Relevant Image Features Research Articles

SS3DNet-AF: A Single-Stage, Single-View 3D Reconstruction Network with Attention-Based Fusion

Learning object shapes from a single image is challenging due to variations in scene content, geometric structures, and environmental factors, which create significant disparities between 2D image features and their corresponding 3D representations, hindering the effective training of deep learning models. Existing learning-based approaches can be divided into two-stage and single-stage methods, each with limitations. Two-stage methods often rely on generating intermediate proposals by searching for similar structures across the entire dataset, a process that is computationally expensive due to the large search space and high-dimensional feature-matching requirements, further limiting flexibility to predefined object categories. In contrast, single-stage methods directly reconstruct 3D shapes from images without intermediate steps, but they struggle to capture complex object geometries due to high feature loss between image features and 3D shapes and limit their ability to represent intricate details. To address these challenges, this paper introduces SS3DNet-AF, a single-stage, single-view 3D reconstruction network with an attention-based fusion (AF) mechanism to enhance focus on relevant image features, effectively capturing geometric details and generalizing across diverse object categories. The proposed method is quantitatively evaluated using the ShapeNet dataset, demonstrating its effectiveness in achieving accurate 3D reconstructions while overcoming the computational challenges associated with traditional approaches.

NIMG-50. MULTIPARAMETRIC MRI DISTINGUISHES NEURONAL AND IMMUNE SIGNATURES IN INVASIVE HIGH-GRADE GLIOMA RIM THROUGH GRAPH NETWORK ANALYSIS

Abstract BACKGROUND Standard of care surgery for high grade glioma (HGG) employs Magnetic Resonance Imaging to identify the contrast enhancing (CE) core for resection, leaving a non-enhancing (NE) invasive rim of tumor which contributes to recurrence. Multi-parametric MRI (mpMRI) has recently been used to map regional biological heterogeneity of neuronal and immune signatures in HGG, and continues to offer a promising strategy for non-invasive surveillance of tumor progression. Here, we present a graph network analysis relating mpMRI to biological signatures in the NE tumor rim and show the utility of communities of imaging features for discriminating tumor phenotypes. METHODS 53 mpMRI features across 101 spatially-localized RNA-sequenced biopsy samples from 64 patients with IDH-wt HGG were represented as nodes within a Neo4j graph network. Modularity optimization was used to identify communities of densely connected nodes. Communities of nodes representing high proportions of NE samples (one-tailed test) were kept for further analysis. Gene set enrichment analysis (GSEA) on samples within selected imaging communities was analyzed for biological process enrichment using clusterProfiler. Single sample GSEA (ssGSEA) using ssGSEA2 was used to annotate neuronal and immune cell states across samples within selected communities. mpMRI feature selection within each community identified the most relevant imaging features for isolating samples classified into neuronal and immune cell states. RESULTS 11 imaging communities gathered a high proportion of NE samples. Three NE communities showed significant enrichment of neuronal signatures, while one showed significant enrichment of immune pathways. One neuronal-predominant community showed unique upregulation of 14 pathways related to neuronal migration/astrocyte projection. CONCLUSION Network imaging communities can identify clusters of NE glioma samples showing contrasting neuronal and immune signatures, including distinct upregulation of migration and projection pathways. Mapping these imaging feature communities to specific biological processes implicated in glioma progression may aid treatment planning and prognostication for glioma patients.

The peritumoral edema index and related mechanisms influence the prognosis of GBM patients.

