Radiomics-Based Method for Predicting the Glioma Subtype as Defined by Tumor Grade, IDH Mutation, and 1p/19q Codeletion

Gliomas are among the most common types of central nervous system (CNS) tumors. A prompt diagnosis of the glioma subtype is crucial to estimate the prognosis and personalize the treatment strategy. The objective of this study was to develop a radiomics pipeline based on the clinical Magnetic Resonan...

Full description

Bibliographic Details
Main Authors: Yingping Li, Samy Ammari, Littisha Lawrance, Arnaud Quillent, Tarek Assi, Nathalie Lassau, Emilie Chouzenoux
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/7/1778
_version_ 1797440058512375808
author Yingping Li
Samy Ammari
Littisha Lawrance
Arnaud Quillent
Tarek Assi
Nathalie Lassau
Emilie Chouzenoux
author_facet Yingping Li
Samy Ammari
Littisha Lawrance
Arnaud Quillent
Tarek Assi
Nathalie Lassau
Emilie Chouzenoux
author_sort Yingping Li
collection DOAJ
description Gliomas are among the most common types of central nervous system (CNS) tumors. A prompt diagnosis of the glioma subtype is crucial to estimate the prognosis and personalize the treatment strategy. The objective of this study was to develop a radiomics pipeline based on the clinical Magnetic Resonance Imaging (MRI) scans to noninvasively predict the glioma subtype, as defined based on the tumor grade, isocitrate dehydrogenase (IDH) mutation status, and 1p/19q codeletion status. A total of 212 patients from the public retrospective The Cancer Genome Atlas Low Grade Glioma (TCGA-LGG) and The Cancer Genome Atlas Glioblastoma Multiforme (TCGA-GBM) datasets were used for the experiments and analyses. Different settings in the radiomics pipeline were investigated to improve the classification, including the Z-score normalization, the feature extraction strategy, the image filter applied to the MRI images, the introduction of clinical information, ComBat harmonization, the classifier chain strategy, etc. Based on numerous experiments, we finally reached an optimal pipeline for classifying the glioma tumors. We then tested this final radiomics pipeline on the hold-out test data with 51 randomly sampled random seeds for reliable and robust conclusions. The results showed that, after tuning the radiomics pipeline, the mean AUC improved from 0.8935 (±0.0351) to 0.9319 (±0.0386), from 0.8676 (±0.0421) to 0.9283 (±0.0333), and from 0.6473 (±0.1074) to 0.8196 (±0.0702) in the test data for predicting the tumor grade, IDH mutation, and 1p/19q codeletion status, respectively. The mean accuracy for predicting the five glioma subtypes also improved from 0.5772 (±0.0816) to 0.6716 (±0.0655). Finally, we analyzed the characteristics of the radiomic features that best distinguished the glioma grade, the IDH mutation, and the 1p/19q codeletion status, respectively. Apart from the promising prediction of the glioma subtype, this study also provides a better understanding of the radiomics model development and interpretability. The results in this paper are replicable with our python codes publicly available in github.
first_indexed 2024-03-09T12:02:39Z
format Article
id doaj.art-599ecc09a0bb4849b15fe6e6393036fb
institution Directory Open Access Journal
issn 2072-6694
language English
last_indexed 2024-03-09T12:02:39Z
publishDate 2022-03-01
publisher MDPI AG
record_format Article
series Cancers
spelling doaj.art-599ecc09a0bb4849b15fe6e6393036fb2023-11-30T23:01:55ZengMDPI AGCancers2072-66942022-03-01147177810.3390/cancers14071778Radiomics-Based Method for Predicting the Glioma Subtype as Defined by Tumor Grade, IDH Mutation, and 1p/19q CodeletionYingping Li0Samy Ammari1Littisha Lawrance2Arnaud Quillent3Tarek Assi4Nathalie Lassau5Emilie Chouzenoux6Laboratoire d’Imagerie Biomédicale Multimodale Paris Saclay, BIOMAPS, UMR1281 Inserm, CEA, CNRS, Université Paris-Saclay, 94805 Villejuif, FranceLaboratoire d’Imagerie Biomédicale Multimodale Paris Saclay, BIOMAPS, UMR1281 Inserm, CEA, CNRS, Université Paris-Saclay, 94805 Villejuif, FranceLaboratoire d’Imagerie Biomédicale Multimodale Paris Saclay, BIOMAPS, UMR1281 Inserm, CEA, CNRS, Université Paris-Saclay, 94805 Villejuif, FranceCentre de Vision Numérique, Institut National de Recherche en Informatique et en Automatique (INRIA), Université Paris-Saclay, 91190 Gif-sur-Yvette, FranceDépartement de Médecine Oncologique, Gustave Roussy Cancer Campus Grand Paris, Université Paris-Saclay, 94805 Villejuif, FranceLaboratoire d’Imagerie Biomédicale Multimodale Paris Saclay, BIOMAPS, UMR1281 