Abstract
Objectives
To test the feasibility of using 3D MRF maps with radiomics analysis and machine learning in the characterization of adult brain intra-axial neoplasms.
Methods
3D MRF acquisition was performed on 78 patients with newly diagnosed brain tumors including 33 glioblastomas (grade IV), 6 grade III gliomas, 12 grade II gliomas, and 27 patients with brain metastases. Regions of enhancing tumor, non-enhancing tumor, and peritumoral edema were segmented and radiomics analysis with gray-level co-occurrence matrices and gray-level run-length matrices was performed. Statistical analysis was performed to identify features capable of differentiating tumors based on type, grade, and isocitrate dehydrogenase (IDH1) status. Receiver operating curve analysis was performed and the area under the curve (AUC) was calculated for tumor classification and grading. For gliomas, Kaplan-Meier analysis for overall survival was performed using MRF T1 features from enhancing tumor region.
Results
Multiple MRF T1 and T2 features from enhancing tumor region were capable of differentiating glioblastomas from brain metastases. Although no differences were identified between grade 2 and grade 3 gliomas, differentiation between grade 2 and grade 4 gliomas as well as between grade 3 and grade 4 gliomas was achieved. MRF radiomics features were also able to differentiate IDH1 mutant from the wild-type gliomas. Radiomics T1 features for enhancing tumor region in gliomas correlated to overall survival (p < 0.05).
Conclusion
Radiomics analysis of 3D MRF maps allows differentiating glioblastomas from metastases and is capable of differentiating glioblastomas from metastases and characterizing gliomas based on grade, IDH1 status, and survival.
Key Points
• 3D MRF data analysis using radiomics offers novel tissue characterization of brain tumors.
• 3D MRF with radiomics offers glioma characterization based on grade, IDH1 status, and overall patient survival.
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Abbreviations
- ATRX:
-
Alpha thalassemia mental retardation syndrome X-linked
- AUC:
-
Area under the curve
- CE:
-
Contrast enhanced
- ED:
-
Peritumoral edema
- ET:
-
Enhancing tumor
- FLAIR:
-
Fluid-attenuated inversion recovery
- FLIRT:
-
FMRIB Software Library’s Linear Image Registration Tool
- GBs:
-
Glioblastomas
- GLCM:
-
Gray-level co-occurrence matrix
- GLRLM:
-
Gray-level run-length matrix
- ICC:
-
Interobserver concordance
- IDH1:
-
Isocitrate dehydrogenase 1
- IMC1:
-
Information measure of correlation
- IMC2:
-
Information measure of correlation 2
- METs:
-
Metastases
- MRF:
-
Magnetic resonance fingerprinting
- MRI:
-
Magnetic resonance imaging
- NET:
-
Nonenhancing tumor or necrosis
- NSCLC:
-
Non-small cell lung cancer
- RLNN:
-
Run-length nonuniformity normalized
- ROI:
-
Region of interest
- RSF:
-
Random survival forest
- WHO:
-
World Health Organization
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Funding
This study has received funding by National Institutes of Health 1R01BB017219 award (Principal Investigator: Dr. Mark Griswold) and 1R01EB016728 award (Principal Investigators: Drs. Mark Griswold and Vikas Gulani). This project was also supported by the Clinical and Translational Science Collaborative (CTSC) of Cleveland which is funded by the National Institutes of Health (NIH), National Center for Advancing Translational Science (NCATS), Clinical and Translational Science Award (CTSA) grant, UL1TR002548 (Principal Investigator: Dr. Chaitra Badve). AES is supported by NIH CA217956, the Peter D Cristal Chair, the Center of Excellence for Translational Neuro Oncol, the Gerald R. Kaufman Fund for Glioma Research at University Hospitals of Cleveland, the Kimble Family Foundation, and the Ferry Family Foundation at University Hospitals of Cleveland. The content is solely the responsibility of the authors and do not necessarily represent the official views of the NIH.
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The scientific guarantor of this publication is Dr. Chaitra Badve.
Conflict of interest
The authors of this manuscript declare relationships with the following companies: Case Western Reserve University and University Hospitals receive research support from Siemens. Chaitra Badve, Dan Ma, Mark Griswold, and Jeffrey Sunshine have patent applications on MRF and its applications. Charit Tippareddy, Louisa Onyewadume, Andrew E. Sloan, Gi-Ming Wang, Nirav T. Patil, Jill S. Barnholtz-Sloan, and Rasim Boyacıoğlu have nothing to disclose.
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Three authors have significant statistical expertise: Dr. Jill Barnholtz-Sloan, Gi-Ming Wang, and Nirav Patil.
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Written informed consent was obtained from all subjects (patients) in this study.
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Tippareddy, C., Onyewadume, L., Sloan, A.E. et al. Novel 3D magnetic resonance fingerprinting radiomics in adult brain tumors: a feasibility study. Eur Radiol 33, 836–844 (2023). https://doi.org/10.1007/s00330-022-09067-w
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DOI: https://doi.org/10.1007/s00330-022-09067-w