Perinodular and Intranodular Radiomic Features on Lung CT Images Distinguish Adenocarcinomas from Granulomas

Niha Beig, Mohammadhadi Khorrami, Mehdi Alilou, Prateek Prasanna, Nathaniel Braman, Mahdi Orooji, Sagar Rakshit, Kaustav Bera, Prabhakar Rajiah, Jennifer Ginsberg, Christopher Donatelli, Rajat Thawani, Michael Yang, Frank Jacono, Pallavi Tiwari, Vamsidhar Velcheti, Robert Gilkeson, Philip Linden, Anant Madabhushi

Research output: Contribution to journalArticlepeer-review

213 Scopus citations


Purpose To evaluate ability of radiomic (computer-extracted imaging) features to distinguish non-small cell lung cancer adenocarcinomas from granulomas at noncontrast CT. Materials and Methods For this retrospective study, screening or standard diagnostic noncontrast CT images were collected for 290 patients (mean age, 68 years; range, 18-92 years; 125 men [mean age, 67 years; range, 18-90 years] and 165 women [mean age, 68 years; range, 33-92 years]) from two institutions between 2007 and 2013. Histopathologic analysis was available for one nodule per patient. Corresponding nodule of interest was identified on axial CT images by a radiologist with manual annotation. Nodule shape, wavelet (Gabor), and texture-based (Haralick and Laws energy) features were extracted from intra- and perinodular regions. Features were pruned to train machine learning classifiers with 145 patients. In a test set of 145 patients, classifier results were compared against a convolutional neural network (CNN) and diagnostic readings of two radiologists. Results Support vector machine classifier with intranodular radiomic features achieved an area under the receiver operating characteristic curve (AUC) of 0.75 on the test set. Combining radiomics of intranodular with perinodular regions improved the AUC to 0.80. On the same test set, CNN resulted in an AUC of 0.76. Radiologist readers achieved AUCs of 0.61 and 0.60, respectively. Conclusion Radiomic features from intranodular and perinodular regions of nodules can distinguish non-small cell lung cancer adenocarcinomas from benign granulomas at noncontrast CT.

Original languageEnglish (US)
Pages (from-to)783-792
Number of pages10
Issue number3
StatePublished - Mar 1 2019

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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