Methodological framework for radiomics applications in Hodgkin's lymphoma.

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

Journal

European journal of hybrid imaging
ISSN: 2510-3636
Titre abrégé: Eur J Hybrid Imaging
Pays: England
ID NLM: 101724113

Informations de publication

Date de publication:
01 Jun 2020
Historique:
received: 22 03 2020
accepted: 06 05 2020
entrez: 30 6 2021
pubmed: 1 7 2021
medline: 1 7 2021
Statut: epublish

Résumé

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. 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. We retrospectively included 85 patients (male:female = 52:33; median age 35 years, range 19-74). LIFEx (www.lifexsoft.org) was used for [ 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). 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.

Sections du résumé

BACKGROUND 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 OBJECTIVE
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 METHODS
We retrospectively included 85 patients (male:female = 52:33; median age 35 years, range 19-74). LIFEx (www.lifexsoft.org) was used for [
RESULTS 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 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.

Identifiants

pubmed: 34191173
doi: 10.1186/s41824-020-00078-8
pii: 10.1186/s41824-020-00078-8
pmc: PMC8218114
doi:

Types de publication

Journal Article

Langues

eng

Pagination

9

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Auteurs

Martina Sollini (M)

Humanitas University, Via Rita Levi Montalcini 4, MI 20090, Pieve Emanuele, Italy.
Humanitas Clinical and Research Center - IRCCS -, via Manzoni 56, 20089, Rozzano, MI, Italy.

Margarita Kirienko (M)

Humanitas University, Via Rita Levi Montalcini 4, MI 20090, Pieve Emanuele, Italy. margarita.kirienko@icloud.com.

Lara Cavinato (L)

Humanitas Clinical and Research Center - IRCCS -, via Manzoni 56, 20089, Rozzano, MI, Italy.
MOX-Modelling and Scientific Computing lab., Department of Mathematics, Politecnico di Milano, Milano, Italy.

Francesca Ricci (F)

Humanitas Clinical and Research Center - IRCCS -, via Manzoni 56, 20089, Rozzano, MI, Italy.

Matteo Biroli (M)

Humanitas University, Via Rita Levi Montalcini 4, MI 20090, Pieve Emanuele, Italy.

Francesca Ieva (F)

MOX-Modelling and Scientific Computing lab., Department of Mathematics, Politecnico di Milano, Milano, Italy.
CADS-Center for Analysis, Decision, and Society, Human Technopole, Milano, Italy.

Letizia Calderoni (L)

Nuclear Medicine, AOU S.Orsola-Malpighi, Bologna, Italy.

Elena Tabacchi (E)

Nuclear Medicine, AOU S.Orsola-Malpighi, Bologna, Italy.

Cristina Nanni (C)

Nuclear Medicine, AOU S.Orsola-Malpighi, Bologna, Italy.

Pier Luigi Zinzani (PL)

Institute of Hematology "Seràgnoli", University of Bologna, Bologna, Italy.

Stefano Fanti (S)

Nuclear Medicine, AOU S.Orsola-Malpighi, Bologna, Italy.

Anna Guidetti (A)

Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
University of Milan, Milan, Italy.

Alessandra Alessi (A)

Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.

Paolo Corradini (P)

Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
University of Milan, Milan, Italy.

Ettore Seregni (E)

Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.

Carmelo Carlo-Stella (C)

Humanitas University, Via Rita Levi Montalcini 4, MI 20090, Pieve Emanuele, Italy.
Humanitas Clinical and Research Center - IRCCS -, via Manzoni 56, 20089, Rozzano, MI, Italy.

Arturo Chiti (A)

Humanitas University, Via Rita Levi Montalcini 4, MI 20090, Pieve Emanuele, Italy.
Humanitas Clinical and Research Center - IRCCS -, via Manzoni 56, 20089, Rozzano, MI, Italy.

Classifications MeSH