Rib suppression-based radiomics for diagnosis of neonatal respiratory distress syndrome in chest X-rays

Abstract This study aims to refine a radiomics-based diagnostic approach for detecting neonatal respiratory distress syndrome (NRDS) and examines the influence of rib suppression on the diagnostic precision of radiomics models using neonatal chest X-ray (CXR) images. A total of 138 CXR images were c...

Full description

Saved in:
Bibliographic Details
Main Authors: Yudong Wang, Zongjin Qu, Zhengjun Dai, Yuhong Li, Yanyan Liu, Wei Wang, Lianxiang Xiao, Yi Zhang
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-025-88982-6
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823862281442689024
author Yudong Wang
Zongjin Qu
Zhengjun Dai
Yuhong Li
Yanyan Liu
Wei Wang
Lianxiang Xiao
Yi Zhang
author_facet Yudong Wang
Zongjin Qu
Zhengjun Dai
Yuhong Li
Yanyan Liu
Wei Wang
Lianxiang Xiao
Yi Zhang
author_sort Yudong Wang
collection DOAJ
description Abstract This study aims to refine a radiomics-based diagnostic approach for detecting neonatal respiratory distress syndrome (NRDS) and examines the influence of rib suppression on the diagnostic precision of radiomics models using neonatal chest X-ray (CXR) images. A total of 138 CXR images were collected in this study. The data was partitioned into training and validation subsets based on chronological order. We applied rib suppression to the CXR images and extracted and analyzed radiomic features from lung regions both before and after rib suppression. This approach was designed to identify NRDS, develop radiomics models, and assess the impact of rib suppression on model performance. To establish these radiomics models, six machine learning models were utilized in the study. The performance was evaluated using the area under the receiver operating characteristic curve (AUC). On the validation set, the models demonstrated significant improvements after rib suppression. Specifically, the Gradient Boosting Machine (GBM) achieved an AUC of 0.781 post-suppression compared to 0.556 pre-suppression. Notably, Linear Discriminant Analysis (LDA) and Logistic Regression (LR) performed particularly well when combining features from both scenarios, achieving AUCs of 0.762 and 0.756. The results indicate the feasibility of developing radiomics models for diagnosing NRDS and highlight the enhancement in model performance due to rib suppression. This study provides a promising new method for the imaging diagnosis and prognosis evaluation of neonatal respiratory distress syndrome, showcasing the potential of radiomics in pediatric imaging.
format Article
id doaj-art-1cc4b7ef9ffd4aa1a327d9972034ad9e
institution Kabale University
issn 2045-2322
language English
publishDate 2025-02-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj-art-1cc4b7ef9ffd4aa1a327d9972034ad9e2025-02-09T12:35:36ZengNature PortfolioScientific Reports2045-23222025-02-0115111110.1038/s41598-025-88982-6Rib suppression-based radiomics for diagnosis of neonatal respiratory distress syndrome in chest X-raysYudong Wang0Zongjin Qu1Zhengjun Dai2Yuhong Li3Yanyan Liu4Wei Wang5Lianxiang Xiao6Yi Zhang7School of Physics and Electronic Engineering, Linyi UniversitySchool of Medicine, Linyi UniversityScientific Research Department, Huiying Medical Technology Co., LtdDepartment of Neonatology, Shandong Provincial Maternal and Child Health Care Hospital affiliated to Qingdao UniversityDepartment of Radiology, Shandong Provincial Maternal and Child Health Care Hospital affiliated to Qingdao UniversityOutpatient Department, Shandong Provincial Maternal and Child Health Care Hospital affiliated to Qingdao UniversityDepartment of Radiology, Shandong Provincial Maternal and Child Health Care Hospital affiliated to Qingdao UniversityInformation Center, Shandong Provincial Maternal and Child Health Care Hospital affiliated to Qingdao UniversityAbstract This study aims to refine a radiomics-based diagnostic approach for detecting neonatal respiratory distress syndrome (NRDS) and examines the influence of rib suppression on the diagnostic precision of radiomics models using neonatal chest X-ray (CXR) images. A total of 138 CXR images were collected in this study. The data was partitioned into training and validation subsets based on chronological order. We applied rib suppression to the CXR images and extracted and analyzed radiomic features from lung regions both before and after rib suppression. This approach was designed to identify NRDS, develop radiomics models, and assess the impact of rib suppression on model performance. To establish these radiomics models, six machine learning models were utilized in the study. The performance was evaluated using the area under the receiver operating characteristic curve (AUC). On the validation set, the models demonstrated significant improvements after rib suppression. Specifically, the Gradient Boosting Machine (GBM) achieved an AUC of 0.781 post-suppression compared to 0.556 pre-suppression. Notably, Linear Discriminant Analysis (LDA) and Logistic Regression (LR) performed particularly well when combining features from both scenarios, achieving AUCs of 0.762 and 0.756. The results indicate the feasibility of developing radiomics models for diagnosing NRDS and highlight the enhancement in model performance due to rib suppression. This study provides a promising new method for the imaging diagnosis and prognosis evaluation of neonatal respiratory distress syndrome, showcasing the potential of radiomics in pediatric imaging.https://doi.org/10.1038/s41598-025-88982-6Neonatal respiratory distress syndromeRadiomicsBone suppressionChest X-rayDeep learning
spellingShingle Yudong Wang
Zongjin Qu
Zhengjun Dai
Yuhong Li
Yanyan Liu
Wei Wang
Lianxiang Xiao
Yi Zhang
Rib suppression-based radiomics for diagnosis of neonatal respiratory distress syndrome in chest X-rays
Scientific Reports
Neonatal respiratory distress syndrome
Radiomics
Bone suppression
Chest X-ray
Deep learning
title Rib suppression-based radiomics for diagnosis of neonatal respiratory distress syndrome in chest X-rays
title_full Rib suppression-based radiomics for diagnosis of neonatal respiratory distress syndrome in chest X-rays
title_fullStr Rib suppression-based radiomics for diagnosis of neonatal respiratory distress syndrome in chest X-rays
title_full_unstemmed Rib suppression-based radiomics for diagnosis of neonatal respiratory distress syndrome in chest X-rays
title_short Rib suppression-based radiomics for diagnosis of neonatal respiratory distress syndrome in chest X-rays
title_sort rib suppression based radiomics for diagnosis of neonatal respiratory distress syndrome in chest x rays
topic Neonatal respiratory distress syndrome
Radiomics
Bone suppression
Chest X-ray
Deep learning
url https://doi.org/10.1038/s41598-025-88982-6
work_keys_str_mv AT yudongwang ribsuppressionbasedradiomicsfordiagnosisofneonatalrespiratorydistresssyndromeinchestxrays
AT zongjinqu ribsuppressionbasedradiomicsfordiagnosisofneonatalrespiratorydistresssyndromeinchestxrays
AT zhengjundai ribsuppressionbasedradiomicsfordiagnosisofneonatalrespiratorydistresssyndromeinchestxrays
AT yuhongli ribsuppressionbasedradiomicsfordiagnosisofneonatalrespiratorydistresssyndromeinchestxrays
AT yanyanliu ribsuppressionbasedradiomicsfordiagnosisofneonatalrespiratorydistresssyndromeinchestxrays
AT weiwang ribsuppressionbasedradiomicsfordiagnosisofneonatalrespiratorydistresssyndromeinchestxrays
AT lianxiangxiao ribsuppressionbasedradiomicsfordiagnosisofneonatalrespiratorydistresssyndromeinchestxrays
AT yizhang ribsuppressionbasedradiomicsfordiagnosisofneonatalrespiratorydistresssyndromeinchestxrays