An Explainable MRI-Radiomic Quantum Neural Network to Differentiate Between Large Brain Metastases and High-Grade Glioma Using Quantum Annealing for Feature Selection.

Solitary large brain metastases (LBM) and high-grade gliomas (HGG) are sometimes hard to differentiate on MRI. The management differs significantly between these two entities, and non-invasive methods that help differentiate between them are eagerly needed to avoid potentially morbid biopsies and su...

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Publicado en:Journal of Digital Imaging Vol. 36; no. 6; pp. 2335 - 2347
Autores principales: Felefly, Tony, Roukoz, Camille, Fares, Georges, Achkar, Samir, Yazbeck, Sandrine, Meyer, Philippe, Kordahi, Manal, Azoury, Fares, Nasr, Dolly Nehme, Nasr, Elie, Noël, Georges, Francis, Ziad
Formato: equations & formulas research tables/charts Journal Article
Publicado: Springer Nature Dec2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2023
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-023-00886-x
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        atl: An Explainable MRI-Radiomic Quantum Neural Network to Differentiate Between Large Brain Metastases and High-Grade Glioma Using Quantum Annealing for Feature Selection.
      aug:
        au:
          Felefly, Tony
          Roukoz, Camille
          Fares, Georges
          Achkar, Samir
          Yazbeck, Sandrine
          Meyer, Philippe
          Kordahi, Manal
          Azoury, Fares
          Nasr, Dolly Nehme
          Nasr, Elie
          Noël, Georges
          Francis, Ziad
        affil: Radiation Oncology Department, Hôtel-Dieu de France Hospital, Saint Joseph University, Beirut, Lebanon
      sug:
        subj:
          Brain Neoplasms Diagnosis
          Neoplasm Metastasis Diagnosis
          Glioma Diagnosis
          Diagnosis, Differential
          Magnetic Resonance Imaging Methods
          Radiographic Image Interpretation, Computer-Assisted Methods
          Neural Networks (Computer) Evaluation
          Prediction Models Evaluation
          Radiomics
          Human
          Retrospective Design
          Record Review
          Validity
          ROC Curve
          Descriptive Statistics
          Machine Learning
          Contrast Media Diagnostic Use
          Image Enhancement
          Funding Source
      ab: Solitary large brain metastases (LBM) and high-grade gliomas (HGG) are sometimes hard to differentiate on MRI. The management differs significantly between these two entities, and non-invasive methods that help differentiate between them are eagerly needed to avoid potentially morbid biopsies and surgical procedures. We explore herein the performance and interpretability of an MRI-radiomics variational quantum neural network (QNN) using a quantum-annealing mutual-information (MI) feature selection approach. We retrospectively included 423 patients with HGG and LBM (> 2 cm) who had a contrast-enhanced T1-weighted (CE-T1) MRI between 2012 and 2019. After exclusion, 72 HGG and 129 LBM were kept. Tumors were manually segmented, and a 5-mm peri-tumoral ring was created. MRI images were pre-processed, and 1813 radiomic features were extracted. A set of best features based on MI was selected. MI and conditional-MI were embedded into a quadratic unconstrained binary optimization (QUBO) formulation that was mapped to an Ising-model and submitted to D'Wave's quantum annealer to solve for the best combination of 10 features. The 10 selected features were embedded into a 2-qubits QNN using PennyLane library. The model was evaluated for balanced-accuracy (bACC) and area under the receiver operating characteristic curve (ROC-AUC) on the test set. The model performance was benchmarked against two classical models: dense neural networks (DNN) and extreme gradient boosting (XGB). Shapley values were calculated to interpret sample-wise predictions on the test set. The best 10-feature combination included 6 tumor and 4 ring features. For QNN, DNN, and XGB, respectively, training ROC-AUC was 0.86, 0.95, and 0.94; test ROC-AUC was 0.76, 0.75, and 0.79; and test bACC was 0.74, 0.73, and 0.72. The two most influential features were tumor Laplacian-of-Gaussian-GLRLM-Entropy and sphericity. We developed an accurate interpretable QNN model with quantum-informed feature selection to differentiate between LBM and HGG on CE-T1 brain MRI. The model performance is comparable to state-of-the-art classical models.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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