Phantom-based evaluation of radiomics feature stability for low-dose CT lung cancer screening - Scorecard - MDSpire

Assessment of Radiomic Feature Consistency in Low-Dose CT Screening for Lung Cancer Using Phantom Models

  • By

  • Sunyi Zheng

  • Xiaomeng Yang

  • Hongren Wang

  • Zhipeng Gao

  • Pengchun Ye

  • Weiping Wang

  • Wenhua Li

  • Donghua Meng

  • Shuai Zhang

  • Wenjia Zhang

  • Houpu Liu

  • Shuyuan Huang

  • Chunlin Zhang

  • Jing Wang

  • Jihui Hao

  • Xiaonan Cui

  • July 21, 2026

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Clinical Scorecard: Assessment of Radiomic Feature Consistency in Low-Dose CT Screening for Lung Cancer Using Phantom Models

At a Glance

CategoryDetail
ConditionLung Cancer Screening
Key MechanismsRadiomic feature extraction and stability evaluation under low-dose CT conditions.
Target PopulationIndividuals undergoing lung cancer screening, particularly high-risk populations.
Care SettingLow-dose computed tomography (LDCT) lung cancer screening.

Key Highlights

  • Inter-scanner variability significantly impacts radiomic feature stability.
  • Models using stable features outperform those using unstable features in malignancy assessment and growth prediction.
  • Stable features lead to smaller performance differences between training and test sets.

Guideline-Based Recommendations

Diagnosis

  • Utilize stable radiomic features for improved malignancy assessment in lung nodules.

Management

  • Incorporate stability-informed feature selection in radiomics applications for lung cancer screening.

Monitoring & Follow-up

  • Regularly evaluate the stability of radiomic features in clinical settings.

Risks

  • Consider inter-scanner and intra-scanner variability when interpreting radiomic features.

Patient & Prescribing Data

Patients at high risk for lung cancer undergoing LDCT screening.

Stable radiomic features may enhance the accuracy of lung cancer screening models.

Clinical Best Practices

  • Implement standardized scanning protocols to minimize variability in radiomic feature extraction.
  • Use hierarchical clustering to identify and select stable radiomic features.

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