Segmentation variability and radiomics stability for predicting Triple-Negative Breast Cancer subtype using Magnetic Resonance Imaging

Fuente: arXiv
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Autori principali: Cama, Isabella, Guzmán, Alejandro, Campi, Cristina, Piana, Michele, Lekadir, Karim, Garbarino, Sara, Díaz, Oliver
Natura: Preprint
Pubblicazione: 2025
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author Cama, Isabella
Guzmán, Alejandro
Campi, Cristina
Piana, Michele
Lekadir, Karim
Garbarino, Sara
Díaz, Oliver
author_facet Cama, Isabella
Guzmán, Alejandro
Campi, Cristina
Piana, Michele
Lekadir, Karim
Garbarino, Sara
Díaz, Oliver
contents Most papers caution against using predictive models for disease stratification based on unselected radiomic features, as these features are affected by contouring variability. Instead, they advocate for the use of the Intraclass Correlation Coefficient (ICC) as a measure of stability for feature selection. However, the direct effect of segmentation variability on the predictive models is rarely studied. This study investigates the impact of segmentation variability on feature stability and predictive performance in radiomics-based prediction of Triple-Negative Breast Cancer (TNBC) subtype using Magnetic Resonance Imaging. A total of 244 images from the Duke dataset were used, with segmentation variability introduced through modifications of manual segmentations. For each mask, explainable radiomic features were selected using the Shapley Additive exPlanations method and used to train logistic regression models. Feature stability across segmentations was assessed via ICC, Pearson's correlation, and reliability scores quantifying the relationship between feature stability and segmentation variability. Results indicate that segmentation accuracy does not significantly impact predictive performance. While incorporating peritumoral information may reduce feature reproducibility, it does not diminish feature predictive capability. Moreover, feature selection in predictive models is not inherently tied to feature stability with respect to segmentation, suggesting that an overreliance on ICC or reliability scores for feature selection might exclude valuable predictive features.
format Preprint
id arxiv_https___arxiv_org_abs_2504_01692
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Segmentation variability and radiomics stability for predicting Triple-Negative Breast Cancer subtype using Magnetic Resonance Imaging
Cama, Isabella
Guzmán, Alejandro
Campi, Cristina
Piana, Michele
Lekadir, Karim
Garbarino, Sara
Díaz, Oliver
Applications
Artificial Intelligence
62P10 (Primary), 68T09 (Secondary)
Most papers caution against using predictive models for disease stratification based on unselected radiomic features, as these features are affected by contouring variability. Instead, they advocate for the use of the Intraclass Correlation Coefficient (ICC) as a measure of stability for feature selection. However, the direct effect of segmentation variability on the predictive models is rarely studied. This study investigates the impact of segmentation variability on feature stability and predictive performance in radiomics-based prediction of Triple-Negative Breast Cancer (TNBC) subtype using Magnetic Resonance Imaging. A total of 244 images from the Duke dataset were used, with segmentation variability introduced through modifications of manual segmentations. For each mask, explainable radiomic features were selected using the Shapley Additive exPlanations method and used to train logistic regression models. Feature stability across segmentations was assessed via ICC, Pearson's correlation, and reliability scores quantifying the relationship between feature stability and segmentation variability. Results indicate that segmentation accuracy does not significantly impact predictive performance. While incorporating peritumoral information may reduce feature reproducibility, it does not diminish feature predictive capability. Moreover, feature selection in predictive models is not inherently tied to feature stability with respect to segmentation, suggesting that an overreliance on ICC or reliability scores for feature selection might exclude valuable predictive features.
title Segmentation variability and radiomics stability for predicting Triple-Negative Breast Cancer subtype using Magnetic Resonance Imaging
topic Applications
Artificial Intelligence
62P10 (Primary), 68T09 (Secondary)
url https://arxiv.org/abs/2504.01692