Prediction of lipomatous soft tissue malignancy on MRI: comparison between machine learning applied to radiomics and deep learning.

OBJECTIVES: Malignancy of lipomatous soft-tissue tumours diagnosis is suspected on magnetic resonance imaging (MRI) and requires a biopsy. The aim of this study is to compare the performances of MRI radiomic machine learning (ML) analysis with deep learning (DL) to predict malignancy in patients with lipomas oratypical lipomatous tumours. METHODS: Cohort include 145 patients affected by lipomatous soft tissue tumours with histology and fat-suppressed gadolinium contrast-enhanced T1-weighted MRI pulse sequence. Images were collected between 2010 and 2019 over 78 centres with non-uniform protocols (three different magnetic field strengths (1.0, 1.5 and 3.0 T) on 16 MR systems commercialised by four vendors (General Electric, Siemens, Philips, Toshiba)). Two approaches have been compared: (i) ML from radiomic features with and without batch correction; and (ii) DL from images. Performances were assessed using 10 cross-validation folds from a test set and next in external validation data. RESULTS: The best DL model was obtained using ResNet50 (resulting into an area under the curve (AUC) of 0.87 ± 0.11 (95% CI 0.65-1). For ML/radiomics, performances reached AUCs equal to 0.83 ± 0.12 (95% CI 0.59-1) and 0.99 ± 0.02 (95% CI 0.95-1) on test cohort using gradient boosting without and with batch effect correction, respectively. On the external cohort, the AUC of the gradient boosting model was equal to 0.80 and for an optimised decision threshold sensitivity and specificity were equal to 100% and 32% respectively. CONCLUSIONS: In this context of limited observations, batch-effect corrected ML/radiomics approaches outperformed DL-based models.

Deep learning for fast low-field MRI acquisitions.

Low-field (LF) MRI research currently gains momentum from its potential to offer reduced costs and reduced footprints translating into wider accessibility. However, the impeded signal-to-noise ratio inherent to lower magnetic fields can have a significant impact on acquisition times that challenges LF clinical relevance. Undersampling is an effective way to speed up acquisitions in MRI, and recent work has shown encouraging results when combined with deep learning (DL). Yet, training DL models generally requires large databases that are not yet available at LF regimes. Here, we demonstrate the capability of Residual U-net combined with data augmentation to reconstruct magnitude and phase information of undersampled LF MRI scans at 0.1 T with a limited training dataset (n = 10). The model performance was first evaluated in a retrospective study for different acceleration rates and sampling patterns. Ultimately, the DL approach was validated on prospectively acquired, fivefold undersampled LF data. With varying performances associated to the adopted sampling scheme, our results show that the approach investigated can preserve the global structure and the details sharpness in the reconstructed magnitude and phase images. Overall, promising results could be obtained on acquired LF MR images that may bring this research closer to clinical implementation.