{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T08:05:21Z","timestamp":1789977921471,"version":"4.0.1"},"reference-count":14,"publisher":"IOP Publishing","issue":"5","license":[{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/publishingsupport.iopscience.iop.org\/iop-standard\/v1"},{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/iopscience.iop.org\/info\/page\/text-and-data-mining"}],"content-domain":{"domain":["iopscience.iop.org"],"crossmark-restriction":false},"short-container-title":["Biomed. Phys. Eng. Express"],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:italic>Objective.<\/jats:italic>\n                    To determine whether simple regularized linear regression models, relying solely on radial distance, mass density and elemental tissue composition as input features, can outperform the conventional water-kernel interpolation baseline for predicting radial dose point kernels (DPKs) of\n                    <jats:inline-formula>\n                      <jats:tex-math>\n                        \n                      <\/jats:tex-math>\n                      <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" overflow=\"scroll\">\n                        <mml:mrow>\n                          <mml:msup>\n                            <mml:mi\/>\n                            <mml:mrow>\n                              <mml:mn>177<\/mml:mn>\n                            <\/mml:mrow>\n                          <\/mml:msup>\n                          <mml:mrow>\n                            <mml:mi>Lu<\/mml:mi>\n                          <\/mml:mrow>\n                        <\/mml:mrow>\n                      <\/mml:math>\n                    <\/jats:inline-formula>\n                    across a diverse set of homogeneous tissues and one additional low-density homogeneous medium.\n                    <jats:italic>Approach.<\/jats:italic>\n                    Radial DPKs for\n                    <jats:inline-formula>\n                      <jats:tex-math>\n                        \n                      <\/jats:tex-math>\n                      <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" overflow=\"scroll\">\n                        <mml:mrow>\n                          <mml:msup>\n                            <mml:mi\/>\n                            <mml:mrow>\n                              <mml:mn>177<\/mml:mn>\n                            <\/mml:mrow>\n                          <\/mml:msup>\n                          <mml:mrow>\n                            <mml:mi>Lu<\/mml:mi>\n                          <\/mml:mrow>\n                        <\/mml:mrow>\n                      <\/mml:math>\n                    <\/jats:inline-formula>\n                    were generated using OpenGATE 10 Monte Carlo simulations in 12 homogeneous media covering soft tissues, bone-like structures, and low-density lung-like tissues, together with one additional low-density homogeneous medium (\n                    <jats:inline-formula>\n                      <jats:tex-math>\n                        \n                      <\/jats:tex-math>\n                      <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" overflow=\"scroll\">\n                        <mml:mrow>\n                          <mml:mi>\u03c1<\/mml:mi>\n                          <mml:mo>=<\/mml:mo>\n                          <mml:mn>0.296<\/mml:mn>\n                        <\/mml:mrow>\n                      <\/mml:math>\n                    <\/jats:inline-formula>\n                    g\u2009cm\n                    <jats:inline-formula>\n                      <jats:tex-math>\n                        \n                      <\/jats:tex-math>\n                      <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" overflow=\"scroll\">\n                        <mml:mrow>\n                          <mml:msup>\n                            <mml:mi\/>\n                            <mml:mrow>\n                              <mml:mo>\u2212<\/mml:mo>\n                              <mml:mn>3<\/mml:mn>\n                            <\/mml:mrow>\n                          <\/mml:msup>\n                        <\/mml:mrow>\n                      <\/mml:math>\n                    <\/jats:inline-formula>\n                    ) evaluated separately as an out-of-distribution extrapolation test. Three scikit-learn models (RidgeCV, LassoCV, and ElasticNetCV) were trained with robust scaling and evaluated through leave-one-tissue-out (LOTO) and leave-one-family-out cross-validation, as well as on the independent low-density case. Performance was assessed using mean absolute percentage error on physical dose (\n                    <jats:inline-formula>\n                      <jats:tex-math>\n                        \n                      <\/jats:tex-math>\n                      <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" overflow=\"scroll\">\n                        <mml:mrow>\n                          <mml:msub>\n                            <mml:mrow>\n                              <mml:mi>MAPE<\/mml:mi>\n                            <\/mml:mrow>\n                            <mml:mrow>\n                              <mml:mrow>\n                                <mml:mi>phys<\/mml:mi>\n                              <\/mml:mrow>\n                            <\/mml:mrow>\n                          <\/mml:msub>\n                        <\/mml:mrow>\n                      <\/mml:math>\n                    <\/jats:inline-formula>\n                    ), logarithmic root mean square error (\n                    <jats:inline-formula>\n                      <jats:tex-math>\n                        \n                      <\/jats:tex-math>\n                      <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" overflow=\"scroll\">\n                        <mml:mrow>\n                          <mml:msub>\n                            <mml:mrow>\n                              <mml:mi>RMSE<\/mml:mi>\n                            <\/mml:mrow>\n                            <mml:mrow>\n                              <mml:mi>log<\/mml:mi>\n                            <\/mml:mrow>\n                          <\/mml:msub>\n                        <\/mml:mrow>\n                      <\/mml:math>\n                    <\/jats:inline-formula>\n                    ), relative integral energy error, and relative errors on\n                    <jats:inline-formula>\n                      <jats:tex-math>\n                        \n                      <\/jats:tex-math>\n                      <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" overflow=\"scroll\">\n                        <mml:mrow>\n                          <mml:msub>\n                            <mml:mi>r<\/mml:mi>\n                            <mml:mrow>\n                              <mml:mn>50<\/mml:mn>\n                              <mml:mi mathvariant=\"normal\">%<\/mml:mi>\n                            <\/mml:mrow>\n                          <\/mml:msub>\n                        <\/mml:mrow>\n                      <\/mml:math>\n                    <\/jats:inline-formula>\n                    and\n                    <jats:inline-formula>\n                      <jats:tex-math>\n                        \n                      <\/jats:tex-math>\n                      <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" overflow=\"scroll\">\n                        <mml:mrow>\n                          <mml:msub>\n                            <mml:mi>r<\/mml:mi>\n                            <mml:mrow>\n                              <mml:mn>10<\/mml:mn>\n                              <mml:mi mathvariant=\"normal\">%<\/mml:mi>\n                            <\/mml:mrow>\n                          <\/mml:msub>\n                        <\/mml:mrow>\n                      <\/mml:math>\n                    <\/jats:inline-formula>\n                    , systematically compared against a water-kernel baseline obtained by linear resampling of a single simulated water DPK.\n                    <jats:italic>Main results.<\/jats:italic>\n                    ElasticNetCV was the best-performing linear surrogate overall, achieving a mean\n                    <jats:inline-formula>\n                      <jats:tex-math>\n                        \n                      <\/jats:tex-math>\n                      <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" overflow=\"scroll\">\n                        <mml:mrow>\n                          <mml:msub>\n                            <mml:mrow>\n                              <mml:mi>MAPE<\/mml:mi>\n                            <\/mml:mrow>\n                            <mml:mrow>\n                              <mml:mrow>\n                                <mml:mi>phys<\/mml:mi>\n                              <\/mml:mrow>\n                            <\/mml:mrow>\n                          <\/mml:msub>\n                        <\/mml:mrow>\n                      <\/mml:math>\n                    <\/jats:inline-formula>\n                    of 224% in LOTO validation (median 117%), followed by LassoCV and RidgeCV. However, none of the linear surrogates outperformed the water-kernel baseline on the main physical performance metrics. Mean gains relative to the baseline remained negative across tissue families, ranging from about\n                    <jats:inline-formula>\n                      <jats:tex-math>\n                        \n                      <\/jats:tex-math>\n                      <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" overflow=\"scroll\">\n                        <mml:mrow>\n                          <mml:mo>\u2212<\/mml:mo>\n                          <mml:mn>69<\/mml:mn>\n                        <\/mml:mrow>\n                      <\/mml:math>\n                    <\/jats:inline-formula>\n                    percentage points in bone-like tissues to about\n                    <jats:inline-formula>\n                      <jats:tex-math>\n                        \n                      <\/jats:tex-math>\n                      <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" overflow=\"scroll\">\n                        <mml:mrow>\n                          <mml:mo>\u2212<\/mml:mo>\n                          <mml:mn>759<\/mml:mn>\n                        <\/mml:mrow>\n                      <\/mml:math>\n                    <\/jats:inline-formula>\n                    percentage points in low-density lung-like tissues. Relative integral energy errors reached several thousand percent in lung-like media, and the separate low-density homogeneous medium also showed severe degradation (best surrogate\n                    <jats:inline-formula>\n                      <jats:tex-math>\n                        \n                      <\/jats:tex-math>\n                      <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" overflow=\"scroll\">\n                        <mml:mrow>\n                          <mml:msub>\n                            <mml:mrow>\n                              <mml:mi>MAPE<\/mml:mi>\n                            <\/mml:mrow>\n                            <mml:mrow>\n                              <mml:mrow>\n                                <mml:mi>phys<\/mml:mi>\n                              <\/mml:mrow>\n                            <\/mml:mrow>\n                          <\/mml:msub>\n                          <mml:mo>\u2248<\/mml:mo>\n                          <mml:mn>494<\/mml:mn>\n                          <mml:mi mathvariant=\"normal\">%<\/mml:mi>\n                        <\/mml:mrow>\n                      <\/mml:math>\n                    <\/jats:inline-formula>\n                    versus\n                    <jats:inline-formula>\n                      <jats:tex-math>\n                        \n                      <\/jats:tex-math>\n                      <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" overflow=\"scroll\">\n                        <mml:mrow>\n                          <mml:mo>\u2248<\/mml:mo>\n                          <mml:mn>45<\/mml:mn>\n                          <mml:mi mathvariant=\"normal\">%<\/mml:mi>\n                        <\/mml:mrow>\n                      <\/mml:math>\n                    <\/jats:inline-formula>\n                    for the water-kernel baseline). Although some surrogate predictions showed lower log-domain errors than the baseline in selected cases, these improvements did not translate into better dosimetric accuracy in physical dose units.\n                    <jats:italic>Significance.<\/jats:italic>\n                    Simple linear machine-learning surrogates based on radial distance, mass density and macroscopic elemental composition did not improve, and often substantially worsened, the accuracy of radial\n                    <jats:inline-formula>\n                      <jats:tex-math>\n                        \n                      <\/jats:tex-math>\n                      <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" overflow=\"scroll\">\n                        <mml:mrow>\n                          <mml:msup>\n                            <mml:mi\/>\n                            <mml:mrow>\n                              <mml:mn>177<\/mml:mn>\n                            <\/mml:mrow>\n                          <\/mml:msup>\n                          <mml:mrow>\n                            <mml:mi>Lu<\/mml:mi>\n                          <\/mml:mrow>\n                        <\/mml:mrow>\n                      <\/mml:math>\n                    <\/jats:inline-formula>\n                    DPK prediction compared with standard water-kernel interpolation. This negative benchmark delineates the limitations of basic tabular linear regression for capturing density- and composition-dependent kernel changes across a range of homogeneous media relevant to nuclear medicine dosimetry, and provides a reproducible reference framework for future development of more advanced surrogate models.\n                  <\/jats:p>","DOI":"10.1088\/2057-1976\/aea427","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T22:48:17Z","timestamp":1788907697000},"page":"055019","update-policy":"https:\/\/doi.org\/10.1088\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Limitations of simple machine-learning surrogates for cross-tissue prediction of radial\n                    <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\">\n                      <mml:mrow>\n                        <mml:msup>\n                          <mml:mi\/>\n                          <mml:mrow>\n                            <mml:mn>177<\/mml:mn>\n                          <\/mml:mrow>\n                        <\/mml:msup>\n                        <mml:mrow>\n                          <mml:mi>Lu<\/mml:mi>\n                        <\/mml:mrow>\n                      <\/mml:mrow>\n                    <\/mml:math>\n                    dose point kernels"],"prefix":"10.1088","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2734-4948","authenticated-orcid":true,"given":"Houcine","family":"Ennassiri","sequence":"first","affiliation":[{"name":"Centre Hospitalier Intercommunal Toulon\u2013La Seyne-sur-Mer"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"266","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"bpexaea427bib1","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1016\/S0969-8051(98)00087-1","type":"journal-article","article-title":"Radiation dosimetry in nuclear medicine","volume":"26","author":"Stabin","year":"1999","journal-title":"Nucl. 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All rights, including for text and data mining, AI training, and similar technologies, are reserved.","name":"copyright_information","label":"Copyright Information"},{"value":"2026-04-07","name":"date_received","label":"Date Received","group":{"name":"publication_dates","label":"Publication dates"}},{"value":"2026-09-08","name":"date_accepted","label":"Date Accepted","group":{"name":"publication_dates","label":"Publication dates"}},{"value":"2026-09-21","name":"date_epub","label":"Online publication date","group":{"name":"publication_dates","label":"Publication dates"}}]}}