Peritumoral brain edema (PTBE) represents a characteristic phenotype of intracranial gliomas. However, there is a lack of consensus regarding the prognosis and mechanism of PTBE. In this study, clinical imaging data, along with publicly available imaging data, were utilized to assess the prognosis of PTBE in glioblastoma (GBM) patients, and the associated mechanisms were preliminarily analyzed. We investigated relevant imaging features, including edema, in GBM patients using ITK-SNAP imaging segmentation software. Risk factors affecting progression-free survival (PFS) and overall survival (OS) were assessed using a Cox proportional hazard regression model. In addition, the impact of PTBE on PFS and OS was analyzed in clinical GBM patients using the Kaplan-Meier survival analysis method, and the results further validated by combining data from The Cancer Imaging Archive (TCIA) and The Cancer Genome Atlas (TCGA). Finally, functional enrichment analysis based on TCIA and TCGA datasets identified several pathways potentially involved in the mechanism of edema formation. This study included a total of 32 clinical GBM patients and 132 GBM patients from public databases. Univariate and multivariate analyses indicated that age and edema index (EI) are independent risk factors for PFS, but not for OS. Kaplan-Meier curves revealed consistent survival analysis results between IE groups among both clinical patients and TCIA and TCGA patients, suggesting a significant effect of PTBE on PFS but not on OS. Furthermore, functional enrichment analysis predicted the involvement of several pathways related mainly to cellular bioenergetics and vasculogenic processes in the mechanism of PTBE formation. While these novel results warrant confirmation in a larger patient cohort, they support good prognostic value for PTBE assessment in GBM. Our results indicate that a low EI positively impacts disease control in GBM patients, but this does not entirely translate into an improvement in OS. Multiple genes, signaling pathways, and biological processes may contribute to the formation of peritumoral edema in GBM through cytotoxic and vascular mechanisms.

Simulating clinical features on chest radiographs for medical image exploration and CNN explainability using a style-based generative adversarial autoencoder

Explainability of convolutional neural networks (CNNs) is integral for their adoption into radiological practice. Commonly used attribution methods localize image areas important for CNN prediction but do not characterize relevant imaging features underlying these areas, acting as a barrier to the adoption of CNNs for clinical use. We therefore propose Semantic Exploration and Explainability using a Style-based Generative Adversarial Autoencoder Network (SEE-GAAN), an explainability framework that uses latent space manipulation to generate a sequence of synthetic images that semantically visualizes how clinical and CNN features manifest within medical images. Visual analysis of changes in these sequences then facilitates the interpretation of features, thereby improving explainability. SEE-GAAN was first developed on a cohort of 26,664 chest radiographs across 15,409 patients from our institution. SEE-GAAN sequences were then generated across several clinical features and CNN predictions of NT-pro B-type natriuretic peptide (BNPP) as a proxy for acute heart failure. Radiological interpretations indicated SEE-GAAN sequences captured relevant changes in anatomical and pathological morphology associated with clinical and CNN predictions and clarified ambiguous areas highlighted by commonly used attribution methods. Our study demonstrates SEE-GAAN can facilitate our understanding of clinical features for imaging biomarker exploration and improve CNN transparency over commonly used explainability methods.

Nomogram to Predict 90-Day All-Cause Mortality in Acute Ischemic Stroke Patients after Endovascular Thrombectomy.

Although Endovascular Thrombectomy (EVT) significantly improves the prognosis of Acute Ischemic Stroke (AIS) patients with large vessel occlusion, the mortality rate remains higher. This study aimed to construct and validate a nomogram for predicting 90-day all-cause mortality in AIS patients with large vessel occlusion and who have undergone EVT. AIS patients with large vessel occlusion in the anterior circulation who underwent EVT from May 2017 to December 2022 were included. 430 patients were randomly split into a training group (N=302) and a test group (N=128) for the construction and validation of our nomogram. In the training group, multivariate logistic regression analysis was performed to determine the predictors of 90-day all-cause mortality. The C-index, calibration plots, and decision curve analysis were applied to evaluate the nomogram performance. Multivariate logistic regression analysis revealed neurological deterioration during hospitalization, age, baseline National Institutes of Health Stroke Scale (NIHSS) score, occlusive vessel location, malignant brain edema, and Neutrophil-to-lymphocyte Ratio (NLR) as the independent predictors of 90-day all-cause mortality (all p ≤ 0.039). The C-index of the training and test groups was 0.891 (95%CI 0.848-0.934) and 0.916 (95% CI: 0.865-0.937), respectively, showing the nomogram to be well distinguished. The Hosmer-Lemeshow goodness-of-fit test revealed the p-values for both the internal and external verification datasets to be greater than 0.5. Our nomogram has incorporated relevant clinical and imaging features, including neurological deterioration, age, baseline NIHSS score, occlusive vessel location, malignant brain edema, and NLR ratio, to provide an accurate and reliable prediction of 90-day all-cause mortality in AIS patients undergoing EVT.

