Developing a Reproducible Radiomics Model for Diagnosis of Active Crohn's Disease on CT Enterography Across Annotation Variations and Acquisition Differences.

To systematically identify radiomics features on CT enterography (CTE) scans which can accurately diagnose active Crohn's disease across multiple sources of variation. Retrospective study of CTE scans curated between 2013 and 2015, comprising 164 subjects (65 male, 99 female; all patients were over...

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Publicado en:Journal of Imaging Informatics in Medicine Vol. 38; no. 3; pp. 1594 - 1606
Autores principales: Chirra, Prathyush V., Giriprakash, Pavithran, Rizk, Alain G., Kurowski, Jacob A., Viswanath, Satish E., Gandhi, Namita S.
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Springer Nature Jun2025
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Developing a Reproducible Radiomics Model for Diagnosis of Active Crohn's Disease on CT Enterography Across Annotation Variations and Acquisition Differences.
      aug:
        au:
          Chirra, Prathyush V.
          Giriprakash, Pavithran
          Rizk, Alain G.
          Kurowski, Jacob A.
          Viswanath, Satish E.
          Gandhi, Namita S.
        affil: https://ror.org/051fd9666 Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, USA
      sug:
        subj:
          Crohn Disease Radiography
          Crohn Disease Prevention and Control
          Radiomics
          Radiographic Image Interpretation, Computer-Assisted Methods
          Tomography, X-Ray Computed Methods
          Magnetic Resonance Imaging Methods
          Prediction Models Evaluation
          Human
          Funding Source
          Male
          Female
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Retrospective Design
          Record Review
          Prospective Studies
          Outpatients
          Validation Studies
          Hardiness
          Reproducibility of Results
          Ileum
          Prescriptions, Drug
          Biopsy Methods
          Imaging, Three-Dimensional
          Radiologists Psychosocial Factors
          Random Forest
          Machine Learning
          Algorithms
          Radiotherapy Adverse Effects
          Radiation Dosage
          Descriptive Statistics
          Comparative Studies
          ROC Curve
          Intraclass Correlation Coefficient
          Chi Square Test
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: To systematically identify radiomics features on CT enterography (CTE) scans which can accurately diagnose active Crohn's disease across multiple sources of variation. Retrospective study of CTE scans curated between 2013 and 2015, comprising 164 subjects (65 male, 99 female; all patients were over the age of 18) with endoscopic confirmation for the presence or absence of active Crohn's disease. All patients had three distinct sets of scans available (full and reduced dose, where the latter had been reconstructed via two different methods), acquired on a single scanner at a single institution. Radiomics descriptors from annotated terminal ileum regions were individually and systematically evaluated for resilience to different imaging variations (changes in dose/reconstruction, batch effects, and simulated annotation differences) via multiple reproducibility measures. Multiple radiomics models (by accounting for each source of variation) were evaluated in terms of classifier area under the ROC curve (AUC) for identifying patients with active Crohn's disease, across separate discovery and hold-out validation cohorts. Radiomics descriptors selected based on resiliency to multiple sources of imaging variation yielded the highest overall classification performance in the discovery cohort (AUC = 0.79 ± 0.04) which also best generalized in hold-out validation (AUC = 0.81). Performance was maintained across multiple doses and reconstructions while also being significantly better (p < 0.001) than non-resilient descriptors or descriptors only resilient to a single source of variation. Radiomics features can accurately diagnose active Crohn's disease on CTE scans across multiple sources of imaging variation via systematic analysis of reproducibility measures. Clinical utility and translatability of radiomics features for diagnosis and characterization of Crohn's disease on CTE scans will be contingent on their reproducibility across multiple types and sources of imaging variation.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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