Predicting the Type of Tumor-Related Epilepsy in Patients With Low-Grade Gliomas: A Radiomics Study

Purpose: The majority of patients with low-grade gliomas (LGGs) experience tumor-related epilepsy during the disease course. Our study aimed to build a radiomic prediction model for LGG-related epilepsy type based on magnetic resonance imaging (MRI) data.Methods: A total of 205 cases with LGG-relate...

Full description

Bibliographic Details
Main Authors: Yinyan Wang, Wei Wei, Zhenyu Liu, Yuchao Liang, Xing Liu, Yiming Li, Zhenchao Tang, Tao Jiang, Jie Tian
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-03-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fonc.2020.00235/full
_version_ 1818954277147639808
author Yinyan Wang
Wei Wei
Wei Wei
Wei Wei
Wei Wei
Zhenyu Liu
Zhenyu Liu
Yuchao Liang
Xing Liu
Yiming Li
Yiming Li
Zhenchao Tang
Zhenchao Tang
Tao Jiang
Tao Jiang
Tao Jiang
Tao Jiang
Jie Tian
Jie Tian
Jie Tian
Jie Tian
author_facet Yinyan Wang
Wei Wei
Wei Wei
Wei Wei
Wei Wei
Zhenyu Liu
Zhenyu Liu
Yuchao Liang
Xing Liu
Yiming Li
Yiming Li
Zhenchao Tang
Zhenchao Tang
Tao Jiang
Tao Jiang
Tao Jiang
Tao Jiang
Jie Tian
Jie Tian
Jie Tian
Jie Tian
author_sort Yinyan Wang
collection DOAJ
description Purpose: The majority of patients with low-grade gliomas (LGGs) experience tumor-related epilepsy during the disease course. Our study aimed to build a radiomic prediction model for LGG-related epilepsy type based on magnetic resonance imaging (MRI) data.Methods: A total of 205 cases with LGG-related epilepsy were enrolled in the retrospective study and divided into training and validation cohorts (1:1) according to their surgery time. Seven hundred thirty-four radiomic features were extracted from T2-weighted imaging, including six location features. Pearson correlation coefficient, univariate area under curve (AUC) analysis, and least absolute shrinkage and selection operator regression were adopted to select the most relevant features for the epilepsy type to build a radiomic signature. Furthermore, a novel radiomic nomogram was developed for clinical application using the radiomic signature and clinical variables from all patients.Results: Four MRI-based features were selected from the 734 radiomic features, including one location feature. Good discriminative performances were achieved in both training (AUC = 0.859, 95% CI = 0.787–0.932) and validation cohorts (AUC = 0.839, 95% CI = 0.761–0.917) for the type of epilepsy. The accuracies were 80.4 and 80.6%, respectively. The radiomic nomogram also allowed for a high degree of discrimination. All models presented favorable calibration curves and decision curve analyses.Conclusion: Our results suggested that the MRI-based radiomic analysis may predict the type of LGG-related epilepsy to enable individualized therapy for patients with LGG-related epilepsy.
first_indexed 2024-12-20T10:19:36Z
format Article
id doaj.art-4e3e00bcce84496fabb9da518c4675e9
institution Directory Open Access Journal
issn 2234-943X
language English
last_indexed 2024-12-20T10:19:36Z
publishDate 2020-03-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Oncology
spelling doaj.art-4e3e00bcce84496fabb9da518c4675e92022-12-21T19:43:56ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2020-03-011010.3389/fonc.2020.00235513402Predicting the Type of Tumor-Related Epilepsy in Patients With Low-Grade Gliomas: A Radiomics StudyYinyan Wang0Wei Wei1Wei Wei2Wei Wei3Wei Wei4Zhenyu Liu5Zhenyu Liu6Yuchao Liang7Xing Liu8Yiming Li9Yiming Li10Zhenchao Tang11Zhenchao Tang12Tao Jiang13Tao Jiang14Tao Jiang15Tao Jiang16Jie Tian17Jie Tian18Jie Tian19Jie Tian20Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaCAS Key Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Sciences, Beijing, ChinaSchool of Electronics and Information, Xi'an Polytechnic University, Xi'an, ChinaBeijing Advanced Innovation Center for Big Data-Based Precision Medicine, School of Medicine, Beihang University, Beijing, ChinaEngineering Research Center of Molecular and Neuro Imaging of Ministry of Education, School of Life Science and Technology, Xidian University, Xi'an, ChinaCAS Key Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Sciences, Beijing, ChinaSchool of Artificial Intelligence, University of Chinese Academy of Sciences, Beijing, ChinaBeijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Molecular Pathology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, ChinaBeijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Molecular Pathology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, ChinaCAS Key Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Sciences, Beijing, ChinaBeijing Advanced Innovation Center for Big Data-Based Precision Medicine, School of Medicine, Beihang University, Beijing, ChinaBeijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Molecular Pathology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, ChinaCenter of Brain Tumor, Beijing Institute for Brain Disorders, Beijing, ChinaChina National Clinical Research Center for Neurological Diseases, Beijing, ChinaCAS Key Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Sciences, Beijing, ChinaBeijing Advanced Innovation Center for Big Data-Based Precision Medicine, School of Medicine, Beihang University, Beijing, ChinaEngineering