation gave fewer significantly different TIs than the ellipsoid segmentations. In addition, the amount of TIs with significant differences was increasing with increasing the number of bins, or decreasing bin widths. Our findings indicate that the AR discretization method may offer the best texture analysis in MR image assessments. Employing too many bins or too large bin widths might reduce the selection of TIs that can be used for differential diagnosis. In general, more statistically different TIs were observed for elliptical segmentations when compared to the manually drawn VOIs. In the texture analysis of MR studies, studies and publications should report on all important parameters and methods related to data collection, corrections, normalization, discretization, and segmentation.

Highlights

  • Magnetic resonance imaging (MRI) is widely used in neurology to obtain differential diagnoses, characterize and confirm multiple types of lesions, tumor staging and therapy planning, and evaluate therapy response [1,2,3,4,5,6]

  • We aimed to investigate the effect of three different discretization methods and their impact on the parameters obtained for texture calculation in a cohort of 71 patients with clinical brain studies employing MRI

  • We compared the effects of three discretization methods in brain MRI images of three different types of diseases

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Summary

Introduction

Magnetic resonance imaging (MRI) is widely used in neurology to obtain differential diagnoses, characterize and confirm multiple types of lesions, tumor staging and therapy planning, and evaluate therapy response [1,2,3,4,5,6]. Previous studies have shown promising results when employing texture (heterogeneity), hereunder that texture features might outperform conventional measures (VOI size and mean value) and visual inspection [12,13,14,15,16,17,18]. The use of texture indices is sensitive to factors such as acquisition protocols and physical parameters of the imaging systems [19,20,21]. Two distinct discretization methods have been proposed for MRI: relative and absolute resampling. The relative method discretizes the voxel-values into a fixed number of bins, in contrast, the absolute resampling employs fixed bin sizes. The most recent guidelines released by the Image Biomarker Standardization Initiative (IBSI) [30] recommend relative discretization techniques for MRI.

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