Methodological framework for radiomics applications in Hodgkin’s lymphoma

Background According to published data, radiomics features differ between lesions of refractory/relapsing HL patients from those of long-term responders. However, several methodological aspects have not been elucidated yet. Purpose The study aimed at setting up a methodological framework in radiomics applications in Hodgkin’s lymphoma (HL), especially at (a) developing a novel feature selection approach, (b) evaluating radiomic intra-patient lesions’ similarity, and (c) classifying relapsing refractory (R/R) vs non-(R/R) patients. Methods We retrospectively included 85 patients (male:female = 52:33; median age 35 years, range 19–74). LIFEx (www.lifexsoft.org) was used for [18F]FDG-PET/CT segmentation and feature extraction. Features were a-priori selected if they were highly correlated or uncorrelated to the volume. Principal component analysis-transformed features were used to build the fingerprints that were tested to assess lesions’ similarity, using the silhouette. For intra-patient similarity analysis, we used patients having multiple lesions only. To classify patients as non-R/R and R/R, the fingerprint considering one single lesion (fingerprint_One) and all lesions (fingerprint_All) was tested using Random Undersampling Boosting of Tree Ensemble (RUBTE). Results HL fingerprints included up to 15 features. Intra-patient lesion similarity analysis resulted in mean/median silhouette values below 0.5 (low similarity especially in the non-R/R group). In the test set, the fingerprint_One classification accuracy was 62% (78% sensitivity and 53% specificity); the classification by RUBTE using fingerprint_All resulted in 82% accuracy (70% sensitivity and 88% specificity). Conclusions Lesion similarity analysis was developed, and it allowed to demonstrate that HL lesions were not homogeneous within patients in terms of radiomics signature. Therefore, a random target lesion selection should not be adopted for radiomics applications. Moreover, the classifier to predict R/R vs non-R/R performed the best when all the lesions were used..

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:4

Enthalten in:

European journal of hybrid imaging - 4(2020), 1 vom: 01. Juni

Sprache:

Englisch

Beteiligte Personen:

Sollini, Martina [VerfasserIn]
Kirienko, Margarita [VerfasserIn]
Cavinato, Lara [VerfasserIn]
Ricci, Francesca [VerfasserIn]
Biroli, Matteo [VerfasserIn]
Ieva, Francesca [VerfasserIn]
Calderoni, Letizia [VerfasserIn]
Tabacchi, Elena [VerfasserIn]
Nanni, Cristina [VerfasserIn]
Zinzani, Pier Luigi [VerfasserIn]
Fanti, Stefano [VerfasserIn]
Guidetti, Anna [VerfasserIn]
Alessi, Alessandra [VerfasserIn]
Corradini, Paolo [VerfasserIn]
Seregni, Ettore [VerfasserIn]
Carlo-Stella, Carmelo [VerfasserIn]
Chiti, Arturo [VerfasserIn]

Links:

Volltext [kostenfrei]

Themen:

Feature selection
Lymphoma
Outcome prediction
PET/CT
Radiomics
Response prediction
Silhouette
Similarity

doi:

10.1186/s41824-020-00078-8

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

SPR039893812