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Radiomics: the process and the challenges
Open accessAbstract
"Radiomics" refers to the extraction and analysis of large amounts of advanced quantitative imaging features with high throughput from medical images obtained with computed tomography, positron emission tomography or magnetic resonance imaging. Importantly, these data are designed to be extracted from standard-of-care images, leading to a very large potential subject pool. Radiomics data are in a mineable form that can be used to build descriptive and predictive models relating image features to phenotypes or gene-protein signatures. The core hypothesis of radiomics is that these models, which can include biological or medical data, can provide valuable diagnostic, prognostic or predictive information. The radiomics enterprise can be divided into distinct processes, each with its own challenges that need to be overcome: (a) image acquisition and reconstruction, (b) image segmentation and rendering, (c) feature extraction and feature qualification and (d) databases and data sharing for eventual (e) ad hoc informatics analyses. Each of these individual processes poses unique challenges. For example, optimum protocols for image acquisition and reconstruction have to be identified and harmonized. Also, segmentations have to be robust and involve minimal operator input. Features have to be generated that robustly reflect the complexity of the individual volumes, but cannot be overly complex or redundant. Furthermore, informatics databases that allow incorporation of image features and image annotations, along with medical and genetic data, have to be generated. Finally, the statistical approaches to analyze these data have to be optimized, as radiomics is not a mature field of study. Each of these processes will be discussed in turn, as well as some of their unique challenges and proposed approaches to solve them. The focus of this article will be on images of non-small-cell lung cancer.
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“The first such study used 182 texture features in combination with 22 semantic features to describe CT images of lung cancer (24).”
From Radiomics: Images Are More than Pictures, They Are Data (2016) · cites this paper as [24]
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“In the last few years, radiomics has been reported as an advanced computational methodology that can extract quantitative descriptors from images of malignant tissue.(21,22) It more comprehensive and quantitatively shows the heterogeneity of tumors than does morphological visual analysis.”
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“Quantitative radiomics extracts data from routine medical imaging and analyzes complex imaging features, unperceivable to the human eye [14].”
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“Finally, the model is constructed by logistic regression method (12).”
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RadioPathomics: Multimodal learning in non-small cell lung cancer for adaptive radiotherapy
Tortora, M., Cordelli, E., Sicilia, R., Nibid, L., Ippolito, E., Perrone, G., Ramella, S., & Soda, P. (2023) · IEEE Access · doi:10.1109/access.2023.3275126 · Cited by 49
“• Radiomics: it is based on the extraction of quantitative features from radiology images routinely collected in order to predict clinical outcomes or guide clinical decisions using AI algorithms [3, 4].”
Artificial intelligence and digital pathology: clinical promise and deployment considerations
Zarella, M. D., McClintock, D. S., Batra, H. V., Gullapalli, R. R., Valante, M., Tan, V. O., Dayal, S., Oh, K. S., Lara, H., Garcia, C., et al. (2023) · Journal of medical imaging · doi:10.1117/1.jmi.10.5.051802 · Cited by 49
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“Computational technical development has permitted a high-throughput process in which a large number of shape, edge, and texture imaging features are extracted.(8,9) However, computerized algorithms are more highly dependent on harmonized acquisition and reconstruction parameters than are human readers.”
BackgroundSelf-citationCancer heterogeneity and imaging
O’Connor, J. P. B. (2016) · Seminars in Cell and Developmental Biology · doi:10.1016/j.semcdb.2016.10.001 · Cited by 50
“Studies have varied from employing tens of parameters, to around 200 features (88), over 400 features (87) or over 600 features (89).”
BackgroundHossain, S., Najeeb, S., Shahriyar, A., Abdullah, Z. R., & Haque, M. A. (2019) · IEEE International Conference on Acoustics Speech and Signal Processing · doi:10.1109/icassp.2019.8683802 · Cited by 49
“There has been a significant amount of research related to radiomics and biomedical image processing utilizing computer vision and data driven algorithms in recent times [3, 7, 8].”
BackgroundImage-Based Molecular Phenotyping of Pancreatic Ductal Adenocarcinoma
Kaissis, G. A., Ziegelmayer, S., Lohöfer, F. K., Harder, F. N., Jungmann, F., Sasse, D., Muckenhuber, A., Yen, H.-Y., Steiger, K., Siveke, J. T., et al. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9030724 · Cited by 50
“This lack of multi-institutional prospective validation and datasets of sufficient statistical power is a notable issue with many radiomic studies [26].”
BackgroundKawahara, D., Tang, X., Lee, C. K. K., Nagata, Y., & Watanabe, Y. (2021) · Frontiers in Oncology · doi:10.3389/fonc.2020.569461 · Cited by 49
“Radiomics analyzes the medical image quantitatively to explore features unique to a patient (11).”
BackgroundShu, Z., Mao, D., Song, Q., Xu, Y., Pang, P., & Zhang, Y. (2021) · European Radiology · doi:10.1007/s00330-021-08242-9 · Cited by 49
“Additionally, predictive and prognostic models are important in radiomics [14].”