Inserm, CEA, CNRS, Université Paris-Saclay, 94805 Villejuif, FranceCentre de Vision Numérique, Institut National de Recherche en Informatique et en Automatique (INRIA), Université Paris-Saclay, 91190 Gif-sur-Yvette, FranceGliomas are among the most common types of central nervous system (CNS) tumors. A prompt diagnosis of the glioma subtype is crucial to estimate the prognosis and personalize the treatment strategy. The objective of this study was to develop a radiomics pipeline based on the clinical Magnetic Resonance Imaging (MRI) scans to noninvasively predict the glioma subtype, as defined based on the tumor grade, isocitrate dehydrogenase (IDH) mutation status, and 1p/19q codeletion status. A total of 212 patients from the public retrospective The Cancer Genome Atlas Low Grade Glioma (TCGA-LGG) and The Cancer Genome Atlas Glioblastoma Multiforme (TCGA-GBM) datasets were used for the experiments and analyses. Different settings in the radiomics pipeline were investigated to improve the classification, including the Z-score normalization, the feature extraction strategy, the image filter applied to the MRI images, the introduction of clinical information, ComBat harmonization, the classifier chain strategy, etc. Based on numerous experiments, we finally reached an optimal pipeline for classifying the glioma tumors. We then tested this final radiomics pipeline on the hold-out test data with 51 randomly sampled random seeds for reliable and robust conclusions. The results showed that, after tuning the radiomics pipeline, the mean AUC improved from 0.8935 (±0.0351) to 0.9319 (±0.0386), from 0.8676 (±0.0421) to 0.9283 (±0.0333), and from 0.6473 (±0.1074) to 0.8196 (±0.0702) in the test data for predicting the tumor grade, IDH mutation, and 1p/19q codeletion status, respectively. The mean accuracy for predicting the five glioma subtypes also improved from 0.5772 (±0.0816) to 0.6716 (±0.0655). Finally, we analyzed the characteristics of the radiomic features that best distinguished the glioma grade, the IDH mutation, and the 1p/19q codeletion status, respectively. Apart from the promising prediction of the glioma subtype, this study also provides a better understanding of the radiomics model development and interpretability. The results in this paper are replicable with our python codes publicly available in github.https://www.mdpi.com/2072-6694/14/7/1778radiomicsgliomasglioblastomastumor gradeIDH mutation1p/19q codeletion
spellingShingle Yingping Li
Samy Ammari
Littisha Lawrance
Arnaud Quillent
Tarek Assi
Nathalie Lassau
Emilie Chouzenoux
Radiomics-Based Method for Predicting the Glioma Subtype as Defined by Tumor Grade, IDH Mutation, and 1p/19q Codeletion
Cancers
radiomics
gliomas
glioblastomas
tumor grade
IDH mutation
1p/19q codeletion
title Radiomics-Based Method for Predicting the Glioma Subtype as Defined by Tumor Grade, IDH Mutation, and 1p/19q Codeletion
title_full Radiomics-Based Method for Predicting the Glioma Subtype as Defined by Tumor Grade, IDH Mutation, and 1p/19q Codeletion
title_fullStr Radiomics-Based Method for Predicting the Glioma Subtype as Defined by Tumor Grade, IDH Mutation, and 1p/19q Codeletion
title_full_unstemmed Radiomics-Based Method for Predicting the Glioma Subtype as Defined by Tumor Grade, IDH Mutation, and 1p/19q Codeletion
title_short Radiomics-Based Method for Predicting the Glioma Subtype as Defined by Tumor Grade, IDH Mutation, and 1p/19q Codeletion
title_sort radiomics based method for predicting the glioma subtype as defined by tumor grade idh mutation and 1p 19q codeletion
topic radiomics
gliomas
glioblastomas
tumor grade
IDH mutation
1p/19q codeletion
url https://www.mdpi.com/2072-6694/14/7/1778
work_keys_str_mv AT yingpingli radiomicsbasedmethodforpredictingthegliomasubtypeasdefinedbytumorgradeidhmutationand1p19qcodeletion
AT samyammari radiomicsbasedmethodforpredictingthegliomasubtypeasdefinedbytumorgradeidhmutationand1p19qcodeletion
AT littishalawrance radiomicsbasedmethodforpredictingthegliomasubtypeasdefinedbytumorgradeidhmutationand1p19qcodeletion
AT arnaudquillent radiomicsbasedmethodforpredictingthegliomasubtypeasdefinedbytumorgradeidhmutationand1p19qcodeletion
AT tarekassi radiomicsbasedmethodforpredictingthegliomasubtypeasdefinedbytumorgradeidhmutationand1p19qcodeletion
AT nathalielassau radiomicsbasedmethodforpredictingthegliomasubtypeasdefinedbytumorgradeidhmutationand1p19qcodeletion
AT emiliechouzenoux radiomicsbasedmethodforpredictingthegliomasubtypeasdefinedbytumorgradeidhmutationand1p19qcodeletion