دورية أكاديمية

Better efficacy in differentiating WHO grade II from III oligodendrogliomas with machine-learning than radiologist’s reading from conventional T1 contrast-enhanced and fluid attenuated inversion recovery images

التفاصيل البيبلوغرافية
العنوان: Better efficacy in differentiating WHO grade II from III oligodendrogliomas with machine-learning than radiologist’s reading from conventional T1 contrast-enhanced and fluid attenuated inversion recovery images
المؤلفون: Sha-Sha Zhao, Xiu-Long Feng, Yu-Chuan Hu, Yu Han, Qiang Tian, Ying-Zhi Sun, Jie Zhang, Xiang-Wei Ge, Si-Chao Cheng, Xiu-Li Li, Li Mao, Shu-Ning Shen, Lin-Feng Yan, Guang-Bin Cui, Wen Wang
المصدر: BMC Neurology, Vol 20, Iss 1, Pp 1-10 (2020)
بيانات النشر: BMC
سنة النشر: 2020
المجموعة: Directory of Open Access Journals: DOAJ Articles
مصطلحات موضوعية: Oligodendrogliomas, Machine learning, Radiomics, Random forest (RF), Magnetic resonance imaging (MRI), Neurology. Diseases of the nervous system, RC346-429
الوصف: Background The medical imaging to differentiate World Health Organization (WHO) grade II (ODG2) from III (ODG3) oligodendrogliomas still remains a challenge. We investigated whether combination of machine leaning with radiomics from conventional T1 contrast-enhanced (T1 CE) and fluid attenuated inversion recovery (FLAIR) magnetic resonance imaging (MRI) offered superior efficacy. Methods Thirty-six patients with histologically confirmed ODGs underwent T1 CE and 33 of them underwent FLAIR MR examination before any intervention from January 2015 to July 2017 were retrospectively recruited in the current study. The volume of interest (VOI) covering the whole tumor enhancement were manually drawn on the T1 CE and FLAIR slice by slice using ITK-SNAP and a total of 1072 features were extracted from the VOI using 3-D slicer software. Random forest (RF) algorithm was applied to differentiate ODG2 from ODG3 and the efficacy was tested with 5-fold cross validation. The diagnostic efficacy of radiomics-based machine learning and radiologist’s assessment were also compared. Results Nineteen ODG2 and 17 ODG3 were included in this study and ODG3 tended to present with prominent necrosis and nodular/ring-like enhancement (P < 0.05). The AUC, ACC, sensitivity, and specificity of radiomics were 0.798, 0.735, 0.672, 0.789 for T1 CE, 0.774, 0.689, 0.700, 0.683 for FLAIR, as well as 0.861, 0.781, 0.778, 0.783 for the combination, respectively. The AUCs of radiologists 1, 2 and 3 were 0.700, 0.687, and 0.714, respectively. The efficacy of machine learning based on radiomics was superior to the radiologists’ assessment. Conclusions Machine-learning based on radiomics of T1 CE and FLAIR offered superior efficacy to that of radiologists in differentiating ODG2 from ODG3.
نوع الوثيقة: article in journal/newspaper
اللغة: English
تدمد: 1471-2377
العلاقة: https://doi.org/10.1186/s12883-020-1613-yTest; https://doaj.org/toc/1471-2377Test; https://doaj.org/article/13f4e88f9320418d9693edd43e12f15aTest
DOI: 10.1186/s12883-020-1613-y
الإتاحة: https://doi.org/10.1186/s12883-020-1613-yTest
https://doaj.org/article/13f4e88f9320418d9693edd43e12f15aTest
رقم الانضمام: edsbas.DE63CE2
قاعدة البيانات: BASE
الوصف
تدمد:14712377
DOI:10.1186/s12883-020-1613-y