Unveiling the biological side of PET-derived biomarkers: a simulation-based approach applied to PDAC assessment.

Purpose: Radiomics has revolutionized clinical research by enabling objective measurements of imaging-derived biomarkers. However, the true potential of radiomics necessitates a comprehensive understanding of the biological basis of extracted features to serve as a clinical decision support. In this...

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Publicado en:European Journal of Nuclear Medicine & Molecular Imaging Vol. 52; no. 5; pp. 1708 - 1723
Autores principales: Cavinato, Lara, Hong, Jimin, Wartenberg, Martin, Reinhard, Stefan, Seifert, Robert, Zunino, Paolo, Manzoni, Andrea, Ieva, Francesca, Chiti, Arturo, Rominger, Axel, Shi, Kuangyu
Formato: Journal Article
Publicado: Springer Nature Apr2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2025
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00259-024-06958-6
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        atl: Unveiling the biological side of PET-derived biomarkers: a simulation-based approach applied to PDAC assessment.
      aug:
        au:
          Cavinato, Lara
          Hong, Jimin
          Wartenberg, Martin
          Reinhard, Stefan
          Seifert, Robert
          Zunino, Paolo
          Manzoni, Andrea
          Ieva, Francesca
          Chiti, Arturo
          Rominger, Axel
          Shi, Kuangyu
        affil: https://ror.org/01nffqt88 MOX, Department of Mathematics, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133, Milan, Italy
      sug:
      ab: Purpose: Radiomics has revolutionized clinical research by enabling objective measurements of imaging-derived biomarkers. However, the true potential of radiomics necessitates a comprehensive understanding of the biological basis of extracted features to serve as a clinical decision support. In this work, we propose an end-to-end framework for the in silico simulation of [18F]FLT PET imaging process in Pancreatic Ductal Adenocarcinoma, accounting for the biological characterization of tissues (including perfusion and fibrosis) on tracer delivery. We thus establish a direct association between radiomics features and the underlying biological properties of tissues. Methods: We considered 4 immunohistochemically stained Whole Slide Images of pancreatic tissue of one healthy control and three patients with PDAC and/or precursor lesions. From marker-specific images, tissue-depending diffusivity properties were estimated and computational domains were built to simulate the [18F]FLT spatial-temporal uptake exploiting Partial Differential Equations and Finite Elements Method. Consequently, we simulated the imaging process obtaining surrogated PET images for the considered patients, and we performed image-derived features extraction from PET images to be mapped with biological properties via correlation estimation. Results: The framework captured the phenotypic differences and generated Time Activity Curves reflecting the underlying tissue composition. Image-derived biomarkers were ranked in view of their association with biological characteristics of the tissue, unveiling their molecular correlative. Moreover, we showed that the proposed pipeline could serve as a digital phantom to optimize the image acquisition for lesion detection. Conclusions: This innovative framework holds the potential to enhance interpretability and reliability of radiomics, fostering the adoption in personalized nuclear medicine and patient care.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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