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Cross-Software Radiomic Feature Robustness Assessed by Hierarchical Clustering and Composite Index Analysis: A
Roberta Fusco1, Giulia Festa2, Mario Sansone2
1Division of Radiology, Istituto Nazionale Tumori IRCCS Fondazione Pascale-IRCCS di Napoli, 80131 Naples, Italy.
Bioengineering (Basel, Switzerland)
|December 30, 2025
Summary
This study developed a robust workflow to identify stable radiomic features across software platforms, crucial for reproducible oncologic imaging biomarkers and clinical translation.
Area of Science:
- Medical Imaging
- Radiomics
- Computational Pathology
Background:
- Radiomic feature robustness is essential for reproducible imaging biomarkers.
- Software variability can compromise feature consistency and predictive model reliability.
- Clinical translation of radiomic biomarkers requires stable, cross-platform features.
Purpose of the Study:
- To develop and validate a hierarchical clustering workflow for assessing radiomic feature robustness.
- To identify stable and reproducible radiomic features across different software platforms.
- To establish a methodological foundation for cross-platform harmonization of radiomic biomarkers.
Main Methods:
- Analysis of a multi-cancer CT dataset (colorectal cancer, liver metastases, hepatocellular carcinoma).
- Extraction of radiomic features using two IBSI-compliant software platforms.
- Assessment of intra-software reliability (ICC) and cross-software stability (hierarchical clustering, ARI).
- Quantification of inter-platform robustness using a Composite Index (CI).
Main Results:
- Over 95% of features showed good-to-excellent intra-software reliability.
- Hierarchical clustering achieved perfect concordance (ARI=1.0) across platforms.
- Wavelet-derived descriptors and first-order statistics (e.g., cluster shade, mean intensity) were most robust.
Conclusions:
- The proposed framework effectively identifies stable, transferable radiomic features across IBSI-compliant platforms.
- This methodology supports cross-platform harmonization for radiomic biomarkers.
- Findings enhance the reproducibility of radiomic biomarkers in oncologic imaging.

