We introduce RadiomicsFill, a synthetic tumor generator conditioned on radiomics features, enabling detailed control and individual manipulation of tumor subregions. This conditioning leverages conventional high-dimensional features of the tumor (i.e., radiomics features) and thus is biologically well-grounded. Our model combines generative adversarial networks, radiomics-feature conditioning, and multi-task learning. Through experiments with glioma patients, RadiomicsFill demonstrated its capability to generate diverse, realistic tumors and its fine-tuning ability for specific radiomics features like 'Pixel Surface' and 'Shape Sphericity'. The ability of RadiomicsFill to generate an unlimited number of realistic synthetic tumors offers notable prospects for both advancing medical imaging research and potential clinical applications.
Erasmus Medical Center(伊拉斯姆斯医学中心);Erasmus MC Cancer Institute(伊拉斯姆斯医学中心癌症研究所);Delft University of Technology(代尔夫特理工大学)
Distinguishing gastrointestinal stromal tumors (GISTs) from other intra-abdominal tumors and GISTs molecular analysis is necessary for treatment planning, but challenging due to its rarity. The aim of this study was to evaluate radiomics for distinguishing GISTs from other intra-abdominal tumors, and in GISTs, predict the c-KIT, PDGFRA,BRAF mutational status and mitotic index (MI). All 247 included patients (125 GISTS, 122 non-GISTs) underwent a contrast-enhanced venous phase CT. The GIST vs. non-GIST radiomics model, including imaging, age, sex and location, had a mean area under the curve (A…
Enhancing Privacy: The Utility of Stand-Alone Synthetic CT and MRI for Tumor and Bone Segmentation
Center Algoritmi / LASI(中心算法/拉斯伊);Institute for AI in Medicine (IKIM)(人工智能医学研究所);Institute of Medical Informatics(医学信息研究所);Department of Oral and Maxillofacial Surgery(口腔和颅面外科部门);Department of Diagnostic and Interventional Radiology(诊断和介入放射科部门);Life and Health Sciences Research Institute (ICVS), School of Medicine(生命与健康科学研究所(ICVS),医学院);Cancer Research Center Cologne Essen (CCCE)(科隆埃森癌症研究中心(CCCE))
Glioblastoma, an aggressive brain cancer, is amongst the most lethal of all cancers. Expression of the O6-methylguanine-DNA-methyltransferase (MGMT) gene in glioblastoma tumor tissue is of clinical importance as it has a significant effect on the efficacy of Temozolomide, the primary chemotherapy treatment administered to glioblastoma patients. Currently, MGMT methylation is determined through an invasive brain biopsy and subsequent genetic analysis of the extracted tumor tissue. In this work, we present novel Bayesian classifiers that make probabilistic predictions of MGMT methylation status …
UET Taxila(塔克西拉工程技术大学);University of Central Florida(中佛罗里达大学)
Surgery planning in patients diagnosed with brain tumor is dependent on their survival prognosis. A poor prognosis might demand for a more aggressive treatment and therapy plan, while a favorable prognosis might enable a less risky surgery plan. Thus, accurate survival prognosis is an important step in treatment planning. Recently, deep learning approaches have been used extensively for brain tumor segmentation followed by the use of deep features for prognosis. However, radiomics-based studies have shown more promise using engineered/hand-crafted features. In this paper, we propose a three-st…
The Johns Hopkins University School of Medicine(约翰斯·霍普金斯大学医学院);The Johns Hopkins University(约翰斯·霍普金斯大学);Kennedy-Krieger Institute(肯尼迪-克里格研究所)
Radiomics is an exciting new area of texture research for extracting quantitative and morphological characteristics of pathological tissue. However, to date, only single images have been used for texture analysis. We have extended radiomic texture methods to use multiparametric (mp) data to get more complete information from all the images. These mpRadiomic methods could potentially provide a platform for stratification of tumor grade as well as assessment of treatment response in brain tumors. In brain, multiparametric MRI (mpMRI) are based on contrast enhanced T1-weighted imaging (T1WI), T2W…
The University of Sydney(悉尼大学);Shanghai Jiao Tong University(上海交通大学)
