Peer-Reviewed Publication
Eur Radiol Exp2026;10(1)October 5, 2026Journal Article

Radiomics machine learning models for lung cancer early diagnosis in heterogenous multicentre chest CT data: LIBRA study results.

Benjamin Hunter1,2, Prashanthi Ratnakumar3, Daniel Tong2, Nishanthi Senthivel2, Amyn Bhamani4, Abigail Coe5, Susannah Bloch3, Samuel V Kemp6, Simon Doran7, Neal Navani4, Arjun Nair4, Jonathan Ratoff5, Claire E Wells5, Justin Garner8, Andrew Nicolson8, Catey Bunce2, Matthew Blackledge7, Anand Devaraj1,8, Eric O Aboagye1, Richard W Lee9,10,11
1Imperial College London, London, England.
2The Royal Marsden NHS Foundation Trust, London, England.
3Imperial College Healthcare Trust, London, England.
4University College London Hospitals NHS Foundation Trust, London, England.
5Epsom and St Helier University Hospitals NHS Trust, Surrey, England.
6Nottingham University Hospitals NHS Foundation Trust, Nottingham, England.
7The Institute of Cancer Research, London, England.
8The Royal Brompton and Harefield Hospitals, Guy's and St Thomas's NHS Foundation Trust, London, England.
9Imperial College London, London, England. Richard.lee@rmh.nhs.uk.
10The Royal Marsden NHS Foundation Trust, London, England. Richard.lee@rmh.nhs.uk.
11The Institute of Cancer Research, London, England. Richard.lee@rmh.nhs.uk.

Abstract

OBJECTIVE: We developed and validated radiomics models for lung cancer prediction in indeterminate pulmonary nodules that retain performance in heterogenous data from multiple centres. MATERIALS AND METHODS: The retrospective Lung Imaging Biobank for Radiomics and AI (LIBRA) study recruited 1,026 patients (2,071 computed tomography scans) with 5-to-30-mm lung nodules from seven UK hospitals (01/0…

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