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. 2023 Jul 6;129(5):741–753. doi: 10.1038/s41416-023-02317-8

Table 1.

Description of pan-cancer radiomic studies focused on genomics.

Cancer type Genomic feature Imaging modality Statistics and modelling Patients Result References
Gliomas
IDH1 mutation MRI Multivariate RF classifier model

Training, n = 100

Validation, n = 100

The combined model produced a maximum AUC of 78.24%. [3]
IDH1 mutation MRI the SVM-based recursive feature elimination (SVM-RFE) algorithm The AUC of the predicted IDH1( + ) STATUS is 94.74%. [4]
IDH1 mutation MRI

Training, n = 60

Validation, n = 20

The DWI-trained XGBoost model performed best, which achieved ROC on the test set with an area under the curve (AUC) of 0.97. [5]
IDH mutation MRI Convolutional Neural Networks n = 214 T2-net demonstrated a mean cross-validation accuracy of 97.14% ± 0.04 in predicting IDH mutation status. [6]
IDH mutation MRI Convolutional Neural Networks

Training, n = 727

Validation, n = 129

The hybrid model achieved accuracies of 93.8%, 87.9% and 78.8%. [7]
ATRX mutation MRI Linear SVM model and random forest model 95 94.0% [8]
ATRX mutation 18F-FET/PET and MRI Support vector machines and random forest models 42 The five fold cross-validated area under the curve in predicting the ATRX mutation was 85.1%. [9]
ATRX mutation MRI the Elastic Net regression model 111 The radiomics nomogram identified LrGG patients for ATRX loss (C-index: training sets = 0.863, validation sets = 0.840). [10]
MGMT methylation MRI Multiple logistic regression model

Training, n = 105

Validation, n = 31

The fusion radiomics signature exhibited supreme power for predicting MGMT promoter methylation, with an AUC of 0.925 in the training cohort and 0.902 in the validation cohort. [11]
MGMT methylation 18F-DOPA-PET Random forest models

Training, n = 59

Validation, n = 10

Achieved 80% ± 10% accuracy for a 95% confidence level in predicting MGMT status. [12]
Glioblastomas
MGMT methylation MRI random forest models

Training, n = 130

Validation, n = 60

Radiomics model built from multiregional and multiparameter MRI may serve as a potential imaging biomarker for pre-treatment prediction of MGMT methylation in GBM. [13]
MGMT methylation MRI Multivariate Cox model

Training, n = 120

Validation, n = 61

Radiological characteristics together with MGMT status were the only parameters with independent significance in the multivariate analysis (P ≤ 0.01). [14]
MGMT methylation MRI multivariable Cox-regression model

Training, n = 142

Validation, n = 46

The predictive model performed significantly in the external validation of MGMT methylation (AUC 0.667, 95% CI 0.522–0.82). [15]
NSCLC
EGFR mutation 18F-FDG-PET and CT CS model/ multivariable logistic regression analyses

Training, n = 429

Validation, n = 187

Deep-learning score (EGFR-DLS) is significantly and positively associated with longer progression-free survival (PFS). [16]
EGFR mutation MRI Gradient boosting classifier model Patients=110 Data support the use of radiological scores based on MR imaging of NSCLC brain metastases as a non-invasive biomarker of survival. [17]
KRAS mutation CT LASSO regression model

Training, n = 145

Validation, n = 101

This diagnostic/prognostic study examined a CT-based DL approach to predict the efficacy of EGFR-TKI therapy in patients. [18]
KRAS mutation CT LASSO regression model 134 The AUCs for the combined models used to identify KRAS and TP53 mutations were 0.81, and 0.84, respectively. [19]
KRAS mutation PET and CT Radiomics score (RS) models

Training, n = 180

Validation, n = 78

the PET/CT radiomics score model exhibited a higher AUC for predicting KRAS mutations (0.83). [20]
ALK rearrangements CT Generalised boosted regression model (GBM) Training, n = 84 The average accuracy of the model calculated on the independent nested validation set was 0.81. [21]
ALK rearrangements CT LASSO regression model

Training, n = 268

Validation, n = 67

The addition of conventional CT features enhanced the validation performance of the radiomic model in the primary cohort (AUC = 0.83–0.88). [22]
ALK rearrangements PET and CT LASSO logistic regression

Training, n = 368

Validation, n = 158

This combined model PET/CT clinical model has a significant advantage to predict the ALK mutation status in the training group (AUC = 0.87). [23]
Colorectal cancer
KRAS mutation CT RELIEF and support vector machine methods

Training, n = 61

Validation, n = 56

The AUC, sensitivity, and specificity for predicting KRAS/NRAS/BRAF mutations were 0.86. [24]
KRAS mutation MRI SVM classifiers

Training, n = 213

Validation, n = 177

The proposed T2WI-based radiomics signature has a moderate performance to predict KRAS status. [25]
KRAS mutation CECT Artificial neural network method (ANN)

Training, n = 93

Validation, n = 66

The combined score could distinguish between wild-type and mutant patients with an AUC of 0.95 in the primary cohort. [116]
Clear cell renal cell carcinoma
BAPI mutation CT Random forest model Patients=54 The AUC of the random forest model for predicting the mutation status of BAP1 was 0.77. [117]
VHL mutation CT Random forest model

Training, n = 170

Validation, n = 85

The model with eight all-relevant features achieved an AUC of 0.949 in the validation cohort. [118]
VHL mutation CT Random forest model

Training, n = 207

Validation, n = 175

Using radiomics features, the random forest algorithm showed a good capacity to identify the mutations VHL (AUC = 0.971). [119]