Outcome prediction is crucial for head and neck cancer patients as it can provide prognostic information for early treatment planning. Radiomics methods have been widely used for outcome prediction from medical images. However, these methods are limited by their reliance on intractable manual segmentation of tumor regions. Recently, deep learning methods have been proposed to perform end-to-end outcome prediction so as to remove the reliance on manual segmentation. Unfortunately, without segmentation masks, these methods will take the whole image as input, such that makes them difficult to foc…
Magnetic resonance delta radiomics to track radiation response in lung tumors receiving stereotactic MRI-guided radiotherapy
Mass General Brigham(麻省总医院布里格姆医疗系统);Harvard Medical School(哈佛医学院);Dana-Farber Cancer Institute(丹娜-法伯癌症研究所);Harvard T.H. Chan School of Public Health(哈佛大学陈曾熙公共卫生学院);Maastricht University(马斯特里赫特大学)
Adaptable Segmentation Pipeline for Diverse Brain Tumors with Radiomic-Guided Subtyping and Lesion-Wise Model Ensemble
Sheikh Zayed Institute for Pediatric Surgical Innovation(Sheikh Zayed儿童外科创新研究所);Children’s National Hospital(儿童医院);University of Washington(华盛顿大学);Universidad Politécnica de Madrid(马德里理工大学);CIBER-BBN;ISCIII;School of Medicine and Health Sciences(医学与健康科学学院)
An Interpretable Deep Learning Framework for Discovery and Clinical Validation of Deep Radiomic Signatures in Tumor Classification
Department of Health Outcomes and Biomedical Informatics, University of Florida(健康结果与生物医学信息学系,佛罗里达大学);Tiktok;Department of Biostatistics, MD Anderson Cancer Center(生物统计学系,MD安德森癌症中心);Department of Urology, University of Florida(泌尿科,佛罗里达大学)
The concept of tumor field effect implies that cancer is a systemic disease with its impact way beyond the visible tumor confines. For instance, in Glioblastoma (GBM), an aggressive brain tumor, the increase in intracranial pressure due to tumor burden often leads to brain herniation and poor outcomes. Our work is based on the rationale that highly aggressive tumors tend to grow uncontrollably, leading to pronounced biomechanical tissue deformations in the normal parenchyma, which when combined with local morphological differences in the tumor confines on MRI scans, will comprehensively captur…
Precise Liver Tumor Segmentation in CT Using a Hybrid Deep Learning-Radiomics Framework
School of Information Science & Engineering, Shandong Normal University(信息科学与工程学院,山东师范大学);Tajik State University of Law, Business and Politics(塔吉克国立法律、商业与政治大学)
Indian Statistical Institute(印度统计研究所);University of Calcutta(加尔各答大学);University of Genova(热那亚大学)
Glioma constitutes 80% of malignant primary brain tumors and is usually classified as HGG and LGG. The LGG tumors are less aggressive, with slower growth rate as compared to HGG, and are responsive to therapy. Tumor biopsy being challenging for brain tumor patients, noninvasive imaging techniques like Magnetic Resonance Imaging (MRI) have been extensively employed in diagnosing brain tumors. Therefore automated systems for the detection and prediction of the grade of tumors based on MRI data becomes necessary for assisting doctors in the framework of augmented intelligence. In this paper, we t…
University of Michigan(密歇根大学);Izmir University of Economics(伊兹密尔经济大学);Ege University School of Medicine(埃格大学医学院)
Purpose; The purpose of this study is to classify glial tumors into grade II, III and IV categories noninvasively by application of machine learning to multi-modal MRI features in comparison with volumetric analysis. Methods; We retrospectively studied 57 glioma patients with pre and postcontrast T1 weighted, T2 weighted, FLAIR images, and ADC maps acquired on a 3T MRI. The tumors were segmented into enhancing and nonenhancing portions, tumor necrosis, cyst and edema using semiautomated segmentation of ITK-SNAP open source tool. We measured total tumor volume, enhancing-nonenhancing tumor, ede…
Background and Purpose: Radiomics features are used to identify disease types and predict therapy outcomes. However, how the radiomics features are different among different anatomical structures has never been investigated. Hence, we analyzed the radiomics features of 22 anatomical structures in the head and neck area in CT images. Furthermore, we studied whether CT radiomics can classify anatomical structures of the head and neck using unsupervised machine-learning techniques. Materials and methods: We obtained IMRT/VMAT treatment planning data from 36 patients treated for head and neck canc…
