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Metrics and textural features of MRI diffusion to improve classification of pediatric posterior fossa tumors
D Rodriguez Gutierrez1, A Awwad2, L Meijer3
1From the Division of Radiological and Imaging Sciences (D.R.G., A.A., M.M., R.A.D., R.G.G., D.P.A.)Children's Brain Tumor Research Centre (D.R.G., L.M., R.G.G., D.P.A.), University of Nottingham, Nottingham, UK.
Background And Purpose:
Qualitative radiologic MR imaging review affords limited differentiation among types of pediatric posterior fossa brain tumors and cannot detect histologic or molecular subtypes, which could help to stratify treatment. This study aimed to improve current posterior fossa discrimination of histologic tumor type by using support vector machine classifiers on quantitative MR imaging features.
Materials And Methods:
This retrospective study included preoperative MRI in 40 children with posterior fossa tumors (17 medulloblastomas, 16 pilocytic astrocytomas, and 7 ependymomas). Shape, histogram, and textural features were computed from contrast-enhanced T2WI and T1WI and diffusivity (ADC) maps. Combinations of features were used to train tumor-type-specific classifiers for medulloblastoma, pilocytic astrocytoma, and ependymoma types in separation and as a joint posterior fossa classifier. A tumor-subtype classifier was also produced for classic medulloblastoma. The performance of different classifiers was assessed and compared by using randomly selected subsets of training and test data.
Results:
ADC histogram features (25th and 75th percentiles and skewness) yielded the best classification of tumor type (on average >95.8% of medulloblastomas, >96.9% of pilocytic astrocytomas, and >94.3% of ependymomas by using 8 training samples). The resulting joint posterior fossa classifier correctly assigned >91.4% of the posterior fossa tumors. For subtype classification, 89.4% of classic medulloblastomas were correctly classified on the basis of ADC texture features extracted from the Gray-Level Co-Occurence Matrix.
Conclusions:
Support vector machine-based classifiers using ADC histogram features yielded very good discrimination among pediatric posterior fossa tumor types, and ADC textural features show promise for further subtype discrimination. These findings suggest an added diagnostic value of quantitative feature analysis of diffusion MR imaging in pediatric neuro-oncology.
Insights
Quantitative MRI analysis using support vector machines effectively differentiates pediatric posterior fossa tumors. This approach shows promise for improving diagnosis and treatment stratification in pediatric neuro-oncology.
Area of Science:
- Neuro-oncology
- Medical Imaging
- Machine Learning
Background:
- Qualitative MRI has limitations in differentiating pediatric posterior fossa tumor types.
- Histologic and molecular subtypes are crucial for treatment stratification but not detectable by current MRI methods.
Purpose of the Study:
- To enhance the discrimination of pediatric posterior fossa tumor histologic types using quantitative MRI features.
- To develop support vector machine (SVM) classifiers for improved tumor classification.
Main Methods:
- Retrospective analysis of preoperative MRI from 40 children with posterior fossa tumors (medulloblastomas, pilocytic astrocytomas, ependymomas).
- Extraction of shape, histogram, and textural features from contrast-enhanced T2WI, T1WI, and apparent diffusion coefficient (ADC) maps.
- Training and testing of SVM classifiers for tumor type and subtype classification.
Main Results:
- ADC histogram features achieved high classification accuracy for tumor types (>95.8% for medulloblastomas, >96.9% for pilocytic astrocytomas, >94.3% for ependymomas).
- A joint posterior fossa classifier demonstrated >91.4% accuracy in tumor assignment.
- ADC texture features correctly classified 89.4% of classic medulloblastomas.
Conclusions:
- SVM classifiers utilizing ADC histogram features provide excellent discrimination of pediatric posterior fossa tumor types.
- ADC texture features show potential for further subtype discrimination.
- Quantitative diffusion MRI feature analysis offers added diagnostic value in pediatric neuro-oncology.
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