Evidence map›Paper›PMID 35320464›Full record

ArticleLa Radiologia medica2022

Diffusion-weighted MRI radiomics of spine bone tumors: feature stability and machine learning-based classification performance.

Salvatore Gitto, Marco Bologna, Valentina D A Corino, Ilaria Emili, Domenico Albano, Carmelo Messina, Elisabetta Armiraglio, Antonina Parafioriti, Alessandro Luzzati, Luca Mainardi and 1 more

Open access · hybridAbstract read
In one paragraph

Article in La Radiologia medica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
7.8field-weighted citation impact, top 2% of its field
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

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.

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  9. Radiomics in spinal research: a narrative review.Frontiers in bioengineering and biotechnology · 2026
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  16. The Application of Artificial Intelligence in Spine Surgery: A Scoping Review.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
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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

11 authors at 4 institutions in 1 country.

Salvatore GittoDipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, Via Riccardo Galeazzi 4, 20161, Milan, Italy. sal.gitto@gmail.com.ORCID http://orcid.org/0000-0002-3623-7822
Marco BolognaDepartment of Electronics, Information and Bioengineering (DEIB), Politecnico Di Milano, Via Golgi 39, 20133, Milan, Italy. marco.bologna@polimi.it.
Valentina D A CorinoDepartment of Electronics, Information and Bioengineering (DEIB), Politecnico Di Milano, Via Golgi 39, 20133, Milan, Italy.
Ilaria EmiliScuola Di Specializzazione in Radiodiagnostica, Università Degli Studi Di Milano, 20122, Milan, Italy.
Domenico AlbanoSezione Di Scienze Radiologiche, Dipartimento Di Biomedicina, Neuroscienze E Diagnostica Avanzata, Università Degli Studi Di Palermo, 90127, Palermo, Italy.
Carmelo MessinaIRCCS Istituto Ortopedico Galeazzi, 20161, Milan, Italy.
Elisabetta ArmiraglioPathology Department, ASST Pini-CTO, 20122, Milan, Italy.
Antonina ParafioritiPathology Department, ASST Pini-CTO, 20122, Milan, Italy.
Alessandro LuzzatiIRCCS Istituto Ortopedico Galeazzi, 20161, Milan, Italy.
Luca MainardiDepartment of Electronics, Information and Bioengineering (DEIB), Politecnico Di Milano, Via Golgi 39, 20133, Milan, Italy.
Luca Maria SconfienzaDipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, Via Riccardo Galeazzi 4, 20161, Milan, Italy.
Istituto Ortopedico Galeazzi · ITPolitecnico di Milano · ITUniversity of Milan · ITIstituto Ortopedico Gaetano Pini · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate stability and machine learning-based classification performance of radiomic features of spine bone tumors using diffusion- and T2-weighted magnetic resonance imaging (MRI). MATERIAL AND

methodsThis retrospective study included 101 patients with histology-proven spine bone tumor (22 benign; 38 primary malignant; 41 metastatic). All tumor volumes were manually segmented on morphologic T2-weighted sequences. The same region of interest (ROI) was used to perform radiomic analysis on ADC map. A total of 1702 radiomic features was considered. Feature stability was assessed through small geometrical transformations of the ROIs mimicking multiple manual delineations. Intraclass correlation coefficient (ICC) quantified feature stability. Feature selection consisted of stability-based (ICC > 0.75) and significance-based selections (ranking features by decreasing Mann-Whitney p-value). Class balancing was performed to oversample the minority (i.e., benign) class. Selected features were used to train and test a support vector machine (SVM) to discriminate benign from malignant spine tumors using tenfold cross-validation.

resultsA total of 76.4% radiomic features were stable. The quality metrics for the SVM were evaluated as a function of the number of selected features. The radiomic model with the best performance and the lowest number of features for classifying tumor types included 8 features. The metrics were 78% sensitivity, 68% specificity, 76% accuracy and AUC 0.78.

conclusionSVM classifiers based on radiomic features extracted from T2- and diffusion-weighted imaging with ADC map are promising for classification of spine bone tumors. Radiomic features of spine bone tumors show good reproducibility rates.

Indexed as

Bone NeoplasmsMachine LearningHumansMagnetic Resonance ImagingReproducibility of ResultsRetrospective StudiesMachine learningRadiomicsReproducibilitySpineTexture analysisTumor

Identifiers

PMID35320464
PMCPMC9098537
OpenAlexW4221041352

What OpenQuestion holds

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LicenceCC BY
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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.