Optical coherence tomography otoscope for imaging of tympanic membrane and middle ear pathology.

Pathologies within the tympanic membrane (TM) and middle ear (ME) can lead to hearing loss. Imaging tools available in the hearing clinic for diagnosis and management are limited to visual inspection using the classic otoscope. The otoscopic view is limited to the surface of the TM, especially in diseased ears where the TM is opaque. An integrated optical coherence tomography (OCT) otoscope can provide images of the interior of the TM and ME space as well as an otoscope image. This enables the clinicians to correlate the standard otoscopic view with OCT and then use the new information to improve the diagnostic accuracy and management. We aim to develop an OCT otoscope that can easily be used in the hearing clinic and demonstrate the system in the hearing clinic, identifying relevant image features of various pathologies not apparent in the standard otoscopic view. We developed a portable OCT otoscope device featuring an improved field of view and form-factor that can be operated solely by the clinician using an integrated foot pedal to control image acquisition. The device was used to image patients at a hearing clinic. The field of view of the imaging system was improved to a 7.4mm diameter, with lateral and axial resolutions of and , respectively. We developed algorithms to resample the images in Cartesian coordinates after collection in spherical polar coordinates and correct the image aberration. We imaged over 100 patients in the hearing clinic at USC Keck Hospital. Here, we identify some of the pathological features evident in the OCT images and highlight cases in which the OCT image provided clinically relevant information that was not available from traditional otoscopic imaging. The developed OCT otoscope can readily fit into the hearing clinic workflow and provide new relevant information for diagnosing and managing TM and ME disease.

Let UNet Play an Adversarial Game: Investigating the Effect of Adversarial Training in Enhancing Low-Resolution MRI.

Adversarial training has attracted much attention in enhancing the visual realism of images, but its efficacy in clinical imaging has not yet been explored. This work investigated adversarial training in a clinical context, by training 206 networks on the OASIS-1 dataset for improving low-resolution and low signal-to-noise ratio (SNR) magnetic resonance images. Each network corresponded to a different combination of perceptual and adversarial loss weights and distinct learning rate values. For each perceptual loss weighting, we identified its corresponding adversarial loss weighting that minimized structural disparity. Each optimally weighted adversarial loss yielded an average SSIM reduction of 1.5%. We further introduced a set of new metrics to assess other clinically relevant image features: Gradient Error (GE) to measure structural disparities; Sharpness to compute edge clarity; and Edge-Contrast Error (ECE) to quantify any distortion of the pixel distribution around edges. Including adversarial loss increased structural enhancement in visual inspection, which correlated with statistically consistent GE reductions (p-value << 0.05). This also resulted in increased Sharpness; however, the level of statistical significance was dependent on the perceptual loss weighting. Additionally, adversarial loss yielded ECE reductions for smaller perceptual loss weightings, while showing non-significant increases (p-value >> 0.05) when these weightings were higher, demonstrating that the increased Sharpness does not adversely distort the pixel distribution around the edges in the image. These studies clearly suggest that adversarial training significantly improves the performance of an MRI enhancement pipeline, and highlights the need for systematic studies of hyperparameter optimization and investigation of alternative image quality metrics.

Predicting Outcome of Patients With Cerebral Hemorrhage Using a Computed Tomography-Based Interpretable Radiomics Model: A Multicenter Study.

