Extracting lung function-correlated information from CT-encoded static textures

TL;DR

This study identifies lung texture features from CT scans that correlate with lung function, using a novel multi-level analysis approach on data from lung cancer patients to improve understanding of lung health.

Contribution

It introduces a sparse-to-fine strategy to discover and validate radiomic features correlated with lung function from static CT textures.

Findings

Eight function-correlated features identified with medium-to-large effect sizes.

FMs of GLDM Dependence Non-uniformity showed high robustness and correlation with ventilation.

Spatial feature maps achieved moderate-to-strong correlation with ventilation images and PFT measurements.

Abstract

The inherent characteristics of lung tissues, which are independent of breathing manoeuvre, may provide fundamental information on lung function. This paper attempted to study function-correlated lung textures and their spatial distribution from CT. 21 lung cancer patients with thoracic 4DCT scans, DTPA-SPECT ventilation images (V), and available pulmonary function test (PFT) measurements were collected. 79 radiomic features were included for analysis, and a sparse-to-fine strategy including subregional feature discovery and voxel-wise feature distribution study was carried out to identify the function-correlated radiomic features. At the subregion level, lung CT images were partitioned and labeled as defected/non-defected patches according to reference V. At the voxel-wise level, feature maps (FMs) of selected feature candidates were generated for each 4DCT phase. Quantitative metrics, including Spearman coefficient of correlation (SCC) and Dice similarity coefficient (DSC) for FM-V spatial agreement assessments, intra-class coefficient of correlation (ICC) for FM robustness evaluations, and FM-PFT comparisons, were applied to validate the results. At the subregion level, eight function-correlated features were filtered out with medium-to-large statistical strength (effect size>0.330) to differentiate defected/non-defected lung regions. At the voxel-wise level, FMs of candidates yielded moderate-to-strong voxel-wise correlations with reference V. Among them, FMs of GLDM Dependence Non-uniformity showed the highest robust (ICC=0.96) spatial correlation, with median SCCs ranging from 0.54 to 0.59 throughout ten phases. Its phase-averaged FM achieved a median SCC of 0.60, the median DSC of 0.60/0.65 for high/low functional lung volumes, respectively, and the correlation of 0.646 between the spatially averaged feature values and PFT measurements.