Prostate cancer MRI methodological radiomics score: a EuSoMII radiomics auditing group initiative

Armando Ugo Cavallo1, Arnaldo Stanzione2, Andrea Ponsiglione3

  • 1Istituto Dermopatico dell'Immacolata (IDI) IRCCS, Rome, Italy.

European Radiology
|December 31, 2024
PubMed
Abstract

Insights

Radiomics research in prostate cancer MRI shows moderate quality, averaging 52% on the METRICS score. Improvements in data sharing and methodology are needed to enhance diagnostic accuracy and patient outcomes.

Area of Science:

  • Radiology and Medical Imaging
  • Artificial Intelligence in Medicine
  • Oncology

Background:

  • Radiomics analysis of prostate magnetic resonance imaging (MRI) shows promise for prostate cancer (PCa) evaluation.
  • Standardized quality assessment tools are needed to improve the methodology of radiomics research.

Purpose of the Study:

  • To evaluate the quality of radiomics research in prostate MRI for PCa using the METhodological RadiomICs (METRICS) score.
  • To identify areas for improvement in radiomics and machine learning methodology for PCa research.

Main Methods:

  • A literature search identified 185 original investigations on MRI-based radiomics for PCa from July 2019 to November 2023.
  • Seven readers assessed study quality using the METRICS score, with subgroup analyses based on study categories.

Main Results:

  • The average METRICS total score was 52% ± 16%, indicating moderate overall quality.
  • Key areas with low scores included adherence to guidelines (4.9%), handling confounding factors (14.1%), external testing (15.1%), and data/code/model availability (1.6%–15.7%).
  • Most studies defined patient selection criteria (86.5%), used high-quality reference standards (89.2%), and employed well-described (85.9%) and clinically applicable (87%) imaging protocols.

Conclusions:

  • MRI-based radiomics research for PCa demonstrates good homogeneity and moderate overall quality.
  • Enhancing research quality, particularly in data sharing and methodological rigor, is crucial for improving PCa diagnostic accuracy and clinical decision-making.

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