Machine Learning-Based Computed Tomography Texture Analysis of Lytic Bone Lesions Needing Biopsy: A Preliminary Study

Introduction:Currently, medical imaging has a limited capacity to achieve a final histopathological diagnosis of bone lesions. This study aimed to evaluate the use of machine learning (ML)-based computed tomography (CT) texture analysis to determine benign and malignant behaviors of lytic bone lesio...

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Main Authors: İlhan Nahit Mutlu, Burak Koçak, Ece Ateş Kuş, Melis Baykara Ulusan, Özgür Kılıçkesmez
Format: Article
Language:English
Published: Galenos Yayinevi 2021-08-01
Series:İstanbul Medical Journal
Subjects:
Online Access: http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/machine-learning-based-computed-tomography-texture/48477
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author İlhan Nahit Mutlu
Burak Koçak
Ece Ateş Kuş
Melis Baykara Ulusan
Özgür Kılıçkesmez
author_facet İlhan Nahit Mutlu
Burak Koçak
Ece Ateş Kuş
Melis Baykara Ulusan
Özgür Kılıçkesmez
author_sort İlhan Nahit Mutlu
collection DOAJ
description Introduction:Currently, medical imaging has a limited capacity to achieve a final histopathological diagnosis of bone lesions. This study aimed to evaluate the use of machine learning (ML)-based computed tomography (CT) texture analysis to determine benign and malignant behaviors of lytic bone lesions needing a biopsy.Methods:This retrospective study included 58 patients with lytic bone lesions. Lesion segmentation was independently performed by two observers. After evaluating unenhanced CT images, a total of 744 texture features were obtained. Reproducibility analysis and feature selection were used for dimension reduction. A training data set with a nested cross-validation approach was used for feature selection, optimization, and validation. Testing was executed on the remaining unseen data set. Classifications were done using five base ML classifiers and three voting strategies.Results:The best predictive performance was achieved using the k-nearest neighbors algorithm with six features. The area under the curve, accuracy, sensitivity, and specificity of the best algorithm were, respectively, 0.774%, 78.1%, 78%, and 78.1% for the validation data set; and 0.861, 82.4%, 82.4%, and 81.5% for the unseen test data set.Conclusion:The ML-based CT texture analysis may be a promising non-invasive technique for determining benign and malignant behaviors of lytic bone lesions that need a biopsy.
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spelling doaj.art-f1ead63a54ca4dd1b776632d27a5c7f32023-02-15T16:15:10ZengGalenos Yayineviİstanbul Medical Journal2619-97932148-094X2021-08-0122322323110.4274/imj.galenos.2021.8752813049054Machine Learning-Based Computed Tomography Texture Analysis of Lytic Bone Lesions Needing Biopsy: A Preliminary Studyİlhan Nahit Mutlu0Burak Koçak1Ece Ateş Kuş2Melis Baykara Ulusan3Özgür Kılıçkesmez4 University of Health Sciences Turkey, Başaksehir Çam ve Sakura City Hospital, Clinic of Radiology, İstanbul, Turkey University of Health Sciences Turkey, Başaksehir Çam ve Sakura City Hospital, Clinic of Radiology, İstanbul, Turkey University of Health Sciences Turkey, İstanbul Training and Research Hospital, Clinic of Radiology, İstanbul, Turkey University of Health Sciences Turkey, İstanbul Training and Research Hospital, Clinic of Radiology, İstanbul, Turkey University of Health Sciences Turkey, Başaksehir Çam ve Sakura City Hospital, Clinic of Radiology, İstanbul, Turkey Introduction:Currently, medical imaging has a limited capacity to achieve a final histopathological diagnosis of bone lesions. This study aimed to evaluate the use of machine learning (ML)-based computed tomography (CT) texture analysis to determine benign and malignant behaviors of lytic bone lesions needing a biopsy.Methods:This retrospective study included 58 patients with lytic bone lesions. Lesion segmentation was independently performed by two observers. After evaluating unenhanced CT images, a total of 744 texture features were obtained. Reproducibility analysis and feature selection were used for dimension reduction. A training data set with a nested cross-validation approach was used for feature selection, optimization, and validation. Testing was executed on the remaining unseen data set. Classifications were done using five base ML classifiers and three voting strategies.Results:The best predictive performance was achieved using the k-nearest neighbors algorithm with six features. The area under the curve, accuracy, sensitivity, and specificity of the best algorithm were, respectively, 0.774%, 78.1%, 78%, and 78.1% for the validation data set; and 0.861, 82.4%, 82.4%, and 81.5% for the unseen test data set.Conclusion:The ML-based CT texture analysis may be a promising non-invasive technique for determining benign and malignant behaviors of lytic bone lesions that need a biopsy. http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/machine-learning-based-computed-tomography-texture/48477 bonetexture analysisradiomicsmachine learningartificial intelligence
spellingShingle İlhan Nahit Mutlu
Burak Koçak
Ece Ateş Kuş
Melis Baykara Ulusan
Özgür Kılıçkesmez
Machine Learning-Based Computed Tomography Texture Analysis of Lytic Bone Lesions Needing Biopsy: A Preliminary Study
İstanbul Medical Journal
bone
texture analysis
radiomics
machine learning
artificial intelligence
title Machine Learning-Based Computed Tomography Texture Analysis of Lytic Bone Lesions Needing Biopsy: A Preliminary Study
title_full Machine Learning-Based Computed Tomography Texture Analysis of Lytic Bone Lesions Needing Biopsy: A Preliminary Study
title_fullStr Machine Learning-Based Computed Tomography Texture Analysis of Lytic Bone Lesions Needing Biopsy: A Preliminary Study
title_full_unstemmed Machine Learning-Based Computed Tomography Texture Analysis of Lytic Bone Lesions Needing Biopsy: A Preliminary Study
title_short Machine Learning-Based Computed Tomography Texture Analysis of Lytic Bone Lesions Needing Biopsy: A Preliminary Study
title_sort machine learning based computed tomography texture analysis of lytic bone lesions needing biopsy a preliminary study
topic bone
texture analysis
radiomics
machine learning
artificial intelligence
url http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/machine-learning-based-computed-tomography-texture/48477
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AT eceateskus machinelearningbasedcomputedtomographytextureanalysisoflyticbonelesionsneedingbiopsyapreliminarystudy
AT melisbaykaraulusan machinelearningbasedcomputedtomographytextureanalysisoflyticbonelesionsneedingbiopsyapreliminarystudy
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