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Fully automated hybrid approach to predict the IDH mutation status of gliomas via deep learning and radiomics.


ABSTRACT:

Background

Glioma prognosis depends on isocitrate dehydrogenase (IDH) mutation status. We aimed to predict the IDH status of gliomas from preoperative MR images using a fully automated hybrid approach with convolutional neural networks (CNNs) and radiomics.

Methods

We reviewed 1166 preoperative MR images of gliomas (grades II-IV) from Severance Hospital (n = 856), Seoul National University Hospital (SNUH; n = 107), and The Cancer Imaging Archive (TCIA; n = 203). The Severance set was subdivided into the development (n = 727) and internal test (n = 129) sets. Based on T1 postcontrast, T2, and fluid-attenuated inversion recovery images, a fully automated model was developed that comprised a CNN for tumor segmentation (Model 1) and CNN-based classifier for IDH status prediction (Model 2) that uses a hybrid approach based on 2D tumor images and radiomic features from 3D tumor shape and loci guided by Model 1. The trained model was tested on internal (a subset of the Severance set) and external (SNUH and TCIA) test sets.

Results

The CNN for tumor segmentation (Model 1) achieved a dice coefficient of 0.86-0.92 across datasets. Our hybrid model achieved accuracies of 93.8%, 87.9%, and 78.8%, with areas under the receiver operating characteristic curves of 0.96, 0.94, and 0.86 and areas under the precision-recall curves of 0.88, 0.82, and 0.81 in the internal test, SNUH, and TCIA sets, respectively.

Conclusions

Our fully automated hybrid model demonstrated the potential to be a highly reproducible and generalizable tool across different datasets for the noninvasive prediction of the IDH status of gliomas.

SUBMITTER: Choi YS 

PROVIDER: S-EPMC7906063 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

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Publications

Fully automated hybrid approach to predict the IDH mutation status of gliomas via deep learning and radiomics.

Choi Yoon Seong YS   Bae Sohi S   Chang Jong Hee JH   Kang Seok-Gu SG   Kim Se Hoon SH   Kim Jinna J   Rim Tyler Hyungtaek TH   Choi Seung Hong SH   Jain Rajan R   Lee Seung-Koo SK  

Neuro-oncology 20210201 2


<h4>Background</h4>Glioma prognosis depends on isocitrate dehydrogenase (IDH) mutation status. We aimed to predict the IDH status of gliomas from preoperative MR images using a fully automated hybrid approach with convolutional neural networks (CNNs) and radiomics.<h4>Methods</h4>We reviewed 1166 preoperative MR images of gliomas (grades II-IV) from Severance Hospital (n = 856), Seoul National University Hospital (SNUH; n = 107), and The Cancer Imaging Archive (TCIA; n = 203). The Severance set  ...[more]

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