From Global Radiomics to Parametric Maps: A Unified Workflow Fusing Radiomics and Deep Learning for PDAC Detection
Zengtian Deng, Yimeng He, Yu Shi, Lixia Wang, Touseef Ahmad Qureshi, Xiuzhen Huang, Debiao Li
TL;DR
This work addresses PDAC detection by uniting handcrafted radiomics with deep learning through a radiomics-aware, two-stage nnUNet. The pipeline first selects a compact set of discriminative global radiomic features from the whole pancreas and then fuses these features, along with voxel-wise radiomic maps, into a two-stage segmentation/detection framework. Empirical results on PANORAMA and an external cohort show that combining global features and parametric maps yields the best PDAC detection performance, with statistically significant gains over a baseline nnUNet and strong cross-dataset robustness. The approach is made scalable by CUDA-accelerated voxel-wise radiomics, enabling practical large-scale studies and potential clinical translation.
Abstract
Radiomics and deep learning both offer powerful tools for quantitative medical imaging, but most existing fusion approaches only leverage global radiomic features and overlook the complementary value of spatially resolved radiomic parametric maps. We propose a unified framework that first selects discriminative radiomic features and then injects them into a radiomics-enhanced nnUNet at both the global and voxel levels for pancreatic ductal adenocarcinoma (PDAC) detection. On the PANORAMA dataset, our method achieved AUC = 0.96 and AP = 0.84 in cross-validation. On an external in-house cohort, it achieved AUC = 0.95 and AP = 0.78, outperforming the baseline nnUNet; it also ranked second in the PANORAMA Grand Challenge. This demonstrates that handcrafted radiomics, when injected at both global and voxel levels, provide complementary signals to deep learning models for PDAC detection. Our code can be found at https://github.com/briandzt/dl-pdac-radiomics-global-n-paramaps
