Abstract
We assessed the feasibility of using deep learning-based image harmonization to improve the reproducibility of radiomics features in abdominal CT scans. In CT imaging, harmonization adjusts images from different institutions to ensure consistency despite variations in scanners and acquisition protocols. This process is essential because such differences can lead to variability in radiomics features, affecting reproducibility and accuracy. Harmonizing images minimizes these inconsistencies, supporting more reliable and clinically applicable results across diverse settings. A pre-trained harmonization algorithm was applied to 63 dual-energy abdominal CT images, which were reconstructed into four different types, and 10 regions of interest (ROIs) were analyzed. From the original 455 radiomics features per ROI, 387 were used after excluding redundant features. Reproducibility was measured using the intraclass correlation coefficient (ICC), with a threshold of ICC ≥ 0.85 indicating acceptable reproducibility. The region-based analysis revealed significant improvements in reproducibility post-harmonization, especially in vessel features, which increased from 14% to 69%. Other regions, including the spleen, kidney, muscle, and liver parenchyma, also saw notable improvements, although air reproducibility slightly decreased from 95% to 94%, impacting only a few features. In patient-based analysis, reproducible features increased from 18% to 65%, with an average of 179 additional reproducible features per patient after harmonization. These results demonstrate that deep learning-based harmonization can significantly enhance the reproducibility of radiomics features in abdominal CT, offering promising potential for advancing radiomics development and its clinical applications.