论文标题
基于机器学习的放射素学用于神经胶质肿瘤分类并与体积分析进行比较
Machine Learning Based Radiomics for Glial Tumor Classification and Comparison with Volumetric Analysis
论文作者
论文摘要
目的;这项研究的目的是通过将机器学习在多模式MRI特征中应用于II,III和IV级类别,将其分类为II,III和IV类别,与体积分析相比。方法;我们回顾性地研究了57例在3T MRI上获得的T2加权,T2加权,Flair图像和ADC MAP的胶质瘤患者。使用ITK-SNAP开源工具的半小局分割,将肿瘤细分为增强和非增强部分,肿瘤坏死,囊肿和水肿。我们测量了总肿瘤量,增强的非肿瘤肿瘤,水肿,坏死体积以及与总肿瘤量的比率。使用标有旨在回答感兴趣问题的标签数据进行了支持向量机(SVM)分类器(SVM)分类器(ANN)的培训。通过ROC分析计算预测的特异性,灵敏度和AUC。使用Kruskall Wallis评估了组之间连续度量的差异,并进行了事后DUNN校正以进行多次比较。结果;当我们比较组之间的体积比时,IV级和II-III级神经胶质肿瘤之间的统计学显着差异。 IV级神经胶质肿瘤的水肿和肿瘤坏死量比高于II和III级。体积比分析无法成功区分II和III级肿瘤。但是,SVM和ANN以高达98%和96%的精度正确分类。结论;在临床环境中,可以将机器学习方法应用于MRI特征对脑肿瘤进行非侵入性,更容易地分类。
Purpose; The purpose of this study is to classify glial tumors into grade II, III and IV categories noninvasively by application of machine learning to multi-modal MRI features in comparison with volumetric analysis. Methods; We retrospectively studied 57 glioma patients with pre and postcontrast T1 weighted, T2 weighted, FLAIR images, and ADC maps acquired on a 3T MRI. The tumors were segmented into enhancing and nonenhancing portions, tumor necrosis, cyst and edema using semiautomated segmentation of ITK-SNAP open source tool. We measured total tumor volume, enhancing-nonenhancing tumor, edema, necrosis volume and the ratios to the total tumor volume. Training of a support vector machine (SVM) classifier and artificial neural network (ANN) was performed with labeled data designed to answer the question of interest. Specificity, sensitivity, and AUC of the predictions were computed by means of ROC analysis. Differences in continuous measures between groups were assessed by using Kruskall Wallis, with post hoc Dunn correction for multiple comparisons. Results; When we compared the volume ratios between groups, there was statistically significant difference between grade IV and grade II-III glial tumors. Edema and tumor necrosis volume ratios for grade IV glial tumors were higher than that of grade II and III. Volumetric ratio analysis could not distinguish grade II and III tumors successfully. However, SVM and ANN correctly classified each group with accuracies up to 98% and 96%. Conclusion; Application of machine learning methods to MRI features can be used to classify brain tumors noninvasively and more readily in clinical settings.