期刊
EUROPEAN JOURNAL OF RADIOLOGY
卷 134, 期 -, 页码 -出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/j.ejrad.2020.109467
关键词
Radiomics; Inflammation; Glioma; Magnetic resonance imaging (MRI)
资金
- National Key Research and Development Program of China [2016YFC0107105]
- Young Talent Foundation of Tangdu Hospital
- Key Industrial Chain Projects in the Field of Social Development of Shaanxi Province [2019ZDLSF02-07]
- Hovering Program of Fourth Military Medical University
- Talent Foundation of Tangdu Hospital [2018BJ003]
The study successfully differentiated brain inflammation from grade II glioma using radiomics features, showing better diagnostic efficacy compared to experienced radiologists.
Purpose: In populations without contrast enhancement, the imaging features of atypical brain parenchyma inflammations can mimic those of grade II gliomas. The aim of this study was to assess the value of the conventional MR-based radiomics signature in differentiating brain inflammation from grade II glioma. Methods: Fifty-seven patients (39 patients with grade II glioma and 18 patients with inflammation) were divided into primary (n = 44) and validation cohorts (n = 13). Radiomics features were extracted from T-1-weighted images (T1WI) and T-2 -weighted images (T2WI). Two-sample t-test and least absolute shrinkage and selection operator (LASSO) regression were adopted to select features and build radiomics signature models for discriminating inflammation from glioma. The predictive performance of the models was evaluated via area under the receiver operating characteristic curve (AUC) and compared with the radiologists' assessments. Results: Based on the primary cohort, we developed T1WI, T2WI and combination (T1WI + T2WI) models for differentiating inflammation from glioma with 4, 8, and 5 radiomics features, respectively. Among these models, T2WI and combination models achieved better diagnostic efficacy, with AUC of 0.980, 0.988 in primary cohort and that of 0.950, 0.925 in validation cohort, respectively. The AUCs of radiologist 1's and 2's assessments were 0.661 and 0.722, respectively. Conclusion: The signature based on radiomics features helps to differentiate inflammation from grade II glioma and improved performance compared with experienced radiologists, which could potentially be useful in clinical practice.
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