Investigating the value of radiomics stemming from DSC quantitative biomarkers in IDH mutation prediction in gliomas

被引:3
作者
Ioannidis, Georgios S. [1 ]
Pigott, Laura Elin [2 ,3 ,4 ]
Iv, Michael [5 ]
Surlan-Popovic, Katarina [6 ,7 ]
Wintermark, Max [5 ]
Bisdas, Sotirios [8 ,9 ]
Marias, Kostas [1 ,10 ]
机构
[1] Fdn Res & Technol Hellas FORTH, Inst Comp Sci, CBML, Iraklion, Greece
[2] London South Bank Univ, Inst Hlth & Social Care, London, England
[3] UCL, Fac Brain Sci, Queen Sq Inst Neurol, London, England
[4] UCL, Natl Hosp Neurol & Neurosurg, Lysholm Dept Neuroradiol, London, England
[5] Stanford Univ, Dept Radiol, Div Neuroimaging & Neurointervent, Stanford, CA USA
[6] Univ Ljubljana, Fac Med, Dept Radiol, Ljubljana, Slovenia
[7] Univ Med Ctr, Dept Neuroradiol, Ljubljana, Slovenia
[8] UCL, Dept Brain Repair & Rehabil, Queen Sq Inst Neurol, London, England
[9] Univ Coll London NHS Fdn Trust, Natl Hosp Neurol & Neurosurg, Dept Neuroradiol, London, England
[10] Hellen Mediterranean Univ, Dept Elect & Comp Engn, Iraklion, Greece
关键词
dynamic susceptibility contrast MRI; gliomas; radiogenomics; IDH mutation; generalizability; explainability; LOWER-GRADE GLIOMAS; CT PERFUSION; BRAIN-TUMORS; ACUTE STROKE; CLASSIFICATION; SYSTEM; CANCER;
D O I
10.3389/fneur.2023.1249452
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
ObjectiveThis study aims to assess the value of biomarker based radiomics to predict IDH mutation in gliomas. The patient cohort consists of 160 patients histopathologicaly proven of primary glioma (WHO grades 2-4) from 3 different centers.MethodsTo quantify the DSC perfusion signal two different mathematical modeling methods were used (Gamma fitting, leakage correction algorithms) considering the assumptions about the compartments contributing in the blood flow between the extra- and intra vascular space.ResultsThe Mean slope of increase (MSI) and the K1 parameter of the bidirectional exchange model exhibited the highest performance with (ACC 74.3% AUROC 74.2%) and (ACC 75% AUROC 70.5%) respectively.ConclusionThe proposed framework on DSC-MRI radiogenomics in gliomas has the potential of becoming a reliable diagnostic support tool exploiting the mathematical modeling of the DSC signal to characterize IDH mutation status through a more reproducible and standardized signal analysis scheme for facilitating clinical translation.
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页数:10
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