Can Radiomics Provide Additional Information in [<sup>18</sup>F]FET-Negative Gliomas?

The purpose of this study was to evaluate the possibility of extracting relevant information from radiomic features even in apparently [<sup>18</sup>F]FET-negative gliomas. A total of 46 patients with a newly diagnosed, histologically verified glioma that was visually classified as [<...

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Main Authors: Katharina von Rohr, Marcus Unterrainer, Adrien Holzgreve, Maximilian A. Kirchner, Zhicong Li, Lena M. Unterrainer, Bogdana Suchorska, Matthias Brendel, Joerg-Christian Tonn, Peter Bartenstein, Sibylle Ziegler, Nathalie L. Albert, Lena Kaiser
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Cancers
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Online Access:https://www.mdpi.com/2072-6694/14/19/4860
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author Katharina von Rohr
Marcus Unterrainer
Adrien Holzgreve
Maximilian A. Kirchner
Zhicong Li
Lena M. Unterrainer
Bogdana Suchorska
Matthias Brendel
Joerg-Christian Tonn
Peter Bartenstein
Sibylle Ziegler
Nathalie L. Albert
Lena Kaiser
author_facet Katharina von Rohr
Marcus Unterrainer
Adrien Holzgreve
Maximilian A. Kirchner
Zhicong Li
Lena M. Unterrainer
Bogdana Suchorska
Matthias Brendel
Joerg-Christian Tonn
Peter Bartenstein
Sibylle Ziegler
Nathalie L. Albert
Lena Kaiser
author_sort Katharina von Rohr
collection DOAJ
description The purpose of this study was to evaluate the possibility of extracting relevant information from radiomic features even in apparently [<sup>18</sup>F]FET-negative gliomas. A total of 46 patients with a newly diagnosed, histologically verified glioma that was visually classified as [<sup>18</sup>F]FET-negative were included. Tumor volumes were defined using routine T2/FLAIR MRI data and applied to extract information from dynamic [<sup>18</sup>F]FET PET data, i.e., early and late tumor-to-background (TBR<sub>5–15</sub>, TBR<sub>20–40</sub>) and time-to-peak (TTP) images. Radiomic features of healthy background were calculated from the tumor volume of interest mirrored in the contralateral hemisphere. The ability to distinguish tumors from healthy tissue was assessed using the Wilcoxon test and logistic regression. A total of 5, 15, and 69% of features derived from TBR<sub>20–40</sub>, TBR<sub>5–15</sub>, and TTP images, respectively, were significantly different. A high number of significantly different TTP features was even found in isometabolic gliomas (after exclusion of photopenic gliomas) with visually normal [<sup>18</sup>F]FET uptake in static images. However, the differences did not reach satisfactory predictability for machine-learning-based identification of tumor tissue. In conclusion, radiomic features derived from dynamic [<sup>18</sup>F]FET PET data may extract additional information even in [<sup>18</sup>F]FET-negative gliomas, which should be investigated in larger cohorts and correlated with histological and outcome features in future studies.
