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Automated Radiomics Model for Preoperative Pancreatic Neuroendocrine Tumor Grade Prediction.

Pratik Chandra1, Hadi Ghahremannezhad1, Naaz Nasar1

  • 1Department of Surgery, Hepatopancreatobiliary Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Annals of Surgical Oncology
|March 2, 2026
PubMed
Summary
This summary is machine-generated.

An automated radiomics pipeline accurately predicts pancreatic neuroendocrine tumor (PNET) grade noninvasively. This approach aids preoperative decision-making by identifying tumor characteristics from CT scans.

Keywords:
Grade predictionLesions < 2 cmPancreatic neuroendocrine tumorsRadiomicsResection

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Area of Science:

  • Radiology
  • Oncology
  • Medical Imaging

Background:

  • Pancreatic neuroendocrine tumor (PNET) behavior is influenced by grade and genomics.
  • Radiomics offers a noninvasive method to assess these tumor characteristics.
  • Predicting PNET grade preoperatively is crucial for treatment planning.

Purpose of the Study:

  • To develop an automated pipeline for radiomics analysis.
  • To preoperatively predict pancreatic neuroendocrine tumor (PNET) grade using radiomics.
  • To explore associations between radiomic and genomic features.

Main Methods:

  • An automated segmentation model was trained using manually segmented CT scans.
  • A radiomics model was developed to predict PNET grade (I vs. II/III).
  • The model's performance was evaluated on an independent test cohort using automatically segmented scans.

Main Results:

  • The automated segmentation achieved 90% success in the test cohort.
  • The radiomics model demonstrated an AUC of 0.85 for grade prediction.
  • Significant associations were found between specific genomic alterations (DAXX, ATRX loss) and radiomic features.

Conclusions:

  • The automated pipeline successfully segmented PNETs and accurately predicted tumor grade.
  • Radiomics, integrated into an automated workflow, can enhance preoperative PNET assessment.
  • This technology holds potential for improving clinical decision-making in PNET management.