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Multicenter Study of Multimodal MRI Radiomics and Deep Learning-Based Segmentation for Predicting Local Recurrence of

Dongfang Yao1, Yongjing Lai1, Xiang Bin1

  • 1Department of Otolaryngology-Head and Neck Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China.

Cancers
|May 4, 2026
PubMed
Summary

A new multimodal magnetic resonance imaging (MRI) radiomics model combined deep learning segmentation to predict nasopharyngeal carcinoma (NPC) recurrence. The model showed strong multicenter performance, aiding in post-treatment surveillance planning.

Keywords:
Swin UNetautomatic segmentationdeep learningmagnetic resonance imagingnasopharyngeal carcinomaradiomicsrecurrence prediction

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Area of Science:

  • Oncology
  • Radiology
  • Artificial Intelligence

Background:

  • Nasopharyngeal carcinoma (NPC) recurrence poses a significant clinical challenge.
  • Accurate prediction of local recurrence is crucial for effective treatment planning and patient management.
  • Multimodal magnetic resonance imaging (MRI) and radiomics offer potential for improved prognostic assessment.

Purpose of the Study:

  • To develop and validate a multimodal MRI framework integrating deep learning segmentation and radiomics for predicting local recurrence in NPC.
  • To assess the performance of the multimodal model across different centers and compare it with single-modality approaches.

Main Methods:

  • A retrospective two-center study involving 1074 NPC patients.
  • Development of a multimodal Swin UNet model for automatic tumor segmentation from T1-weighted, T2-weighted, and contrast-enhanced T1 MRI.
  • Extraction and selection of radiomics features, followed by extreme gradient boosting modeling for recurrence prediction.

Main Results:

  • The multimodal segmentation model achieved moderate Dice similarity coefficients, reflecting the infiltrative nature of NPC.
  • The multimodal fusion model demonstrated superior performance in external validation, achieving an AUC of 0.910, accuracy of 0.908, sensitivity of 0.805, and specificity of 0.946.
  • The fully automatic segmentation approach yielded comparable results to expert-reviewed regions of interest, supporting end-to-end deployment feasibility.

Conclusions:

  • The developed multimodal MRI radiomics model shows promising multicenter performance for NPC recurrence risk evaluation.
  • The fusion of multimodal features enhances prediction accuracy over single-modality models.
  • This framework supports post-treatment surveillance planning and personalized patient management.