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Mariya Miteva

Publications and source records attributed to Mariya Miteva.

2 recordsLinked to original sources

Segmentation Robustness and Predictive Utility in Glioblastoma Radiomics: Evidence for a Trade-off in Survival Modelling

Radiomic biomarkers derived from magnetic resonance imaging (MRI) have been widely investigated as non-invasive tools for tumor characterization and prognostic modeling in glioblastoma (GBM). However, their clinical translation remains limited, in part due to sensitivity to tumor segmentation variability. In this study, we systematically investigate the relationship between feature robustness and predictive utility in GBM survival modeling using the University of Pennsylvania Glioblastoma Imaging, Genomics, and Radiomics (UPENN-GBM) cohort. A total of 4,752 radiomic features were obtained from multiparametric MRI across three tumor subregions: enhancing tumor (ET), peritumoral edema (ED), and necrotic core (NC). Feature robustness was quantified using the intraclass correlation coefficient (ICC) based on the automatic and expert-refined segmentation versions. Among features with valid ICC estimates, 48.1% were classified as robust. Survival prediction was evaluated using cross-validation with Coxnet, Random Survival Forest, and Gradient Boosting Survival Analysis models. In this cohort, radiomic feature inclusion showed no consistent improvement over the clinical baseline, and robustness filtering produced no detectable performance gain. Model-selected features were less robust than the overall feature pool, indicating a lack of enrichment for robustness. These findings suggest that robustness alone is not a reliable criterion for feature selection in radiomics-based survival modelling.

eess.IV

The Multi-View Paradigm Shift in MRI Radiomics: Predicting MGMT Methylation in Glioblastoma

Non-invasive inference of molecular tumor characteristics from medical imaging is a central goal of radiogenomics, particularly in glioblastoma (GBM), where O6-methylguanine-DNA methyltransferase (MGMT) promoter methylation carries important prognostic and therapeutic significance. Although radiomics-based machine learning methods have shown promise for this task, conventional unimodal and early-fusion approaches are often limited by high feature redundancy and incomplete modeling of modality-specific information. In this work, we introduce a multi-view latent representation learning framework based on variational autoencoders (VAE) that preserves modality-specific radiomic structure while enabling late fusion in a compact probabilistic latent space. The approach is evaluated on radiomic features extracted from the necrotic tumor core in post-contrast T1-weighted (T1Gd) and Fluid-Attenuated Inversion Re-covery (FLAIR) Magnetic Resonance Imaging (MRI). Experimental results demonstrate that the proposed multi-view VAE combined with a random forest classifier achieves a test Area Under the Receiver Operating Characteristic (ROC) Curve (AUC) of 0.77 (95% confidence interval: 0.71-0.83), substantially outperforming both a baseline radiomics model (AUC = 0.54) and a hyperparameter-tuned model (AUC = 0.64). These findings indicate that multi-view probabilistic encoding enables more effective integration of complementary MRI information and significantly improves predictive performance for MGMT promoter methylation status.

cs.CV