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Galia Jacobson

Publications and source records attributed to Galia Jacobson.

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Risk Prediction in Cancer Imaging Using Enriched Radiomics Features

Background: We aim to develop enriched radiomics features that integrate classical structural radiomics with novel functional radiomics derived from liver MRI for diagnosis and risk stratification in liver cancer. The proposed framework leverages enhancement pattern mapping (EPM) images to provide an automated and robust radiomics representation that captures intratumoral heterogeneity through pixel-level functional information. Methods: Pixel-wise EPM data reflecting blood perfusion were extracted from T1-weighted MRI scans. Classical structural radiomics features were extracted via existing software such as PyRadiomics. In addition, empirical quantiles of EPM values over all pixels within the image, and then smoothed using suitable basis. The smoothed quantiles, along with the classical structural quantiles, are used as functional radiomics features for diagnostic classification and tumor grade stratification, using L1-penalized logistic model that automatically downweights the contribution of the irrelevant features. Further, we conducted longitudinal analyses using Bayesian tensor response regression, which enables spatial smoothing and parsimonious modeling of temporally evolving imaging patterns. Results: The enriched radiomics features illustrate higher diagnostic classification performance (AUC=0.96, sensitivity> 0.8) and superior tumor grade stratification accuracy (AUC=0.87, sensitivity=0.8) compared to alternate radiomics features. Moreover, we find that the proportion of lesion pixels with significant reduction in EPM values over time is considerably higher (median = 0.12) in aggressive lesions versus stable or mildly aggressive lesions (median = 0.025). Conclusion: The enriched novel radiomics features can potentially replace classical radiomics analysis and be used for imaging biomarkers in cross-sectional and in longitudinal cancer imaging studies.

stat.AP

Heterogeneous Image-based Classification Using Distributional Data Analysis

Diagnostic imaging has gained prominence as potential biomarkers for early detection and diagnosis in a diverse array of disorders including cancer. However, existing methods routinely face challenges arising from various factors such as image heterogeneity. We develop a novel imaging-based distributional data analysis (DDA) approach that incorporates the probability (quantile) distribution of the pixel-level features as covariates. The proposed approach uses a smoothed quantile distribution (via a suitable basis representation) as functional predictors in a scalar-on-functional quantile regression model. Some distinctive features of the proposed approach include the ability to: (i) account for heterogeneity within the image; (ii) incorporate granular information spanning the entire distribution; and (iii) tackle variability in image sizes for unregistered images in cancer applications. Our primary goal is risk prediction in Hepatocellular carcinoma that is achieved via predicting the change in tumor grades at post-diagnostic visits using pre-diagnostic enhancement pattern mapping (EPM) images of the liver. Along the way, the proposed DDA approach is also used for case versus control diagnosis and risk stratification objectives. Our analysis reveals that when coupled with global structural radiomics features derived from the corresponding T1-MRI scans, the proposed smoothed quantile distributions derived from EPM images showed considerable improvements in sensitivity and comparable specificity in contrast to classification based on routinely used summary measures that do not account for image heterogeneity. Given that there are limited predictive modeling approaches based on heterogeneous images in cancer, the proposed method is expected to provide considerable advantages in image-based early detection and risk prediction.

stat.AP