Quantitative Susceptibility Mapping-Derived Radiomic Features in Discriminating Multiple Sclerosis From Neuromyelitis Optica Spectrum Disorder

Objectives: To implement a machine learning model using radiomic features extracted from quantitative susceptibility mapping (QSM) in discriminating multiple sclerosis (MS) from neuromyelitis optica spectrum disorder (NMOSD).Materials and Methods: Forty-seven patients with MS (mean age = 40.00 ± 13....

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Main Authors: Zichun Yan, Huan Liu, Xiaoya Chen, Qiao Zheng, Chun Zeng, Yineng Zheng, Shuang Ding, Yuling Peng, Yongmei Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-12-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2021.765634/full
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author Zichun Yan
Huan Liu
Xiaoya Chen
Qiao Zheng
Chun Zeng
Yineng Zheng
Shuang Ding
Yuling Peng
Yongmei Li
author_facet Zichun Yan
Huan Liu
Xiaoya Chen
Qiao Zheng
Chun Zeng
Yineng Zheng
Shuang Ding
Yuling Peng
Yongmei Li
author_sort Zichun Yan
collection DOAJ
description Objectives: To implement a machine learning model using radiomic features extracted from quantitative susceptibility mapping (QSM) in discriminating multiple sclerosis (MS) from neuromyelitis optica spectrum disorder (NMOSD).Materials and Methods: Forty-seven patients with MS (mean age = 40.00 ± 13.72 years) and 36 patients with NMOSD (mean age = 42.14 ± 12.34 years) who underwent enhanced gradient-echo T2*-weighted angiography (ESWAN) sequence in 3.0-T MRI were included between April 2017 and October 2019. QSM images were reconstructed from ESWAN, and QSM-derived radiomic features were obtained from seven regions of interest (ROIs), including bilateral putamen, globus pallidus, head of the caudate nucleus, thalamus, substantia nigra, red nucleus, and dentate nucleus. A machine learning model (logistic regression) was applied to classify MS and NMOSD, which combined radiomic signatures and demographic information to assess the classification accuracy using the area under the receiver operating characteristic (ROC) curve (AUC).Results: The radiomics-only models showed better discrimination performance in almost all deep gray matter (DGM) regions than the demographic information-only model, with the highest AUC in DN of 0.902 (95% CI: 0.840–0.955). Moreover, the hybrid model combining radiomic signatures and demographic information showed the highest discrimination performance which achieved the AUC of 0.927 (95% CI: 0.871–0.984) with fivefold cross-validation.Conclusion: The hybrid model based on QSM and powered with machine learning has the potential to discriminate MS from NMOSD.
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spelling doaj.art-e1ee6dae7aac4648aea7a45460f23fcd2022-12-21T18:33:07ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2021-12-011510.3389/fnins.2021.765634765634Quantitative Susceptibility Mapping-Derived Radiomic Features in Discriminating Multiple Sclerosis From Neuromyelitis Optica Spectrum DisorderZichun Yan0Huan Liu1Xiaoya Chen2Qiao Zheng3Chun Zeng4Yineng Zheng5Shuang Ding6Yuling Peng7Yongmei Li8Department of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaGE Healthcare, Shanghai, ChinaDepartment of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaObjectives: To implement a machine learning model using radiomic features extracted from quantitative susceptibility mapping (QSM) in discriminating multiple sclerosis (MS) from neuromyelitis optica spectrum disorder (NMOSD).Materials and Methods: Forty-seven patients with MS (mean age = 40.00 ± 13.72 years) and 36 patients with NMOSD (mean age = 42.14 ± 12.34 years) who underwent enhanced gradient-echo T2*-weighted angiography (ESWAN) sequence in 3.0-T MRI were included between April 2017 and October 2019. QSM images were reconstructed from ESWAN, and QSM-derived radiomic features were obtained from seven regions of interest (ROIs), including bilateral putamen, globus pallidus, head of the caudate nucleus, thalamus, substantia nigra, red nucleus, and dentate nucleus. A machine learning model (logistic regression) was applied to classify MS and NMOSD, which combined radiomic signatures and demographic information to assess the classification accuracy using the area under the receiver operating characteristic (ROC) curve (AUC).Results: The radiomics-only models showed better discrimination performance in almost all deep gray matter (DGM) regions than the demographic information-only model, with the highest AUC in DN of 0.902 (95% CI: 0.840–0.955). Moreover, the hybrid model combining radiomic signatures and demographic information showed the highest discrimination performance which achieved the AUC of 0.927 (95% CI: 0.871–0.984) with fivefold cross-validation.Conclusion: The hybrid model based on QSM and powered with machine learning has the potential to discriminate MS from NMOSD.https://www.frontiersin.org/articles/10.3389/fnins.2021.765634/fullmultiple sclerosisneuromyelitis optica spectrum disorderquantitative susceptibility mappingradiomicsdiscrimination
spellingShingle Zichun Yan
Huan Liu
Xiaoya Chen
Qiao Zheng
Chun Zeng
Yineng Zheng
Shuang Ding
Yuling Peng
Yongmei Li
Quantitative Susceptibility Mapping-Derived Radiomic Features in Discriminating Multiple Sclerosis From Neuromyelitis Optica Spectrum Disorder
Frontiers in Neuroscience
multiple sclerosis
neuromyelitis optica spectrum disorder
quantitative susceptibility mapping
radiomics
discrimination
title Quantitative Susceptibility Mapping-Derived Radiomic Features in Discriminating Multiple Sclerosis From Neuromyelitis Optica Spectrum Disorder
title_full Quantitative Susceptibility Mapping-Derived Radiomic Features in Discriminating Multiple Sclerosis From Neuromyelitis Optica Spectrum Disorder
title_fullStr Quantitative Susceptibility Mapping-Derived Radiomic Features in Discriminating Multiple Sclerosis From Neuromyelitis Optica Spectrum Disorder
title_full_unstemmed Quantitative Susceptibility Mapping-Derived Radiomic Features in Discriminating Multiple Sclerosis From Neuromyelitis Optica Spectrum Disorder
title_short Quantitative Susceptibility Mapping-Derived Radiomic Features in Discriminating Multiple Sclerosis From Neuromyelitis Optica Spectrum Disorder
title_sort quantitative susceptibility mapping derived radiomic features in discriminating multiple sclerosis from neuromyelitis optica spectrum disorder
topic multiple sclerosis
neuromyelitis optica spectrum disorder
quantitative susceptibility mapping
radiomics
discrimination
url https://www.frontiersin.org/articles/10.3389/fnins.2021.765634/full
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