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Short-term reproducibility of radiomic features in liver parenchyma and liver malignancies on contrast-enhanced CT imaging

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Abstract

Purpose

To evaluate the short-term reproducibility of radiomic features in liver parenchyma and liver cancers in patients who underwent consecutive contrast-enhanced CT (CECT) with intravenous iodinated contrast within 2 weeks by chance.

Methods

The Institutional Review Board approved this HIPAA-compliant retrospective study and waived the requirement for patients’ informed consent. Patients were included if they had a liver malignancy (liver metastasis, n = 22, intrahepatic cholangiocarcinoma, n = 10, and hepatocellular carcinoma, n = 6), had two consecutive CECT within 14 days, and had no prior or intervening therapy. Liver tumors and liver parenchyma were segmented and radiomic features (n = 254) were extracted. The number of reproducible features (with concordance correlation coefficients > 0.9) was calculated for patient subgroups with different variations in contrast injection rate and pixel resolution.

Results

The number of reproducible radiomic features decreased with increasing variations in contrast injection rate and pixel resolution. When including all CECTs with injection rates differences of less than 15% vs. up to 50%, 63/254 vs. 0/254 features were reproducible for liver parenchyma and 68/254 vs. 50/254 features were reproducible for malignancies. When including all CT with pixel resolution differences of 0–5% or 0–15%, 20/254 vs. 0/254 features were reproducible for liver parenchyma; 34/254 liver malignancy features were reproducible with pixel differences up to 15%.

Conclusion

A greater number of liver malignancy radiomic features were reproducible compared to liver parenchyma features, but the proportion of reproducible features decreased with increasing variations in contrast injection rates and pixel resolution.

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Acknowledgements

We thank Joanne Chin for editorial assistance.

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Authors and Affiliations

Authors

Contributions

Study concepts and study design: MG, AS, RKGD; literature search: AM, RY, AS, RKGD; image review: TP, RY, RKGD; clinical information review: TP, RY, TS, RKGD; statistical analysis: AM, MG; manuscript drafting and edition: TP, AM, RY, AS, RKGD; approval of final version of submitted manuscript: all authors.

Corresponding author

Correspondence to Richard K. G. Do.

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Funding

This study was funded in part through the 2016 Society of Abdominal Radiology Wylie J. Dodds Research Award and the National Institutes of Health/National Cancer Institute Cancer Center Support Grant P30 CA008748.

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study formal consent is not required. This article does not contain any studies with animals performed by any of the authors.

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Perrin, T., Midya, A., Yamashita, R. et al. Short-term reproducibility of radiomic features in liver parenchyma and liver malignancies on contrast-enhanced CT imaging. Abdom Radiol 43, 3271–3278 (2018). https://doi.org/10.1007/s00261-018-1600-6

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