Evidence map›Paper›PMID 42240645›Full record

ArticleAbdominal radiology (New York)2026

Machine learning of multiparametric MRI radiomics preoperatively distinguishes testicular seminoma from non-seminoma: a multicenter study.

Suping Yang, Jiawei Yang, Wenbo Xiao, Xin Tan, Rui Liu, Lili Zhao, Yuyun Tong, Yuanxi Jian

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Article in Abdominal radiology (New York), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

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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

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Suping Yang *Department of Radiology, The Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Jiawei Yang *Department of Radiology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Wenbo XiaoDepartment of Radiology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Xin TanDepartment of Radiology, The Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Rui LiuDepartment of Radiology, The Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Lili ZhaoDepartment of Radiology, The Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Yuyun TongDepartment of Radiology, The Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Yuanxi JianDepartment of Radiology, The Second Affiliated Hospital of Kunming Medical University, Kunming, China. 13988822554@163.com.

Funding

Scientific Research Fund Project of the Education Department of Yunnan Province 2026J0231
6 · The paper itself

Abstract

RATIONALE AND

objectivesThis study aims to develop an optimal model for distinguishing seminoma from non-seminoma testicular tumors using machine learning classifiers based on multiparametric MRI radiomics. MATERIALS AND

methodsThis multi-institutional study enrolled a total of 188 patients, including 83 with seminoma and 105 with non-seminoma. The cohort from Institution 1 (n = 137) served as the training and validation set, whereas the independent cohort from Institution 2 (n = 51) was designated as the test set. Manual segmentation of tumor regions of interest (ROIs) was performed by experienced researchers on DWI, ADC, T2WI, and CE-T1WI sequences. A comprehensive radiomics workflow was implemented, encompassing data standardization, dimensionality reduction, feature selection, and classification using six distinct machine learning classifiers. Predictive models were developed by integrating radiomics features extracted from individual sequences and multiple sequence combinations with machine learning algorithms. In parallel, clinical models were established through univariate and multivariate logistic regression to identify significant predictive factors. A combined model incorporating both radiomics signatures and clinical characteristics was subsequently developed. The discriminatory performance of all models was evaluated by comparing area under the curve (AUC) values using DeLong's test.

resultsModel 19 (DWI+T2WI+ADC+CE-T1W+Clinical/SVM) achieved the highest AUC values, reaching 0.934, 0.922, and 0.846 on the training, validation, and external test sets respectively. In terms of clinical-radiological characteristics, alpha-fetoprotein (AFP) and cystic necrosis are significant predictors.

conclusionA combined model utilising DWI, ADC, T2WI, and contrast-enhanced T1WI imaging, alongside AFP and cystic necrosis, demonstrates high precision, adaptability, and robustness in distinguishing seminoma from non-seminoma testicular tumors.

Indexed as

Machine learningMagnetic resonance imagingRadiomicsTesticular germ cell tumors

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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.