Research Center of Molecular and Neuro Imaging of Ministry of Education, School of Life Science and Technology, Xidian University, Xi'an, ChinaSchool of Artificial Intelligence, University of Chinese Academy of Sciences, Beijing, ChinaPurpose: The majority of patients with low-grade gliomas (LGGs) experience tumor-related epilepsy during the disease course. Our study aimed to build a radiomic prediction model for LGG-related epilepsy type based on magnetic resonance imaging (MRI) data.Methods: A total of 205 cases with LGG-related epilepsy were enrolled in the retrospective study and divided into training and validation cohorts (1:1) according to their surgery time. Seven hundred thirty-four radiomic features were extracted from T2-weighted imaging, including six location features. Pearson correlation coefficient, univariate area under curve (AUC) analysis, and least absolute shrinkage and selection operator regression were adopted to select the most relevant features for the epilepsy type to build a radiomic signature. Furthermore, a novel radiomic nomogram was developed for clinical application using the radiomic signature and clinical variables from all patients.Results: Four MRI-based features were selected from the 734 radiomic features, including one location feature. Good discriminative performances were achieved in both training (AUC = 0.859, 95% CI = 0.787–0.932) and validation cohorts (AUC = 0.839, 95% CI = 0.761–0.917) for the type of epilepsy. The accuracies were 80.4 and 80.6%, respectively. The radiomic nomogram also allowed for a high degree of discrimination. All models presented favorable calibration curves and decision curve analyses.Conclusion: Our results suggested that the MRI-based radiomic analysis may predict the type of LGG-related epilepsy to enable individualized therapy for patients with LGG-related epilepsy.https://www.frontiersin.org/article/10.3389/fonc.2020.00235/fullepilepsy typelow-grade gliomasmachine learningradiomicsT2-weighted imaging
spellingShingle Yinyan Wang
Wei Wei
Wei Wei
Wei Wei
Wei Wei
Zhenyu Liu
Zhenyu Liu
Yuchao Liang
Xing Liu
Yiming Li
Yiming Li
Zhenchao Tang
Zhenchao Tang
Tao Jiang
Tao Jiang
Tao Jiang
Tao Jiang
Jie Tian
Jie Tian
Jie Tian
Jie Tian
Predicting the Type of Tumor-Related Epilepsy in Patients With Low-Grade Gliomas: A Radiomics Study
Frontiers in Oncology
epilepsy type
low-grade gliomas
machine learning
radiomics
T2-weighted imaging
title Predicting the Type of Tumor-Related Epilepsy in Patients With Low-Grade Gliomas: A Radiomics Study
title_full Predicting the Type of Tumor-Related Epilepsy in Patients With Low-Grade Gliomas: A Radiomics Study
title_fullStr Predicting the Type of Tumor-Related Epilepsy in Patients With Low-Grade Gliomas: A Radiomics Study
title_full_unstemmed Predicting the Type of Tumor-Related Epilepsy in Patients With Low-Grade Gliomas: A Radiomics Study
title_short Predicting the Type of Tumor-Related Epilepsy in Patients With Low-Grade Gliomas: A Radiomics Study
title_sort predicting the type of tumor related epilepsy in patients with low grade gliomas a radiomics study
topic epilepsy type
low-grade gliomas
machine learning
radiomics
T2-weighted imaging
url https://www.frontiersin.org/article/10.3389/fonc.2020.00235/full
work_keys_str_mv AT yinyanwang predictingthetypeoftumorrelatedepilepsyinpatientswithlowgradegliomasaradiomicsstudy
AT weiwei predictingthetypeoftumorrelatedepilepsyinpatientswithlowgradegliomasaradiomicsstudy
AT weiwei predictingthetypeoftumorrelatedepilepsyinpatientswithlowgradegliomasaradiomicsstudy
AT weiwei predictingthetypeoftumorrelatedepilepsyinpatientswithlowgradegliomasaradiomicsstudy
AT weiwei predictingthetypeoftumorrelatedepilepsyinpatientswithlowgradegliomasaradiomicsstudy
AT zhenyuliu predictingthetypeoftumorrelatedepilepsyinpatientswithlowgradegliomasaradiomicsstudy
AT zhenyuliu predictingthetypeoftumorrelatedepilepsyinpatientswithlowgradegliomasaradiomicsstudy
AT yuchaoliang predictingthetypeoftumorrelatedepilepsyinpatientswithlowgradegliomasaradiomicsstudy
AT xingliu predictingthetypeoftumorrelatedepilepsyinpatientswithlowgradegliomasaradiomicsstudy
AT yimingli predictingthetypeoftumorrelatedepilepsyinpatientswithlowgradegliomasaradiomicsstudy
AT yimingli predictingthetypeoftumorrelatedepilepsyinpatientswithlowgradegliomasaradiomicsstudy
AT zhenchaotang predictingthetypeoftumorrelatedepilepsyinpatientswithlowgradegliomasaradiomicsstudy
AT zhenchaotang predictingthetypeoftumorrelatedepilepsyinpatientswithlowgradegliomasaradiomicsstudy
AT taojiang predictingthetypeoftumorrelatedepilepsyinpatientswithlowgradegliomasaradiomicsstudy
AT taojiang predictingthetypeoftumorrelatedepilepsyinpatientswithlowgradegliomasaradiomicsstudy
AT taojiang predictingthetypeoftumorrelatedepilepsyinpatientswithlowgradegliomasaradiomicsstudy
AT taojiang predictingthetypeoftumorrelatedepilepsyinpatientswithlowgradegliomasaradiomicsstudy
AT jietian predictingthetypeoftumorrelatedepilepsyinpatientswithlowgradegliomasaradiomicsstudy
AT jietian predictingthetypeoftumorrelatedepilepsyinpatientswithlowgradegliomasaradiomicsstudy
AT jietian predictingthetypeoftumorrelatedepilepsyinpatientswithlowgradegliomasaradiomicsstudy
AT jietian predictingthetypeoftumorrelatedepilepsyinpatientswithlowgradegliomasaradiomicsstudy