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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Publishing linked and FAIR-compliant radiomics data in radiation oncology via ontologies and Semantic Web techniques</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>A. Traverso</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>M. Vallières</string-name>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>J. van Soest</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>L. Wee</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>O. Morin</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>A. Dekker</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Department of Radiation Oncology (MAASTRO), GROW - School for Oncology and Development Biology, Maastricht University Medical Center</institution>
          ,
          <addr-line>Maastricht</addr-line>
          ,
          <country country="NL">the Netherlands</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Department of Radiation Oncology, University California San Francisco</institution>
          ,
          <addr-line>San Francisco, California</addr-line>
          ,
          <country country="US">USA</country>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>Medical Physics Unit, McGill University</institution>
          ,
          <addr-line>Montreal, Québec</addr-line>
          ,
          <country country="CA">Canada</country>
        </aff>
      </contrib-group>
      <kwd-group>
        <kwd>Ontologies</kwd>
        <kwd>Radiation Oncology</kwd>
        <kwd>Radiomics</kwd>
        <kwd>Imaging</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>Introduction</title>
      <p>
        Medical images potentially embed much more information (‘features’) than can be
exploited via visual inspection. Radiomics, the automated extraction of informative
quantitative imaging features from patients’ scans, could provide additional
knowledge besides clinical prognostic factors for decision support systems in
radiation oncology[
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]. However, several limitations exist: no consensus on radiomics
features’ standardization, strong feature dependencies on how images are acquired and
on settings (e.g. digital image pre-processing) defined for computations, poor quality
of reporting and lack of transparency[
        <xref ref-type="bibr" rid="ref2">2</xref>
        ]. The IBSI (Image Biomarker Standardization
Initiative) is a worldwide effort aiming at the standardization of radiomics
computations[
        <xref ref-type="bibr" rid="ref3">3</xref>
        ]. One of the pillars of the IBSI workbook is that simply recording and
comparing raw features values is not enough. Storing metadata associated with features
computation, as well as the possibility to overcome differences in nomenclature between
different computational packages to guarantee their interoperability and
reproducibility in multi-center studies is needed. Also, radiomics data and metadata should be
connected to corresponding clinical data (linked data) as input for AI algorithms. In
this study, we present a proof-of-concept study using our newly developed radiomics
ontology, combined with Semantic Web technologies, as instrument for enabling
interoperability of radiomics data following FAIR principles: a) Findable→
associated radiomics studies data and metadata have unique identifiers as per the Radiomics
Ontology (RO); Accessible→ metadata and data for a radiomics experiment are
permanently stored in repository (e.g. SPARQL endpoint); Interoperable→ via universal
concepts defined in the RO full experiment results and methods can be retrieved;
      </p>
      <p>Reusable→ data and metadata can be re-used to re-produce the study.</p>
      <p>Copyright © 2019 for this paper by its authors. Use permitted under Creative Commons License Attribution 4.0 International (CC BY 4.0).</p>
    </sec>
    <sec id="sec-2">
      <title>Material and Methods</title>
      <p>
        We developed a the radiomics ontology (RO)[
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]: 458 classes and 76 predicates
covering the whole spectrum of the workflow of radiomics computation, fully compliant to
the IBSI guidelines. To test the RO, two institutions used two different open source
radiomics packages in a blind fashion to extract radiomics from a publicly available
dataset of CT scans of lung cancer patient. Each institution converted features and
associated metadata of their experiments to RDF triples and uploaded to a SPARQL
endpoint.
3
      </p>
    </sec>
    <sec id="sec-3">
      <title>Results</title>
      <p>Each of the users could independently query all the features generated from the other
institution, without having any prior knowledge of the original labels used to store
features and associated computational details. Using SPARQL queries, we could for
example extract properties of the software used for computations from the other
institution. Finally, radiomics features were linked to corresponding clinical data. To help
the users with familiarize with this experiment, the full proof of concept is available at
https://github.com/albytrav/RadiomicsOntologyIBSI.</p>
    </sec>
    <sec id="sec-4">
      <title>4. Conclusion</title>
      <p>Ontologies and Sematic Web technologies allows the integration of radiomics with
multi-source clinical data for biomarker discoveries. The Radiomics Ontology could
speed up harmonization, standardization transparency of radiomics studies.</p>
    </sec>
  </body>
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</article>