Evidence map›Paper›PMID 32975661›Full record

ArticleEuropean radiology2021

How can we combat multicenter variability in MR radiomics? Validation of a correction procedure.

Fanny Orlhac, Augustin Lecler, Julien Savatovski, Jessica Goya-Outi, Christophe Nioche, Frédérique Charbonneau, Nicholas Ayache, Frédérique Frouin, Loïc Duron, Irène Buvat

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in European radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 135 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
135citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

135 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Radiomic and dosiomic machine learning models for predicting radiation-induced oral mucositis in head and neck cancer: a systematic review.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  9. AI- and Deep Learning-Based Radiomics: A State-of-the-Art Review.Journal of the Korean Society of Radiology · 2026
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  15. Applications of artificial intelligence in nuclear medicine.Zeitschrift fur medizinische Physik · 2026
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75 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Fanny OrlhacLaboratoire d'Imagerie Translationnelle en Oncologie (LITO), Inserm, Institut Curie Centre de Recherche, Université Paris-Saclay, Bât 101B, rue Henri Becquerel, 91401, Orsay, France. orlhacf@gmail.com.ORCID http://orcid.org/0000-0002-5588-1867
Augustin LeclerDepartment of Neuroradiology, Fondation Ophtalmologique A. Rothschild, 29 rue Manin, 75019, Paris, France.
Julien SavatovskiDepartment of Neuroradiology, Fondation Ophtalmologique A. Rothschild, 29 rue Manin, 75019, Paris, France.
Jessica Goya-OutiLaboratoire d'Imagerie Translationnelle en Oncologie (LITO), Inserm, Institut Curie Centre de Recherche, Université Paris-Saclay, Bât 101B, rue Henri Becquerel, 91401, Orsay, France.
Christophe NiocheLaboratoire d'Imagerie Translationnelle en Oncologie (LITO), Inserm, Institut Curie Centre de Recherche, Université Paris-Saclay, Bât 101B, rue Henri Becquerel, 91401, Orsay, France.
Frédérique CharbonneauDepartment of Neuroradiology, Fondation Ophtalmologique A. Rothschild, 29 rue Manin, 75019, Paris, France.
Nicholas AyacheUniversité Côte d'Azur, Inria Sophia Antipolis - Méditerranée, Epione Project Team, 2004 route des Lucioles, BP 93, 06902, Sophia Antipolis Cedex, France.
Frédérique FrouinLaboratoire d'Imagerie Translationnelle en Oncologie (LITO), Inserm, Institut Curie Centre de Recherche, Université Paris-Saclay, Bât 101B, rue Henri Becquerel, 91401, Orsay, France.
Loïc DuronDepartment of Neuroradiology, Fondation Ophtalmologique A. Rothschild, 29 rue Manin, 75019, Paris, France.
Irène BuvatLaboratoire d'Imagerie Translationnelle en Oncologie (LITO), Inserm, Institut Curie Centre de Recherche, Université Paris-Saclay, Bât 101B, rue Henri Becquerel, 91401, Orsay, France.

Funding

Université Paris-Saclay ANR-11-IDEX-0003-02
6 · The paper itself

Abstract

objectiveTest a practical realignment approach to compensate the technical variability of MR radiomic features.

methodsT1 phantom images acquired on 2 scanners, FLAIR and contrast-enhanced T1-weighted (CE-T1w) images of 18 brain tumor patients scanned on both 1.5-T and 3-T scanners, and 36 T2-weighted (T2w) images of prostate cancer patients scanned in one of two centers were investigated. The ComBat procedure was used for harmonizing radiomic features. Differences in statistical distributions in feature values between 1.5- and 3-T images were tested before and after harmonization. The prostate studies were used to determine the impact of harmonization to distinguish between Gleason grades (GGs).

resultsIn the phantom data, 40 out of 42 radiomic feature values were significantly different between the 2 scanners before harmonization and none after. In white matter regions, the statistical distributions of features were significantly different (p < 0.05) between the 1.5- and 3-T images for 37 out of 42 features in both FLAIR and CE-T1w images. After harmonization, no statistically significant differences were observed. In brain tumors, 41 (FLAIR) or 36 (CE-T1w) out of 42 features were significantly different between the 1.5- and 3-T images without harmonization, against 1 (FLAIR) or none (CE-T1w) with harmonization. In prostate studies, 636 radiomic features were significantly different between GGs after harmonization against 461 before. The ability to distinguish between GGs using radiomic features was increased after harmonization.

conclusionComBat harmonization efficiently removes inter-center technical inconsistencies in radiomic feature values and increases the sensitivity of studies using data from several scanners. KEY POINTS: • Radiomic feature values obtained using different MR scanners or imaging protocols can be harmonized by combining off-the-shelf image standardization and feature realignment procedures. • Harmonized radiomic features enable one to pool data from different scanners and centers without a substantial loss of statistical power caused by intra- and inter-center variability. • The proposed realignment method is applicable to radiomic features from different MR sequences and tumor types and does not rely on any phantom acquisition.

Indexed as

Brain NeoplasmsMagnetic Resonance ImagingHumansMalePhantoms, ImagingComputer-assisted methodsDiagnostic imagingImage processingMagnetic resonance imagingNeoplasms

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.