Evidence map›Paper›PMID 40192981›Full record

ArticleEJNMMI physics2025

Impact of harmonization and oversampling methods on radiomics analysis of multi-center imbalanced datasets: application to PET-based prediction of lung cancer subtypes.

Dongyang Du, Isaac Shiri, Fereshteh Yousefirizi, Mohammad R Salmanpour, Jieqin Lv, Huiqin Wu, Wentao Zhu, Habib Zaidi, Lijun Lu, Arman Rahmim

Abstract read
In one paragraph

Article in EJNMMI physics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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.

Dongyang DuCollege of Computer Science, Inner Mongolia University, Hohhot, Inner Mongolia, 010021, China.
Isaac ShiriDivision of Nuclear Medicine and Molecular Imaging, Geneva University Hospital, Geneva 4, CH-1211, Switzerland.
Fereshteh YousefiriziDepartment of Integrative Oncology, BC Cancer Research Institute, Vancouver, BC, V5Z 1L3, Canada.
Mohammad R SalmanpourDepartment of Integrative Oncology, BC Cancer Research Institute, Vancouver, BC, V5Z 1L3, Canada.
Jieqin LvSchool of Biomedical Engineering, Guangdong Provincial Key Laboratory of Medical Image Processing, Southern Medical University, Guangzhou, Guangdong, 510515, China.
Huiqin WuSchool of Biomedical Engineering, Guangdong Provincial Key Laboratory of Medical Image Processing, Southern Medical University, Guangzhou, Guangdong, 510515, China.
Wentao ZhuResearch Center for Healthcare Data Science, Zhejiang Lab, Hangzhou, Zhejiang, 311121, China.
Habib ZaidiDivision of Nuclear Medicine and Molecular Imaging, Geneva University Hospital, Geneva 4, CH-1211, Switzerland.
Lijun LuSchool of Biomedical Engineering, Guangdong Provincial Key Laboratory of Medical Image Processing, Southern Medical University, Guangzhou, Guangdong, 510515, China. ljlubme@gmail.com.ORCID http://orcid.org/0000-0002-7001-4892
Arman RahmimDepartment of Integrative Oncology, BC Cancer Research Institute, Vancouver, BC, V5Z 1L3, Canada.

Funding

National Natural Science Foundation of China 12326616National Natural Science Foundation of China 62371221Natural Science Foundation of Inner Mongolia Autonomous Region 2024QN08063Natural Sciences and Engineering Research Council of Canada RGPIN-2019-06467Science and Technology Program of Guangdong Province 2022A0505050039
6 · The paper itself

Abstract

backgroundMedical imaging data frequently encounter image-generation heterogeneity and class imbalance properties, challenging strong generalized predictive performances with data-driven machine-learning methods. The purpose of this study was to investigate the impact of harmonization and oversampling methods on multi-center imbalanced datasets, with specific application to PET-based radiomics modeling for histologic subtype prediction in non-small cell lung cancer (NSCLC).

methodsThe retrospective study included 245 patients with adenocarcinoma (ADC) and 78 patients with squamous cell carcinoma (SCC) from 4 centers. Utilizing 1502 radiomics features per patient, we trained, validated, and tested 4 machine-learning classifiers, to investigate the effect of no harmonization (NoH) or 4 feature harmonization methods, paired with no oversampling (NoO) or 5 oversampling methods on subtype prediction. Model performance was evaluated using the average area under the ROC curve (AUROC) and G-mean via 5 times 5-fold cross-validations. Statistical comparisons of the combined models against baseline (NoH + NoO) were performed for each fold of cross-validation using the DeLong test.

resultsThe number of cross-combinations with both AUROC and G-mean outperforming baseline in validation and testing was 15, 4, 2, and 7 (out of 29) for random forest (RF), linear discriminant analysis (LDA), logistic regression (LR), and support vector machine (SVM), respectively. ComBat harmonization combined with oversampling (SMOTE) via RF yielded better performance than baseline (AUROC and G-mean of validation: 0.725 vs. 0.608 and 0.625 vs. 0.398; testing: 0.637 vs. 0.567 and 0.506 vs. 0.287), though statistical significances were not observed.

conclusionsApplying harmonization and oversampling methods in multi-center imbalanced datasets can improve NSCLC-subtype prediction, but the effect varies widely across classifiers. We have created open-source comparisons of harmonization and oversampling on different classifiers for comprehensive evaluations in different studies.

Indexed as

HarmonizationMulti-center imbalanced datasetsNSCLCOversamplingPET radiomics

Identifiers

PMID40192981
PMCPMC11977052

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.