Development of End-to-End AI–Based MRI Image Analysis System for Predicting IDH Mutation Status of Patients with Gliomas: Multicentric Validation.

Radiogenomics has shown potential to predict genomic phenotypes from medical images. The development of models using standard-of-care pre-operative MRI images, as opposed to advanced MRI images, enables a broader reach of such models. In this work, a radiogenomics model for IDH mutation status predi...

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Publicado en:Journal of Digital Imaging Vol. 37; no. 1; pp. 31 - 45
Autores principales: Santinha, João, Katsaros, Vasileios, Stranjalis, George, Liouta, Evangelia, Boskos, Christos, Matos, Celso, Viegas, Catarina, Papanikolaou, Nickolas
Formato: research tables/charts Journal Article
Publicado: Springer Nature Feb2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2024
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-023-00918-6
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        atl: Development of End-to-End AI–Based MRI Image Analysis System for Predicting IDH Mutation Status of Patients with Gliomas: Multicentric Validation.
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          Santinha, João
          Katsaros, Vasileios
          Stranjalis, George
          Liouta, Evangelia
          Boskos, Christos
          Matos, Celso
          Viegas, Catarina
          Papanikolaou, Nickolas
        affil: https://ror.org/03g001n57 Computational Clinical Imaging Group, Champalimaud Research, Champalimaud Foundation, Av. Brasília, 1400-038, Lisbon, Portugal
      sug:
        subj:
          Genomics
          Mutation Evaluation
          Magnetic Resonance Imaging
          Glioma
          Cancer Patients
          Prediction Models
          Artificial Intelligence
          Human
          Phenotype Evaluation
          Multicenter Studies
          Logistic Regression
          Retrospective Design
          Hospitals
          ROC Curve
          Calibration
          Sensitivity and Specificity
          Descriptive Statistics
          Radiographic Image Enhancement
      ab: Radiogenomics has shown potential to predict genomic phenotypes from medical images. The development of models using standard-of-care pre-operative MRI images, as opposed to advanced MRI images, enables a broader reach of such models. In this work, a radiogenomics model for IDH mutation status prediction from standard-of-care MRIs in patients with glioma was developed and validated using multicentric data. A cohort of 142 (wild-type: 32.4%) patients with glioma retrieved from the TCIA/TCGA was used to train a logistic regression model to predict the IDH mutation status. The model was evaluated using retrospective data collected in two distinct hospitals, comprising 36 (wild-type: 63.9%) and 53 (wild-type: 75.5%) patients. Model development utilized ROC analysis. Model discrimination and calibration were used for validation. The model yielded an AUC of 0.741 vs. 0.716 vs. 0.938, a sensitivity of 0.784 vs. 0.739 vs. 0.875, and a specificity of 0.657 vs. 0.692 vs. 1.000 on the training, test cohort 1, and test cohort 2, respectively. The assessment of model fairness suggested an unbiased model for age and sex, and calibration tests showed a p < 0.05. These results indicate that the developed model allows the prediction of the IDH mutation status in gliomas using standard-of-care MRI images and does not appear to hold sex and age biases.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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