The aim of this study was to develop and validate an interpretable and highly generalizable multimodal radiomics model for predicting the prognosis of patients with cerebral hemorrhage. This retrospective study involved 237 patients with cerebral hemorrhage from 3 medical centers, of which a training cohort of 186 patients (medical center 1) was selected and 51 patients from medical center 2 and medical center 3 were used as an external testing cohort. A total of 1762 radiomics features were extracted from nonenhanced computed tomography using Pyradiomics, and the relevant macroscopic imaging features and clinical factors were evaluated by 2 experienced radiologists. A radiomics model was established based on radiomics features using the random forest algorithm, and a radiomics-clinical model was further trained by combining radiomics features, clinical factors, and macroscopic imaging features. The performance of the models was evaluated using area under the curve (AUC), sensitivity, specificity, and calibration curves. Additionally, a novel SHAP (SHAPley Additive exPlanations) method was used to provide quantitative interpretability analysis for the optimal model. The radiomics-clinical model demonstrated superior predictive performance overall, with an AUC of 0.88 (95% confidence interval, 0.76-0.95; P < 0.01). Compared with the radiomics model (AUC, 0.85; 95% confidence interval, 0.72-0.94; P < 0.01), there was a 0.03 improvement in AUC. Furthermore, SHAP analysis revealed that the fusion features, rad score and clinical rad score, made significant contributions to the model's decision-making process. Both proposed prognostic models for cerebral hemorrhage demonstrated high predictive levels, and the addition of macroscopic imaging features effectively improved the prognostic ability of the radiomics-clinical model. The radiomics-clinical model provides a higher level of predictive performance and model decision-making basis for the risk prognosis of cerebral hemorrhage.

Imaging features of malignant vs stone-induced biliary obstruction: Aspects to consider.

Radiological studies play a crucial role in the evaluation of patients with biliary duct obstruction, allowing for the guidance of clinical diagnosis towards a malignant or stone-induced etiology through the recognition of relevant imaging features, which must be continuously revisited given their prognostic significance. This article aims to emphasize the importance of recognizing crucial imaging aspects of malignant and stone-induced biliary obstruction.

Joint-individual fusion structure with fusion attention module for multi-modal skin cancer classification

Many convolutional neural network (CNN) based approaches for skin cancer classification primarily rely on dermatological images, yielding commendable results in classification accuracy. However, leveraging patient metadata, a crucial source of clinical information for dermatologists, can further enhance accuracy. Current methodologies predominantly employ basic joint fusion structures (FS) and fusion modules (FMs) for multi-modal classification, leaving room for advancement in enhancing accuracy through exploration of more sophisticated FS and FM architectures. Thus, this paper introduces a novel fusion method that integrates dermatological images (dermoscopy images or clinical images) with patient metadata for skin cancer classification, focusing on enhancing FS and FM components. Initially, we propose a joint-individual fusion (JIF) structure that simultaneously learns shared features across multi-modality data while preserving specific characteristics. Subsequently, we introduce a multi-modal fusion attention (MMFA) module designed to amplify the most relevant image and metadata features through a combination of self and mutual attention mechanisms, thereby bolstering the decision-making pipeline. Our study compares the efficacy of the proposed JIF-MMFA method with other state-of-the-art fusion techniques across three distinct public datasets. Results demonstrate that the JIF-MMFA method consistently enhances classification outcomes across various CNN backbones, outperforming alternative fusion methodologies on all three datasets. These findings underscore the effectiveness and robustness of our proposed approach in skin cancer classification.

Multi-view Image Fusion Using Ensemble Deep Learning Algorithm For MRI And CT Images

Medical image fusions are crucial elements in image-based health care diagnostics or therapies and generic applications of computer visions. However, the majority of existing methods suffer from noise distortion that affects the overall output. When pictures are distorted by noises, classical fusion techniques perform badly. Hence, fusion techniques that properly maintain information comprehensively from multiple faulty pictures need to be created. This work presents Enhanced Lion Swarm Optimization (ESLO) with Ensemble Deep Learning (EDL) to address the aforementioned issues. The primary steps in this study include image fusions, segmentation, noise reduction, feature extraction, picture classification, and feature selection. Adaptive Median Filters are first used for noise removal in sequence to enhance image quality by eliminating noises. The MRIs and CT images are then segmented using the Region Growing–based k -Means Clustering (RKMC) algorithm to separate the images into their component regions or objects. Images in black and white are divided into image. In the white image, the RKMC algorithm successfully considered the earlier tumour probability. The next step is feature extraction, which is accomplished by using the Modified Principal Component Analysis (MPCA) to draw out the most informative aspects of the images. Then the ELSO algorithm is applied for optimal feature selection, which is computed by best fitness values. After that, multi-view image fusions of multi modal images derive lower-, middle-, and higher-level image contents. It is done by using Deep Convolution Neural Network (DCNN) and the Tissue-Aware Conditional Generative Adversarial Network (TAcGAN) algorithm, which fuses the multi-view features and relevant image features, and it is used for real-time applications. ELSO +EDL algorithm gives better results in terms of accuracy, Peak Signal-To-Noise Ratio (PSNR), and lower Root Mean Square Error (RMSE) and Mean Absolute Percentage Error (MAPE) when compared to other existing algorithms.

