Interplay between MRI radiomics and immune gene expression signatures in oral squamous cell carcinoma

Anna Corti1, Deborah Lenoci2, Valentina D A Corino3,4

  • 1Department of Electronics, Information and Bioengineering, Politecnico di Milano, Via Ponzio 34/5, Milan, 20133, Italy. anna.corti@polimi.it.

Scientific Reports
|April 12, 2025
PubMed

Insights

Magnetic resonance imaging (MRI)-based radiomics can predict immune cell status in oral squamous cell carcinoma (OSCC). This non-invasive approach may help personalize treatment strategies for OSCC patients.

Area of Science:

  • Oncology
  • Radiology
  • Immunology

Background:

  • Immunotherapy response in oral squamous cell carcinoma (OSCC) is challenging.
  • Understanding the tumor microenvironment is crucial for improving treatment outcomes.
  • Radiogenomics offers potential for non-invasive, pre-operative immune biomarker discovery.

Purpose of the Study:

  • To investigate the capability of MRI-based radiomics to characterize the immune state in OSCC.
  • To explore associations between radiomic features and immune gene expression signatures.
  • To develop radiomic models for predicting patient immune status and treatment response.

Main Methods:

  • Computed seven MRI-based radiomic features and 29 immune-related gene expression signatures from OSCC patient data.
  • Performed deconvolution analysis to identify correlations between radiomic and immune signatures.
  • Developed radiomic classifiers to stratify patients based on immune status.

Main Results:

  • MRI-based radiomic models accurately predicted a prognostic gene expression signature in head and neck squamous cell carcinoma (HNSCC) patients undergoing radiotherapy (AUC=0.92).
  • Radiomic signatures reflected immune infiltrating cells, including M1 macrophages, CD8+ T cells, and B cells.
  • The models showed potential in distinguishing radioresistant from radiosensitive patients.

Conclusions:

  • MRI-based radiomic signatures can serve as non-invasive biomarkers for evaluating prognosis and guiding treatment choices in OSCC.
  • These findings suggest MRI-radiomics could enhance personalized medicine approaches for OSCC.
  • External validation is recommended to confirm the clinical utility of these MRI-radiomic models.