GBM影像组学中,特征鲁棒性不足以保证预测能力,二者存在权衡。
Segmentation Robustness and Predictive Utility in Glioblastoma Radiomics: Evidence for a Trade-off in Survival Modelling
- 基于多模态MRI分区域提取4752个特征,用ICC评估分割一致性
- 仅48.1%特征具鲁棒性,但加入后未提升生存预测效果
- 模型选中的特征反而更不鲁棒,说明鲁棒性非优选标准
从磁共振成像(MRI)中提取的影像组学生物标志物被广泛研究用于胶质母细胞瘤(GBM)的非侵入性肿瘤表征和预后建模。然而,其临床转化受限,部分原因在于对肿瘤分割变异的敏感性。本研究利用宾夕法尼亚大学胶质母细胞瘤影像、基因组与影像组学(UPENN-GBM)队列,系统探究了特征鲁棒性与预测效用之间的关系。从增强肿瘤(ET)、瘤周水肿(ED)和坏死核心(NC)三个亚区提取共4,752个影像组学特征。采用自动分割与专家修正分割版本计算组内相关系数(ICC)量化鲁棒性。在有有效ICC估计的特征中,48.1%被归类为鲁棒。使用Coxnet、随机生存森林和梯度提升生存分析模型进行交叉验证评估生存预测性能。在该队列中,影像组学特征的引入并未一致优于临床基线模型,且鲁棒性筛选未带来可检测的性能提升。模型选择的特征比整体特征池更不鲁棒,表明鲁棒性未被充分富集。这些发现提示:在基于影像组学的生存建模中,仅依靠鲁棒性作为特征选择标准不可靠。
原文摘要 · Abstract (English)
Radiomic biomarkers derived from magnetic resonance imaging (MRI) have been widely investigated as non-invasive tools for tumor characterization and prognostic modeling in glioblastoma (GBM). However, their clinical translation remains limited, in part due to sensitivity to tumor segmentation variability. In this study, we systematically investigate the relationship between feature robustness and predictive utility in GBM survival modeling using the University of Pennsylvania Glioblastoma Imaging, Genomics, and Radiomics (UPENN-GBM) cohort. A total of 4,752 radiomic features were obtained from multiparametric MRI across three tumor subregions: enhancing tumor (ET), peritumoral edema (ED), and necrotic core (NC). Feature robustness was quantified using the intraclass correlation coefficient (ICC) based on the automatic and expert-refined segmentation versions. Among features with valid ICC estimates, 48.1% were classified as robust. Survival prediction was evaluated using cross-validation with Coxnet, Random Survival Forest, and Gradient Boosting Survival Analysis models. In this cohort, radiomic feature inclusion showed no consistent improvement over the clinical baseline, and robustness filtering produced no detectable performance gain. Model-selected features were less robust than the overall feature pool, indicating a lack of enrichment for robustness. These findings suggest that robustness alone is not a reliable criterion for feature selection in radiomics-based survival modelling.
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