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Diagnostic performance of radiomics using machine learning algorithms to predict MGMT promoter methylation status in glioma patients: a meta-analysis.

Purpose: We aimed to assess the diagnostic performance of radiomics using machine learning algorithms to predict the methylation status of the O6-methylguanine-DNA methyltransferase (MGMT) promoter in glioma patients.Methods: A comprehensive literature search of PubMed, EMBASE, and Web of Science un...

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Publicado en:Diagnostic & Interventional Radiology Vol. 27; no. 6; pp. 716 - 726
Autores principales: Huan Huang, Fei-fei Wang, Shigang Luo, Guangxiang Chen, Guangcai Tang, Huang, Huan, Wang, Fei-Fei, Luo, Shigang, Chen, Guangxiang, Tang, Guangcai
Formato: meta analysis research Journal Article
Publicado: Galenos Yayinevi Tic. LTD. STI Nov2021
Acceso en línea:Ver este registro en EBSCOhost
Sumario:Purpose: We aimed to assess the diagnostic performance of radiomics using machine learning algorithms to predict the methylation status of the O6-methylguanine-DNA methyltransferase (MGMT) promoter in glioma patients.Methods: A comprehensive literature search of PubMed, EMBASE, and Web of Science until 27 July 2021 was performed to identify eligible studies. Stata SE 15.0 and Meta-Disc 1.4 were used for data analysis.Results: A total of fifteen studies with 1663 patients were included: five studies with training and validation cohorts and ten with only training cohorts. The pooled sensitivity and specificity of machine learning for predicting MGMT promoter methylation in gliomas were 85% (95% CI 79%-90%) and 84% (95% CI 78%-88%) in the training cohort (n=15) and 84% (95% CI 70%-92%) and 78% (95% CI 63%-88%) in the validation cohort (n=5). The AUC was 0.91 (95% CI 0.88-0.93) in the training cohort and 0.88 (95% CI 0.85-0.91) in the validation cohort. The meta-regression demonstrated that magnetic resonance imaging sequences were related to heterogeneity. The sensitivity analysis showed that heterogeneity was reduced by excluding one study with the lowest diagnostic performance.Conclusion: This meta-analysis demonstrated that machine learning is a promising, reliable and repeatable candidate method for predicting MGMT promoter methylation status in glioma and showed a higher performance than non-machine learning methods.