Skip to main content
. 2020 Feb 1;93(1106):20190496. doi: 10.1259/bjr.20190496

Table 1.

CT radiomics in head and neck cancer

Author and year of publication Sample size and disease stage Time of imaging and study type Therapy Number of parameters derived Method of feature grouping/selectionand number of parametrs derived Outcome parameter Result
M.Bogowicz16
May 2017
N = 93 TC
N = 56 VC
Stage III and IV HNSCC
(Orp,Hyp,Lar,OC)
Pre-treatment
retrospective for TC
prospective for VC
Definitive IMRT 70 Gy with cisplatin or cetuximab. Shape
Intensity
Texture
Wavelet transform
317 features
Grouping: PCA
Selection: UVCRA for prognosis (9)
For comparison with clinical and combined radiomics-clinical model: MVCRA(3)
Split ROC curves at 18 mths
Predict LC: using CI
Compare radiomics versus clinical model and a combined clinicoradiomic model for LC
Radiomics signature significantly associated with LC
Combined Radiomics + Clinical model performed better than Radiomics model alone in TC, but not VC
H. Zhang et alDec17 2013 N = 72
Stage III and IV HNSCC
(Orp,Hyp,Lar,OC)
Pretreatment Retrospective
Median follow up time: 1.9 years
Median OS of entire cohort: 2.6 years
All induction TPF chemotherapy. First-order texture and histogram analysis, Multiple spatial filters applied from fine to coarse.
Number of features = NM
MVCRA for primary mass parameters with OS
MVA for model with primary size and N stage.
No internal validation/bootstrapping
Predict OS: HR, CI and p-value MVA: Entropy and skewness with multiple filters associated with OS.
MVA of clinical and imaging variables:
Entropy and skewness with 1.0 spatial filter associated with OS.
D.Ou et al18
June 2017
N = 120
Stage III-IVb HNSCC
Pretreatment Retrospective
Median follow-up time: 49.3  months
5 year actuarial OS: 61.2%
3D-CRT or IMRT with Cisplatin or Cetuximab
Matched 2:1 into Concurrent Chemoradiotherapy vs BioRadiotherapy
Shape
Intensity
Texture
Filter based wavelet
544
Grouping: PCA
Feature selection: UVCPHA(24)
Data dichotomized: low and high radiomics score
Internal validation: dichotomizing data and two sided p values
Prognosis and Prediction
: OS, PFS
AUC at 5 years
MVA with HR
Test radiomics with combined model using p16
Radiomics model alone, and in combination with p16 predicted OS and PFS.
Patients with high signature score significantly benefited more from CRT ( vs BRT) in terms of OS and PFS, while no benefit difference between CRT and BRT in patients with low signature score.

HR, Hazard Ratios; Hyp, Hypopharynx; IMRT, Intensity Modulated Radiotherapy; LC, Local Control; Lar, Larynx; MVA, Multivariate analysis; MVCRA, Multivariate Cox Regression Analysis; N, Number of patients; NM, Not mentioned; OC, Oral cavity; Orp, Oropharnx; PCA, Principal Component Analysis; ROC, Reciever Operated Curves; TC, Training Cohort; TPF, cisplatin, 5-fluorouracil, and docetaxel; UVCRA, Univariate Cox Regression Analysis; VC, Validation Cohort.