In European journal of radiology ; h5-index 47.0
PURPOSE : This study aimed to determine whether MR-based radiomics of glioblastoma can predict the isocitrate dehydrogenase-1 (IDH1) mutation status and compare predictive performances between manual and fully automatic deep-learning segmentations.
METHOD : Forty-five glioblastoma patients with pretreatment T2-weighted MRIs were retrospectively evaluated. Manual segmentations of glioblastoma and peri-tumoral edema were trained via a deep neural network (V-Net). An independent external cohort of 137 glioblastoma patients from the Cancer Imaging Archive was also included (test set 1, n = 46; test set 2, n = 91). Test set 1-without known IDH1 status-was used to calculate dice similarity coefficients (DSC) between the two segmentation methods (manual & V-Net). From test set 2, all-relevant radiomic features were selected via a random forest-based wrapper algorithm for IDH1 prediction. Receiver operating characteristics (ROC) curves with areas under the curve (AUC) were plotted as performance metrics for both methods.
RESULTS : Among 136 patients (45 and 91 patients from our institution and test set 2, respectively), 17 patients (11.2 %) had IDH1 mutations. The mean DSC of test set 1 was 0.78 ± 0.14 (range, 0.34-0.94). A subset of 9 all-relevant features (8.4 %, 9/107) was selected. V-Net segmentation of the test set 2 yielded similar performance in predicting IDH1 mutation as compared to manual segmentation (V-Net AUC = 0.86 vs. manual AUC = 0.90). The optimal cut-point threshold of AUC yielded 86.8 % accuracy for manual segmentation and 75.8 % for V-Net segmentation.
CONCLUSIONS : V-Net showed robust segmentation capability of glioblastoma on T2-weighted MRI. All-relevant radiomics features from both segmentation methods yielded a similar performance in IDH1 prediction.
Choi Yangsean, Nam Yoonho, Lee Youn Soo, Kim Jiwoong, Ahn Kook-Jin, Jang Jinhee, Shin Na-Young, Kim Bum-Soo, Jeon Sin-Soo
glioblastoma, isocitrate dehydrogenase, machine learning, magnetic resonance imaging, sensitivity and specificity