Multi-parametric MRI habitat radiomics with interpretable machine learning for early prediction of axillary lymph node metastasis in triple-negative breast cancer - Takeaways - MDSpire

Multi-parametric MRI habitat radiomics with interpretable machine learning for early prediction of axillary lymph node metastasis in triple-negative breast cancer

  • By

  • Bo Xie

  • Xue Peng

  • Yueyan Wang

  • Xinyuan Wen

  • Yindi Hu

  • Yihan Li

  • Xinnan You

  • Yichuan Ma

  • May 18, 2026

  • 0 min

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  • 1

    The study developed a habitat radiomics model using mpMRI to enhance preoperative prediction of axillary lymph node metastasis in triple-negative breast cancer.

  • 2

    125 patients with confirmed TNBC underwent mpMRI, with tumors segmented and analyzed for intratumoral heterogeneity using an unsupervised clustering approach.

  • 3

    The combined model, integrating clinical data and habitat radiomics, achieved the highest AUC of 0.81 in predicting axillary lymph node metastasis.

  • 4

    SHAP analysis identified axillary lymph node length as the most significant predictor in the test set, underscoring the model's interpretability.

  • 5

    The habitat radiomics model outperformed conventional radiomics, highlighting the importance of intratumoral heterogeneity in non-invasive nodal risk assessment.

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