Abstract

ObjectiveTo identify CT-acquisition parameters accounting for radiomics variability and to develop a post-acquisition CT-image correction method to reduce variability and improve radiomics classification in both phantom and clinical applications.MethodsCT-acquisition protocols were prospectively tested in a phantom. The multi-centric retrospective clinical study included CT scans of patients with colorectal/renal cancer liver metastases. Ninety-three radiomics features of first order and texture were extracted. Intraclass correlation coefficients (ICCs) between CT-acquisition protocols were evaluated to define sources of variability. Voxel size, ComBat, and singular value decomposition (SVD) compensation methods were explored for reducing the radiomics variability. The number of robust features was compared before and after correction using two-proportion z test. The radiomics classification accuracy (K-means purity) was assessed before and after ComBat- and SVD-based correction.ResultsFifty-three acquisition protocols in 13 tissue densities were analyzed. Ninety-seven liver metastases from 43 patients with CT from two vendors were included. Pixel size, reconstruction slice spacing, convolution kernel, and acquisition slice thickness are relevant sources of radiomics variability with a percentage of robust features lower than 80%. Resampling to isometric voxels increased the number of robust features when images were acquired with different pixel sizes (p < 0.05). SVD-based for thickness correction and ComBat correction for thickness and combined thickness–kernel increased the number of reproducible features (p < 0.05). ComBat showed the highest improvement of radiomics-based classification in both the phantom and clinical applications (K-means purity 65.98 vs 73.20).ConclusionCT-image post-acquisition processing and radiomics normalization by means of batch effect correction allow for standardization of large-scale data analysis and improve the classification accuracy.Key Points• The voxel size (accounting for the pixel size and slice spacing), slice thickness, and convolution kernel are relevant sources of CT-radiomics variability.• Voxel size resampling increased the mean percentage of robust CT-radiomics features from 59.50 to 89.25% when comparing CT scans acquired with different pixel sizes and from 71.62 to 82.58% when the scans were acquired with different slice spacings.• ComBat batch effect correction reduced the CT-radiomics variability secondary to the slice thickness and convolution kernel, improving the capacity of CT-radiomics to differentiate tissues (in the phantom application) and the primary tumor type from liver metastases (in the clinical application).

Highlights

  • Radiomics is revolutionizing medical image assessment and interpretation, moving from a subjective evaluation to a quantifiable -omics image assessment method [1, 2]

  • We explore the role of image resampling and batch effect as post-imageacquisition correction methods for reducing radiomics variability, thereby improving the classification accuracy of radiomics in phantom and clinical applications

  • We evaluated the influence of image resampling and the effect of radiomics data normalization by means of batch effect correction to reduce the variability and improve the tissueclassification capacity of radiomics in a phantom and clinical application

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Summary

Introduction

Radiomics is revolutionizing medical image assessment and interpretation, moving from a subjective evaluation to a quantifiable -omics image assessment method [1, 2]. Multiple studies have shown that radiomics provides meaningful information about cancer and correlates with histological and molecular tumor phenotypes, creating opportunities to develop novel predictive and prognostic biomarkers for cancer [3, 4]. The maximum benefit for cancer patients has been shown when tailoring treatments to specific cancer characteristics [5]. Radiomics can play a key role in improving personalized medicine. Radiomics features are influenced by the image-acquisition technique and the reconstruction parameters [6,7,8,9]. Studies performed at a single institution usually do not account for this source of variability, and the results entail low scalability of the signatures for multicentric applications

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