Using Machine Learning on MRI Radiomics to Diagnose Parotid Tumours Before Comparing Performance with Radiologists: A Pilot Study.

The parotid glands are the largest of the major salivary glands. They can harbour both benign and malignant tumours. Preoperative work-up relies on MR images and fine needle aspiration biopsy, but these diagnostic tools have low sensitivity and specificity, often leading to surgery for diagnostic pu...

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Publicado en:Journal of Imaging Informatics in Medicine Vol. 38; no. 3; pp. 1496 - 1509
Autores principales: Ammari, Samy, Quillent, Arnaud, Elvira, Víctor, Bidault, François, Garcia, Gabriel C. T. E., Hartl, Dana M., Balleyguier, Corinne, Lassau, Nathalie, Chouzenoux, Émilie
Formato: diagnostic images equations & formulas research tables/charts Journal Article
Publicado: Springer Nature Jun2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Using Machine Learning on MRI Radiomics to Diagnose Parotid Tumours Before Comparing Performance with Radiologists: A Pilot Study.
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          Ammari, Samy
          Quillent, Arnaud
          Elvira, Víctor
          Bidault, François
          Garcia, Gabriel C. T. E.
          Hartl, Dana M.
          Balleyguier, Corinne
          Lassau, Nathalie
          Chouzenoux, Émilie
        affil: https://ror.org/03xjwb503 Biomaps, UMR1281 INSERM, CEA, CNRS, Université Paris-Saclay, 94805, Villejuif, France
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        subj:
          Machine Learning Algorithms Utilization
          Magnetic Resonance Imaging
          Radiomics
          Radiologists
          Parotid Neoplasms Diagnosis
          Parotid Neoplasms Classification
          Image Interpretation, Computer Assisted
          Human
          Pilot Studies
          Comparative Studies
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          Female
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          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Random Forest
          ROC Curve
          Sensitivity and Specificity
          Logistic Regression
          Funding Source
          Prospective Studies
          Physicians
          Descriptive Statistics
          Parotid Neoplasms Therapy
          Image Processing, Computer Assisted
          Detection Algorithms
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: The parotid glands are the largest of the major salivary glands. They can harbour both benign and malignant tumours. Preoperative work-up relies on MR images and fine needle aspiration biopsy, but these diagnostic tools have low sensitivity and specificity, often leading to surgery for diagnostic purposes. The aim of this paper is (1) to develop a machine learning algorithm based on MR images characteristics to automatically classify parotid gland tumours and (2) compare its results with the diagnoses of junior and senior radiologists in order to evaluate its utility in routine practice. While automatic algorithms applied to parotid tumours classification have been developed in the past, we believe that our study is one of the first to leverage four different MRI sequences and propose a comparison with clinicians. In this study, we leverage data coming from a cohort of 134 patients treated for benign or malignant parotid tumours. Using radiomics extracted from the MR images of the gland, we train a random forest and a logistic regression to predict the corresponding histopathological subtypes. On the test set, the best results are given by the random forest: we obtain a 0.720 accuracy, a 0.860 specificity, and a 0.720 sensitivity over all histopathological subtypes, with an average AUC of 0.838. When considering the discrimination between benign and malignant tumours, the algorithm results in a 0.760 accuracy and a 0.769 AUC, both on test set. Moreover, the clinical experiment shows that our model helps to improve diagnostic abilities of junior radiologists as their sensitivity and accuracy raised by 6 % when using our proposed method. This algorithm may be useful for training of physicians. Radiomics with a machine learning algorithm may help improve discrimination between benign and malignant parotid tumours, decreasing the need for diagnostic surgery. Further studies are warranted to validate our algorithm for routine use.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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