National University of Singapore(新加坡国立大学);University of Moratuwa(莫拉图瓦大学)
The accurate prognosis of Glioblastoma Multiforme (GBM) plays an essential role in planning correlated surgeries and treatments. The conventional models of survival prediction rely on radiomic features using magnetic resonance imaging (MRI). In this paper, we propose a radiogenomic overall survival (OS) prediction approach by incorporating gene expression data with radiomic features such as shape, geometry, and clinical information. We exploit TCGA (The Cancer Genomic Atlas) dataset and synthesize the missing MRI modalities using a fully convolutional network (FCN) in a conditional Generative …
Anatomy-Informed Deep Learning and Radiomics for Automated Neurofibroma Segmentation in Whole-Body MRI
Institute for Applied Medical Informatics(应用医学信息学研究所);Institute of Computational Neuroscience(计算神经科学研究所);Center for Biomedical Artificial Intelligence (bAIome)(生物医学人工智能中心);University Medical Center Hamburg-Eppendorf(汉堡埃彭多夫大学医学中心);Department of Diagnostic and Interventional Radiology and Nuclear Medicine(诊断与介入放射学及核医学部门);Department of Neurology(神经内科部门)
Southern Medical University(南方医科大学);LaTIM(拉蒂姆实验室);INSERM(法国国家健康与医学研究院);Univ Brest(布雷斯特大学);Chinese Academy of Medical Sciences and Peking Union Medical College(中国医学科学院北京协和医学院)
Automatic segmentation of head and neck cancer (HNC) tumors and lymph nodes plays a crucial role in the optimization treatment strategy and prognosis analysis. This study aims to employ nnU-Net for automatic segmentation and radiomics for recurrence-free survival (RFS) prediction using pretreatment PET/CT images in multi-center HNC cohort. A multi-center HNC dataset with 883 patients (524 patients for training, 359 for testing) was provided in HECKTOR 2022. A bounding box of the extended oropharyngeal region was retrieved for each patient with fixed size of 224 x 224 x 224 $mm^{3}$. Then 3D nn…
NUS Graduate School for Integrative Sciences and Engineering, NUS(新加坡国立大学综合科学与工程研究生院);National University of Singapore(新加坡国立大学);NIT, Tiruchirappalli(蒂鲁吉拉伯利国立理工学院);University of Moratuwa(莫拉图瓦大学);Punjab Engineering College(旁遮普工程学院)
In this work, we develop an attention convolutional neural network (CNN) to segment brain tumors from Magnetic Resonance Images (MRI). Further, we predict the survival rate using various machine learning methods. We adopt a 3D UNet architecture and integrate channel and spatial attention with the decoder network to perform segmentation. For survival prediction, we extract some novel radiomic features based on geometry, location, the shape of the segmented tumor and combine them with clinical information to estimate the survival duration for each patient. We also perform extensive experiments t…
Technical University of Denmark(丹麦技术大学);Massachusetts General Hospital(麻省总医院);Harvard Medical School(哈佛医学院)
In this paper we propose a method for predicting the status of MGMT promoter methylation in high-grade gliomas. From the available MR images, we segment the tumor using deep convolutional neural networks and extract both radiomic features and shape features learned by a variational autoencoder. We implemented a standard machine learning workflow to obtain predictions, consisting of feature selection followed by training of a random forest classification model. We trained and evaluated our method on the RSNA-ASNR-MICCAI BraTS 2021 challenge dataset and submitted our predictions to the challenge…
University of Toronto(多伦多大学);Lunenfeld-Tanenbaum Research Institute, Sinai Health System(西奈卫生系统卢嫩菲尔德-塔南鲍姆研究所);McMaster University(麦克马斯特大学);Hamilton Health Sciences(汉密尔顿健康科学中心);Sunnybrook Health Sciences Centre(桑尼布鲁克健康科学中心);Sunnybrook Research Institute(桑尼布鲁克研究所)
As an analytic pipeline for quantitative imaging feature extraction and analysis, radiomics has grown rapidly in the past a few years. Recent studies in radiomics aim to investigate the relationship between tumors imaging features and clinical outcomes. Open source radiomics feature banks enable the extraction and analysis of thousands of predefined features. On the other hand, recent advances in deep learning have shown significant potential in the quantitative medical imaging field, raising the research question of whether predefined radiomics features have predictive information in addition…
