Evidence map›Paper›PMID 35788352›Full record

ArticleNeuro-oncology2023

Combined molecular subtyping, grading, and segmentation of glioma using multi-task deep learning.

Sebastian R van der Voort, Fatih Incekara, Maarten M J Wijnenga, Georgios Kapsas, Renske Gahrmann, Joost W Schouten, Rishi Nandoe Tewarie, Geert J Lycklama, Philip C De Witt Hamer, Roelant S Eijgelaar and 7 more

Abstract read
In one paragraph

Article in Neuro-oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed, 4 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

99 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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39 more citing papers are in PubMed but not listed here.

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

17 authors.

Sebastian R van der VoortBiomedical Imaging Group Rotterdam, Department of Radiology and Nuclear Medicine, Erasmus MC University Medical Centre Rotterdam, Rotterdam, the Netherlands.ORCID 0000-0002-6526-8126
Fatih IncekaraDepartment of Radiology and Nuclear Medicine, Erasmus MC University Medical Centre Rotterdam, Rotterdam, the Netherlands.
Maarten M J WijnengaBiomedical Imaging Group Rotterdam, Department of Radiology and Nuclear Medicine, Erasmus MC University Medical Centre Rotterdam, Rotterdam, the Netherlands.
Georgios KapsasDepartment of Radiology and Nuclear Medicine, Erasmus MC University Medical Centre Rotterdam, Rotterdam, the Netherlands.ORCID 0000-0001-8043-958X
Renske GahrmannDepartment of Radiology and Nuclear Medicine, Erasmus MC University Medical Centre Rotterdam, Rotterdam, the Netherlands.ORCID 0000-0001-7384-8633
Joost W SchoutenDepartment of Neurosurgery, Brain Tumor Center, Erasmus MC University Medical Centre Rotterdam, Rotterdam, the Netherlands.
Rishi Nandoe TewarieDepartment of Neurosurgery, Haaglanden Medical Center, the Hague, the Netherlands.
Geert J LycklamaDepartment of Radiology, Haaglanden Medical Center, the Hague, the Netherlands.
Philip C De Witt HamerDepartment of Neurosurgery, Cancer Center Amsterdam, Brain Tumor Center, Amsterdam UMC, Amsterdam, Netherlands.
Roelant S EijgelaarDepartment of Neurosurgery, Cancer Center Amsterdam, Brain Tumor Center, Amsterdam UMC, Amsterdam, Netherlands.ORCID 0000-0002-1765-4444
Pim J FrenchDepartment of Neurology, Brain Tumor Center, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.
Hendrikus J DubbinkDepartment of Pathology, Brain Tumor Center at Erasmus MC Cancer Institute, Rotterdam, the Netherlands.
Arnaud J P E VincentDepartment of Neurosurgery, Brain Tumor Center, Erasmus MC University Medical Centre Rotterdam, Rotterdam, the Netherlands.
Wiro J NiessenImaging Physics, Faculty of Applied Sciences, Delft University of Technology, Delft, the Netherlands.ORCID 0000-0002-5822-1995
Martin J van den BentDepartment of Neurology, Brain Tumor Center, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.ORCID 0000-0001-5710-5127
Marion SmitsDepartment of Radiology and Nuclear Medicine, Erasmus MC University Medical Centre Rotterdam, Rotterdam, the Netherlands.ORCID 0000-0001-5563-2871
Stefan KleinBiomedical Imaging Group Rotterdam, Department of Radiology and Nuclear Medicine, Erasmus MC University Medical Centre Rotterdam, Rotterdam, the Netherlands.ORCID 0000-0003-4449-6784

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccurate characterization of glioma is crucial for clinical decision making. A delineation of the tumor is also desirable in the initial decision stages but is time-consuming. Previously, deep learning methods have been developed that can either non-invasively predict the genetic or histological features of glioma, or that can automatically delineate the tumor, but not both tasks at the same time. Here, we present our method that can predict the molecular subtype and grade, while simultaneously providing a delineation of the tumor.

methodsWe developed a single multi-task convolutional neural network that uses the full 3D, structural, preoperative MRI scans to predict the IDH mutation status, the 1p/19q co-deletion status, and the grade of a tumor, while simultaneously segmenting the tumor. We trained our method using a patient cohort containing 1508 glioma patients from 16 institutes. We tested our method on an independent dataset of 240 patients from 13 different institutes.

resultsIn the independent test set, we achieved an IDH-AUC of 0.90, an 1p/19q co-deletion AUC of 0.85, and a grade AUC of 0.81 (grade II/III/IV). For the tumor delineation, we achieved a mean whole tumor Dice score of 0.84.

conclusionsWe developed a method that non-invasively predicts multiple, clinically relevant features of glioma. Evaluation in an independent dataset shows that the method achieves a high performance and that it generalizes well to the broader clinical population. This first-of-its-kind method opens the door to more generalizable, instead of hyper-specialized, AI methods.

Indexed as

Brain NeoplasmsDeep LearningGliomaChromosome AberrationsHumansIsocitrate DehydrogenaseMagnetic Resonance ImagingMutationNeoplasm GradingIsocitrate Dehydrogenasedeep learninggliomamulti-taskradiomicssegmentation

Identifiers

PMID35788352
PMCPMC9925710

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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.