Predicting Deletion of Chromosomal Arms 1p/19q in Low-Grade Gliomas from MR Images Using Machine Intelligence.

Several studies have linked codeletion of chromosome arms 1p/19q in low-grade gliomas (LGG) with positive response to treatment and longer progression-free survival. Hence, predicting 1p/19q status is crucial for effective treatment planning of LGG. In this study, we predict the 1p/19q status from M...

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Published in:Journal of Digital Imaging Vol. 30; no. 4; pp. 469 - 477
Main Authors: Akkus, Zeynettin, Ali, Issa, Sedlář, Jiří, Agrawal, Jay, Parney, Ian, Giannini, Caterina, Erickson, Bradley
Format: diagnostic images equations & formulas research tables/charts Journal Article
Published: Springer Nature Aug2017
Online Access:View this record in EBSCOhost
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      dt: Aug2017
      vid: 30
      iid: 4
      pid: 237
      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-017-9984-3
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        atl: Predicting Deletion of Chromosomal Arms 1p/19q in Low-Grade Gliomas from MR Images Using Machine Intelligence.
      aug:
        au:
          Akkus, Zeynettin
          Ali, Issa
          Sedlář, Jiří
          Agrawal, Jay
          Parney, Ian
          Giannini, Caterina
          Erickson, Bradley
        affil: Radiology Informatics Laboratory , Mayo Clinic , 200 First Street SW Rochester 55905 USA
      sug:
        subj:
          Glioma Radiography
          Magnetic Resonance Imaging
          Image Interpretation, Computer Assisted
          Chromosomes
          Human
          Neural Networks (Computer)
          Image Processing, Computer Assisted
      ab: Several studies have linked codeletion of chromosome arms 1p/19q in low-grade gliomas (LGG) with positive response to treatment and longer progression-free survival. Hence, predicting 1p/19q status is crucial for effective treatment planning of LGG. In this study, we predict the 1p/19q status from MR images using convolutional neural networks (CNN), which could be a non-invasive alternative to surgical biopsy and histopathological analysis. Our method consists of three main steps: image registration, tumor segmentation, and classification of 1p/19q status using CNN. We included a total of 159 LGG with 3 image slices each who had biopsy-proven 1p/19q status (57 non-deleted and 102 codeleted) and preoperative postcontrast-T1 (T1C) and T2 images. We divided our data into training, validation, and test sets. The training data was balanced for equal class probability and was then augmented with iterations of random translational shift, rotation, and horizontal and vertical flips to increase the size of the training set. We shuffled and augmented the training data to counter overfitting in each epoch. Finally, we evaluated several configurations of a multi-scale CNN architecture until training and validation accuracies became consistent. The results of the best performing configuration on the unseen test set were 93.3% (sensitivity), 82.22% (specificity), and 87.7% (accuracy). Multi-scale CNN with their self-learning capability provides promising results for predicting 1p/19q status non-invasively based on T1C and T2 images. Predicting 1p/19q status non-invasively from MR images would allow selecting effective treatment strategies for LGG patients without the need for surgical biopsy.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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