arXiv AI By David Corral Fontecha, Juan Miranda Bautista, Pablo Menendez Fern\'andez-Miranda, Sergio Rubio-Mart\'in, Lara Lloret Iglesias, Jose A. Vega

Physically Aware Radiomics Without Interpolation: Disentangling Voxel Geometry and Signal Modification in CT and MRI

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The study introduces a voxel-spacing-aware radiomic framework that incorporates physical geometry into texture computation without resampling, modifying PyRadiomics to preserve native image signals. Four extraction configurations—native non-resampled (NR), isotropic resampling (RS), voxel-spacing-aware (VS), and fake-isotropic preprocessing (FK)—were compared across 685 CT pulmonary nodules and 209 MRI breast cases, evaluating 196 radiomic descriptors. Results show that VS closely matches NR (median ICC(A,1) ≈0.998) while RS and FK exhibit lower agreement, indicating that spacing metadata alone can significantly influence radiomic features.

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