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Artificial Intelligence and Radiogenomics for Pediatric CNS Neoplasms
Mario Tortora1, Aline Ayres2, Suely Fazio Ferraciolli3
1Department of Advanced Biomedical Sciences, University "Federico II", Via Pansini, 5, 80131 Naples, Italy.
Abstract:
The 5th edition of the WHO CNS tumor classification (2021) emphasizes molecular alterations, especially in pediatric tumors, integrating histology with molecular profiling for precise diagnosis. Advances like DNA methylation profiling and Next Generation Sequencing have refined tumor subtypes, influencing targeted therapies. Radiogenomics correlates imaging features with genetic profiles, enabling non-invasive tumor characterization, crucial in pediatric cases where biopsies are risky. Artificial intelligence, including machine learning and deep learning, enhances image analysis, segmentation, and prediction of molecular markers, supporting personalized treatment. Despite challenges like data variability and ethical concerns, these technologies promise to revolutionize pediatric neuro-oncology.
Insights
The 2021 WHO CNS tumor classification integrates molecular data for precise pediatric tumor diagnosis. Advanced techniques like AI and radiogenomics are revolutionizing neuro-oncology treatment strategies.
Area of Science:
- Neuro-oncology
- Molecular Pathology
- Medical Imaging
Background:
- The 5th edition of the World Health Organization (WHO) Classification of CNS Tumors (2021) highlights the importance of molecular alterations.
- Pediatric central nervous system (CNS) tumors require precise classification for effective treatment.
Purpose of the Study:
- To review the integration of molecular profiling and advanced technologies in pediatric neuro-oncology.
- To discuss the impact of new diagnostic tools on tumor classification and targeted therapies.
Main Methods:
- Integration of histological data with molecular profiling techniques such as DNA methylation profiling and Next Generation Sequencing.
- Application of radiogenomics to correlate imaging features with genetic profiles.
- Utilizing artificial intelligence (AI), including machine learning and deep learning, for enhanced image analysis and molecular marker prediction.
Main Results:
- Refined classification of pediatric CNS tumors based on molecular subtypes.
- Enabled non-invasive tumor characterization through radiogenomics, reducing the need for risky biopsies in children.
- Improved diagnostic accuracy and prediction of molecular markers for personalized treatment strategies.
Conclusions:
- Molecular profiling and advanced imaging techniques are transforming pediatric neuro-oncology.
- AI and radiogenomics offer promising avenues for non-invasive diagnosis and personalized treatment of pediatric CNS tumors.
- Despite challenges, these technological advancements are poised to revolutionize the field.
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