In this study, a combined deep learning and radiomics (DLR) approach using six different network architectures was tested and compared for the prediction of high Ki-67 expressions in patients with hepatocellular carcinoma (HCC). The model was based primarily on data from MRI and tomoelastography, a multifrequency MR elastography technique. Xception delivered the best performance and recognized seven prominent features among which four were obtained from tomoelastography. Our findings demonstrated that biomechanical properties, especially viscosity and the fluid behavior of the tumor, are crucial imaging features that are important for imaging-based cancer diagnostics.
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