Benchmarking Eliminative Radiomic Feature Selection for Head and Neck Lymph Node Classification

Simple Summary Pathologic cervical lymph nodes (LN) in head and neck squamous cell carcinoma (HNSCC) deteriorate prognosis. Current radiologic criteria for LN-classification are primarily shape-based. Radiomics is an emerging data-driven technique that aids in extraction, processing and analyzing features and is potentially capable of LN-classification. Currently available sets of features are too complex for clinical applicability. We identified the combination of sparse discriminant analysis and genetic algorithms as a potentially useful algorithm for eliminative feature selection. In this retrospective, cohort-study, from 252 LNs with over extracted 30,000 features, this algorithm retained a classification accuracy of up to 90% with only 10% of the original number of features. From a clinical perspective, the selected features appeared plausible and potentially capable of correctly classifying LNs. Both the identified algorithm and features need further exploration of their potential as prospective classifiers for LNs in HNSCC. In head and neck squamous cell carcinoma (HNSCC) pathologic cervical lymph nodes (LN) remain important negative predictors. Current criteria for LN-classification in contrast-enhanced computed-tomography scans (contrast-CT) are shape-based; contrast-CT imagery allows extraction of additional quantitative data ("features"). The data-driven technique to extract, process, and analyze features from contrast-CTs is termed "radiomics". Extracted features from contrast-CTs at various levels are typically redundant and correlated. Current sets of features for LN-classification are too complex for clinical application. Effective eliminative feature selection (EFS) is a crucial preprocessing step to reduce the complexity of sets identified. We aimed at exploring EFS-algorithms for their potential to identify sets of features, which were as small as feasible and yet retained as much accuracy as possible for LN-classification. In this retrospective cohort-study, which adhered to the STROBE guidelines, in total 252 LNs were classified as "non-pathologic" (n = 70), "pathologic" (n = 182) or "pathologic with extracapsular spread" (n = 52) by two experienced head-and-neck radiologists based on established criteria which served as a reference. The combination of sparse discriminant analysis and genetic optimization retained up to 90% of the classification accuracy with only 10% of the original numbers of features. From a clinical perspective, the selected features appeared plausible and potentially capable of correctly classifying LNs. Both the identified EFS-algorithm and the identified features need further exploration to assess their potential to prospectively classify LNs in HNSCC.