A review of handcrafted and deep radiomics in neurological diseases: transitioning from oncology to clinical neuroimaging

Medical imaging technologies have undergone extensive development, enabling non-invasive visualization of clinical information. The traditional review of medical images by clinicians remains subjective, time-consuming, and prone to human error. With the recent availability of medical imaging data, quantification have become important goals in the field. Radiomics, a methodology aimed at extracting quantitative information from imaging data, has emerged as a promising approach to uncover hidden biological information and support decision-making in clinical practice. This paper presents a review of the radiomic pipeline from the clinical neuroimaging perspective, providing a detailed overview of each step with practical advice. It discusses the application of handcrafted and deep radiomics in neuroimaging, stratified by neurological diagnosis. Although radiomics shows great potential for increasing diagnostic precision and improving treatment quality in neurology, several limitations hinder its clinical implementation. Addressing these challenges requires collaborative efforts, advancements in image harmonization methods, and the establishment of reproducible and standardized pipelines with transparent reporting. By overcoming these obstacles, radiomics can significantly impact clinical neurology and enhance patient care.

MSCDA: Multi-level Semantic-guided Contrast Improves Unsupervised Domain Adaptation for Breast MRI Segmentation in Small Datasets

Deep learning (DL) applied to breast tissue segmentation in magnetic resonance imaging (MRI) has received increased attention in the last decade, however, the domain shift which arises from different vendors, acquisition protocols, and biological heterogeneity, remains an important but challenging obstacle on the path towards clinical implementation. Recently, unsupervised domain adaptation (UDA) methods have attempted to mitigate this problem by incorporating self-training with contrastive learning. To better exploit the underlying semantic information of the image at different levels, we propose a Multi-level Semantic-guided Contrastive Domain Adaptation (MSCDA) framework to align the feature representation between domains. In particular, we extend the contrastive loss by incorporating pixel-to-pixel, pixel-to-centroid, and centroid-to-centroid contrasts to integrate semantic information of images. We utilize a category-wise cross-domain sampling strategy to sample anchors from target images and build a hybrid memory bank to store samples from source images. Two breast MRI datasets were retrospectively collected: The source dataset contains non-contrast MRI examinations from 11 healthy volunteers and the target dataset contains contrast-enhanced MRI examinations of 134 invasive breast cancer patients. We set up experiments from source T2W image to target dynamic contrast-enhanced (DCE)-T1W image (T2W-to-T1W) and from source T1W image to target T2W image (T1W-to-T2W). The proposed method achieved Dice similarity coefficient (DSC) of 89.2\% and 84.0\% in T2W-to-T1W and T1W-to-T2W, respectively, outperforming state-of-the-art methods. Notably, good performance is still achieved with a smaller source dataset, proving that our framework is label-efficient.