2020
DOI: 10.1186/s40644-020-00354-7
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MRI-based radiomics to predict lipomatous soft tissue tumors malignancy: a pilot study

Abstract: Objectives To develop and validate a MRI-based radiomic method to predict malignancies in lipomatous soft tissue tumors. Methods This retrospective study searched in the database of our pathology department, data from patients with lipomatous soft tissue tumors, with histology and gadolinium-contrast enhanced T1w MR images, obtained from 56 centers with non-uniform protocols. For each tumor, 87 radiomic features were extracted by two… Show more

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Cited by 23 publications
(16 citation statements)
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“…Improvement in differential diagnosis of malignancy have been reported by several authors [ 97 , 98 ]. In particular radiomics-based differentiation between soft-tissue lipoma and well-differentiated liposarcoma [ 99 , 100 ] was demonstrated despite similar radiologic and pathologic presentation, often requiring molecular analysis of MDM2 amplification status; interestingly, superior performance of a machine-learning classifier as compared to trained radiologists has been shown [ 101 ]. Similarly, radiomic features allowed to distinguish myxoma from myxofibrosarcoma [ 102 ] and atypical leiomyoma from uterine sarcoma [ 103 , 104 , 105 ].…”
Section: Resultsmentioning
confidence: 99%
“…Improvement in differential diagnosis of malignancy have been reported by several authors [ 97 , 98 ]. In particular radiomics-based differentiation between soft-tissue lipoma and well-differentiated liposarcoma [ 99 , 100 ] was demonstrated despite similar radiologic and pathologic presentation, often requiring molecular analysis of MDM2 amplification status; interestingly, superior performance of a machine-learning classifier as compared to trained radiologists has been shown [ 101 ]. Similarly, radiomic features allowed to distinguish myxoma from myxofibrosarcoma [ 102 ] and atypical leiomyoma from uterine sarcoma [ 103 , 104 , 105 ].…”
Section: Resultsmentioning
confidence: 99%
“…ICC threshold ranged between 0.6 [ 13 ] and 0.9 [ 22 ] for reproducible features. The following statistical methods were used less commonly: analysis of variance [ 30 , 31 ]; Cronbach alpha statistic [ 26 ]; Pearson correlation coefficient [ 19 ], and Spearman correlation coefficient [ 21 ].…”
Section: Resultsmentioning
confidence: 99%
“…Eighteen (37%) of the 49 studies included a reproducibility analysis of the radiomic features in their workflow. In 16 (33%) investigations [13,[15][16][17][18][19][20][21][22][23][24][25][26][27][28][29], the reproducibility of radiomic features was assessed on the basis of repeated segmentations performed by different readers and/or the same reader at different time points. Two (4%) studies presented an analysis to assess the reproducibility based on different acquisition [30] or post-processing [31] techniques.…”
Section: Reproducibility Strategiesmentioning
confidence: 99%
“…AI has also enabled the construction of predictive radiomics models for a multitude of MSK applications. Differentiation between benign and malignant osseous [19][20][21] and soft tissue lesions 21 has been performed with the use of radiomics data based on computed tomography (CT), MRI, and nuclear imaging, 22 used to build high accuracy machine learning models. Such models (with or without the addition of radiomics) have also been used to diagnose osteoarthritis [23][24][25][26] and osteoporosis 27 and to identify factors responsible for the development of early-onset osteoarthritis.…”
Section: Current Research Landscape In Msk Radiologymentioning
confidence: 99%