Cited by 40Radiomics and Machine Learning in Medical ImagingImage Retrieval and Classification TechniquesMedical Imaging Techniques and Applications

Building reliable radiomic models using image perturbation

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Teng, Xinzhi, Zhang, Jiang, Zwanenburg, Alex, Sun, Jiachen, Huang, Yuhua, Lam, Saikit, Zhang, Yuanpeng, Li, Bing +8 more·2022·Scientific Reports

Abstract

Radiomic model reliability is a central premise for its clinical translation. Presently, it is assessed using test–retest or external data, which, unfortunately, is often scarce in reality. Therefore, we aimed to develop a novel image perturbation-based method (IPBM) for the first of its kind toward building a reliable radiomic model. We first developed a radiomic prognostic model for head-and-neck cancer patients on a training (70%) and evaluated on a testing (30%) cohort using C-index. Subsequently, we applied the IPBM to CT images of both cohorts (Perturbed-Train and Perturbed-Test cohort) to generate 60 additional samples for both cohorts. Model reliability was assessed using intra-class correlation coefficient (ICC) to quantify consistency of the C-index among the 60 samples in the Perturbed-Train and Perturbed-Test cohorts. Besides, we re-trained the radiomic model using reliable RFs exclusively (ICC > 0.75) to validate the IPBM. Results showed moderate model reliability in Perturbed-Train (ICC: 0.565, 95%CI 0.518–0.615) and Perturbed-Test (ICC: 0.596, 95%CI 0.527–0.670) cohorts. An enhanced reliability of the re-trained model was observed in Perturbed-Train (ICC: 0.782, 95%CI 0.759–0.815) and Perturbed-Test (ICC: 0.825, 95%CI 0.782–0.867) cohorts, indicating validity of the IPBM. To conclude, we demonstrated capability of the IPBM toward building reliable radiomic models, providing community with a novel model reliability assessment strategy prior to prospective evaluation.

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Authors
Teng, X., Zhang, J., Zwanenburg, A., Sun, J., Huang, Y., Lam, S., Zhang, Y., Li, B., Zhou, T., Xiao, H., Liu, C., Li, W., Han, X., Ma, Z., Li, T., & Cai, J.
Affiliations
  • Hong Kong Polytechnic University (HK)
  • German Cancer Research Center (DE)
Corresponding author
Cai, Jing
Venue
Scientific Reports
Published
2022-06-16
Volume
12
Issue
1
Pages
10035-10035
ISSN
2045-2322 (ISSN-L)
OpenAlex
W4282960446
Cited by
40
References
47
Citations by year
2026: 9 · 2025: 4 · 2024: 13 · 2023: 9 · 2022: 5
FWCI
4.40
Type
journal article
Language
en
Open access
Locations
  • Scientific Reports (publishedVersion, cc-by)
  • Research Square (acceptedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • PolyU Institutional Research Archive (Hong Kong Polytechnic University) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Innovation and Technology Fund (ITS/080/19)
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, model reliability, image perturbation, head and neck cancer, prognostic model, CT images, intraclass correlation coefficient, concordance index, synthetic data generation, radiomic feature selection
MeSH terms
Humans, Prognosis, Reproducibility of Results, Cohort Studies

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