Evidence map›Paper›PMID 42444810›Full record

ArticleFrontiers in oncology2026

Modality-level attribution and redundancy-aware radiomics for MRI-based differentiation of melanoma and NSCLC brain metastases.

Rafail C Christodoulou, Georgios Vamvouras, Amal El Masri, Platon S Papageorgiou, Evros Vassiliou, Elena E Solomou, Sokratis G Papageorgiou, Michalis F Georgiou

Abstract read
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Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited 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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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Rafail C ChristodoulouDivision of Neuroimaging and Neurointervention, Department of Radiology, Stanford University, Stanford, CA, United States.
Georgios VamvourasDepartment of Electrical and Computer Engineering, National Technical University of Athens (NTUA), Athens, Greece.
Amal El MasriFaculty of Medicine, American University of Beirut, Beirut, Lebanon.
Platon S PapageorgiouDepartment of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Evros VassiliouDepartment of Biological Sciences, Kean University, Union, NJ, United States.
Elena E SolomouInternal Medicine-Hematology, University of Patras Medical School, Rion, Greece.
Sokratis G Papageorgiou1st Department of Neurology, Medical School, National and Kapodistrian University of Athens, Eginition Hospital, Athens, Greece.
Michalis F GeorgiouDepartment of Radiology, University of Miami, Miami, FL, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Differentiating the primary source of brain metastases using imaging alone is difficult, especially when intracranial disease is the initial sign of cancer. This study aimed to develop and validate a redundancy-aware, explainable radiomics framework for distinguishing melanoma from non-small cell lung cancer (NSCLC) brain metastases through multiparametric MRI. Methods: Lesion-level radiomic features were extracted from T1, contrast-enhanced T1 (T1CE), T2, and FLAIR sequences. Correlation-based redundancy filtering and L1-regularized feature ranking were applied to minimize collinearity among features. A structured parametric analysis across progressively larger top-K feature subsets was performed to evaluate performance stability and modality-specific contribution patterns. Multiple machine learning classifiers were tested using cross-validation and an independent test set, with model interpretability assessed via TreeSHAP to quantify feature- and modality-level contributions. Results: The best-performing configuration achieved a test AUC of 0.75, while RF-200 was selected for the primary tree-based explainability analysis due to its stable AUC-based discrimination. SHAP analysis showed that classification depended on a small set of predictors combining texture and intensity distribution features. FLAIR and T2 features contributed most to model attribution, suggesting that fluid-sensitive sequences capture discrimination-relevant heterogeneity and microenvironmental signals beyond contrast enhancement. Discussion: A redundancy-aware, interpretable radiomics approach shows promising preliminary discrimination between melanoma and NSCLC brain metastases and provides structured insight into modality-specific sequence contributions. External validation and prospective reader studies are required before clinical translation.

Indexed as

arteficial intelligenceexplainable AI (SHAP)melanomaNSCLCpersonalized & precision medicineradiomics

Identifiers

PMID42444810
PMCPMC13357173

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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.