RT Journal Article T1 Robustness of PET Radiomics Features: Impact of Co-Registration with MRI A1 Stefano, Alessandro A1 Leal, Antonio A1 Richiusa, Selene A1 Trang, Phan A1 Comelli, Albert A1 Benfante, Viviana A1 Cosentino, Sebastiano A1 Sabini, Maria G. A1 Tuttolomondo, Antonino A1 Altieri, Roberto A1 Certo, Francesco A1 Vincenzo Barbagallo, Giuseppe Maria A1 Ippolito, Massimo A1 Russo, Giorgio K1 Radiomics feature robustness K1 Imaging quantification K1 [11C]-methionine positron emission tomography K1 PET/MRI co-registration K1 Tomografía de emisión de positrones K1 Magnetic resonance imaging K1 Imagen por resonancia magnética K1 Neoplasias encefálicas AB Radiomics holds great promise in the field of cancer management. However, the clinical application of radiomics has been hampered by uncertainty about the robustness of the features extracted from the images. Previous studies have reported that radiomics features are sensitive to changes in voxel size resampling and interpolation, image perturbation, or slice thickness. This study aims to observe the variability of positron emission tomography (PET) radiomics features under the impact of co-registration with magnetic resonance imaging (MRI) using the difference percentage coefficient, and the Spearman’s correlation coefficient for three groups of images: (i) original PET, (ii) PET after co-registration with T1-weighted MRI and (iii) PET after co-registration with FLAIR MRI. Specifically, seventeen patients with brain cancers undergoing [11C]-Methionine PET were considered. Successively, PET images were co-registered with MRI sequences and 107 features were extracted for each mentioned group of images. The variability analysis revealed that shape features, first-order features and two subgroups of higher-order features possessed a good robustness, unlike the remaining groups of features, which showed large differences in the difference percentage coefficient. Furthermore, using the Spearman’s correlation coefficient, approximately 40% of the selected features differed from the three mentioned groups of images. This is an important consideration for users conducting radiomics studies with image co-registration constraints to avoid errors in cancer diagnosis, prognosis, and clinical outcome prediction. PB MDPI YR 2021 FD 2021-10-30 LK http://hdl.handle.net/10668/3909 UL http://hdl.handle.net/10668/3909 LA en NO Stefano A, Leal A, Richiusa S, Trang P, Comelli A, Benfante V, et al. Robustness of PET Radiomics Features: Impact of Co-Registration with MRI. Applied Sciences. 2021; 11(21):10170 DS RISalud RD May 13, 2025