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spelling doaj.art-8e0269bba99f470d844bd1da12ce2d852023-11-23T19:57:48ZengMDPI AGCancers2072-66942022-10-011419486010.3390/cancers14194860Can Radiomics Provide Additional Information in [<sup>18</sup>F]FET-Negative Gliomas?Katharina von Rohr0Marcus Unterrainer1Adrien Holzgreve2Maximilian A. Kirchner3Zhicong Li4Lena M. Unterrainer5Bogdana Suchorska6Matthias Brendel7Joerg-Christian Tonn8Peter Bartenstein9Sibylle Ziegler10Nathalie L. Albert11Lena Kaiser12Department of Nuclear Medicine, University Hospital, LMU Munich, 81377 Munich, GermanyDepartment of Radiology, University Hospital, LMU Munich, 81377 Munich, GermanyDepartment of Nuclear Medicine, University Hospital, LMU Munich, 81377 Munich, GermanyDepartment of Nuclear Medicine, University Hospital, LMU Munich, 81377 Munich, GermanyDepartment of Nuclear Medicine, University Hospital, LMU Munich, 81377 Munich, GermanyDepartment of Nuclear Medicine, University Hospital, LMU Munich, 81377 Munich, GermanyDepartment of Neurosurgery, Sana Hospital, 47055 Duisburg, GermanyDepartment of Nuclear Medicine, University Hospital, LMU Munich, 81377 Munich, GermanyDepartment of Neurosurgery, University Hospital, LMU Munich, 81377 Munich, GermanyDepartment of Nuclear Medicine, University Hospital, LMU Munich, 81377 Munich, GermanyDepartment of Nuclear Medicine, University Hospital, LMU Munich, 81377 Munich, GermanyDepartment of Nuclear Medicine, University Hospital, LMU Munich, 81377 Munich, GermanyDepartment of Nuclear Medicine, University Hospital, LMU Munich, 81377 Munich, GermanyThe purpose of this study was to evaluate the possibility of extracting relevant information from radiomic features even in apparently [<sup>18</sup>F]FET-negative gliomas. A total of 46 patients with a newly diagnosed, histologically verified glioma that was visually classified as [<sup>18</sup>F]FET-negative were included. Tumor volumes were defined using routine T2/FLAIR MRI data and applied to extract information from dynamic [<sup>18</sup>F]FET PET data, i.e., early and late tumor-to-background (TBR<sub>5–15</sub>, TBR<sub>20–40</sub>) and time-to-peak (TTP) images. Radiomic features of healthy background were calculated from the tumor volume of interest mirrored in the contralateral hemisphere. The ability to distinguish tumors from healthy tissue was assessed using the Wilcoxon test and logistic regression. A total of 5, 15, and 69% of features derived from TBR<sub>20–40</sub>, TBR<sub>5–15</sub>, and TTP images, respectively, were significantly different. A high number of significantly different TTP features was even found in isometabolic gliomas (after exclusion of photopenic gliomas) with visually normal [<sup>18</sup>F]FET uptake in static images. However, the differences did not reach satisfactory predictability for machine-learning-based identification of tumor tissue. In conclusion, radiomic features derived from dynamic [<sup>18</sup>F]FET PET data may extract additional information even in [<sup>18</sup>F]FET-negative gliomas, which should be investigated in larger cohorts and correlated with histological and outcome features in future studies.https://www.mdpi.com/2072-6694/14/19/4860amino acid PETFET PETgliomaFET negativephotopenicradiomics
spellingShingle Katharina von Rohr
Marcus Unterrainer
Adrien Holzgreve
Maximilian A. Kirchner
Zhicong Li
Lena M. Unterrainer
Bogdana Suchorska
Matthias Brendel
Joerg-Christian Tonn
Peter Bartenstein
Sibylle Ziegler
Nathalie L. Albert
Lena Kaiser
Can Radiomics Provide Additional Information in [<sup>18</sup>F]FET-Negative Gliomas?
Cancers
amino acid PET
FET PET
glioma
FET negative
photopenic
radiomics
title Can Radiomics Provide Additional Information in [<sup>18</sup>F]FET-Negative Gliomas?
title_full Can Radiomics Provide Additional Information in [<sup>18</sup>F]FET-Negative Gliomas?
title_fullStr Can Radiomics Provide Additional Information in [<sup>18</sup>F]FET-Negative Gliomas?
title_full_unstemmed Can Radiomics Provide Additional Information in [<sup>18</sup>F]FET-Negative Gliomas?
title_short Can Radiomics Provide Additional Information in [<sup>18</sup>F]FET-Negative Gliomas?
title_sort can radiomics provide additional information in sup 18 sup f fet negative gliomas
topic amino acid PET
FET PET
glioma
FET negative
photopenic
radiomics
url https://www.mdpi.com/2072-6694/14/19/4860
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