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Updated: Oct 28, 2025

Enhancing Tumor Content through Tumor Macrodissection
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Quantitative Radiomics Features in Diffuse Large B-Cell Lymphoma: Does Segmentation Method Matter?

Jakoba J Eertink1, Elisabeth A G Pfaehler2, Sanne E Wiegers1

  • 1Department of Hematology, Amsterdam UMC, Vrije Universiteit Amsterdam, Cancer Center Amsterdam, Amsterdam, The Netherlands.

Journal of Nuclear Medicine : Official Publication, Society of Nuclear Medicine
|July 17, 2021
PubMed
Summary

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This summary is machine-generated.

Radiomics features can predict diffuse large B-cell lymphoma (DLBCL) outcomes. Different segmentation methods yield varied radiomics features but do not significantly alter their predictive performance for DLBCL patients.

Area of Science:

  • Oncology
  • Radiology
  • Medical Imaging Analysis

Background:

  • Radiomics features show promise in predicting outcomes for diffuse large B-cell lymphoma (DLBCL).
  • Metabolic tumor volume (MTV) calculation currently employs diverse segmentation methods.
  • The impact of these segmentation methods on radiomics feature discriminative power in DLBCL is not fully understood.

Purpose of the Study:

  • To evaluate the influence of different segmentation methods on the predictive accuracy of radiomics features in DLBCL.
  • To compare radiomics feature performance at both the patient and largest lesion levels.
  • To assess the consistency and discriminative power of radiomics features across various segmentation techniques.

Main Methods:

  • Utilized 18F-FDG PET/CT scans from 100 DLBCL patients (50 with progression/relapse, 50 without).
Keywords:
18F-FDG PET/CTdiffuse large B-cell lymphomaradiomicssegmentation methods

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  • Applied six semiautomatic segmentation methods to define tumor volumes.
  • Extracted 490 radiomics features per patient and 486 per lesion, assessing agreement using intraclass correlation (ICC) and model performance via cross-validation.
  • Main Results:

    • Segmentation methods showed variability in derived radiomics feature values and selected features.
    • The percentage of features with ICC ≥ 0.75 varied, being lowest for 50% SUVpeak (77.3% patient-level, 66.7% lesion-level).
    • Despite variations, receiver-operating-characteristics curve integrals (predictive performance) were comparable across methods, ranging from 0.69 ± 0.11 to 0.84 ± 0.09.

    Conclusions:

    • Differences in radiomics feature values and selection exist among segmentation methods.
    • No substantial impact on the discriminative power of radiomics features for DLBCL outcome prediction was observed across methods.
    • These findings suggest flexibility in segmentation method choice without compromising predictive ability.