CT Radiomics-Based Explainable Machine Learning Model for Accurate Differentiation of Malignant and Benign Endometrial Tumors: A Two-Center Study
Qingdao Hiser Hospital Affiliated of Qingdao University (Qingdao Traditional Chinese Medicine Hospital)(青岛大学附属青岛海慈医院(青岛市中医医院));Sichuan University - Pittsburgh Institute, Sichuan University(四川大学匹兹堡学院);College of Computer Science, Sichuan University(四川大学计算机学院);Jiaozhou Traditional Chinese Medicine Hospital(胶州市中医医院)
ARC Training Centre for Innovative BioEngineering(ARC创新生物工程培训中心)
Distant metastases (DM) refer to the dissemination of tumors, usually, beyond the organ where the tumor originated. They are the leading cause of death in patients with soft-tissue sarcomas (STSs). Positron emission tomography-computed tomography (PET-CT) is regarded as the imaging modality of choice for the management of STSs. It is difficult to determine from imaging studies which STS patients will develop metastases. 'Radiomics' refers to the extraction and analysis of quantitative features from medical images and it has been employed to help identify such tumors. The state-of-the-art in ra…
ICTEAM(ICTEAM研究所);Université catholique de Louvain(鲁汶天主教大学);Indian Institute of Technology Ropar(印度理工学院罗巴尔分校)
The importance of radiomics features for predicting patient outcome is now well-established. Early study of prognostic features can lead to a more efficient treatment personalisation. For this reason new radiomics features obtained through mathematical morphology-based operations are proposed. Their study is conducted on an open database of patients suffering from Nonsmall Cells Lung Carcinoma (NSCLC). The tumor features are extracted from the CT images and analyzed via PCA and a Kaplan-Meier survival analysis in order to select the most relevant ones. Among the 1,589 studied features, 32 are …
Identifying image features that are robust with respect to segmentation variability and domain shift is a tough challenge in radiomics. So far, this problem has mainly been tackled in test-retest analyses. In this work we analyze radiomics feature stability based on probabilistic segmentations. Based on a public lung cancer dataset, we generate an arbitrary number of plausible segmentations using a Probabilistic U-Net. From these segmentations, we extract a high number of plausible feature vectors for each lung tumor and analyze feature variance with respect to the segmentations. Our results s…
Purpose: To identify optimal classification methods for computed tomography (CT) radiomics-based preoperative prediction of clear cells renal cell carcinoma (ccRCC) grade. Methods and material: Seventy one ccRCC patients were included in the study. Three image preprocessing techniques (Laplacian of Gaussian, wavelet filter, and discretization of the intensity values) were applied on tumor volumes. In total, 2530 radiomics features (tumor shape and size, intensity statistics, and texture) were extracted from each segmented tumor volume. Univariate analysis was performed to assess the associatio…
Case Western Reserve University(凯斯西储大学);Cleveland Clinic(克利夫兰诊所)
With growing emphasis on personalized cancer-therapies,radiogenomics has shown promise in identifying target tumor mutational status on routine imaging (i.e. MRI) scans. These approaches fall into 2 categories: (1) deep-learning/radiomics (context-based), using image features from the entire tumor to identify the gene mutation status, or (2) atlas (spatial)-based to obtain likelihood of gene mutation status based on population statistics. While many genes (i.e. EGFR, MGMT) are spatially variant, a significant challenge in reliable assessment of gene mutation status on imaging has been the lack…
Wuhan Children’s Hospital affiliated with Tongji Medical College(同济医学院附属武汉儿童医院);Huazhong University of Science and Technology(华中科技大学)
Neuroblastoma is one of the most common cancers in infants, and the initial diagnosis of this disease is difficult. At present, the MYCN gene amplification (MNA) status is detected by invasive pathological examination of tumor samples. This is time-consuming and may have a hidden impact on children. To handle this problem, we adopt multiple machine learning (ML) algorithms to predict the presence or absence of MYCN gene amplification. The dataset is composed of retrospective CT images of 23 neuroblastoma patients. Different from previous work, we develop the algorithm without manually-segmente…
