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Predicting local failure of brain metastases after stereotactic radiosurgery with radiomics on planning MR images and dose maps.

作者信息

Wang Hesheng, Xue Jinyu, Qu Tanxia, Bernstein Kenneth, Chen Ting, Barbee David, Silverman Joshua S, Kondziolka Douglas

机构信息

Department of Radiation Oncology, NYU Langone Medical Center, New York University, New York, New York, USA.

Department of Neurosurgery, NYU Langone Medical Center, New York University, New York, New York, USA.

出版信息

Med Phys. 2021 Sep;48(9):5522-5530. doi: 10.1002/mp.15110. Epub 2021 Jul 31.


DOI:10.1002/mp.15110
PMID:34287940
Abstract

PURPOSE: Stereotactic radiosurgery (SRS) has become an important modality in the treatment of brain metastases. The purpose of this study is to investigate the potential of radiomic features from planning magnetic resonance (MR) images and dose maps to predict local failure after SRS for brain metastases. MATERIALS/METHODS: Twenty-eight patients who received Gamma Knife (GK) radiosurgery for brain metastases were retrospectively reviewed in this IRB-approved study. 179 irradiated tumors included 42 that locally failed within one-year follow-up. Using SRS tumor volumes, radiomic features were calculated on T1-weighted contrast-enhanced MR images acquired for treatment planning and planned dose maps. 125 radiomic features regarding tumor shape, dose distribution, MR intensities and textures were extracted for each tumor. Logistic regression with automatic feature selection was built to predict tumor progression from local control after SRS. Feature selection and model evaluation using receiver operating characteristic (ROC) curves were performed in a nested cross validation (CV) scheme. The associations between selected radiomic features and treatment outcomes were statistically assessed by univariate analysis. RESULTS: The logistic model with feature selection achieved ROC AUC of 0.82 ± 0.09 on 5-fold CV, providing 83% sensitivity and 70% specificity for predicting local failure. A total of 10 radiomic features including 1 shape feature, 6 MR images and 3 dose distribution features were selected. These features were significantly associated with treatment outcomes (p < 0.05). The model was validated on independent holdout data with an AUC of 0.78. CONCLUSIONS: Radiomic features from planning MR images and dose maps provided prognostic information in SRS for brain metastases. A model built on the radiomic features shows promise for early prediction of tumor local failure after treatment, potentially aiding in personalized care for brain metastases.

摘要

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引用本文的文献

[1]
Prediction of Pituitary Adenoma's Volumetric Response to Gamma Knife Radiosurgery Using Machine Learning-Supported MRI Radiomics.

J Clin Med. 2025-4-23

[2]
Prediction of brain metastasis progression after stereotactic radiosurgery: sensitivity to changing the definition of progression.

J Med Imaging (Bellingham). 2025-3

[3]
Precision radiotherapy with molecular-profiling of CNS tumours.

J Neurooncol. 2025-3

[4]
Computational Modeling and AI in Radiation Neuro-Oncology and Radiosurgery.

Adv Exp Med Biol. 2024

[5]
Enhancing intracranial efficacy prediction of osimertinib in non-small cell lung cancer: a novel approach through brain MRI radiomics.

Front Neurol. 2024-8-30

[6]
Radiomics-based prediction of local control in patients with brain metastases following postoperative stereotactic radiotherapy.

Neuro Oncol. 2024-9-5

[7]
Prediction of the treatment response and local failure of patients with brain metastasis treated with stereotactic radiosurgery using machine learning: A systematic review and meta-analysis.

Neurosurg Rev. 2024-4-30

[8]
Dose-Incorporated Deep Ensemble Learning for Improving Brain Metastasis Stereotactic Radiosurgery Outcome Prediction.

Int J Radiat Oncol Biol Phys. 2024-10-1

[9]
Predicting stereotactic radiosurgery outcomes with multi-observer qualitative appearance labelling versus MRI radiomics.

Sci Rep. 2023-11-28

[10]
Dual-center validation of using magnetic resonance imaging radiomics to predict stereotactic radiosurgery outcomes.

Neurooncol Adv. 2023-5-27

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