Comparison of Resampling Methods and Radiomic Machine Learning Classifiers for Predicting Bone Quality Using Dual-Energy X-Ray Absorptiometry

<b>Background/Objectives</b>: This study presents a novel approach, based on a combination of radiomic feature extraction, data resampling techniques, and machine learning algorithms, for the detection of degraded bone structures in Dual X-ray Absorptiometry (DXA) images. This comprehens...

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Main Authors: Mailen Gonzalez, José Manuel Fuertes García, María Belén Zanchetta, Rubén Abdala, José María Massa
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/15/2/175
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author Mailen Gonzalez
José Manuel Fuertes García
María Belén Zanchetta
Rubén Abdala
José María Massa
author_facet Mailen Gonzalez
José Manuel Fuertes García
María Belén Zanchetta
Rubén Abdala
José María Massa
author_sort Mailen Gonzalez
collection DOAJ
description <b>Background/Objectives</b>: This study presents a novel approach, based on a combination of radiomic feature extraction, data resampling techniques, and machine learning algorithms, for the detection of degraded bone structures in Dual X-ray Absorptiometry (DXA) images. This comprehensive approach, which addresses the critical aspects of the problem, distinguishes this work from previous studies, improving the performance achieved by the most similar studies. The primary aim is to provide clinicians with an accessible tool for quality bone assessment, which is currently limited. <b>Methods</b>: A dataset of 1531 spine DXA images was automatically segmented and labelled based on Trabecular Bone Score (TBS) values. Radiomic features were extracted using Pyradiomics, and various resampling techniques were employed to address class imbalance. Three machine learning classifiers (Logistic Regression, Support Vector Machine (SVM), and XGBoost) were trained and evaluated using standard performance metrics. <b>Results</b>: The SVM classifier outperformed the other classifiers. The highest F-score of 97.5% was achieved using the Grey Level Dependence Matrix and Grey Level Run Length Matrix feature combination with SMOTEENN resampling, which proved to be the most effective resampling technique, while the undersampling method yielded the lowest performance. <b>Conclusions</b>: This research demonstrates the potential of radiomic texture features, resampling techniques, and machine learning methods for classifying DXA images into healthy or degraded bone structures, which potentially leads to improved clinical diagnosis and treatment.
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spelling doaj-art-c01387d72e7a4bce92f712c25d709b382025-01-24T13:29:00ZengMDPI AGDiagnostics2075-44182025-01-0115217510.3390/diagnostics15020175Comparison of Resampling Methods and Radiomic Machine Learning Classifiers for Predicting Bone Quality Using Dual-Energy X-Ray AbsorptiometryMailen Gonzalez0José Manuel Fuertes García1María Belén Zanchetta2Rubén Abdala3José María Massa4Instituto de Investigación en Tecnología Informática Avanzada, Universidad Nacional del Centro de la Provincia de Buenos Aires, Tandil 7000, ArgentinaDepartamento de Informática, Escuela Politécnica Superior, Universidad de Jaén, 23071 Jaén, SpainInstituto de Diagnóstico e Investigaciones Metabólicas, Buenos Aires 1012, ArgentinaInstituto de Diagnóstico e Investigaciones Metabólicas, Buenos Aires 1012, ArgentinaInstituto de Investigación en Tecnología Informática Avanzada, Universidad Nacional del Centro de la Provincia de Buenos Aires, Tandil 7000, Argentina<b>Background/Objectives</b>: This study presents a novel approach, based on a combination of radiomic feature extraction, data resampling techniques, and machine learning algorithms, for the detection of degraded bone structures in Dual X-ray Absorptiometry (DXA) images. This comprehensive approach, which addresses the critical aspects of the problem, distinguishes this work from previous studies, improving the performance achieved by the most similar studies. The primary aim is to provide clinicians with an accessible tool for quality bone assessment, which is currently limited. <b>Methods</b>: A dataset of 1531 spine DXA images was automatically segmented and labelled based on Trabecular Bone Score (TBS) values. Radiomic features were extracted using Pyradiomics, and various resampling techniques were employed to address class imbalance. Three machine learning classifiers (Logistic Regression, Support Vector Machine (SVM), and XGBoost) were trained and evaluated using standard performance metrics. <b>Results</b>: The SVM classifier outperformed the other classifiers. The highest F-score of 97.5% was achieved using the Grey Level Dependence Matrix and Grey Level Run Length Matrix feature combination with SMOTEENN resampling, which proved to be the most effective resampling technique, while the undersampling method yielded the lowest performance. <b>Conclusions</b>: This research demonstrates the potential of radiomic texture features, resampling techniques, and machine learning methods for classifying DXA images into healthy or degraded bone structures, which potentially leads to improved clinical diagnosis and treatment.https://www.mdpi.com/2075-4418/15/2/175dual energy X-ray absorptiometrytrabecular bone scoreradiomicsdata resamplingmachine learning
spellingShingle Mailen Gonzalez
José Manuel Fuertes García
María Belén Zanchetta
Rubén Abdala
José María Massa
Comparison of Resampling Methods and Radiomic Machine Learning Classifiers for Predicting Bone Quality Using Dual-Energy X-Ray Absorptiometry
Diagnostics
dual energy X-ray absorptiometry
trabecular bone score
radiomics
data resampling
machine learning
title Comparison of Resampling Methods and Radiomic Machine Learning Classifiers for Predicting Bone Quality Using Dual-Energy X-Ray Absorptiometry
title_full Comparison of Resampling Methods and Radiomic Machine Learning Classifiers for Predicting Bone Quality Using Dual-Energy X-Ray Absorptiometry
title_fullStr Comparison of Resampling Methods and Radiomic Machine Learning Classifiers for Predicting Bone Quality Using Dual-Energy X-Ray Absorptiometry
title_full_unstemmed Comparison of Resampling Methods and Radiomic Machine Learning Classifiers for Predicting Bone Quality Using Dual-Energy X-Ray Absorptiometry
title_short Comparison of Resampling Methods and Radiomic Machine Learning Classifiers for Predicting Bone Quality Using Dual-Energy X-Ray Absorptiometry
title_sort comparison of resampling methods and radiomic machine learning classifiers for predicting bone quality using dual energy x ray absorptiometry
topic dual energy X-ray absorptiometry
trabecular bone score
radiomics
data resampling
machine learning
url https://www.mdpi.com/2075-4418/15/2/175
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