Feng-Ming | Searcharxiv

arXiv2026

Radiology-Report Semantic Modelling and Host-Response Laboratory Biomarkers for Multimodal Survival Prediction in Lung Cancer

TNM staging is essential for lung cancer management, but patients within the same anatomic stage often show heterogeneous survival outcomes. We developed a multimodal adaptive risk score (AMRS) that integrates radiology-report semantics with routinely available clinical laboratory biomarkers. In a retrospective two-center cohort, 1129 patients diagnosed between December 2017 and February 2026 were screened; 574 patients were included after exclusion for short follow-up or missing imaging reports and were split into training (n = 459) and test (n = 115) cohorts. Radiology reports were encoded with a domain-adapted MC-BERT branch to capture imaging-derived semantic information, while clinical and laboratory variables were modeled after Mahalanobis-distance-based imputation using random survival forests. Weighted risk fusion generated the final patient-level score. AMRS achieved C-index values of 0.920 in training and 0.849 in testing, and separated survival trajectories across clinical subgroups and TNM-related strata. SHAP analysis identified hematologic, inflammatory, coagulation, nutritional, tumor-marker, organ-function, and age-related contributors. AMRS may complement TNM staging in imaging-centered oncology workflows, but prospective validation, calibration, ablation testing, and clinical-utility assessment are required before deployment.

physics.med-ph↗

arXiv2022

Extracting lung function-correlated information from CT-encoded static textures

The inherent characteristics of lung tissues, which are independent of breathing manoeuvre, may provide fundamental information on lung function. This paper attempted to study function-correlated lung textures and their spatial distribution from CT. 21 lung cancer patients with thoracic 4DCT scans, DTPA-SPECT ventilation images (V), and available pulmonary function test (PFT) measurements were collected. 79 radiomic features were included for analysis, and a sparse-to-fine strategy including subregional feature discovery and voxel-wise feature distribution study was carried out to identify the function-correlated radiomic features. At the subregion level, lung CT images were partitioned and labeled as defected/non-defected patches according to reference V. At the voxel-wise level, feature maps (FMs) of selected feature candidates were generated for each 4DCT phase. Quantitative metrics, including Spearman coefficient of correlation (SCC) and Dice similarity coefficient (DSC) for FM-V spatial agreement assessments, intra-class coefficient of correlation (ICC) for FM robustness evaluations, and FM-PFT comparisons, were applied to validate the results. At the subregion level, eight function-correlated features were filtered out with medium-to-large statistical strength (effect size>0.330) to differentiate defected/non-defected lung regions. At the voxel-wise level, FMs of candidates yielded moderate-to-strong voxel-wise correlations with reference V. Among them, FMs of GLDM Dependence Non-uniformity showed the highest robust (ICC=0.96) spatial correlation, with median SCCs ranging from 0.54 to 0.59 throughout ten phases. Its phase-averaged FM achieved a median SCC of 0.60, the median DSC of 0.60/0.65 for high/low functional lung volumes, respectively, and the correlation of 0.646 between the spatially averaged feature values and PFT measurements.

physics.med-ph↗