MRI radiomics model for predicting TERT promoter mutation status in glioblastoma

Background and purposeThe presence of TERT promoter mutations has been associated with worse prognosis and resistance to therapy for patients with glioblastoma (GBM). This study aimed to determine whether the combination model of different feature selections and classification algorithms based on multiparameter MRI can be used to predict TERT subtype in GBM patients.MethodsA total of 143 patients were included in our retrospective study, and 2553 features were obtained. The datasets were randomly divided into training and test sets in a ratio of 7:3. The synthetic minority oversampling technique was used to achieve data balance. The Pearson correlation coefficients were used for dimension reduction. Three feature selections and five classification algorithms were used to model the selected features. Finally, 10-fold cross validation was applied to the training dataset.ResultsA model with eight features generated by recursive feature elimination (RFE) and linear discriminant analysis (LDA) showed the greatest diagnostic performance (area under the curve values for the training, validation, and testing sets: 0.983, 0.964, and 0.926, respectively), followed by relief and random forest (RF), analysis of variance and RF. Furthermore, the relief was the optimal feature selection for separately evaluating those five classification algorithms, and RF was the most preferable algorithm for separately assessing the three feature selectors. ADC entropy was the parameter that made the greatest contribution to the discrimination of TERT mutations.ConclusionsRadiomics model generated by RFE and LDA mainly based on ADC entropy showed good performance in predicting TERT promoter mutations in GBM. Adult glioblastoma (GBM) is the most common and aggressive primary brain tumor, with a high recurrence and mortality rate. The presence of TERT promoter mutations has been associated with poor prognosis and resistance to therapy, making it an important biomarker for personalized treatment strategies. In this study, we investigated the relationship between multiparameter MRI features and TERT mutation status, establishing a radiomics signature for predicting TERT promoter mutation status, and verified its effectiveness in prognostic assessment with GBM patients. image