Rigid alignment method for secondary analyses of optical coherence tomography volumes.

Optical coherence tomography (OCT) provides micron level resolution of retinal tissue and is widely used in ophthalmology. Millions of pre-existing OCT images are available from research and clinical databases. Analysis of this data often requires or can benefit significantly from image registration and reduction of speckle noise. One method of reducing noise is to align and average multiple OCT scans together. We propose to use surface feature information and whole volume information to create a novel and simple pipeline that can rigidly align, and average multiple previously acquired 3D OCT volumes from a commercially available OCT device. This pipeline significantly improves both image quality and visualization of clinically relevant image features over single, unaligned volumes from the commercial scanner.

An artificial intelligence-based prognostic prediction model for hemorrhagic stroke

PurposeThe prognosis following a hemorrhagic stroke is usually extremely poor. Rating scales have been developed to predict the outcomes of patients with intracerebral hemorrhage (ICH). To date, however, the prognostic prediction models have not included the full range of relevant imaging features. We constructed a clinic-imaging fusion model based on convolutional neural networks (CNN) to predict the short-term prognosis of ICH patients. Materials and methodsThis was a multi-center retrospective study, which included 1990 patients with ICH. Two CNN-based deep learning models were constructed to predict the neurofunctional outcomes at discharge; these were validated using a nested 5-fold cross-validation approach. The models’ predictive efficiency was compared with the original ICH scale and the ICH grading scale. Poor neurological outcome was defined as a Glasgow Outcome Scale (GOS) score of 1–3. ResultsThe training and test sets included 1599 and 391 patients, respectively. For the test set, the clinic-imaging fusion model had the highest area under the curve (AUC = 0.903), followed by the imaging-based model (AUC = 0.886), the ICH scale (AUC = 0.777), and finally the ICH grading scale (AUC = 0.747). ConclusionThe CNN prognostic prediction model based on neuroimaging features was more effective than the ICH scales in predicting the neurological outcomes of ICH patients at discharge. The CNN model’s predictive efficiency slightly improved when clinical data were included.

Combination of Fast Finite Shear Wave Transform and Optimized Deep Convolutional Neural Network: A Better Method for Noise Reduction of Wetland Test Images

Wetland experimental images are often affected by factors such as waves, weather conditions, and lighting, resulting in severe noise in the images. In order to improve the quality and accuracy of wetland experimental images, this paper proposes a wetland experimental image denoising method based on the fast finite shearlet transform (FFST) and a deep convolutional neural network model. The FFST is used to decompose the wetland experimental images, which can capture the features of different frequencies and directions in the images. The network model has a deep network structure and powerful feature extraction capabilities. By training the model, it can learn the relevant features in the wetland experimental images, thereby achieving denoising effects. The experimental results show that, compared to traditional denoising methods, the proposed method in this paper can effectively remove noise from wetland experimental images while preserving the details and textures of the images. This is of great significance for improving the quality and accuracy of wetland experimental images.

Deep learning network for fusing optical and infrared images in a complex imaging environment by using the modified U-Net.

