常规MRI影像组学在预测胶质瘤IDH分型中的应用

Application of conventional MRI radiomics in predicting glioma IDH classification

  • 摘要: 目的 应用影像组学构建模型,预测胶质瘤异柠檬酸脱氢酶(IDH)的突变状态。方法 回顾性分析336例胶质瘤患者的术前磁共振成像(MRI)资料,提取影像特征后构建影像组学模型,采用受试者工作特征曲线对模型预测IDH突变状态的效能进行评估。结果 对每个序列的影像组学特征进行压缩和选择,其中T1WI得到26个影像组学特征,T2WI得到24个影像组学特征,增强T1WI得到12个影像组学特征,3个序列合并后得到27个影像组学特征。单独序列模型中,T1WI训练组曲线下面积(AUC)为0.780(95%CI 0.724~0.836),测试组为0.763(95%CI 0.650~0.876);T2WI训练组AUC为 0.790(95%CI 0.736~0.845),测试组为0.785(95%CI 0.677~0.893);增强T1WI训练组AUC为0.815(95%CI 0.762~0.867),测试组为0.810(95%CI 0.702~0.918)。而预测效能最好的是基于3个序列联合构建的影像组学模型,训练组的曲线下面积为0.877(95%CI 0.837~0.917),测试组的曲线下面积为0.862(95%CI 0.773~0.952)。结论 基于常规MRI的影像组学特征模型可以有效预测胶质瘤IDH基因型,从而进一步指导临床诊断和治疗,评估患者预后。

     

    Abstract: Objective To construct a model using radiomics to predict the mutation status of isocitrate dehydrogenase (IDH) in gliomas. Methods A retrospective analysis was conducted on preoperative magnetic resonance imaging (MRI) images of 336 glioma patients, and imaging features were extracted to construct an radiomics model. Receiver operating characteristic curve was used to evaluate the effectiveness of the model in predicting IDH mutation status. Results The radiomics features of each sequence were compressed and selected, of which 26 radiomics features were obtained from T1WI, 24 radiomics features were obtained from T2WI, 12 radiomics features were obtained from enhanced T1WI, and 27 radiomics features were obtained from the three sequences combined. In the single sequence model, the area under the curve (AUC) of T1WI was 0.780 (95%CI 0.724-0.836) in the training set and 0.763 (95%CI 0.650-0.876) in the test set. The AUC of T2WI was 0.790 (95%CI 0.736-0.845) in training group and 0.785 (95%CI 0.677-0.893) in test group. The AUC of enhanced T1WI was 0.815 (95%CI 0.762-0.867) in the training group and 0.810 (95%CI 0.702-0.918) in the test group. The radiomics model based on three sequences (T1WI, T2WI and enhanced T1WI) combined had the best prediction performance. The area under the curve of the training group was 0.877 (95%CI 0.837-0.917), and the area under the curve of the test group was 0.862 (95%CI 0.773-0.952). Conclusion The radiomics feature model based on conventional MRI can effectively predict the IDH genotype of gliomas, thereby further guiding clinical diagnosis and treatment, and evaluating patient prognosis.

     

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