Quantitative imaging decision support (QIDS) tool consistency evaluation and radiomic analysis by means of 594 metrics in lung carcinoma on chest CT scan

Objective: To evaluate the consistency of the quantitative imaging decision support (QIDS TM ) tool and radiomic analysis using 594 metrics in lung carcinoma on chest CT scan. Materials and Methods: We included, retrospectively, 150 patients with histologically confirmed lung cancer who underwent ch...

Full description

Bibliographic Details
Main Authors: Roberta Fusco PhD, Vincenza Granata MD, Maria Antonietta Mazzei MD, Nunzia Di Meglio MD, Davide Del Roscio MD, Chiara Moroni MD, Riccardo Monti MD, Carlotta Cappabianca MD, Carmine Picone MD, Emanuele Neri MD, Francesca Coppola MD, Agnese Montanino MD, Roberta Grassi MD, Antonella Petrillo MD, Vittorio Miele MD
Format: Article
Language:English
Published: SAGE Publishing 2021-02-01
Series:Cancer Control
Online Access:https://doi.org/10.1177/1073274820985786
_version_ 1829533285729959936
author Roberta Fusco PhD
Vincenza Granata MD
Maria Antonietta Mazzei MD
Nunzia Di Meglio MD
Davide Del Roscio MD
Chiara Moroni MD
Riccardo Monti MD
Carlotta Cappabianca MD
Carmine Picone MD
Emanuele Neri MD
Francesca Coppola MD
Agnese Montanino MD
Roberta Grassi MD
Antonella Petrillo MD
Vittorio Miele MD
author_facet Roberta Fusco PhD
Vincenza Granata MD
Maria Antonietta Mazzei MD
Nunzia Di Meglio MD
Davide Del Roscio MD
Chiara Moroni MD
Riccardo Monti MD
Carlotta Cappabianca MD
Carmine Picone MD
Emanuele Neri MD
Francesca Coppola MD
Agnese Montanino MD
Roberta Grassi MD
Antonella Petrillo MD
Vittorio Miele MD
author_sort Roberta Fusco PhD
collection DOAJ
description Objective: To evaluate the consistency of the quantitative imaging decision support (QIDS TM ) tool and radiomic analysis using 594 metrics in lung carcinoma on chest CT scan. Materials and Methods: We included, retrospectively, 150 patients with histologically confirmed lung cancer who underwent chemotherapy and baseline and follow-ups CT scans. Using the QIDS TM platform, 3 radiologists segmented each lesion and automatically collected the longest diameter and the density mean value. Inter-observer variability, Bland Altman analysis and Spearman’s correlation coefficient were performed. QIDS TM tool consistency was assessed in terms of agreement rate in the treatment response classification. Kruskal Wallis test and the least absolute shrinkage and selection operator (LASSO) method with 10-fold cross validation were used to identify radiomic metrics correlated with lesion size change. Results: Good and significant correlation was obtained between the measurements of largest diameter and of density among the QIDS TM tool and the radiologists measurements. Inter-observer variability values were over 0.85. HealthMyne QIDS TM tool quantitative volumetric delineation was consistent and matched with each radiologist measurement considering the RECIST classification (80-84%) while a lower concordance among QIDS TM and the radiologists CHOI classification was observed (58-63%). Among 594 extracted metrics, significant and robust predictors of RECIST response were energy, histogram entropy and uniformity, Kurtosis, coronal long axis, longest planar diameter, surface, Neighborhood Grey-Level Different Matrix (NGLDM) dependence nonuniformity and low dependence emphasis as Volume, entropy of Log(2.5 mm), wavelet energy, deviation and root man squared. Conclusion: In conclusion, we demonstrated that HealthMyne quantitative volumetric delineation was consistent and that several radiomic metrics extracted by QIDS TM were significant and robust predictors of RECIST response.
