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Poster Display session 1

2737 - Differentiating well-differentiated liposarcomas from lipomas using a radiomics approach


28 Sep 2019


Poster Display session 1


Tumour Site



Melissa Vos


Annals of Oncology (2019) 30 (suppl_5): v683-v709. 10.1093/annonc/mdz283


M. Vos1, M.P.A. Starmans2, M.J. Timbergen3, S.R. van der Voort2, G.A. Padmos4, W. Kessels5, W.J. Niessen2, G.J.L.H. van Leenders6, D.J. Grünhagen7, S. Sleijfer8, C. Verhoef7, S. Klein2, J.J. Visser9

Author affiliations

  • 1 Medical Oncology And Surgical Oncology, Erasmus MC Cancer Institute, 3015GD - Rotterdam/NL
  • 2 Radiology And Nuclear Medicine, Medical Informatics, Erasmus MC, 3015 GD - Rotterdam/NL
  • 3 Surgical Oncology And Medical Oncology, Erasmus MC Cancer Institute, 3015 GD - Rotterdam/NL
  • 4 Surgical Oncology, Erasmus MC Cancer Institute, 3015 GD - Rotterdam/NL
  • 5 Applied Sciences, Delft University of Technology, Delft/NL
  • 6 Pathology, Erasmus MC, 3015 CN - Rotterdam/NL
  • 7 Surgical Oncology, Erasmus MC Cancer Institute, Rotterdam/NL
  • 8 Medical Oncology, Erasmus MC Cancer Institute, 3015 GD - Rotterdam/NL
  • 9 Radiology And Nuclear Medicine, Erasmus MC, 3015 GD - Rotterdam/NL


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Abstract 2737


Well-differentiated liposarcomas (WDLPS) can be difficult to distinguish from lipomas. Currently, this distinction is made by testing for MDM2-amplification, which requires a biopsy. The aim of this study was to non-invasively predict the MDM2-amplification status using radiomics, i.e. a combination of quantitative imaging features and machine learning techniques, thereby differentiating between lipomas and WDLPS.


Patients with a lipoma or WDLPS, a known MDM2-amplification status and a pre-treatment T1-weighted MRI scan who were referred to or diagnosed at the Erasmus MC from 2009-2018 were included. When available, other sequences, e.g. T2-weighted (fat-saturated) MRI, were included in the radiomics analysis. Imaging features describing intensity, shape, orientation and texture were extracted from the tumor segmentations; age, gender, tumor depth and tumor localization were added as semantic features. Classification was performed using an ensemble of various machine learning approaches. Evaluation was performed through 100x random-split cross-validation.


We included 116 patients: 58 patients with lipoma and 58 patients with WDLPS. The dataset originated from 41 MRI-scanners, resulting in large heterogeneity in imaging hardware and acquisition protocols. The best performing radiomics approach to differentiate between WDLPS and lipomas, based on T1-weighted imaging only, resulted in a mean [95% confidence interval] AUC of 0.75 [0.65-0.86], accuracy of 0.68 [0.59-0.77], sensitivity of 0.63 [0.48-0.78] and specificity of 0.73 [0.59-0.87]. A model based on the combination of imaging and semantic featured showed only a minor and non-significant improvement in performance.


There is a significant relationship between a radiomics signature, consisting of a combination of quantitative MRI features, and the MDM2-amplification status. Although further optimization and validation is needed for the transition to clinical practice, radiomics has appeared to be a promising, non-invasive approach for the classification of WDLPS and lipomas.

Clinical trial identification

Editorial acknowledgement

M.Vos and M.P.A. Starmans contributed equally to this study.

Legal entity responsible for the study

The authors.


Stichting Coolsingel, Netherlands Organisation for Scientific Research, Dutch Cancer Society.


All authors have declared no conflicts of interest.

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