Evidence map›Paper›PMID 39560820›Full record

ReviewEuropean radiology experimental2024

Image biomarkers and explainable AI: handcrafted features versus deep learned features.

Leonardo Rundo, Carmelo Militello

Abstract readReview
In one paragraph

Review in European radiology experimental, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing 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

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

  1. Pooled it
  2. Pooled it
  3. Diagnostic Value ofTechnology in cancer research & treatment
    Pooled it
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  18. AI model for automatic spinopelvic and spinal alignment parameters measurement from EOS.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  19. Article
  20. Radiomics in fetal brain MRI: a narrative review.European radiology experimental · 2026
    Review
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

2 authors.

Leonardo RundoDepartment of Information and Electrical Engineering and Applied Mathematics (DIEM), University of Salerno, Fisciano, Salerno, Italy. lrundo@unisa.it.ORCID http://orcid.org/0000-0003-3341-5483
Carmelo MilitelloHigh Performance Computing and Networking Institute (ICAR-CNR), Italian National Research Council, Palermo, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Feature extraction and selection from medical data are the basis of radiomics and image biomarker discovery for various architectures, including convolutional neural networks (CNNs). We herein describe the typical radiomics steps and the components of a CNN for both deep feature extraction and end-to-end approaches. We discuss the curse of dimensionality, along with dimensionality reduction techniques. Despite the outstanding performance of deep learning (DL) approaches, the use of handcrafted features instead of deep learned features needs to be considered for each specific study. Dataset size is a key factor: large-scale datasets with low sample diversity could lead to overfitting; limited sample sizes can provide unstable models. The dataset must be representative of all the "facets" of the clinical phenomenon/disease investigated. The access to high-performance computational resources from graphics processing units is another key factor, especially for the training phase of deep architectures. The advantages of multi-institutional federated/collaborative learning are described. When large language models are used, high stability is needed to avoid catastrophic forgetting in complex domain-specific tasks. We highlight that non-DL approaches provide model explainability superior to that provided by DL approaches. To implement explainability, the need for explainable AI arises, also through post hoc mechanisms. RELEVANCE STATEMENT: This work aims to provide the key concepts for processing the imaging features to extract reliable and robust image biomarkers. KEY POINTS: The key concepts for processing the imaging features to extract reliable and robust image biomarkers are provided. The main differences between radiomics and representation learning approaches are highlighted. The advantages and disadvantages of handcrafted versus learned features are given without losing sight of the clinical purpose of artificial intelligence models.

Indexed as

Artificial IntelligenceBiomarkersDeep LearningHumansImage Processing, Computer-AssistedNeural Networks, ComputerBiomarkersBiomarkersDiagnostic imagingMachine learningNeural networks (computer)Radiomics

Identifiers

PMID39560820
PMCPMC11576747

What OpenQuestion holds

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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.