first_indexed 2024-12-16T18:53:13Z
format Article
id doaj.art-84eaeeeca83943ac9aeff2d69e92adf6
institution Directory Open Access Journal
issn 1073-2748
language English
last_indexed 2024-12-16T18:53:13Z
publishDate 2021-02-01
publisher SAGE Publishing
record_format Article
series Cancer Control
spelling doaj.art-84eaeeeca83943ac9aeff2d69e92adf62022-12-21T22:20:36ZengSAGE PublishingCancer Control1073-27482021-02-012810.1177/1073274820985786Quantitative imaging decision support (QIDS) tool consistency evaluation and radiomic analysis by means of 594 metrics in lung carcinoma on chest CT scanRoberta Fusco PhD0Vincenza Granata MD1Maria Antonietta Mazzei MD2Nunzia Di Meglio MD3Davide Del Roscio MD4Chiara Moroni MD5Riccardo Monti MD6Carlotta Cappabianca MD7Carmine Picone MD8Emanuele Neri MD9Francesca Coppola MD10Agnese Montanino MD11Roberta Grassi MD12Antonella Petrillo MD13Vittorio Miele MD14 Radiology Division, “Istituto Nazionale Tumori IRCCS Fondazione Pascale–IRCCS di Napoli”, Naples, Italy Radiology Division, “Istituto Nazionale Tumori IRCCS Fondazione Pascale–IRCCS di Napoli”, Naples, Italy Department of Radiological Sciences, Diagnostic Imaging Unit, “Azienda Ospedaliera Universitaria Senese,” Siena, Italy Department of Radiological Sciences, Diagnostic Imaging Unit, “Azienda Ospedaliera Universitaria Senese,” Siena, Italy Department of Radiological Sciences, Diagnostic Imaging Unit, “Azienda Ospedaliera Universitaria Senese,” Siena, Italy Division of Radiodiagnostic, Firenze, Italy Division of Radiodiagnostic, “Università degli Studi della Campania Luigi Vanvitelli,” Naples, Italy Division of Radiodiagnostic, “Università degli Studi della Campania Luigi Vanvitelli,” Naples, Italy Radiology Division, “Istituto Nazionale Tumori IRCCS Fondazione Pascale–IRCCS di Napoli”, Naples, Italy Division of Radiodiagnostic, ,” Pisa, Italy Radiology Unit, Department of Specialized, Diagnostic and Experimental Medicine (DIMES), “S. Orsola Hospital, University of Bologna,” Bologna, Italy Thoracic Medical Oncology, “Istituto Nazionale Tumori IRCCS Fondazione Pascale–IRCCS di Napoli,” Naples, Italy Division of Radiodiagnostic, “Università degli Studi della Campania Luigi Vanvitelli,” Naples, Italy Radiology Division, “Istituto Nazionale Tumori IRCCS Fondazione Pascale–IRCCS di Napoli”, Naples, Italy Division of Radiodiagnostic, Firenze, ItalyObjective: To evaluate the consistency of the quantitative imaging decision support (QIDS TM ) tool and radiomic analysis using 594 metrics in lung carcinoma on chest CT scan. Materials and Methods: We included, retrospectively, 150 patients with histologically confirmed lung cancer who underwent chemotherapy and baseline and follow-ups CT scans. Using the QIDS TM platform, 3 radiologists segmented each lesion and automatically collected the longest diameter and the density mean value. Inter-observer variability, Bland Altman analysis and Spearman’s correlation coefficient were performed. QIDS TM tool consistency was assessed in terms of agreement rate in the treatment response classification. Kruskal Wallis test and the least absolute shrinkage and selection operator (LASSO) method with 10-fold cross validation were used to identify radiomic metrics correlated with lesion size change. Results: Good and significant correlation was obtained between the measurements of largest diameter and of density among the QIDS TM tool and the radiologists measurements. Inter-observer variability values were over 0.85. HealthMyne QIDS TM tool quantitative volumetric delineation was consistent and matched with each radiologist measurement considering the RECIST classification (80-84%) while a lower concordance among QIDS TM and the radiologists CHOI classification was observed (58-63%). Among 594 extracted metrics, significant and robust predictors of RECIST response were energy, histogram entropy and uniformity, Kurtosis, coronal long axis, longest planar diameter, surface, Neighborhood Grey-Level Different Matrix (NGLDM) dependence nonuniformity and low dependence emphasis as Volume, entropy of Log(2.5 mm), wavelet energy, deviation and root man squared. Conclusion: In conclusion, we demonstrated that HealthMyne quantitative volumetric delineation was consistent and that several radiomic metrics extracted by QIDS TM were significant and robust predictors of RECIST response.https://doi.org/10.1177/1073274820985786