Glioblastoma Multiforme is a very aggressive type of brain tumor. Due to spatial and temporal intra-tissue inhomogeneity, location and the extent of the cancer tissue, it is difficult to detect and dissect the tumor regions. In this paper, we propose survival prognosis models using four regressors operating on handcrafted image-based and radiomics features. We hypothesize that the radiomics shape features have the highest correlation with survival prediction. The proposed approaches were assessed on the Brain Tumor Segmentation (BraTS-2020) challenge dataset. The highest accuracy of image feat…
Kermanshah University of Medical Sciences(克尔曼沙阿医科大学);Rajaie Cardiovascular Medical and Research Center(拉贾伊心血管医疗与研究中心);Iran University of Medical Science(伊朗医科大学);The University of British Columbia(不列颠哥伦比亚大学);Kerman University(克尔曼大学);University of British Columbia(不列颠哥伦比亚大学)
Background and aim: This study aimed to predict methylation status of the O-6 methyl guanine-DNA methyl transferase (MGMT) gene promoter status by using MRI radiomics features, as well as univariate and multivariate analysis. Material and Methods: Eighty-two patients who had a MGMT methylation status were include in this study. Tumor were manually segmented in the four regions of MR images, a) whole tumor, b) active/enhanced region, c) necrotic regions and d) edema regions (E). About seven thousand radiomics features were extracted for each patient. Feature selection and classifier were used t…
Herein we propose a deep learning-based approach for the prediction of lung lesion response based on radiomic features extracted from clinical CT scans of patients in non-small cell lung cancer trials. The approach starts with the classification of lung lesions from the set of primary and metastatic lesions at various anatomic locations. Focusing on the lung lesions, we perform automatic segmentation to extract their 3D volumes. Radiomic features are then extracted from the lesion on the pre-treatment scan and the first follow-up scan to predict which lesions will shrink at least 30% in diamet…
Artificial intelligence (AI) techniques have significant potential to enable effective, robust and automated image phenotyping including identification of subtle patterns. AI-based detection searches the image space to find the regions of interest based on patterns and features. There is a spectrum of tumor histologies from benign to malignant that can be identified by AI-based classification approaches using image features. The extraction of minable information from images gives way to the field of radiomics and can be explored via explicit (handcrafted/engineered) and deep radiomics framewor…
Brigham and Women's Hospital(布莱根妇女医院);Harvard Medical School(哈佛医学院);Netherlands Cancer Institute(荷兰癌症研究所);Maastricht University(马斯特里赫特大学);Massachusetts General Hospital(麻省总医院);Isomics, Inc.(Isomics公司);Dana-Farber Cancer Institute(丹娜-法伯癌症研究所)
In this study we assessed the repeatability of the values of radiomics features for small prostate tumors using test-retest Multiparametric Magnetic Resonance Imaging (mpMRI) images. The premise of radiomics is that quantitative image features can serve as biomarkers characterizing disease. For such biomarkers to be useful, repeatability is a basic requirement, meaning its value must remain stable between two scans, if the conditions remain stable. We investigated repeatability of radiomics features under various preprocessing and extraction configurations including various image normalization…
Objectives: Glioblastomas are the most aggressive brain and central nervous system (CNS) tumors with poor prognosis in adults. The purpose of this study is to develop a machine-learning based classification method using radio-mic features of multi-parametric MRI to classify high-grade gliomas (HGG) and low-grade gliomas (LGG). Methods: Multi-parametric MRI of 80 patients, 40 HGG and 40 LGG, with gliomas from the MICCAI BRATs 2015 training database were used in this study. Each patient's T1, contrast-enhanced T1, T2, and Fluid Attenuated Inversion Recovery (FLAIR) MRIs as well as the tumor cont…
Breast MRI radiomics and machine learning radiomics-based predictions of response to neoadjuvant chemotherapy -- how are they affected by variations in tumour delineation?
