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@ARTICLE{Floca:1027017,
author = {Floca, Ralf and Bohn, Jonas and Haux, Christian and
Wiestler, Benedikt and Zöllner, Frank G. and Reinke, Annika
and Weiß, Jakob and Nolden, Marco and Albert, Steffen and
Persigehl, Thorsten and Norajitra, Tobias and Baeßler,
Bettina and Dewey, Marc and Braren, Rickmer and Büchert,
Martin and Fallenberg, Eva Maria and Galldiks, Norbert and
Gerken, Annika and Götz, Michael and Hahn, Horst K. and
Haubold, Johannes and Haueise, Tobias and Große Hokamp,
Nils and Ingrisch, Michael and Iuga, Andra-Iza and
Janoschke, Marco and Jung, Matthias and Kiefer, Lena Sophie
and Lohmann, Philipp and Machann, Jürgen and Moltz, Jan
Hendrik and Nattenmüller, Johanna and Nonnenmacher, Tobias
and Oerther, Benedict and Othman, Ahmed E. and Peisen, Felix
and Schick, Fritz and Umutlu, Lale and Wichtmann, Barbara D.
and Zhao, Wenzhao and Caspers, Svenja and Schlemmer,
Heinz-Peter and Schlett, Christopher L. and Maier-Hein,
Klaus and Bamberg, Fabian},
title = {{R}adiomics workflow definition $\&$ challenges - {G}erman
priority program 2177 consensus statement on clinically
applied radiomics},
journal = {Insights into imaging},
volume = {15},
number = {1},
issn = {1869-4101},
address = {Heidelberg},
publisher = {Springer},
reportid = {FZJ-2024-03583},
pages = {124},
year = {2024},
note = {Funded by the DFG 428090865, 428149221, 428210203,
428212052, 428212161, 428215948, 428216905, 428218324,
428219815, 428222922, 428223038, 428223139, 428223917,
428224258, 428224476 / SPP 2177 • Partially funded by the
Deutsche Forschungsgemeinschaft (DFG, German Research
Foundation) – Projektnummer 442326535 /},
abstract = {Objectives: Achieving a consensus on a definition for
different aspects of radiomics workflows to support their
translation into clinical usage. Furthermore, to assess the
perspective of experts on important challenges for a
successful clinical workflow implementation.Materials and
methods: The consensus was achieved by a multi-stage
process. Stage 1 comprised a definition screening, a
retrospective analysis with semantic mapping of terms found
in 22 workflow definitions, and the compilation of an
initial baseline definition. Stages 2 and 3 consisted of a
Delphi process with over 45 experts hailing from sites
participating in the German Research Foundation (DFG)
Priority Program 2177. Stage 2 aimed to achieve a broad
consensus for a definition proposal, while stage 3
identified the importance of translational
challenges.Results: Workflow definitions from 22
publications (published 2012-2020) were analyzed. Sixty-nine
definition terms were extracted, mapped, and semantic
ambiguities (e.g., homonymous and synonymous terms) were
identified and resolved. The consensus definition was
developed via a Delphi process. The final definition
comprising seven phases and 37 aspects reached a high
overall consensus (> $89\%$ of experts "agree" or "strongly
agree"). Two aspects reached no strong consensus. In
addition, the Delphi process identified and characterized
from the participating experts' perspective the ten most
important challenges in radiomics workflows.Conclusion: To
overcome semantic inconsistencies between existing
definitions and offer a well-defined, broad, referenceable
terminology, a consensus workflow definition for
radiomics-based setups and a terms mapping to existing
literature was compiled. Moreover, the most relevant
challenges towards clinical application were
characterized.Critical relevance statement: Lack of
standardization represents one major obstacle to successful
clinical translation of radiomics. Here, we report a
consensus workflow definition on different aspects of
radiomics studies and highlight important challenges to
advance the clinical adoption of radiomics.Key points:
Published radiomics workflow terminologies are inconsistent,
hindering standardization and translation. A consensus
radiomics workflow definition proposal with high agreement
was developed. Publicly available result resources for
further exploitation by the scientific community.Keywords:
Computer-assisted; Consensus development conference; Image
processing; Terminology; Workflow.},
cin = {INM-3 / INM-4 / INM-1},
ddc = {610},
cid = {I:(DE-Juel1)INM-3-20090406 / I:(DE-Juel1)INM-4-20090406 /
I:(DE-Juel1)INM-1-20090406},
pnm = {5252 - Brain Dysfunction and Plasticity (POF4-525) / DFG
project 428090865 - Radiomics basierend auf MRT und
Aminosäure PET in der Neuroonkologie (428090865) / DFG
project 428149221 - Prädiktion von Therapieansprechen und
Outcome beim lokal fortgeschrittenen Rektum-Karzinom mittels
Radiomics und Deep Learning: eine beispielhafte Anwendung
für eine allgemein verwendbare, Deep Learning basierte
Prozessierungs-Pipeline für die Bild-Klassifikation.
(428149221) / DFG project 428210203 - Bildmorphologische
Biomarker der menschlichen Skelettmuskulatur (Muskelmasse,
morphologische und Textureigenschaften von Muskelgruppen des
Körperstamms und Oberschenkels) bei Sarkopenie und
kardiometabolischen Erkrankungen (428210203)},
pid = {G:(DE-HGF)POF4-5252 / G:(GEPRIS)428090865 /
G:(GEPRIS)428149221 / G:(GEPRIS)428210203},
typ = {PUB:(DE-HGF)16},
pubmed = {38825600},
UT = {WOS:001237654800002},
doi = {10.1186/s13244-024-01704-w},
url = {https://juser.fz-juelich.de/record/1027017},
}