Classification of Parotid Tumors with Robust Radiomic Features from DCE- and DW-MRI.

This study aims to evaluate the role of MRI-based radiomic analysis and machine learning using both DWI with multiple B-values and dynamic contrast-enhanced T1-weighted sequences to differentiate benign (B) and malignant (M) parotid tumors. Patients underwent DCE- and DW-MRI. An expert radiologist performed the manual selection of 3D ROIs. Classification of malignant vs. benign parotid tumors was based on radiomic features extracted from DCE-based and DW-based parametric maps. Care was taken in robustness evaluation and the no-bias selection of features. Several classifiers were employed. Sensitivity and specificity ranged from 0.6 to 0.8. The combination of LASSO + neural networks achieved the highest performance (0.76 sensitivity and 0.75 specificity). Our study identified a few robust DCE-based radiomic features with respect to ROI selection that can effectively be adopted in classifying malignant vs. benign parotid tumors.