Identifying symptomatic trigeminal nerves from MRI in a cohort of trigeminal neuralgia patients using radiomics.

Introduction: Trigeminal neuralgia (TN) is a devastating neuropathic condition. This work tests whether radiomics features derived from MRI of the trigeminal nerve can distinguish between TN-afflicted and pain-free nerves. Methods: 3D T1- and T2-weighted 1.5-Tesla MRI volumes were retrospectively ac...

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Publicado en:Neuroradiology Vol. 64; no. 3; pp. 603 - 610
Autores principales: Mulford, Kellen L., Moen, Sean L., Grande, Andrew W., Nixdorf, Donald R., Van de Moortele, Pierre-Francois
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Mar2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2022
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00234-022-02900-5
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        atl: Identifying symptomatic trigeminal nerves from MRI in a cohort of trigeminal neuralgia patients using radiomics.
      aug:
        au:
          Mulford, Kellen L.
          Moen, Sean L.
          Grande, Andrew W.
          Nixdorf, Donald R.
          Van de Moortele, Pierre-Francois
        affil: Department of Radiology, University of Minnesota, Minneapolis, MN, USA
      sug:
        subj:
          Trigeminal Nerve
          Magnetic Resonance Imaging
          Trigeminal Neuralgia Therapy
          Human
          Prospective Studies
          Retrospective Design
          Radiosurgery
          Machine Learning
          Deep Learning
      ab: Introduction: Trigeminal neuralgia (TN) is a devastating neuropathic condition. This work tests whether radiomics features derived from MRI of the trigeminal nerve can distinguish between TN-afflicted and pain-free nerves. Methods: 3D T1- and T2-weighted 1.5-Tesla MRI volumes were retrospectively acquired for patients undergoing stereotactic radiosurgery to treat TN. A convolutional U-net deep learning network was used to segment the trigeminal nerves from the pons to the ganglion. A total of 216 radiomics features consisting of image texture, shape, and intensity were extracted from each nerve. Within a cross-validation scheme, a random forest feature selection method was used, and a shallow neural network was trained using the selected variables to differentiate between TN-affected and non-affected nerves. Average performance over the validation sets was measured to estimate generalizability. Results: A total of 134 patients (i.e., 268 nerves) were included. The top 16 performing features extracted from the masks were selected for the predictive model. The average validation accuracy was 78%. The validation AUC of the model was 0.83, and sensitivity and specificity were 0.82 and 0.76, respectively. Conclusion: Overall, this work suggests that radiomics features from MR imaging of the trigeminal nerves correlate with the presence of pain from TN.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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