Evidence map›Paper›PMID 42192376›Full record

ArticleBMC medical imaging2026

Exploring the value of peritumoral brain zone for classification of two malignant brain tumors based on the MRI interpretable models.

Endong Zhao, Yun-Feng Yang, Hao Zhang, Yuan-Yuan Yang, Yutong Shi, Beibei Li, Xuelin Song, Shiyun Lou, Chao Yang

Abstract read
In one paragraph

Article in BMC medical imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Endong Zhao *Department of Radiology, The Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, 116000, China.
Yun-Feng Yang *Laboratory for Medical Imaging Informatics, Shanghai Institute of Technical Physics, Chinese Academy of Sciences, Shanghai, 200083, China.
Hao ZhangDepartment of Radiology, The Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, 116000, China.
Yuan-Yuan YangLaboratory for Medical Imaging Informatics, Shanghai Institute of Technical Physics, Chinese Academy of Sciences, Shanghai, 200083, China.
Yutong ShiDepartment of Neurology, Tianjin Medical University General Hospital, Tianjin, 300070, China.
Beibei LiDepartment of Radiology, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, 116000, China.
Xuelin SongDepartment of Radiology, The Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, 116000, China.
Shiyun LouDepartment of Radiology, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, 116000, China.
Chao YangDepartment of Radiology, The Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, 116000, China. dryangchao@163.com.

Funding

The Medical-Engineering Joint Fund between the First Affiliated Hospital of Dalian Medical University and Dalian Institute of Chemical Physics, Chinese Academy of Sciences. (Grant No. DMU-1&DICP UN202403)
6 · The paper itself

Abstract

objectivesThis study aims to develop and validate a novel multimodal interpretable artificial intelligence model capable of fusing radiomics features and imaging features to accurately classify primary central nervous system lymphoma (PCNSL) and glioblastoma (GBM), and to explore the impact of including the tumor and different peritumoral brain zones (PBZs) on the diagnostic performance of the model. MATERIALS AND

methodsA retrospective cohort of 242 patients with PCNSL or GBM, along with their multi-sequence MRI scans and clinical data, was enrolled from two medical centers. After image preprocessing, tumor and PBZ regions were segmented as volumes of interest (VOIs), and imaging features were evaluated. Based on different combinations of three image sequences and four VOIs, a total of seven models (T1WI-Tumor-Model, T2WI-Tumor-Model, T1CE-Tumor-Model, T1CE-Tumor-Edema-Model, T1CE-Tumor-PBZ10mm-Model, T1CE-Tumor-PBZ20mm-Model, and Multimodal-Radiomics-Model) were established. Receiver operating characteristic (ROC) curves, sensitivity, specificity, calibration curves, and Decision Curve Analysis (DCA) were used to assess the models' performance and clinical application value. Additionally, the best model was analyzed for interpretability using SHapley Additive exPlanations (SHAP).

resultsThe T1CE-Tumor-Edema-Model and Multimodal-Radiomics-Model demonstrated superior predictive performance among the seven models, with AUCs of 0.91 and 0.94 in the external validation cohort, respectively. The SHAP interpretation of the results revealed that the Rad-Score and Clinical-Rad-Score features contributed the most to the models' decision-making process.

conclusionA radiomics framework based on interpretable machine learning is proposed. Based on this framework, models combining different ranges of peritumoral brain regions with tumors were constructed for the first time, and radiomics features were fused with imaging features to improve classification accuracy and interpretability in distinguishing between PCNSL and GBM.

Indexed as

Brain NeoplasmsGlioblastomaImage Interpretation, Computer-AssistedLymphomaMagnetic Resonance ImagingAdultAgedFemaleHumansMaleMiddle AgedRadiomicsRetrospective StudiesROC CurveSensitivity and SpecificityGlioblastomaInterpretable modelPeritumoral brain zonePrimary central nervous system lymphomaRadiomics

Identifiers

PMID42192376
PMCPMC13540937

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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.