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Explainable Radiomics-Based Model for Automatic Image Quality Assessment in Breast Cancer DCE MRI Data.

Georgios S Ioannidis1,2, Katerina Nikiforaki1, Aikaterini Dovrou1,3

  • 1Computational BioMedicine Laboratory (CBML), Foundation for Research and Technology-Hellas (FORTH), 70013 Heraklion, Greece.

Journal of Imaging
|November 26, 2025
PubMed
Summary
This summary is machine-generated.

This study introduces an explainable radiomics model to automatically assess breast cancer Dynamic Contrast-Enhanced Magnetic Resonance Imaging (DCE-MRI) quality. The model accurately distinguishes high-quality from low-quality DCE-MRI scans, aiding clinical practice.

Keywords:
DCE MRIbreast imagingexplainabilityimage quality assessmentmachine learningobjective quality metricsradiomics

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Area of Science:

  • Radiomics and Medical Imaging Analysis
  • Machine Learning in Healthcare
  • Biomedical Signal Processing

Background:

  • Accurate assessment of medical imaging quality is crucial for reliable diagnosis.
  • Breast cancer Dynamic Contrast-Enhanced Magnetic Resonance Imaging (DCE-MRI) quality can significantly impact diagnostic accuracy.
  • Existing methods for image quality assessment may lack automation and explainability.

Purpose of the Study:

  • To develop an explainable radiomics-based model for automated image quality assessment in breast cancer DCE-MRI.
  • To evaluate the performance of machine learning classifiers in distinguishing high-quality from low-quality DCE-MRI scans.
  • To enhance the reliability and fairness of large-scale medical imaging datasets through quality control.

Main Methods:

  • Extraction of 819 radiomic features and 2 No-Reference image quality metrics from 280 breast cancer DCE-MRI images.
  • Feature extraction from the whole image and background regions of interest, considering two scenarios: 12 slices per patient and the middle slice.
  • Application of machine learning classifiers (including Support Vector Machine) with explainability assessed using SHapley Additive Explanations (SHAP).

Main Results:

  • The model achieved the best performance when using features from the middle slice (scenario ii), combining whole image and background features.
  • A Support Vector Machine classifier yielded high performance metrics: 85.51% sensitivity, 80.01% specificity, 82.76% accuracy, and 89.37% AUC.
  • The SHAP analysis provided explainability for the model's predictions, identifying key features influencing quality assessment.

Conclusions:

  • The developed explainable radiomics model shows significant potential for automatic image quality assessment in breast cancer DCE-MRI.
  • The model can be integrated into clinical workflows to ensure data quality and improve diagnostic reliability.
  • This approach offers a valuable tool for managing large imaging repositories and conducting fair subgroup analyses.