TCIA Radiology Image Processing for AI and Radiomics

We developed a standardized, reproducible preprocessing framework for computed tomography (CT) imaging data from multi-institutional repositories such as The Cancer Imaging Archive (TCIA), enabling consistent radiomics and artificial intelligence (AI) analyses. Imaging data from TCGA-KIRC patients available on TCIA were used as a representative heterogeneous dataset characterized by variation in acquisition protocols, inconsistent metadata, and differing image quality. The pipeline includes series filtering, DICOM-to-NIfTI conversion, orientation harmonization to a canonical coordinate system, voxel spacing normalization, intensity clipping and normalization, segmentation integration, and metadata validation, and is implemented in a reproducible, notebook-based framework compatible with common radiomics and deep learning workflows. This pipeline standardizes imaging data into analysis-ready volumes with consistent geometry, intensity distributions, and spatial alignment, reducing non-biological variability that can adversely affect radiomic feature stability and model performance. The modular design enables task-specific adaptation of individual preprocessing steps while maintaining overall consistency. Although demonstrated on TCIA, this framework is generalizable to other heterogeneous imaging datasets and provides a foundation for robust, large-scale computational imaging studies.