一种 MRI 放射组学方法,用于预测脑胶质瘤的生存和肿瘤浸润巨噬细胞。
An MRI radiomics approach to predict survival and tumour-infiltrating macrophages in gliomas.
机构信息
Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China.
Laboratory for Biomechanics and Mechanobiology of Ministry of Education, Beijing Advanced Innovation Center for Biomedical Engineering, School of Engineering Medicine, School of Biological Science and Medical Engineering, Beihang University, Beijing, 100083, China.
出版信息
Brain. 2022 Apr 29;145(3):1151-1161. doi: 10.1093/brain/awab340.
Preoperative MRI is one of the most important clinical results for the diagnosis and treatment of glioma patients. The objective of this study was to construct a stable and validatable preoperative T2-weighted MRI-based radiomics model for predicting the survival of gliomas. A total of 652 glioma patients across three independent cohorts were covered in this study including their preoperative T2-weighted MRI images, RNA-seq and clinical data. Radiomic features (1731) were extracted from preoperative T2-weighted MRI images of 167 gliomas (discovery cohort) collected from Beijing Tiantan Hospital and then used to develop a radiomics prediction model through a machine learning-based method. The performance of the radiomics prediction model was validated in two independent cohorts including 261 gliomas from the The Cancer Genomae Atlas database (external validation cohort) and 224 gliomas collected in the prospective study from Beijing Tiantan Hospital (prospective validation cohort). RNA-seq data of gliomas from discovery and external validation cohorts were applied to establish the relationship between biological function and the key radiomics features, which were further validated by single-cell sequencing and immunohistochemical staining. The 14 radiomic features-based prediction model was constructed from preoperative T2-weighted MRI images in the discovery cohort, and showed highly robust predictive power for overall survival of gliomas in external and prospective validation cohorts. The radiomic features in the prediction model were associated with immune response, especially tumour macrophage infiltration. The preoperative T2-weighted MRI radiomics prediction model can stably predict the survival of glioma patients and assist in preoperatively assessing the extent of macrophage infiltration in glioma tumours.
术前 MRI 是胶质瘤患者诊断和治疗的最重要临床结果之一。本研究旨在构建一种稳定且可验证的基于术前 T2 加权 MRI 的放射组学模型,用于预测胶质瘤患者的生存情况。本研究共纳入了三个独立队列的 652 名胶质瘤患者,包括他们的术前 T2 加权 MRI 图像、RNA-seq 和临床数据。从北京天坛医院收集的 167 例胶质瘤(发现队列)的术前 T2 加权 MRI 图像中提取了放射组学特征(1731 个),并通过基于机器学习的方法构建了放射组学预测模型。该放射组学预测模型在两个独立的队列中进行了验证,包括来自癌症基因组图谱数据库的 261 例胶质瘤(外部验证队列)和北京天坛医院前瞻性研究中收集的 224 例胶质瘤(前瞻性验证队列)。对发现队列和外部验证队列中胶质瘤的 RNA-seq 数据进行分析,以建立生物学功能与关键放射组学特征之间的关系,并通过单细胞测序和免疫组织化学染色进一步验证。该模型是基于术前 T2 加权 MRI 图像在发现队列中构建的,在外部和前瞻性验证队列中对胶质瘤的总体生存率具有高度稳健的预测能力。该预测模型中的放射组学特征与免疫反应有关,特别是肿瘤巨噬细胞浸润。术前 T2 加权 MRI 放射组学预测模型可以稳定地预测胶质瘤患者的生存情况,并有助于术前评估胶质瘤肿瘤中巨噬细胞浸润的程度。