A Pilot Study of Radiomic Based on Routine CT Reflecting Difference of Cerebral Hemispheric Perfusion

BackgroundTo explore the effectiveness of radiomics features based on routine CT to reflect the difference of cerebral hemispheric perfusion.MethodsWe retrospectively recruited 52 patients with severe stenosis or occlusion in the unilateral middle cerebral artery (MCA), and brain CT perfusion showed...

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Main Authors: Qingguo Ren, Panpan An, Ke Jin, Xiaona Xia, Zhaodi Huang, Jingxu Xu, Chencui Huang, Qingjun Jiang, Xiangshui Meng
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-03-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2022.851720/full
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author Qingguo Ren
Panpan An
Ke Jin
Xiaona Xia
Zhaodi Huang
Jingxu Xu
Chencui Huang
Qingjun Jiang
Xiangshui Meng
author_facet Qingguo Ren
Panpan An
Ke Jin
Xiaona Xia
Zhaodi Huang
Jingxu Xu
Chencui Huang
Qingjun Jiang
Xiangshui Meng
author_sort Qingguo Ren
collection DOAJ
description BackgroundTo explore the effectiveness of radiomics features based on routine CT to reflect the difference of cerebral hemispheric perfusion.MethodsWe retrospectively recruited 52 patients with severe stenosis or occlusion in the unilateral middle cerebral artery (MCA), and brain CT perfusion showed an MCA area with deficit perfusion. Radiomics features were extracted from the stenosis side and contralateral of the MCA area based on precontrast CT. Two different region of interest drawing methods were applied. Then the patients were randomly grouped into training and testing sets by the ratio of 8:2. In the training set, ANOVA and the Elastic Net Regression with fivefold cross-validation were conducted to filter and choose the optimized features. Moreover, different machine learning models were built. In the testing set, the area under the receiver operating characteristic (AUC) curve, calibration, and clinical utility were applied to evaluate the predictive performance of the models.ResultsThe logistic regression (LR) for the triangle-contour method and artificial neural network (ANN) for the semiautomatic-contour method were chosen as radiomics models for their good prediction efficacy in the training phase (AUC = 0.869, 0.873) and the validation phase (AUC = 0.793, 0.799). The radiomics algorithms of the triangle-contour and semiautomatic-contour method were implemented in the whole training set (AUC = 0.870, 0.867) and were evaluated in the testing set (AUC = 0.760, 0.802). According to the optimal cutoff value, these two methods can classify the vascular stenosis side class and normal side class.ConclusionRadiomic predictive feature based on precontrast CT image could reflect the difference of cerebral hemispheric perfusion to some extent.
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spelling doaj.art-130b29e244b54e7cbdc4177961bcdb962022-12-21T18:19:04ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2022-03-011610.3389/fnins.2022.851720851720A Pilot Study of Radiomic Based on Routine CT Reflecting Difference of Cerebral Hemispheric PerfusionQingguo Ren0Panpan An1Ke Jin2Xiaona Xia3Zhaodi Huang4Jingxu Xu5Chencui Huang6Qingjun Jiang7Xiangshui Meng8Radiology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Qingdao, ChinaRadiology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Qingdao, ChinaDeepwise AI Lab, Beijing Deepwise and League of PHD Technology Co., Ltd., Beijing, ChinaRadiology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Qingdao, ChinaRadiology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Qingdao, ChinaDeepwise AI Lab, Beijing Deepwise and League of PHD Technology Co., Ltd., Beijing, ChinaDeepwise AI Lab, Beijing Deepwise and League of PHD Technology Co., Ltd., Beijing, ChinaRadiology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Qingdao, ChinaRadiology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Qingdao, ChinaBackgroundTo explore the effectiveness of radiomics features based on routine CT to reflect the difference of cerebral hemispheric perfusion.MethodsWe retrospectively recruited 52 patients with severe stenosis or occlusion in the unilateral middle cerebral artery (MCA), and brain CT perfusion showed an MCA area with deficit perfusion. Radiomics features were extracted from the stenosis side and contralateral of the MCA area based on precontrast CT. Two different region of interest drawing methods were applied. Then the patients were randomly grouped into training and testing sets by the ratio of 8:2. In the training set, ANOVA and the Elastic Net Regression with fivefold cross-validation were conducted to filter and choose the optimized features. Moreover, different machine learning models were built. In the testing set, the area under the receiver operating characteristic (AUC) curve, calibration, and clinical utility were applied to evaluate the predictive performance of the models.ResultsThe logistic regression (LR) for the triangle-contour method and artificial neural network (ANN) for the semiautomatic-contour method were chosen as radiomics models for their good prediction efficacy in the training phase (AUC = 0.869, 0.873) and the validation phase (AUC = 0.793, 0.799). The radiomics algorithms of the triangle-contour and semiautomatic-contour method were implemented in the whole training set (AUC = 0.870, 0.867) and were evaluated in the testing set (AUC = 0.760, 0.802). According to the optimal cutoff value, these two methods can classify the vascular stenosis side class and normal side class.ConclusionRadiomic predictive feature based on precontrast CT image could reflect the difference of cerebral hemispheric perfusion to some extent.https://www.frontiersin.org/articles/10.3389/fnins.2022.851720/fullcerebral ischemiacomputed tomographymachine learningmiddle cerebral arterydifferent region of interest
spellingShingle Qingguo Ren
Panpan An
Ke Jin
Xiaona Xia
Zhaodi Huang
Jingxu Xu
Chencui Huang
Qingjun Jiang
Xiangshui Meng
A Pilot Study of Radiomic Based on Routine CT Reflecting Difference of Cerebral Hemispheric Perfusion
Frontiers in Neuroscience
cerebral ischemia
computed tomography
machine learning
middle cerebral artery
different region of interest
title A Pilot Study of Radiomic Based on Routine CT Reflecting Difference of Cerebral Hemispheric Perfusion
title_full A Pilot Study of Radiomic Based on Routine CT Reflecting Difference of Cerebral Hemispheric Perfusion
title_fullStr A Pilot Study of Radiomic Based on Routine CT Reflecting Difference of Cerebral Hemispheric Perfusion
title_full_unstemmed A Pilot Study of Radiomic Based on Routine CT Reflecting Difference of Cerebral Hemispheric Perfusion
title_short A Pilot Study of Radiomic Based on Routine CT Reflecting Difference of Cerebral Hemispheric Perfusion
title_sort pilot study of radiomic based on routine ct reflecting difference of cerebral hemispheric perfusion
topic cerebral ischemia
computed tomography
machine learning
middle cerebral artery
different region of interest
url https://www.frontiersin.org/articles/10.3389/fnins.2022.851720/full
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