Survival prediction of liver cancer patients from CT images using deep learning and radiomic feature-based regression

Hansang Lee, Helen Hong, Jinsil Seong, Jin Sung Kim, Junmo Kim

Research output: Chapter in Book/Report/Conference proceedingConference contribution


Prediction of survival period for patients with hepatocellular carcinoma (HCC) provides important information for treatment planning such as radiotherapy. However, the task is known to be challenging due to the similarity of tumor imaging characteristics from patients with different survival periods. In this paper, we propose a survival prediction method using deep learning and radiomic features from CT images with support vector machine (SVM) regression. First, to extract the deep features, the convolutional neural network (CNN) is trained for the task of classifying the patients for 24-month survival. Second, the radiomic features including texture and shape are extracted from the patient images. After concatenating the radiomic features and the deep features, the SVM regressor is trained to predict the survival period of the patients. The experiment was performed on the CT scans of 171 HCC patients with 5-fold cross validation. In the experiments, the proposed method showed an accuracy of 86.5%, a root-mean-squared-error (RMSE) of 11.6, and a Spearman rank coefficient of 0.11. In comparisons with the deep feature-only- and radiomic feature-only regression results, the proposed method showed improved accuracy and RMSE than both, but lower rank coefficient than the radiomic feature-only regression. It can be observed that (1) the deep learning of CT images has a promising potential for predicting the survival period of HCC patients, and (2) the radiomic feature analysis provides useful information to strengthen the power of deep learning-based survival prediction.

Original languageEnglish
Title of host publicationMedical Imaging 2020
Subtitle of host publicationComputer-Aided Diagnosis
EditorsHorst K. Hahn, Maciej A. Mazurowski
ISBN (Electronic)9781510633957
Publication statusPublished - 2020
EventMedical Imaging 2020: Computer-Aided Diagnosis - Houston, United States
Duration: 2020 Feb 162020 Feb 19

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
ISSN (Print)1605-7422


ConferenceMedical Imaging 2020: Computer-Aided Diagnosis
Country/TerritoryUnited States

Bibliographical note

Funding Information:
This work was supported by Radiation Technology Research and Development (R&D) program through the National Research Foundation of Korea (NRF-2017M2A2A7A02070427)

Publisher Copyright:
© 2020 SPIE.

All Science Journal Classification (ASJC) codes

  • Electronic, Optical and Magnetic Materials
  • Biomaterials
  • Atomic and Molecular Physics, and Optics
  • Radiology Nuclear Medicine and imaging


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