1. Stability of radiomic features in CT perfusion maps
- Author
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Sonja Stieb, Martin Pruschy, Matthias Guckenberger, Patrick Veit-Haibach, S. Glatz, Gabriela Studer, Stephanie Tanadini-Lang, Ralph A. Bundschuh, Marta Bogowicz, Oliver Riesterer, Martin Hüllner, and University of Zurich
- Subjects
medicine.medical_specialty ,Lung Neoplasms ,Intraclass correlation ,Perfusion Imaging ,610 Medicine & health ,Perfusion scanning ,Stability (probability) ,030218 nuclear medicine & medical imaging ,Correlation ,03 medical and health sciences ,0302 clinical medicine ,Carcinoma, Non-Small-Cell Lung ,Hounsfield scale ,medicine ,Humans ,2741 Radiology, Nuclear Medicine and Imaging ,Radiology, Nuclear Medicine and imaging ,Image resolution ,3614 Radiological and Ultrasound Technology ,Mathematics ,Contouring ,Blood Volume ,Radiological and Ultrasound Technology ,business.industry ,10181 Clinic for Nuclear Medicine ,Prognosis ,10044 Clinic for Radiation Oncology ,Tumor Burden ,Oropharyngeal Neoplasms ,030220 oncology & carcinogenesis ,Tomography ,Radiology ,Tomography, X-Ray Computed ,Nuclear medicine ,business - Abstract
This study aimed to identify a set of stable radiomic parameters in CT perfusion (CTP) maps with respect to CTP calculation factors and image discretization, as an input for future prognostic models for local tumor response to chemo-radiotherapy. Pre-treatment CTP images of eleven patients with oropharyngeal carcinoma and eleven patients with non-small cell lung cancer (NSCLC) were analyzed. 315 radiomic parameters were studied per perfusion map (blood volume, blood flow and mean transit time). Radiomics robustness was investigated regarding the potentially standardizable (image discretization method, Hounsfield unit (HU) threshold, voxel size and temporal resolution) and non-standardizable (artery contouring and noise threshold) perfusion calculation factors using the intraclass correlation (ICC). To gain added value for our model radiomic parameters correlated with tumor volume, a well-known predictive factor for local tumor response to chemo-radiotherapy, were excluded from the analysis. The remaining stable radiomic parameters were grouped according to inter-parameter Spearman correlations and for each group the parameter with the highest ICC was included in the final set. The acceptance level was 0.9 and 0.7 for the ICC and correlation, respectively. The image discretization method using fixed number of bins or fixed intervals gave a similar number of stable radiomic parameters (around 40%). The potentially standardizable factors introduced more variability into radiomic parameters than the non-standardizable ones with 56-98% and 43-58% instability rates, respectively. The highest variability was observed for voxel size (instability rate >97% for both patient cohorts). Without standardization of CTP calculation factors none of the studied radiomic parameters were stable. After standardization with respect to non-standardizable factors ten radiomic parameters were stable for both patient cohorts after correction for inter-parameter correlations. Voxel size, image discretization, HU threshold and temporal resolution have to be standardized to build a reliable predictive model based on CTP radiomics analysis.
- Published
- 2016