The fusion of optical and infrared images is a critical task in the field of image processing. However, it is challenging to achieve optimal results when fusing images from complex environments. In this paper, we propose a deep learning network model comprising an encoding network and a decoding network based on the modified U-Net network to fuse low-quality images from complex imaging environments. As both encoding and decoding networks use similar convolutional modules, they can share similar layer structures to improve the overall fusion performance. Furthermore, an attention mechanism module is integrated into the decoding network to identify and capture the crucial features of the fused images. It can assist the deep learning network to extract more relevant image features and thus get more accurate fusion. The proposed model has been compared with some existing methods to prove its performance in view of subjective and objective evaluations.

Development of a Novel Multi-Modal Contextual Fusion Model for Early Detection of Varicella Zoster Virus Skin Lesions in Human Subjects

Skin lesion detection is crucial in diagnosing and managing dermatological conditions. In this study, we developed and demonstrated the potential applicability of a novel mixed-scale dense convolution, self-attention mechanism, hierarchical feature fusion, and attention-based contextual information technique (MSHA) model for skin lesion detection using digital skin images of chickenpox and shingles lesions. The model adopts a combination of unique architectural designs, such as a mixed-scale dense convolution layer, self-attention mechanism, hierarchical feature fusion, and attention-based contextual information, enabling the MSHA model to capture and extract relevant features more effectively for chickenpox and shingles lesion classification. We also implemented an effective training strategy to enhance a better capacity to learn and represent the relevant features in the skin lesion images. We evaluated the performance of the novel model in comparison to state-of-the-art models, including ResNet50, VGG16, VGG19, InceptionV3, and ViT. The results indicated that the MSHA model outperformed the other models with accuracy and loss of 95.0% and 0.104, respectively. Furthermore, it exhibited superior performance in terms of true-positive and true-negative rates while maintaining low-false positive and false-negative rates. The MSHA model’s success can be attributed to its unique architectural design, effective training strategy, and better capacity to learn and represent the relevant features in skin lesion images. The study underscores the potential of the MSHA model as a valuable tool for the accurate and reliable detection of chickenpox and shingles lesions, which can aid in timely diagnosis and appropriate treatment planning for dermatological conditions.

A Method for Training-free Person Image Picture Generation

The current state-of-the-art Diffusion model has demonstrated excellent results in generating images. However, the images are monotonous and are mostly the result of the distribution of images of people in the training set, making it challenging to generate multiple images for a fixed number of individuals. This problem can often only be solved by fine-tuning the training of the model. This means that each individual/animated character image must be trained if it is to be drawn, and the hardware and cost of this training is often beyond the reach of the average user, who accounts for the largest number of people. To solve this problem, the Character Image Feature Encoder model proposed in this paper enables the user to use the process by simply providing a picture of the character to make the image of the character in the generated image match the expectation. In addition, various details can be adjusted during the process using prompts. Unlike traditional Image-to-Image models, the Character Image Feature Encoder extracts only the relevant image features, rather than information about the model's composition or movements. In addition, the Character Image Feature Encoder can be adapted to different models after training. The proposed model can be conveniently incorporated into the Stable Diffusion generation process without modifying the model's ontology or used in combination with Stable Diffusion as a joint model.

Quantum image scaling with applications to image steganography and fusion

A quantum hue, saturation, and lightness model is proposed in which a triple qubit sequence (QHTS) is encoded and used as a data model for the implementation of quantum image scaling. The preparation and retrieval of QHTS images is presented, in which only q+2 qubits (where q is the bit depth) are required to encode color information while retaining relevant HSL image features and operability. A conventional nearest neighbor interpolation was adopted to implement quantum image up-scaling and down-scaling operations, from which two other scaling applications were developed. One such technique is a form of quantum steganography based on end-to-end encryption, which provides high capacity while ensuring the security of carrier images and secret messages. The other is a spatial remote sensing image fusion algorithm, based on QHTS images, which pioneers quantum pseudocolor composites of multi-spectral and panchromatic images. Simulation experiments demonstrated the proposed methodology provides an embedding capacity more than double that of existing quantum image steganography algorithms. In addition, a complexity analysis demonstrated the efficiency of the two proposed quantum image scaling applications, which take full advantage of quantum parallelism.

Radiogenomics Analysis Linking Multiparametric MRI and Transcriptomics in Prostate Cancer.

