Towards a modular decision support system for radiomics: A case study on rectal cancer.

Journal: Artificial intelligence in medicine
Published Date:

Abstract

Following the personalized medicine paradigm, there is a growing interest in medical agents capable of predicting the effect of therapies on patients, by exploiting the amount of data that is now available for each patient. In disciplines like oncology, where images and scans are available, the exploitation of medical images can provide an additional source of potentially useful information. The study and analysis of features extracted by medical images, exploited for predictive purposes, is termed radiomics. A number of tools are available for supporting some of the steps of the radiomics process, but there is a lack of approaches which are able to deal with all the steps of the process. In this paper, we introduce a medical agent-based decision support system capable of handling the whole radiomics process. The proposed system is tested on two independent data sets of patients treated for rectal cancer. Experimental results indicate that the system is able to generate highly performant centre-specific predictive model, and show the issues related to differences in data sets collected by different centres, and how such issues can affect the performance of the generated predictive models.

Authors

  • Roberto Gatta
    Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
  • Mauro Vallati
    School of Computing and Engineering, University of Huddersfield, HD1 3DH Huddersfield, UK. Electronic address: m.vallati@hud.ac.uk.
  • Nicola Dinapoli
    Polo Scienze Oncologiche ed Ematologiche, Fondazione Policlinico Universitario Agostino Gemelli, Largo A. Gemelli, 8, 00168 Rome, Italy.
  • Carlotta Masciocchi
    Istituto di Radiologia, Universitá Cattolica del Sacro Cuore, Largo F.Vito 1, 00168 Rome, Italy.
  • Jacopo Lenkowicz
    Istituto di Radiologia, Universitá Cattolica del Sacro Cuore, Largo F.Vito 1, 00168 Rome, Italy.
  • Davide Cusumano
    Polo Scienze Oncologiche ed Ematologiche, Fondazione Policlinico Universitario Agostino Gemelli, Largo A. Gemelli, 8, 00168 Rome, Italy.
  • Calogero Casá
    Istituto di Radiologia, Universitá Cattolica del Sacro Cuore, Largo F.Vito 1, 00168 Rome, Italy.
  • Alessandra Farchione
    Polo Scienze radiologiche e di laboratorio, Fondazione Policlinico Universitario Agostino Gemelli, Largo A.Gemelli 8, 00168 Rome, Italy.
  • Andrea Damiani
  • Johan van Soest
    Department of Radiation Oncology (MAASTRO Clinic), Dr. Tanslaan 12, Maastricht, The Netherlands.
  • Andre Dekker
    Department of Radiation Oncology (MAASTRO Clinic), Dr. Tanslaan 12, Maastricht, The Netherlands.
  • Vincenzo Valentini
    Agostino Gemelli University Polyclinic (IRCCS), Rome, Italy.