Robust Semi-Supervised CT Radiomics for Lung Cancer Prognosis: Cost-Effective Learning with Limited Labels and SHAP Interpretation

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Auteurs principaux: Salmanpour, Mohammad R., Pouria, Amir Hossein, Falahati, Sonia, Taeb, Shahram, Mehrnia, Somayeh Sadat, Maghsudi, Mehdi, Jouzdani, Ali Fathi, Oveisi, Mehrdad, Hacihaliloglu, Ilker, Rahmim, Arman
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Publié: 2025
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author Salmanpour, Mohammad R.
Pouria, Amir Hossein
Falahati, Sonia
Taeb, Shahram
Mehrnia, Somayeh Sadat
Maghsudi, Mehdi
Jouzdani, Ali Fathi
Oveisi, Mehrdad
Hacihaliloglu, Ilker
Rahmim, Arman
author_facet Salmanpour, Mohammad R.
Pouria, Amir Hossein
Falahati, Sonia
Taeb, Shahram
Mehrnia, Somayeh Sadat
Maghsudi, Mehdi
Jouzdani, Ali Fathi
Oveisi, Mehrdad
Hacihaliloglu, Ilker
Rahmim, Arman
contents Background: CT imaging is vital for lung cancer management, offering detailed visualization for AI-based prognosis. However, supervised learning SL models require large labeled datasets, limiting their real-world application in settings with scarce annotations. Methods: We analyzed CT scans from 977 patients across 12 datasets extracting 1218 radiomics features using Laplacian of Gaussian and wavelet filters via PyRadiomics Dimensionality reduction was applied with 56 feature selection and extraction algorithms and 27 classifiers were benchmarked A semi supervised learning SSL framework with pseudo labeling utilized 478 unlabeled and 499 labeled cases Model sensitivity was tested in three scenarios varying labeled data in SL increasing unlabeled data in SSL and scaling both from 10 percent to 100 percent SHAP analysis was used to interpret predictions Cross validation and external testing in two cohorts were performed. Results: SSL outperformed SL, improving overall survival prediction by up to 17 percent. The top SSL model, Random Forest plus XGBoost classifier, achieved 0.90 accuracy in cross-validation and 0.88 externally. SHAP analysis revealed enhanced feature discriminability in both SSL and SL, especially for Class 1 survival greater than 4 years. SSL showed strong performance with only 10 percent labeled data, with more stable results compared to SL and lower variance across external testing, highlighting SSL's robustness and cost effectiveness. Conclusion: We introduced a cost-effective, stable, and interpretable SSL framework for CT-based survival prediction in lung cancer, improving performance, generalizability, and clinical readiness by integrating SHAP explainability and leveraging unlabeled data.
format Preprint
id arxiv_https___arxiv_org_abs_2507_08189
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Robust Semi-Supervised CT Radiomics for Lung Cancer Prognosis: Cost-Effective Learning with Limited Labels and SHAP Interpretation
Salmanpour, Mohammad R.
Pouria, Amir Hossein
Falahati, Sonia
Taeb, Shahram
Mehrnia, Somayeh Sadat
Maghsudi, Mehdi
Jouzdani, Ali Fathi
Oveisi, Mehrdad
Hacihaliloglu, Ilker
Rahmim, Arman
Medical Physics
Machine Learning
F.2.2; I.2.7
Background: CT imaging is vital for lung cancer management, offering detailed visualization for AI-based prognosis. However, supervised learning SL models require large labeled datasets, limiting their real-world application in settings with scarce annotations. Methods: We analyzed CT scans from 977 patients across 12 datasets extracting 1218 radiomics features using Laplacian of Gaussian and wavelet filters via PyRadiomics Dimensionality reduction was applied with 56 feature selection and extraction algorithms and 27 classifiers were benchmarked A semi supervised learning SSL framework with pseudo labeling utilized 478 unlabeled and 499 labeled cases Model sensitivity was tested in three scenarios varying labeled data in SL increasing unlabeled data in SSL and scaling both from 10 percent to 100 percent SHAP analysis was used to interpret predictions Cross validation and external testing in two cohorts were performed. Results: SSL outperformed SL, improving overall survival prediction by up to 17 percent. The top SSL model, Random Forest plus XGBoost classifier, achieved 0.90 accuracy in cross-validation and 0.88 externally. SHAP analysis revealed enhanced feature discriminability in both SSL and SL, especially for Class 1 survival greater than 4 years. SSL showed strong performance with only 10 percent labeled data, with more stable results compared to SL and lower variance across external testing, highlighting SSL's robustness and cost effectiveness. Conclusion: We introduced a cost-effective, stable, and interpretable SSL framework for CT-based survival prediction in lung cancer, improving performance, generalizability, and clinical readiness by integrating SHAP explainability and leveraging unlabeled data.
title Robust Semi-Supervised CT Radiomics for Lung Cancer Prognosis: Cost-Effective Learning with Limited Labels and SHAP Interpretation
topic Medical Physics
Machine Learning
F.2.2; I.2.7
url https://arxiv.org/abs/2507.08189