Deep learning-based detection and identification of brain tumor biomarkers in quantitative MR-images

The infiltrative nature of malignant gliomas results in active tumor spreading into the peritumoral edema, which is not visible in conventional magnetic resonance imaging (cMRI) even after contrast injection. MR relaxometry (qMRI) measures relaxation rates dependent on tissue properties and can offe...

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Main Authors: Iulian Emil Tampu, Neda Haj-Hosseini, Ida Blystad, Anders Eklund
Format: Article
Language:English
Published: IOP Publishing 2023-01-01
Series:Machine Learning: Science and Technology
Subjects:
Online Access:https://doi.org/10.1088/2632-2153/acf095
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author Iulian Emil Tampu
Neda Haj-Hosseini
Ida Blystad
Anders Eklund
author_facet Iulian Emil Tampu
Neda Haj-Hosseini
Ida Blystad
Anders Eklund
author_sort Iulian Emil Tampu
collection DOAJ
description The infiltrative nature of malignant gliomas results in active tumor spreading into the peritumoral edema, which is not visible in conventional magnetic resonance imaging (cMRI) even after contrast injection. MR relaxometry (qMRI) measures relaxation rates dependent on tissue properties and can offer additional contrast mechanisms to highlight the non-enhancing infiltrative tumor. To investigate if qMRI data provides additional information compared to cMRI sequences when considering deep learning-based brain tumor detection and segmentation, preoperative conventional (T1w per- and post-contrast, T2w and FLAIR) and quantitative (pre- and post-contrast R _1 , R _2 and proton density) MR data was obtained from 23 patients with typical radiological findings suggestive of a high-grade glioma. 2D deep learning models were trained on transversal slices ( n = 528) for tumor detection and segmentation using either cMRI or qMRI. Moreover, trends in quantitative R _1 and R _2 rates of regions identified as relevant for tumor detection by model explainability methods were qualitatively analyzed. Tumor detection and segmentation performance for models trained with a combination of qMRI pre- and post-contrast was the highest (detection Matthews correlation coefficient (MCC) = 0.72, segmentation dice similarity coefficient (DSC) = 0.90), however, the difference compared to cMRI was not statistically significant. Overall analysis of the relevant regions identified using model explainability showed no differences between models trained on cMRI or qMRI. When looking at the individual cases, relaxation rates of brain regions outside the annotation and identified as relevant for tumor detection exhibited changes after contrast injection similar to region inside the annotation in the majority of cases. In conclusion, models trained on qMRI data obtained similar detection and segmentation performance to those trained on cMRI data, with the advantage of quantitatively measuring brain tissue properties within a similar scan time. When considering individual patients, the analysis of relaxation rates of regions identified by model explainability suggests the presence of infiltrative tumor outside the cMRI-based tumor annotation.
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spelling doaj.art-a15e9e7ec6804154b87f143818e46e822023-09-04T10:51:34ZengIOP PublishingMachine Learning: Science and Technology2632-21532023-01-014303503810.1088/2632-2153/acf095Deep learning-based detection and identification of brain tumor biomarkers in quantitative MR-imagesIulian Emil Tampu0https://orcid.org/0000-0002-7582-1706Neda Haj-Hosseini1https://orcid.org/0000-0002-0555-8877Ida Blystad2https://orcid.org/0000-0002-8857-5698Anders Eklund3https://orcid.org/0000-0001-7061-7995Department of Biomedical Engineering, Linköping University , Linköping, Sweden; Center for Medical Image Science and Visualization, Linköping University , Linköping, SwedenDepartment of Biomedical Engineering, Linköping University , Linköping, Sweden; Center for Medical Image Science and Visualization, Linköping University , Linköping, SwedenCenter for Medical Image Science and Visualization, Linköping University , Linköping, Sweden; Department of Radiology and Department of Health, Medicine and Caring Sciences, Linköping University , Linköping, SwedenDepartment of Biomedical Engineering, Linköping University , Linköping, Sweden; Center for Medical Image Science and Visualization, Linköping University , Linköping, Sweden; Division of Statistics & Machine Learning, Department of Computer and Information Science, Linköping University , Linköping, SwedenThe infiltrative nature of malignant gliomas results in active tumor spreading into the peritumoral edema, which is not visible in conventional magnetic resonance imaging (cMRI) even after contrast injection. MR relaxometry (qMRI) measures relaxation rates dependent on tissue properties and can offer additional contrast mechanisms to highlight the non-enhancing infiltrative tumor. To investigate if qMRI data provides additional information compared to cMRI sequences when considering deep learning-based brain tumor detection and segmentation, preoperative conventional (T1w per- and post-contrast, T2w and FLAIR) and quantitative (pre- and post-contrast R _1 , R _2 and proton density) MR data was obtained from 23 patients with typical radiological findings suggestive of a high-grade glioma. 2D deep learning models were trained on transversal slices ( n = 528) for tumor detection and segmentation using either cMRI or qMRI. Moreover, trends in quantitative R _1 and R _2 rates of regions identified as relevant for tumor detection by model explainability methods were qualitatively analyzed. Tumor detection and segmentation performance for models trained with a combination of qMRI pre- and post-contrast was the highest (detection Matthews correlation coefficient (MCC) = 0.72, segmentation dice similarity coefficient (DSC) = 0.90), however, the difference compared to cMRI was not statistically significant. Overall analysis of the relevant regions identified using model explainability showed no differences between models trained on cMRI or qMRI. When looking at the individual cases, relaxation rates of brain regions outside the annotation and identified as relevant for tumor detection exhibited changes after contrast injection similar to region inside the annotation in the majority of cases. In conclusion, models trained on qMRI data obtained similar detection and segmentation performance to those trained on cMRI data, with the advantage of quantitatively measuring brain tissue properties within a similar scan time. When considering individual patients, the analysis of relaxation rates of regions identified by model explainability suggests the presence of infiltrative tumor outside the cMRI-based tumor annotation.https://doi.org/10.1088/2632-2153/acf095quantitative MRIbrain tumordeep learningmodel explainability
spellingShingle Iulian Emil Tampu
Neda Haj-Hosseini
Ida Blystad
Anders Eklund
Deep learning-based detection and identification of brain tumor biomarkers in quantitative MR-images
Machine Learning: Science and Technology
quantitative MRI
brain tumor
deep learning
model explainability
title Deep learning-based detection and identification of brain tumor biomarkers in quantitative MR-images
title_full Deep learning-based detection and identification of brain tumor biomarkers in quantitative MR-images
title_fullStr Deep learning-based detection and identification of brain tumor biomarkers in quantitative MR-images
title_full_unstemmed Deep learning-based detection and identification of brain tumor biomarkers in quantitative MR-images
title_short Deep learning-based detection and identification of brain tumor biomarkers in quantitative MR-images
title_sort deep learning based detection and identification of brain tumor biomarkers in quantitative mr images
topic quantitative MRI
brain tumor
deep learning
model explainability
url https://doi.org/10.1088/2632-2153/acf095
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AT nedahajhosseini deeplearningbaseddetectionandidentificationofbraintumorbiomarkersinquantitativemrimages
AT idablystad deeplearningbaseddetectionandidentificationofbraintumorbiomarkersinquantitativemrimages
AT anderseklund deeplearningbaseddetectionandidentificationofbraintumorbiomarkersinquantitativemrimages