PMID- 32800693 OWN - NLM STAT- MEDLINE DCOM- 20211123 LR - 20211123 IS - 1878-4046 (Electronic) IS - 1076-6332 (Linking) VI - 28 Suppl 1 DP - 2021 Nov TI - MRI-Derived Radiomics Features of Hepatic Fat Predict Metabolic States in Individuals without Cardiovascular Disease. PG - S1-S10 LID - S1076-6332(20)30408-6 [pii] LID - 10.1016/j.acra.2020.06.030 [doi] AB - RATIONALE AND OBJECTIVES: To investigate radiomics features of hepatic fat as potential biomarkers of type 2 diabetes mellitus (T2DM) and metabolic syndrome (MetS) in individuals without overt cardiovascular disease, and benchmarking against hepatic proton density fat fraction (PDFF) and the body mass index (BMI). MATERIALS AND METHODS: This study collected liver radiomics features of 310 individuals that were part of a case-controlled imaging substudy embedded in a prospective cohort. Individuals had known T2DM (n = 39; 12.6 %) and MetS (n = 107; 34.5 %) status, and were divided into stratified training (n = 232; 75 %) and validation (n = 78; 25 %) sets. Six hundred eighty-four MRI radiomics features were extracted for each liver volume of interest (VOI) on T(1)-weighted dual-echo Dixon relative fat water content (rfwc) maps. Test-retest and inter-rater variance was simulated by additionally extracting radiomics features using noise augmented rfwc maps and deformed volume of interests. One hundred and seventy-one features with test-retest reliability (ICC(1,1)) and inter-rater agreement (ICC(3,k)) of >/=0.85 on the training set were considered stable. To construct predictive random forest (RF) models, stable features were filtered using univariate RF analysis followed by sequential forward aggregation. The predictive performance was evaluated on the independent validation set with area under the curve of the receiver operating characteristic (AUROC) and balanced accuracy (Accuracy(B)). RESULTS: On the validation set, the radiomics RF models predicted T2DM with AUROC of 0.835 and Accuracy(B) of 0.822 and MetS with AUROC of 0.838 and Accuracy(B) of 0.787, outperforming the RF models trained on the benchmark parameters PDFF and BMI. CONCLUSION: Hepatic radiomics features may serve as potential imaging biomarkers for T2DM and MetS. CI - Copyright (c) 2020 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved. FAU - Gutmann, Daniel A P AU - Gutmann DAP AD - Department of Diagnostic and Interventional Radiology, University Hospital, University of Tubingen, Tubingen, Germany. FAU - Rospleszcz, Susanne AU - Rospleszcz S AD - Institute of Epidemiology, Helmholtz Zentrum Munchen, German Research Center for Environmental Health, Neuherberg, Germany. FAU - Rathmann, Wolfgang AU - Rathmann W AD - Institute for Biometrics and Epidemiology, German Diabetes Center, Duesseldorf, Germany; German Center for Diabetes Research (DZD), Neuherberg, Germany. FAU - Schlett, Christopher L AU - Schlett CL AD - Department of Diagnostic and Interventional Radiology, Medical Center - Faculty of Medicine, Hugstetter Strasse 55 79106, Freiburg, Germany. FAU - Peters, Annette AU - Peters A AD - Institute of Epidemiology, Helmholtz Zentrum Munchen, German Research Center for Environmental Health, Neuherberg, Germany; Chair of Epidemiology, Faculty of Medicine, Ludwig-Maximilians-University, Munich, Germany; German Center for Diabetes Research (DZD), Neuherberg, Germany; German Center for Cardiovascular Research (DZHK e.V.), Munich, Germany. FAU - Wachinger, Christian AU - Wachinger C AD - Artificial Intelligence in Medical Imaging (AI-Med), Department of Child and Adolescent Psychiatry, Psychosomatic and Psychotherapy, University Hospital, Ludwig-Maximilians-University, Munich, Germany. FAU - Gatidis, Sergios AU - Gatidis S AD - Department of Diagnostic and Interventional Radiology, University Hospital, University of Tubingen, Tubingen, Germany. FAU - Bamberg, Fabian AU - Bamberg F AD - Department of Diagnostic and Interventional Radiology, Medical Center - Faculty of Medicine, Hugstetter Strasse 55 79106, Freiburg, Germany. Electronic address: fabian.bamberg@uniklinik-freiburg.de. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200814 PL - United States TA - Acad Radiol JT - Academic radiology JID - 9440159 SB - IM MH - *Cardiovascular Diseases MH - *Diabetes Mellitus, Type 2/complications/diagnostic imaging MH - Humans MH - Liver/diagnostic imaging MH - Magnetic Resonance Imaging MH - Prospective Studies MH - Reproducibility of Results MH - Retrospective Studies OTO - NOTNLM OT - Diabetes mellitus OT - Fatty liver OT - Magnetic resonance Imaging OT - Metabolic syndrome EDAT- 2020/08/18 06:00 MHDA- 2021/11/24 06:00 CRDT- 2020/08/18 06:00 PHST- 2020/03/11 00:00 [received] PHST- 2020/06/23 00:00 [revised] PHST- 2020/06/25 00:00 [accepted] PHST- 2020/08/18 06:00 [pubmed] PHST- 2021/11/24 06:00 [medline] PHST- 2020/08/18 06:00 [entrez] AID - S1076-6332(20)30408-6 [pii] AID - 10.1016/j.acra.2020.06.030 [doi] PST - ppublish SO - Acad Radiol. 2021 Nov;28 Suppl 1:S1-S10. doi: 10.1016/j.acra.2020.06.030. Epub 2020 Aug 14.