Evidence map›Paper›PMID 32631306›Full record

ArticleBMC medical informatics and decision making2020

Machine learning assisted DSC-MRI radiomics as a tool for glioma classification by grade and mutation status.

Carole H Sudre, Jasmina Panovska-Griffiths, Eser Sanverdi, Sebastian Brandner, Vasileios K Katsaros, George Stranjalis, Francesca B Pizzini, Claudio Ghimenton, Katarina Surlan-Popovic, Jernej Avsenik and 19 more

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Accuracy of Radiomics in PredictingRadiology. Artificial intelligence · 2024
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  15. Predicting the Response of Patients Treated withJournal of medical signals and sensors · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

29 authors.

Carole H SudreDepartment of Biomedical Engineering, School of Biomedical Engineering & Imaging Sciences, King's College, London, UK.
Jasmina Panovska-GriffithsDepartment of Applied Health Research, Institute of Epidemiology & Health Care, University College London, London, UK. j.panovska-griffiths@ucl.ac.uk.ORCID 0000-0002-7720-1121
Eser SanverdiDepartment of Neuroradiology, The National Hospital for Neurology and Neurosurgery, University College London NHS Foundation Trust, London, UK.
Sebastian BrandnerDivision of Neuropathology, UCL Queen Square Institute of Neurology, London, UK.
Vasileios K KatsarosDepartment of Advanced Imaging Modalities, MRI Unit, General Anti-Cancer and Oncological Hospital of Athens "St. Savvas", Athens, Greece.
George StranjalisDepartment of Neurosurgery, General Hospital Evangelismos, Medical School, University of Athens, Athens, Greece.
Francesca B PizziniNeuroradiology, Department of Diagnostics and Pathology, Verona University Hospital, Verona, Italy.
Claudio GhimentonNeuropathology, Department of Diagnostics and Pathology, Verona University Hospital, Verona, Italy.
Katarina Surlan-PopovicDepartment of Neuroradiology, University Medical Centre, Ljubljana, Slovenia.
Jernej AvsenikDepartment of Neuroradiology, University Medical Centre, Ljubljana, Slovenia.
Maria Vittoria SpampinatoDepartment of Radiology and Radiological Science, Medical University of South Carolina, Charleston, SC, USA.
Mario NigroDepartment of Radiology and Radiological Science, Medical University of South Carolina, Charleston, SC, USA.
Arindam R ChatterjeeDepartment of Radiology and Radiological Science, Medical University of South Carolina, Charleston, SC, USA.
Arnaud AttyeGrenoble Institute of Neurosciences, INSERM, University Grenoble Alpes, Grenoble, France.
Sylvie GrandGrenoble Institute of Neurosciences, INSERM, University Grenoble Alpes, Grenoble, France.
Alexandre KrainikGrenoble Institute of Neurosciences, INSERM, University Grenoble Alpes, Grenoble, France.
Nicoletta AnzaloneDepartment of Neuroradiology, San Raffaele Hospital, Vita-Salute San Raffaele University, Milan, Italy.
Gian Marco ConteDepartment of Neuroradiology, San Raffaele Hospital, Vita-Salute San Raffaele University, Milan, Italy.
Valeria RomeoDepartment of Advanced Biomedical Sciences, Diagnostic Imaging Section, University of Naples Federico II, Naples, Italy.
Lorenzo UggaDepartment of Advanced Biomedical Sciences, Diagnostic Imaging Section, University of Naples Federico II, Naples, Italy.
Andrea ElefanteDepartment of Advanced Biomedical Sciences, Diagnostic Imaging Section, University of Naples Federico II, Naples, Italy.
Elisa Francesca CiceriNeuropathology, Department of Diagnostics and Pathology, Verona University Hospital, Verona, Italy.
Elia GuadagnoDepartment of Advanced Biomedical Sciences, Pathology Section, University of Naples Federico II, Naples, Italy.
Eftychia KapsalakiDepartment of Radiology, School of Health Sciences, Faculty of Medicine, University of Thessaly, Larisa, Greece.
Diana RoettgerImage Analysis Group, London, UK.
Javier GonzalezImage Analysis Group, London, UK.
Timothé BoutelierOlea Medical, La Ciotat, France.
M Jorge CardosoDepartment of Biomedical Engineering, School of Biomedical Engineering & Imaging Sciences, King's College, London, UK.
Sotirios BisdasDepartment of Neuroradiology, The National Hospital for Neurology and Neurosurgery, University College London NHS Foundation Trust, London, UK.

Funding

Wellcome Trust 203148/Z/16/ZWellcome Trust WT203148/Z/16/ZWellcome Trust WT213038/Z/18/Z
6 · The paper itself

Abstract

backgroundCombining MRI techniques with machine learning methodology is rapidly gaining attention as a promising method for staging of brain gliomas. This study assesses the diagnostic value of such a framework applied to dynamic susceptibility contrast (DSC)-MRI in classifying treatment-naïve gliomas from a multi-center patients into WHO grades II-IV and across their isocitrate dehydrogenase (IDH) mutation status.

methodsThree hundred thirty-three patients from 6 tertiary centres, diagnosed histologically and molecularly with primary gliomas (IDH-mutant = 151 or IDH-wildtype = 182) were retrospectively identified. Raw DSC-MRI data was post-processed for normalised leakage-corrected relative cerebral blood volume (rCBV) maps. Shape, intensity distribution (histogram) and rotational invariant Haralick texture features over the tumour mask were extracted. Differences in extracted features across glioma grades and mutation status were tested using the Wilcoxon two-sample test. A random-forest algorithm was employed (2-fold cross-validation, 250 repeats) to predict grades or mutation status using the extracted features.

resultsShape, distribution and texture features showed significant differences across mutation status. WHO grade II-III differentiation was mostly driven by shape features while texture and intensity feature were more relevant for the III-IV separation. Increased number of features became significant when differentiating grades further apart from one another. Gliomas were correctly stratified by mutation status in 71% and by grade in 53% of the cases (87% of the gliomas grades predicted with distance less than 1).

conclusionsDespite large heterogeneity in the multi-center dataset, machine learning assisted DSC-MRI radiomics hold potential to address the inherent variability and presents a promising approach for non-invasive glioma molecular subtyping and grading.

Indexed as

Brain NeoplasmsGliomaHumansMachine LearningMagnetic Resonance ImagingMutationNeoplasm GradingRetrospective StudiesDiagnostic machine learningGlioma stratificationIsocitrate dehydrogenase; DSC-MRI

Identifiers

PMID32631306
PMCPMC7336404

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.