Chen Lei, Zhang Han, Thung Kim-Han, Liu Luyan, Lu Junfeng, Wu Jinsong, Wang Qian, Shen Dinggang
Jiangsu Key Laboratory of Big Data Security and Intelligent Processing, Nanjing University of Posts and Telecommunications, Nanjing, China.
Department of Radiology and BRIC, University of North Carolina, Chapel Hill, USA.
Med Image Comput Comput Assist Interv. 2017 Sep;10434:450-458. doi: 10.1007/978-3-319-66185-8_51. Epub 2017 Sep 4.
MGMT promoter methylation and IDH1 mutation in high-grade gliomas (HGG) have proven to be the two important molecular indicators associated with better prognosis. Traditionally, the statuses of MGMT and IDH1 are obtained via surgical biopsy, which is laborious, invasive and time-consuming. Accurate presurgical prediction of their statuses based on preoperative imaging data is of great clinical value towards better treatment plan. In this paper, we propose a novel Multi-label Matrix Completion (MIMC) model, highlighted by the online inductive learning strategy, to jointly predict both MGMT and IDH1 statuses. Our MIMC model uses the training subjects with possibly missing MGMT/IDH1 labels, leverages the unlabeled testing subjects as a supplement to the limited training dataset. More importantly, we learn inductive labels, instead of directly using transductive labels, as the prediction results for the testing subjects, to alleviate the overfitting issue in small-sample-size studies. Furthermore, we design an optimization algorithm with guaranteed convergence based on the block coordinate descent method to solve the multivariate non-smooth MIMC model. Finally, by using a precious single-center multi-modality presurgical brain imaging and genetic dataset of primary HGG, we demonstrate that our method can produce accurate prediction results, outperforming the previous widely-used single- or multi-task machine learning methods. This study shows the promise of utilizing imaging-derived brain connectome phenotypes for prognosis of HGG in a non-invasive manner.
在高级别胶质瘤(HGG)中,MGMT启动子甲基化和IDH1突变已被证明是与较好预后相关的两个重要分子指标。传统上,MGMT和IDH1的状态是通过手术活检获得的,这既费力、具有侵入性又耗时。基于术前影像数据对其状态进行准确的术前预测对于制定更好的治疗方案具有重要的临床价值。在本文中,我们提出了一种新颖的多标签矩阵补全(MIMC)模型,该模型以在线归纳学习策略为突出特点,用于联合预测MGMT和IDH1的状态。我们的MIMC模型使用可能缺少MGMT/IDH1标签的训练对象,利用未标记的测试对象作为对有限训练数据集的补充。更重要的是,我们学习归纳标签,而不是直接使用转导标签作为测试对象的预测结果,以缓解小样本量研究中的过拟合问题。此外,我们基于块坐标下降法设计了一种具有收敛保证的优化算法来求解多元非光滑MIMC模型。最后,通过使用一个珍贵的原发性HGG单中心多模态术前脑成像和基因数据集,我们证明我们的方法可以产生准确的预测结果,优于先前广泛使用的单任务或多任务机器学习方法。这项研究表明了以非侵入性方式利用成像衍生的脑连接组表型进行HGG预后评估的前景。