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Related Experiment Video

Updated: May 6, 2026

Advanced Animal Model of Colorectal Metastasis in Liver: Imaging Techniques and Properties of Metastatic Clones
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Comparison of Radiomic Features from Different MRI Sequences for Predicting Synchronous Liver Metastases after Rectal

Apekshya Singh1, Sheng-Ming Shi1, Han Liu1

  • 1Department of Magnetic Resonance Imaging, The Second Affiliated Hospital, Harbin Medical University, Harbin 150086, Heilongjiang Province, China.

Current Medical Imaging
|December 2, 2025
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Summary

Radiomics and Random Forest models show promise for detecting synchronous liver metastases in rectal cancer patients. This approach aids in early detection and personalized treatment planning.

Keywords:
Diffusion-weighted imagingITK-SNAP.LASSOMachine learningPredictive modelRadiomicsRandom forestRectal cancerSynchronous liver metastasisT2-weighted imaging

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Area of Science:

  • Oncology
  • Radiology
  • Medical Imaging

Background:

  • Synchronous liver metastases (SLM) significantly impact rectal cancer prognosis.
  • Accurate preoperative detection of SLM is crucial for effective treatment planning.
  • This study evaluates radiomic features from MRI for SLM detection.

Purpose of the Study:

  • To compare the predictive performance of radiomic features from T2-weighted imaging (T2WI) and diffusion-weighted imaging (DWI) MRI.
  • To develop and evaluate machine learning models for early SLM detection in rectal cancer.

Main Methods:

  • Retrospective analysis of 137 rectal cancer patients (71 with SLM, 66 without).
  • Extraction of 3,452 radiomic features from T2WI and DWI using Pyradiomics.
  • Development of predictive models using Logistic Regression (LR), Support Vector Machine (SVM), and Random Forest (RF) with LASSO feature selection.

Main Results:

  • Random Forest (RF) models outperformed LR and SVM.
  • The optimal RF model achieved an AUC of 0.82 and an accuracy of 0.71 for SLM detection.
  • Combined-Optimal RF model also showed strong performance (AUC = 0.76).

Conclusions:

  • Radiomics combined with RF models offer a promising non-invasive tool for early SLM detection and risk stratification.
  • This approach can improve clinical decision-making and guide individualized treatment for rectal cancer patients.
  • The optimal feature set-based predictive model using RF demonstrated superior accuracy and balanced diagnostic performance.