Classification and risk assessment of ovarian-adnexal lesions using parametric and radiomic analysis of co-registered ultrasound-photoacoustic tomographic images

Ovarian-adnexal lesions are conventionally assessed with ultrasound (US) under the guidance of the Ovarian-Adnexal Reporting and Data System (O-RADS). However, the low specificity of O-RADS results in many unnecessary surgeries. Here, we use co-registered US and photoacoustic tomography (PAT) to imp...

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Main Authors: Yixiao Lin, Quing Zhu
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Photoacoustics
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Online Access:http://www.sciencedirect.com/science/article/pii/S2213597924000922
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author Yixiao Lin
Quing Zhu
author_facet Yixiao Lin
Quing Zhu
author_sort Yixiao Lin
collection DOAJ
description Ovarian-adnexal lesions are conventionally assessed with ultrasound (US) under the guidance of the Ovarian-Adnexal Reporting and Data System (O-RADS). However, the low specificity of O-RADS results in many unnecessary surgeries. Here, we use co-registered US and photoacoustic tomography (PAT) to improve the diagnostic accuracy of O-RADS. Physics-based parametric algorithms for US and PAT were developed to estimate the acoustic and photoacoustic properties of 93 ovarian lesions. Additionally, statistics-based radiomic algorithms were applied to quantify differences in the lesion texture on US-PAT images. A machine learning model (US-PAT KNN model) was developed based on an optimized subset of eight US and PAT imaging features to classify a lesion as either cancer, one of four subtypes of benign lesions, or a normal ovary. The model achieved an area under the receiver operating characteristic curve (AUC) of 0.969 and a balanced six-class classification accuracy of 86.0 %.
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spelling doaj-art-87b6f5c777a847ee9f5c56583aef7c552025-01-17T04:49:31ZengElsevierPhotoacoustics2213-59792025-02-0141100675Classification and risk assessment of ovarian-adnexal lesions using parametric and radiomic analysis of co-registered ultrasound-photoacoustic tomographic imagesYixiao Lin0Quing Zhu1Biomedical Engineering Department, Washington University in St Louis, United StatesBiomedical Engineering Department, Washington University in St Louis, United States; Radiology Department, School of Medicine, Washington University in St Louis, United States; Corresponding author at: Biomedical Engineering Department, Washington University in St Louis, United States.Ovarian-adnexal lesions are conventionally assessed with ultrasound (US) under the guidance of the Ovarian-Adnexal Reporting and Data System (O-RADS). However, the low specificity of O-RADS results in many unnecessary surgeries. Here, we use co-registered US and photoacoustic tomography (PAT) to improve the diagnostic accuracy of O-RADS. Physics-based parametric algorithms for US and PAT were developed to estimate the acoustic and photoacoustic properties of 93 ovarian lesions. Additionally, statistics-based radiomic algorithms were applied to quantify differences in the lesion texture on US-PAT images. A machine learning model (US-PAT KNN model) was developed based on an optimized subset of eight US and PAT imaging features to classify a lesion as either cancer, one of four subtypes of benign lesions, or a normal ovary. The model achieved an area under the receiver operating characteristic curve (AUC) of 0.969 and a balanced six-class classification accuracy of 86.0 %.http://www.sciencedirect.com/science/article/pii/S2213597924000922Ovarian-adnexal lesionsO-RADSCo-registered ultrasound-photoacoustic tomographyMultiparametric ultrasoundRadiomics
spellingShingle Yixiao Lin
Quing Zhu
Classification and risk assessment of ovarian-adnexal lesions using parametric and radiomic analysis of co-registered ultrasound-photoacoustic tomographic images
Photoacoustics
Ovarian-adnexal lesions
O-RADS
Co-registered ultrasound-photoacoustic tomography
Multiparametric ultrasound
Radiomics
title Classification and risk assessment of ovarian-adnexal lesions using parametric and radiomic analysis of co-registered ultrasound-photoacoustic tomographic images
title_full Classification and risk assessment of ovarian-adnexal lesions using parametric and radiomic analysis of co-registered ultrasound-photoacoustic tomographic images
title_fullStr Classification and risk assessment of ovarian-adnexal lesions using parametric and radiomic analysis of co-registered ultrasound-photoacoustic tomographic images
title_full_unstemmed Classification and risk assessment of ovarian-adnexal lesions using parametric and radiomic analysis of co-registered ultrasound-photoacoustic tomographic images
title_short Classification and risk assessment of ovarian-adnexal lesions using parametric and radiomic analysis of co-registered ultrasound-photoacoustic tomographic images
title_sort classification and risk assessment of ovarian adnexal lesions using parametric and radiomic analysis of co registered ultrasound photoacoustic tomographic images
topic Ovarian-adnexal lesions
O-RADS
Co-registered ultrasound-photoacoustic tomography
Multiparametric ultrasound
Radiomics
url http://www.sciencedirect.com/science/article/pii/S2213597924000922
work_keys_str_mv AT yixiaolin classificationandriskassessmentofovarianadnexallesionsusingparametricandradiomicanalysisofcoregisteredultrasoundphotoacoustictomographicimages
AT quingzhu classificationandriskassessmentofovarianadnexallesionsusingparametricandradiomicanalysisofcoregisteredultrasoundphotoacoustictomographicimages