Journal
PHYSICS IN MEDICINE AND BIOLOGY
Volume 63, Issue 21, Pages -Publisher
IOP Publishing Ltd
DOI: 10.1088/1361-6560/aae5cd
Keywords
radiogenomics; multi-objective optimazation; multi-classifer; outcome prediction; evidential reasoning
Funding
- American Cancer Society [ACS-IRG-02-196]
- US National Institutes of Health [P50CA196516, R01CA154475]
- National Natural Science Foundation of China [61401349, 61571359]
- NATIONAL CANCER INSTITUTE [R01CA154475, P50CA196516] Funding Source: NIH RePORTER
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Genetic studies have identified associations between gene mutations and clear cell renal cell carcinoma (ccRCC). Since the complete gene mutational landscape cannot be characterized through biopsy and sequencing assays for each patient, non-invasive tools are needed to determine the mutation status for tumors. Radiogenomics may be an attractive alternative tool to identify disease genomics by analyzing amounts of features extracted from medical images. Most current radiogenomics predictive models are built based on a single classifier and trained through a single objective. However, since many classifiers are available, selecting an optimal model is challenging. On the other hand, a single objective may not be a good measure to guide model training. We proposed a new multi-classifier multi-objective (MCMO) radiogenomics predictive model. To obtain more reliable prediction results, similarity-based sensitivity and specificity were defined and considered as the two objective functions simultaneously during training. To take advantage of different classifiers, the evidential reasoning (ER) approach was used for fusing the output of each classifier. Additionally, a new similarity-based multi-objective optimization algorithm (SMO) was developed for training the MCMO to predict ccRCC related gene mutations ( VHL, PBRM1 and BAP1) using quantitative CT features. Using the proposed MCMO model, we achieved a predictive area under the receiver operating characteristic curve (AUC) over 0.85 for VHL, PBRM1 and BAP1 genes with balanced sensitivity and specificity. Furthermore, MCMO outperformed all the individual classifiers, and yielded more reliable results than other optimization algorithms and commonly used fusion strategies.
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