Abstract
This study incorporated topology Betti number (BN) features into the prediction of primary sites of brain metastases and the construction of magnetic resonance-based imaging biopsy (MRB) models. The significant features of the MRB model were selected from those obtained from gray-scale and three-dimensional wavelet-filtered images, BN and inverted BN (iBN) maps, and clinical variables (age and gender). The primary sites were predicted as either lung cancer or other cancers using MRB models, which were built using seven machine learning methods with significant features chosen by three feature selection methods followed by a combination strategy. Our study dealt with a dataset with relatively smaller brain metastases, which included effective diameters greater than 2 mm, with metastases ranging from 2 to 9 mm accounting for 17% of the dataset. The MRB models were trained by T1-weighted contrast-enhanced images of 494 metastases chosen from 247 patients and applied to 115 metastases from 62 test patients. The most feasible model attained an area under the receiver operating characteristic curve (AUC) of 0.763 for the test patients when using a signature including features of BN and iBN maps, gray-scale and wavelet-filtered images, and clinical variables. The AUCs of the model were 0.744 for non-small cell lung cancer and 0.861 for small cell lung cancer. The results suggest that the BN signature boosted the performance of MRB for the identification of primary sites of brain metastases including small tumors.
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Acknowledgements
The authors would like to express sincere thanks to all members of the Arimura Laboratory (http://web.shs.kyushu-u.ac.jp/~arimura/) for their valuable comments and helpful discussion.
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This study was partially supported by a grant from JSPS KAKENHI (grant number JP20K08084).
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Conceptualization: HA and ME. Data curation: KK, HO, HI, KM and ME. Formal analysis: ME, HA, KM, TK and TT. Funding acquisition: HA. Investigation: ME, HA, KM and TK. Methodology: ME, HA, KM, TK and TT. Project administration: HA and KK. Resources: KK, HO and HI. Software: ME, HA, KM and TK. Supervision: HA and KK. Validation: ME and HA. Visualization: ME and HA. Writing—original draft: ME and HA.
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Egashira, M., Arimura, H., Kobayashi, K. et al. Magnetic resonance-based imaging biopsy with signatures including topological Betti number features for prediction of primary brain metastatic sites. Phys Eng Sci Med 46, 1411–1426 (2023). https://doi.org/10.1007/s13246-023-01308-6
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DOI: https://doi.org/10.1007/s13246-023-01308-6