Differentiation of supratentorial single brain metastasis and glioblastoma by using peri-enhancing oedema region-derived radiomic features and multiple classifiers.

Objective: To differentiate supratentorial single brain metastasis (MET) from glioblastoma (GBM) by using radiomic features derived from the peri-enhancing oedema region and multiple classifiers.Methods: One hundred and twenty single brain METs and GBMs were retrospectively reviewed and then randoml...

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Published in:European Radiology Vol. 30; no. 5; pp. 3015 - 3023
Main Authors: Dong, Fei, Li, Qian, Jiang, Biao, Zhu, Xiuliang, Zeng, Qiang, Huang, Peiyu, Chen, Shujun, Zhang, Minming
Format: Journal Article
Published: Springer Nature May2020
Online Access:View this record in EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Differentiation of supratentorial single brain metastasis and glioblastoma by using peri-enhancing oedema region-derived radiomic features and multiple classifiers.
      aug:
        au:
          Dong, Fei
          Li, Qian
          Jiang, Biao
          Zhu, Xiuliang
          Zeng, Qiang
          Huang, Peiyu
          Chen, Shujun
          Zhang, Minming
        affil: Department of Radiology, the Second Affiliated Hospital, Zhejiang University School of Medicine, 310009, Hangzhou, China
      sug:
        subj:
          Lung Neoplasms Pathology
          Glioma
          Brain Neoplasms
          Image Enhancement Methods
          Cerebral Edema
          Magnetic Resonance Imaging Methods
          Preoperative Period
          Adult
          Algorithms
          Aged, 80 and Over
          Female
          Young Adult
          Retrospective Design
          Male
          Diagnosis, Differential
          Random Assignment
          Sensitivity and Specificity
          Middle Age
          Aged
          Adult: 19-44 years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
          Male
      ab: Objective: To differentiate supratentorial single brain metastasis (MET) from glioblastoma (GBM) by using radiomic features derived from the peri-enhancing oedema region and multiple classifiers.Methods: One hundred and twenty single brain METs and GBMs were retrospectively reviewed and then randomly divided into a training data set (70%) and validation data set (30%). Quantitative radiomic features of each case were extracted from the peri-enhancing oedema region of conventional MR images. After feature selection, five classifiers were built. Additionally, the combined use of the classifiers was studied. Accuracy, sensitivity, and specificity were used to evaluate the classification performance.Results: A total of 321 features were extracted, and 3 features were selected for each case. The 5 classifiers showed an accuracy of 0.70 to 0.76, sensitivity of 0.57 to 0.98, and specificity of 0.43 to 0.93 for the training data set, with an accuracy of 0.56 to 0.64, sensitivity of 0.39 to 0.78, and specificity of 0.50 to 0.89 for the validation data set. When combining the classifiers, the classification performance differed according to the combined mode and the agreement pattern of classifiers, and the greatest benefit was obtained when all the classifiers reached agreement using the same weight and simple majority vote method.Conclusions: Three features derived from the peri-enhancing oedema region had moderate value in differentiating supratentorial single brain MET from GBM with five single classifiers. Combined use of classifiers, like multi-disciplinary team (MDT) consultation, could confer extra benefits, especially for those cases when all classifiers reach agreement.Key Points: • Radiomics provides a way to differentiate single brain MET between GBM by using conventional MR images. • The results of classifiers or algorithms themselves are also data, the transformation of the primary data. • Like MDT consultation, the combined use of multiple classifiers may confer extra benefits.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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