MMFusion: Multi-modality Diffusion Model for Lymph Node Metastasis Diagnosis in Esophageal Cancer
Shandong University(山东大学);Hangzhou Dianzi University(杭州电子科技大学);Communication University of Zhejiang(浙江传媒学院);University of Leicester(莱斯特大学);Sichuan Cancer Hospital and Institution(四川省肿瘤医院);Sichuan Cancer Center(四川省癌症中心);University of Electronic Science and Technology of China(电子科技大学);Suzhou Research Institute of Shandong University(山东大学苏州研究院)
University of California, Los Angeles(加利福尼亚大学洛杉矶分校);Cancer Hospital Chinese Academy of Medical Sciences(中国医学科学院肿瘤医院);Cedars Sinai Medical Center(西达赛奈医疗中心)
Radiomic features achieve promising results in cancer diagnosis, treatment response prediction, and survival prediction. Our goal is to compare the handcrafted (explicitly designed) and deep learning (DL)-based radiomic features extracted from pre-treatment diffusion-weighted magnetic resonance images (DWIs) for predicting neoadjuvant chemoradiation treatment (nCRT) response in patients with locally advanced rectal cancer (LARC). 43 patients receiving nCRT were included. All patients underwent DWIs before nCRT and total mesorectal excision surgery 6-12 weeks after completion of nCRT. Gross tum…
Indiana University School of Medicine(印第安纳大学医学院);Purdue University(普渡大学);Dayton Children’s Hospital(代顿儿童医院)
Background and Purpose: Biopsy is the main determinants of glioma clinical management, but require invasive sampling that fail to detect relevant features because of tumor heterogeneity. The purpose of this study was to evaluate the accuracy of a voxel-wise, multiparametric MRI radiomic method to predict features and develop a minimally invasive method to objectively assess neoplasms. Methods: Multiparametric MRI were registered to T1-weighted gadolinium contrast-enhanced data using a 12 degree-of-freedom affine model. The retrospectively collected MRI data included T1-weighted, T1-weighted ga…
Shandong Normal University(山东师范大学);Western University(韦仕敦大学)
Simultaneous segmentation and detection of liver tumors (hemangioma and hepatocellular carcinoma (HCC)) by using multi-modality non-contrast magnetic resonance imaging (NCMRI) are crucial for the clinical diagnosis. However, it is still a challenging task due to: (1) the HCC information on NCMRI is invisible or insufficient makes extraction of liver tumors feature difficult; (2) diverse imaging characteristics in multi-modality NCMRI causes feature fusion and selection difficult; (3) no specific information between hemangioma and HCC on NCMRI cause liver tumors detection difficult. In this stu…
Johns Hopkins University(约翰斯·霍普金斯大学);Shenzhen Technology University(深圳技术大学);Sun Yat-sen University(中山大学);The First Affiliated Hospital of Sun Yat-sen University(中山大学附属第一医院);Hong Kong Polytechnic University(香港理工大学);University of Chinese Academy of Sciences(中国科学院大学);National University of Singapore(新加坡国立大学);NVIDIA(英伟达公司);University of Bologna(博洛尼亚大学);Italian Institute of Technology(意大利技术研究院);University of California, San Francisco(加利福尼亚大学旧金山分校)
The performance of a computer-aided automated diagnosis system of lung cancer from Computed Tomography (CT) volumetric images greatly depends on the accurate detection and segmentation of tumor regions. In this paper, we present Recurrent 3D-DenseUNet, a novel deep learning based architecture for volumetric lung tumor segmentation from CT scans. The proposed architecture consists of a 3D encoder block that learns to extract fine-grained spatial and coarse-grained temporal features, a recurrent block of multiple Convolutional Long Short-Term Memory (ConvLSTM) layers to extract fine-grained spat…
Inception Institute of Artificial Intelligence(人工智能起源研究所);Lehigh University(利哈伊大学);Tianjin University(天津大学);Mohamed bin Zayed University of Artificial Intelligence(穆罕默德·本·扎耶德人工智能大学)
Early and accurate prediction of overall survival (OS) time can help to obtain better treatment planning for brain tumor patients. Although many OS time prediction methods have been developed and obtain promising results, there are still several issues. First, conventional prediction methods rely on radiomic features at the local lesion area of a magnetic resonance (MR) volume, which may not represent the full image or model complex tumor patterns. Second, different types of scanners (i.e., multi-modal data) are sensitive to different brain regions, which makes it challenging to effectively ex…
Guilin University of Electronic Technology(桂林电子科技大学);McGill University(麦吉尔大学);Lady Davis Institute for Medical Research(戴维斯夫人医学研究所)
Radiomics has shown a capability for different types of cancers such as glioma to predict the clinical outcome. It can have a non-invasive means of evaluating the immunotherapy response prior to treatment. However, the use of deep convolutional neural networks (CNNs)-based radiomics requires large training image sets. To avoid this problem, we investigate a new imaging features that model distribution with a Gaussian mixture model (GMM) of learned 3D CNN features. Using these deep radiomic features (DRFs), we aim to predict the immune marker status (low versus high) and overall survival for gl…