spellingShingle Roberta Fusco PhD
Vincenza Granata MD
Maria Antonietta Mazzei MD
Nunzia Di Meglio MD
Davide Del Roscio MD
Chiara Moroni MD
Riccardo Monti MD
Carlotta Cappabianca MD
Carmine Picone MD
Emanuele Neri MD
Francesca Coppola MD
Agnese Montanino MD
Roberta Grassi MD
Antonella Petrillo MD
Vittorio Miele MD
Quantitative imaging decision support (QIDS) tool consistency evaluation and radiomic analysis by means of 594 metrics in lung carcinoma on chest CT scan
Cancer Control
title Quantitative imaging decision support (QIDS) tool consistency evaluation and radiomic analysis by means of 594 metrics in lung carcinoma on chest CT scan
title_full Quantitative imaging decision support (QIDS) tool consistency evaluation and radiomic analysis by means of 594 metrics in lung carcinoma on chest CT scan
title_fullStr Quantitative imaging decision support (QIDS) tool consistency evaluation and radiomic analysis by means of 594 metrics in lung carcinoma on chest CT scan
title_full_unstemmed Quantitative imaging decision support (QIDS) tool consistency evaluation and radiomic analysis by means of 594 metrics in lung carcinoma on chest CT scan
title_short Quantitative imaging decision support (QIDS) tool consistency evaluation and radiomic analysis by means of 594 metrics in lung carcinoma on chest CT scan
title_sort quantitative imaging decision support qids tool consistency evaluation and radiomic analysis by means of 594 metrics in lung carcinoma on chest ct scan
url https://doi.org/10.1177/1073274820985786
work_keys_str_mv AT robertafuscophd quantitativeimagingdecisionsupportqidstoolconsistencyevaluationandradiomicanalysisbymeansof594metricsinlungcarcinomaonchestctscan
AT vincenzagranatamd quantitativeimagingdecisionsupportqidstoolconsistencyevaluationandradiomicanalysisbymeansof594metricsinlungcarcinomaonchestctscan
AT mariaantoniettamazzeimd quantitativeimagingdecisionsupportqidstoolconsistencyevaluationandradiomicanalysisbymeansof594metricsinlungcarcinomaonchestctscan
AT nunziadimegliomd quantitativeimagingdecisionsupportqidstoolconsistencyevaluationandradiomicanalysisbymeansof594metricsinlungcarcinomaonchestctscan
AT davidedelrosciomd quantitativeimagingdecisionsupportqidstoolconsistencyevaluationandradiomicanalysisbymeansof594metricsinlungcarcinomaonchestctscan
AT chiaramoronimd quantitativeimagingdecisionsupportqidstoolconsistencyevaluationandradiomicanalysisbymeansof594metricsinlungcarcinomaonchestctscan
AT riccardomontimd quantitativeimagingdecisionsupportqidstoolconsistencyevaluationandradiomicanalysisbymeansof594metricsinlungcarcinomaonchestctscan
AT carlottacappabiancamd quantitativeimagingdecisionsupportqidstoolconsistencyevaluationandradiomicanalysisbymeansof594metricsinlungcarcinomaonchestctscan
AT carminepiconemd quantitativeimagingdecisionsupportqidstoolconsistencyevaluationandradiomicanalysisbymeansof594metricsinlungcarcinomaonchestctscan
AT emanuelenerimd quantitativeimagingdecisionsupportqidstoolconsistencyevaluationandradiomicanalysisbymeansof594metricsinlungcarcinomaonchestctscan
AT francescacoppolamd quantitativeimagingdecisionsupportqidstoolconsistencyevaluationandradiomicanalysisbymeansof594metricsinlungcarcinomaonchestctscan
AT agnesemontaninomd quantitativeimagingdecisionsupportqidstoolconsistencyevaluationandradiomicanalysisbymeansof594metricsinlungcarcinomaonchestctscan
AT robertagrassimd quantitativeimagingdecisionsupportqidstoolconsistencyevaluationandradiomicanalysisbymeansof594metricsinlungcarcinomaonchestctscan
AT antonellapetrillomd quantitativeimagingdecisionsupportqidstoolconsistencyevaluationandradiomicanalysisbymeansof594metricsinlungcarcinomaonchestctscan
AT vittoriomielemd quantitativeimagingdecisionsupportqidstoolconsistencyevaluationandradiomicanalysisbymeansof594metricsinlungcarcinomaonchestctscan