BackgroundPolk, S. L., Choi, J. W., McGettigan, M. J., Rose, T., Ahmed, A., Kim, J., Jiang, K., Balagurunathan, Y., Qi, J., Farah, P. T., et al. (2020) · World Journal of Gastroenterology · doi:10.3748/wjg.v26.i24.3458 · Cited by 48
Self-citationMichaely, H. J., Aringhieri, G., Cioni, D., & Neri, E. (2022) · Diagnostics · doi:10.3390/diagnostics12040799 · Cited by 48
Hou, Z., Yang, Y., Li, S., Yan, J., Ren, W., Liu, J., Wang, K., Liu, B., & Wan, S. (2018) · Quantitative Imaging in Medicine and Surgery · doi:10.21037/qims.2018.05.01 · Cited by 48
“Radiomics is a non-invasive approach that extracts quantitative features from medical images and allows for comprehensive visualization and characterization of the tumor region and corresponding microenvironment, which has been found to show significant predictive power for gene expression, pathological classification…”
BackgroundXiao, D., Yan, P.-F., Wang, Y., Osman, M. S., & Zhao, H. (2018) · Clinical Neurology and Neurosurgery · doi:10.1016/j.clineuro.2018.08.004 · Cited by 48
Radiomics With Attribute Bagging for Breast Tumor Classification Using Multimodal Ultrasound Images
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“Radiomics refers to extraction and analysis of high-throughput quantitative features from medical images to reveal the underlying difference between tissues.(15,16) Radiomics of US images has been used for breast tumor diagnosis.”
BackgroundWang, X., Zhang, L., Yang, X., Tang, L., Zhao, J., Chen, G., Li, X., Yan, S., Li, S., Yang, Y., et al. (2020) · European Journal of Radiology · doi:10.1016/j.ejrad.2020.109150 · Cited by 48
Zhang, Y., Lobo-Mueller, E. M., Karanicolas, P., Gallinger, S., Haider, M. A., & Khalvati, F. (2021) · Scientific Reports · doi:10.1038/s41598-021-80998-y · Cited by 62
Schlett, C. L., Hendel, T., Weckbach, S., Reiser, M. F., Kauczor, H., Nikolaou, K., Günther, M., Forsting, M., Hosten, N., Völzke, H., et al. (2016) · RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren · doi:10.1055/s-0042-104510 · Cited by 47
Trends in radiology and experimental research
Sardanelli, F. (2017) · European Radiology Experimental · doi:10.1186/s41747-017-0006-5 · Cited by 47
“Thus, radiology is well positioned for mapping cancer heterogeneity in the individual patient and guiding the adaptive therapy, especially if molecular imaging, radiomics, radiogenomics and habitat imaging techniques are used [6, 12, 13].”
BackgroundYuan, M., Zhang, Y., Pu, X.-H., Zhong, Y., Li, H., Wu, J., & Yu, T. (2017) · European Radiology · doi:10.1007/s00330-017-4855-3 · Cited by 47
CT-Based Radiomics Model for Predicting Brain Metastasis in Category T1 Lung Adenocarcinoma
Chen, A., Lü, L., Pu, X.-H., Yu, T., Yang, H., Schwartz, L. H., & Zhao, B. (2019) · American Journal of Roentgenology · doi:10.2214/ajr.18.20591 · Cited by 47
Huang, B., Tian, J., Zhang, H., Luo, Z., Qin, J., Huang, C., He, X., Luo, Y., Zhou, Y., Guo, D., et al. (2020) · IEEE Journal of Biomedical and Health Informatics · doi:10.1109/jbhi.2020.3043236 · Cited by 48
Radiomic analysis of Gd-EOB-DTPA-enhanced MRI predicts Ki-67 expression in hepatocellular carcinoma
Fan, Y., Yu, Y., Wang, X., Hu, M., & Hu, C. (2021) · BMC Medical Imaging · doi:10.1186/s12880-021-00633-0 · Cited by 47
Chiloiro, G., Cusumano, D., Franco, P. D., Lenkowicz, J., Boldrini, L., Carano, D., Barbaro, B., Corvari, B., Dinapoli, N., Giraffa, M., et al. (2021) · La radiologia medica · doi:10.1007/s11547-021-01421-0 · Cited by 49
Jia, L.-L., Zhao, J.-X., pan, N., Shi, L., Zhao, L., Tian, J., & Huang, G. (2022) · European Journal of Radiology Open · doi:10.1016/j.ejro.2022.100438 · Cited by 48
Advances in artificial intelligence for the diagnosis and treatment of ovarian cancer (Review)
Wang, Y., Lin, W., Zhuang, X., Wang, X., He, Y., Li, L., & Lyu, G. (2024) · Oncology Reports · doi:10.3892/or.2024.8705 · Cited by 46
“Semi‑automatic segmentation, based on automatic segmentation, allows clinicians to ‘proofread’ the delineated edges manually, which can improve the efficiency and accuracy of the delineation (28).”
