Diagnosis of Invasive Meningioma Based on Brain-Tumor Interface Radiomics Features on Brain MR Images: A Multicenter Study

BackgroundMeningioma invasion can be preoperatively recognized by radiomics features, which significantly contributes to treatment decision-making. Here, we aimed to evaluate the comparative performance of radiomics signatures derived from varying regions of interests (ROIs) in predicting BI and asc...

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Main Authors: Dongdong Xiao, Zhen Zhao, Jun Liu, Xuan Wang, Peng Fu, Jehane Michael Le Grange, Jihua Wang, Xuebing Guo, Hongyang Zhao, Jiawei Shi, Pengfei Yan, Xiaobing Jiang
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-08-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2021.708040/full
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author Dongdong Xiao
Zhen Zhao
Jun Liu
Xuan Wang
Peng Fu
Jehane Michael Le Grange
Jihua Wang
Xuebing Guo
Hongyang Zhao
Jiawei Shi
Jiawei Shi
Jiawei Shi
Pengfei Yan
Xiaobing Jiang
author_facet Dongdong Xiao
Zhen Zhao
Jun Liu
Xuan Wang
Peng Fu
Jehane Michael Le Grange
Jihua Wang
Xuebing Guo
Hongyang Zhao
Jiawei Shi
Jiawei Shi
Jiawei Shi
Pengfei Yan
Xiaobing Jiang
author_sort Dongdong Xiao
collection DOAJ
description BackgroundMeningioma invasion can be preoperatively recognized by radiomics features, which significantly contributes to treatment decision-making. Here, we aimed to evaluate the comparative performance of radiomics signatures derived from varying regions of interests (ROIs) in predicting BI and ascertaining the optimal width of the peritumoral regions needed for accurate analysis.MethodsFive hundred and five patients from Wuhan Union Hospital (internal cohort) and 214 cases from Taihe Hospital (external validation cohort) pathologically diagnosed as meningioma were included in our study. Feature selection was performed from 1,015 radiomics features respectively obtained from nine different ROIs (brain-tumor interface (BTI)2–5mm; whole tumor; the amalgamation of the two regions) on contrast-enhanced T1-weighted imaging using least-absolute shrinkage and selection operator and random forest. Principal component analysis with varimax rotation was employed for feature reduction. Receiver operator curve was utilized for assessing discrimination of the classifier. Furthermore, clinical index was used to detect the predictive power.ResultsModel obtained from BTI4mm ROI has the maximum AUC in the training set (0.891 (0.85, 0.932)), internal validation set (0.851 (0.743, 0.96)), and external validation set (0.881 (0.833, 0.928)) and displayed statistically significant results between nine radiomics models. The most predictive radiomics features are almost entirely generated from GLCM and GLDM statistics. The addition of PEV to radiomics features (BTI4mm) enhanced model discrimination of invasive meningiomas.ConclusionsThe combined model (radiomics classifier with BTI4mm ROI + PEV) had greater diagnostic performance than other models and its clinical application may positively contribute to the management of meningioma patients.
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spelling doaj.art-6fee39c4449f4c279f76c975df02c5092022-12-21T23:32:52ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2021-08-011110.3389/fonc.2021.708040708040Diagnosis of Invasive Meningioma Based on Brain-Tumor Interface Radiomics Features on Brain MR Images: A Multicenter StudyDongdong Xiao0Zhen Zhao1Jun Liu2Xuan Wang3Peng Fu4Jehane Michael Le Grange5Jihua Wang6Xuebing Guo7Hongyang Zhao8Jiawei Shi9Jiawei Shi10Jiawei Shi11Pengfei Yan12Xiaobing Jiang13Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Neurosurgery, Taihe Hospital, Hubei University of Medicine, Shiyan, ChinaDepartment of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaSt Mary’s Hospital, Isle of Wight NHS Trust, Newport, United KingdomDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Pathology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Ultrasound, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaClinical Research Center for Medical Imaging in Hubei Province, Wuhan, ChinaHubei Province Key Laboratory of Molecular Imaging, Wuhan, ChinaDepartment of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaBackgroundMeningioma invasion can be preoperatively recognized by radiomics features, which significantly contributes to treatment decision-making. Here, we aimed to evaluate the comparative performance of radiomics signatures derived from varying regions of interests (ROIs) in predicting BI and ascertaining the optimal width of the peritumoral regions needed for accurate analysis.MethodsFive hundred and five patients from Wuhan Union Hospital (internal cohort) and 214 cases from Taihe Hospital (external validation cohort) pathologically diagnosed as meningioma were included in our study. Feature selection was performed from 1,015 radiomics features respectively obtained from nine different ROIs (brain-tumor interface (BTI)2–5mm; whole tumor; the amalgamation of the two regions) on contrast-enhanced T1-weighted imaging using least-absolute shrinkage and selection operator and random forest. Principal component analysis with varimax rotation was employed for feature reduction. Receiver operator curve was utilized for assessing discrimination of the classifier. Furthermore, clinical index was used to detect the predictive power.ResultsModel obtained from BTI4mm ROI has the maximum AUC in the training set (0.891 (0.85, 0.932)), internal validation set (0.851 (0.743, 0.96)), and external validation set (0.881 (0.833, 0.928)) and displayed statistically significant results between nine radiomics models. The most predictive radiomics features are almost entirely generated from GLCM and GLDM statistics. The addition of PEV to radiomics features (BTI4mm) enhanced model discrimination of invasive meningiomas.ConclusionsThe combined model (radiomics classifier with BTI4mm ROI + PEV) had greater diagnostic performance than other models and its clinical application may positively contribute to the management of meningioma patients.https://www.frontiersin.org/articles/10.3389/fonc.2021.708040/fullmeningiomabrain invasionradiomicsmagnetic resonance imagesperitumoral regionsprediction
spellingShingle Dongdong Xiao
Zhen Zhao
Jun Liu
Xuan Wang
Peng Fu
Jehane Michael Le Grange
Jihua Wang
Xuebing Guo
Hongyang Zhao
Jiawei Shi
Jiawei Shi
Jiawei Shi
Pengfei Yan
Xiaobing Jiang
Diagnosis of Invasive Meningioma Based on Brain-Tumor Interface Radiomics Features on Brain MR Images: A Multicenter Study
Frontiers in Oncology
meningioma
brain invasion
radiomics
magnetic resonance images
peritumoral regions
prediction
title Diagnosis of Invasive Meningioma Based on Brain-Tumor Interface Radiomics Features on Brain MR Images: A Multicenter Study
title_full Diagnosis of Invasive Meningioma Based on Brain-Tumor Interface Radiomics Features on Brain MR Images: A Multicenter Study
title_fullStr Diagnosis of Invasive Meningioma Based on Brain-Tumor Interface Radiomics Features on Brain MR Images: A Multicenter Study
title_full_unstemmed Diagnosis of Invasive Meningioma Based on Brain-Tumor Interface Radiomics Features on Brain MR Images: A Multicenter Study
title_short Diagnosis of Invasive Meningioma Based on Brain-Tumor Interface Radiomics Features on Brain MR Images: A Multicenter Study
title_sort diagnosis of invasive meningioma based on brain tumor interface radiomics features on brain mr images a multicenter study
topic meningioma
brain invasion
radiomics
magnetic resonance images
peritumoral regions
prediction
url https://www.frontiersin.org/articles/10.3389/fonc.2021.708040/full
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