4.6 Article

MRI Radiomics Features From Infarction and Cerebrospinal Fluid for Prediction of Cerebral Edema After Acute Ischemic Stroke

期刊

FRONTIERS IN AGING NEUROSCIENCE
卷 14, 期 -, 页码 -

出版社

FRONTIERS MEDIA SA
DOI: 10.3389/fnagi.2022.782036

关键词

stroke; biomarker; neuroimaging; machine learning; cerebrospinal fluid

资金

  1. Natural Science Foundation of Jiangsu Province [BK20201118]
  2. Jiangsu Provincial Special Program of Medical Science [BE2021604]
  3. Postgraduate Research and Practice Innovation Program of Jiangsu Province [SJCX21_0635]
  4. Xinghuo Talent Program of Nanjing First Hospital

向作者/读者索取更多资源

This study applied MRI radiomics features to predict edema after acute ischemic stroke. By extracting features from infarction and cerebrospinal fluid (CSF) and developing models with two different feature sets, the Bayesian model based on DWI + CSFFLAIR and the random forest model based on DWI + CSFDWI showed the best performance and stability.
Neuroimaging biomarkers that predict the edema after acute stroke may help clinicians provide targeted therapies and minimize the risk of secondary injury. In this study, we applied pretherapy MRI radiomics features from infarction and cerebrospinal fluid (CSF) to predict edema after acute ischemic stroke. MRI data were obtained from a prospective, endovascular thrombectomy (EVT) cohort that included 389 patients with acute stroke from two centers (dataset 1, n = 292; dataset 2, n = 97), respectively. Patients were divided into edema group (brain swelling and midline shift) and non-edema group according to CT within 36 h after therapy. We extracted the imaging features of infarct area on diffusion weighted imaging (DWI) (abbreviated as DWI), CSF on fluid-attenuated inversion recovery (FLAIR) (CSFFLAIR) and CSF on DWI (CSFDWI), and selected the optimum features associated with edema for developing models in two forms of feature sets (DWI + CSFFLAIR and DWI + CSFDWI) respectively. We developed seven ML models based on dataset 1 and identified the most stable model. External validations (dataset 2) of the developed stable model were performed. Prediction model performance was assessed using the area under the receiver operating characteristic curve (AUC). The Bayes model based on DWI + CSFFLAIR and the RF model based on DWI + CSFDWI had the best performances (DWI + CSFFLAIR: AUC, 0.86; accuracy, 0.85; recall, 0.88; DWI + CSFDWI: AUC, 0.86; accuracy, 0.84; recall, 0.84) and the most stability (RSD% in DWI + CSFFLAIR AUC: 0.07, RSD% in DWI + CSFDWI AUC: 0.09), respectively. External validation showed that the AUC of the Bayes model based on DWI + CSFFLAIR was 0.84 with accuracy of 0.77 and area under precision-recall curve (auPRC) of 0.75, and the AUC of the RF model based on DWI + CSFDWI was 0.83 with accuracy of 0.81 and the auPRC of 0.76. The MRI radiomics features from infarction and CSF may offer an effective imaging biomarker for predicting edema.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.6
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据