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Updated: Feb 5, 2026

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Guidelines and Experience Using Imaging Biomarker Explorer IBEX for Radiomics
Published on: January 8, 2018
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Brain MRI Radiomic First-Order Features for Presurgical Prediction of Meningioma Grading.
Camilo Pineda-Ibarra1,2,3, Josep Puig2, Diego Nuñez-Leiva4
1Department of Neuroradiology, Diagnostic Imaging Centre, Hospital Clinic de Barcelona, Barcelona, Spain.
Summary
Radiomics using MRI features can non-invasively predict meningioma grades. Histogram-based radiomic features from T1, FLAIR, and T1CE MRI sequences show promise in distinguishing between Grade 1 and Grade 2 meningiomas.
Area of Science:
- Neurosurgery
- Radiology
- Oncology
Background:
- Meningioma grading is crucial for treatment planning, ranging from observation to aggressive interventions.
- Radiomics offers a potential non-invasive method for tumor characterization, avoiding the need for biopsies.
- Distinguishing between different meningioma grades preoperatively can significantly impact patient management.
Purpose of the Study:
- To evaluate the efficacy of radiomic features (RFs) in differentiating between WHO Grade 1 and Grade 2 meningiomas.
- To assess the potential of multiparametric MRI radiomics as a non-invasive tool for meningioma grading.
- To identify specific radiomic features predictive of meningioma grade.
Main Methods:
- Retrospective collection of preoperative multiparametric MRI data (T1, T2, T2GRE, FLAIR, ADC, T1CE) from 150 meningioma patients.
- Extraction of 75 radiomic features from semimanually segmented tumors using MintLesion Research software.
- Application of the Lasso method for variable selection and 10-fold cross-validation to identify predictive features.
Main Results:
- The study identified key radiomic features differentiating Grade 1 from Grade 2 meningiomas, including histogram coefficient of variation on T1CE, maximum histogram gradient on T1, and quartile coefficient of dispersion on FLAIR.
- Combined radiomic features achieved an area under the curve (AUC) of 0.814 for accurate meningioma grade differentiation.
- Texture features and metrics from T2, T2GRE, and ADC sequences did not significantly discriminate between meningioma grades.
Conclusions:
- First-order histogram-based radiomic features from T1, FLAIR, and T1CE MRI sequences show potential for preoperative meningioma grade prediction.
- These findings suggest radiomics can aid in clinical decision-making and personalized treatment strategies for meningioma patients.
- Further validation through larger, multicenter studies is recommended to confirm these promising results.
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