BackgroundPersonalized radiotherapy: concepts, biomarkers and trial design
Ree, A. H., & Redalen, K. R. (2015) · British Journal of Radiology · doi:10.1259/bjr.20150009 · Cited by 46
Quantitative Computed Tomography Imaging Biomarkers in the Diagnosis and Management of Lung Cancer
Kim, H., Park, C. M., Goo, J. M., Wildberger, J. E., & Kauczor, H. (2015) · Investigative Radiology · doi:10.1097/rli.0000000000000152 · Cited by 46
“The so-called radiomics approach that uses an automated high-throughput extraction of hundreds of quantitative features of medical images is on theway.(108,109) Therefore, novel quantitative imaging biomarkers are expected to be extracted in the near future and may help to infer phenotypes or gene-protein signatures,…”
Hsu, W. W. Y., El-Saden, S. M., & Taira, R. K. (2016) · Advances in experimental medicine and biology · doi:10.1007/978-981-10-1503-8_8 · Cited by 46
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Tagliaferri, L., Kovács, G., Autorino, R., Budrukkar, A. N., Guinot, J. L., Hildebrand, G., Johansson, B. H., Monge, R. M., Meyer, J. E., Niehoff, P., et al. (2016) · Journal of Contemporary Brachytherapy · doi:10.5114/jcb.2016.61958 · Cited by 46
“CT, MRI, PET) that can be used as a starting point to develop predictive models for H&N cancer, useful in offering assistance in clinical decision-making [27,28,29,30].”
BackgroundAltazi, B. A., Fernandez, D. C., Zhang, G. G., Hawkins, S. H., Naqvi, S. M. H., Kim, Y., Hunt, D., Latifi, K., Biagioli, M. C., Venkat, P. S., et al. (2018) · Physica Medica · doi:10.1016/j.ejmp.2017.10.009 · Cited by 46
“The extraction of underlying information from medical images based on quantitatively derived features (Radiomics) is presented as a developing process in the field of medical oncological imaging [10,11].”
BackgroundXie, H., Hu, J., Zhang, X., Ma, S., Liu, Y., & Wang, X. (2019) · European Journal of Radiology · doi:10.1016/j.ejrad.2019.04.004 · Cited by 46
Prediction of the Depth of Tumor Invasion in Gastric Cancer: Potential Role of CT Radiomics
Wang, Y., Liu, W., Yang, Y., Liu, J.-J., Jiang, L., Xue, H., Lei, J., Jin, Z., & Yu, J. (2019) · Academic Radiology · doi:10.1016/j.acra.2019.10.020 · Cited by 46
Dercle, L., Henry, T., Carré, A., Nikos Paragios, A., Deutsch, É., & Robert, C. (2020) · Methods · doi:10.1016/j.ymeth.2020.07.003 · Cited by 47
Impact of inter-reader contouring variability on textural radiomics of colorectal liver metastases
Rizzetto, F., Calderoni, F., Mattia, C. D., Defeudis, A., Giannini, V., Mazzetti, S., Vassallo, L., Ghezzi, S., Bianchi, A. S., Marsoni, S., et al. (2020) · European Radiology Experimental · doi:10.1186/s41747-020-00189-8 · Cited by 46
Metadata
- Authors
- Kumar, V., Gu, Y., Basu, S., Berglund, A., Eschrich, S. A., Schabath, M. B., Forster, K., Aerts, H. J. W. L., Dekker, A., Fenstermacher, D., Goldgof, D. B., Hall, L. O., Lambin, P., Balagurunathan, Y., Gatenby, R. A., & Gillies, R. J.
- Affiliations
- Moffitt Cancer Center (US)
- University of South Florida (US)
- Harvard University (US)
- Maastricht University Medical Centre (NL)
- Corresponding author
- Gillies, Robert J.
- ORCID
- Venue
- Magnetic Resonance Imaging
- Publisher
- Elsevier BV
- Published
- 2012-11
- Volume
- 30
- Issue
- 9
- Pages
- 1234-1248
- ISSN
- 0730-725X (ISSN-L)
- PMC
- PMC3563280
- OpenAlex
- W2097475056
- Cited by
- 2,258
- References
- 104
- Citations by year
- 2026: 106 · 2025: 189 · 2024: 224 · 2023: 236 · 2022: 277 · 2021: 290 · 2020: 253 · 2019: 209 · 2018: 190 · 2017: 127 · 2016: 86 · 2015: 43 · 2014: 16 · 2013: 6 · 2012: 3
- FWCI
- 16.42
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Magnetic Resonance Imaging (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Radiological Society of North America
- National Cancer Institute (U01CA143062, P30CA076292)
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Radiomics and Machine Learning in Medical Imaging
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Image Retrieval and Classification Techniques
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Medical Imaging Techniques and Applications
- Keywords
- radiomics, quantitative imaging features, image segmentation, feature extraction, data sharing, non-small cell lung cancer, computed tomography, positron emission tomography, prediction model
- MeSH terms
- Algorithms, Carcinoma, Non-Small-Cell Lung, Humans, Image Processing, Computer-Assisted, Lung Neoplasms, Magnetic Resonance Imaging, Medical Informatics, Pattern Recognition, Automated, Risk Factors, Software, Tomography, X-Ray Computed, Reproducibility of Results, Multivariate Analysis, Radiation Oncology, Phantoms, Imaging, Positron-Emission Tomography
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