Prostate cancer (PCa) is a highly prevalent cancer type with a heterogeneous prognosis. An accurate assessment of tumor aggressiveness can pave the way for tailored treatment strategies, potentially leading to better outcomes. While tumor aggressiveness is typically assessed based on invasive methods (e.g., biopsy), radiogenomics, combining diagnostic imaging with genomic information can help uncover aggressive (imaging) phenotypes, which in turn can provide non-invasive advice on individualized treatment regimens. In this study, we carried out a parallel analysis on both imaging and transcriptomics data in order to identify features associated with clinically significant PCa (defined as an ISUP grade ≥ 3), subsequently evaluating the correlation between them. Textural imaging features were extracted from multi-parametric MRI sequences (T2W, DWI, and DCE) and combined with DCE-derived parametric pharmacokinetic maps obtained using magnetic resonance dispersion imaging (MRDI). A transcriptomic analysis was performed to derive functional features on transcription factors (TFs), and pathway activity from RNA sequencing data, here referred to as transcriptomic features. For both the imaging and transcriptomic features, different machine learning models were separately trained and optimized to classify tumors in either clinically insignificant or significant PCa. These models were validated in an independent cohort and model performance was used to isolate a subset of relevant imaging and transcriptomic features to be further investigated. A final set of 31 imaging features was correlated to 33 transcriptomic features obtained on the same tumors. Five significant correlations (p < 0.05) were found, of which, three had moderate strength (|r| ≥ 0.5). The strongest significant correlations were seen between a perfusion-based imaging feature-MRDI A median-and the activities of the TFs STAT6 (-0.64) and TFAP2A (-0.50). A higher-order T2W textural feature was also significantly correlated to the activity of the TF STAT6 (-0.58). STAT6 plays an important role in controlling cell proliferation and migration. Loss of the AP2alpha protein expression, quantified by TFAP2A, has been strongly associated with aggressiveness and progression in PCa. According to our findings, a combination of texture features extracted from T2W and DCE, as well as perfusion-based pharmacokinetic features, can be considered for the prediction of clinically significant PCa, with the pharmacokinetic MRDI A feature being the most correlated with the underlying transcriptomic information. These results highlight a link between quantitative imaging features and the underlying transcriptomic landscape of prostate tumors.

Distinct radiological features of lymphoepithelioma-likeintrahepatic cholangiocarcinoma: comparison with classical intrahepatic cholangiocarcinoma.

Lymphoepithelioma-like intrahepatic cholangiocarcinoma (LEICC) has been recently introduced as a genetically distinct of intrahepatic cholangiocarcinoma (ICC). We aimed to investigate whether LEICC has distinct radiological characteristics in comparison with classical ICC, and to determine MRI features that can be used to differentiate LEICC from classical ICC. Five hundred and sixty-seven consecutive patients who underwent surgical resection or liver transplantation for ICC between 2014 and 2021 were retrospectively identified. Among them, 30 patients with LEICC (LEICC-cohort) and 116 with stage-matched classical ICC (control-cohort) were finally included. Pre-operative MRI data were compared between the two cohorts. Multivariable logistic regression analysis was performed to determine relevant imaging features suggesting the diagnosis of LEICC over classical ICC. LEICCs showed significantly higher frequencies of a non-rim arterial phase hyperenhancement (APHE), washout on post-arterial images and a smooth margin, as well as less frequencies of perilesional enhancement and liver capsular retraction when compared with classical ICCs (P < 0.05 for all). The multivariate analysis revealed that non-rim APHE (odds ratio, 10.863; 95% CI [3.295-35.821]; P < 0.001) and the absence of perilesional enhancement (odds ratio, 3.350; 95% CI [1.167-9.619]; P = 0.025) are significant independent imaging features that suggest the diagnosis of LEICCs over classical ICCs. Compared with classical ICCs, LEICCs do have distinct radiological characteristics. A smooth margin, non-rim APHE, washout on post-arterial images, absent perilesional enhancement and absent liver capsular retraction are useful MRI features that could help to differentiate LEICCs from classical ICCs.