Sjögren's disease & overlap diseases

Detecting Sjögren’s disease from parotid gland ultrasound radiomics

Rheumatology (Oxford)Published Diagnostic accuracy study

Authors' conclusion

Radiomics-based machine learning demonstrated high classification performance for distinguishing SjD from healthy controls using parotid gland ultrasonography.

Study context

Population
Patients fulfilling the 2016 ACR/EULAR criteria for Sjögren's disease (SjD), healthy controls, non-Sjögren sicca patients and incomplete SjD cases
Participants
202 patients866 parotid US images
Comparison
Radiomics-based machine learning on parotid gland US vs conventional visual assessment by radiologists
Outcome
Classification performance for SjD vs healthy controls
Methodological detailsradiomics-based machine learning, 5-fold soft-voting SVM ensemble, held-out test set, SHAP analysis for interpretability
  • Radiomics-based machine learning
  • 5-fold soft-voting SVM ensemble
  • Held-out test set
  • SHAP analysis for interpretability

Performance

As reported in the abstract

Binary classification SjD vs healthy controls
Test or modelAUCSensitivitySpecificityAccuracyAccuracy (two radiologists)
SVM ensemble0.990.860.960.94— not stated in the abstract
Radiologist assessment— not stated in the abstract— not stated in the abstract— not stated in the abstract— not stated in the abstract0.62 and 0.72

AUC

SVM ensemble0.99
Radiologist assessment— not stated in the abstract

Sensitivity

SVM ensemble0.86
Radiologist assessment— not stated in the abstract

Specificity

SVM ensemble0.96
Radiologist assessment— not stated in the abstract

Accuracy

SVM ensemble0.94
Radiologist assessment— not stated in the abstract

Accuracy (two radiologists)

SVM ensemble— not stated in the abstract
Radiologist assessment0.62 and 0.72

— not stated in the abstract

Further findings

Strongest predictors (SHAP)

Intensity dispersion metrics, GLCM-based texture features and LBP micro-texture patterns

Non-Sjögren sicca vs confirmed SjD (PCA and feature-level analyses)

Substantial overlap in radiomic features

Original publication

Detecting Sjögren’s disease from parotid gland ultrasound radiomics. Rheumatology (Oxford). Published 11 August 2026. doi:10.1093/rheumatology/keag409

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