University Clinic for Radiology, Westfälische Wilhelms-University Muenster and University Hospital Muenster, Albert-Schweitzer-Campus 1, E48149, Muenster, Germany.
Department of Neurosurgery, Westfälische Wilhelms-University Muenster and University Hospital Muenster, Albert-Schweitzer-Campus 1, E48149, Muenster, Germany.
Sci Rep. 2022 Aug 18;12(1):14043. doi: 10.1038/s41598-022-18458-4.
Our aim is to predict possible gross total and subtotal resections of skull meningiomas from pre-treatment T1 post contrast MR-images using radiomics and machine learning in a representative patient cohort. We analyse the accuracy of our model predictions depending on the tumor location within the skull and the postoperative tumor volume. In this retrospective, IRB-approved study, image segmentation of the contrast enhancing parts of the tumor was semi-automatically performed using the 3D Slicer open-source software platform. Imaging data were split into training data and independent test data at random. We extracted a total of 107 radiomic features by hand-delineated regions of interest on T1 post contrast MR images. Feature preselection and model construction were performed with eight different machine learning algorithms. Each model was estimated 100 times on new training data and then tested on a previously unknown, independent test data set to avoid possible overfitting. Our cohort included 138 patients. A gross total resection of the meningioma was performed in 107 cases and a subtotal resection in the remaining 31 cases. Using the training data, the mean area under the curve (AUC), mean accuracy, mean kappa, mean sensitivity and mean specificity were 0.901, 0.875, 0.629, 0.675 and 0.933 respectively. We obtained very similar results with the independent test data: mean AUC = 0.900, mean accuracy = 0.881, mean kappa = 0.644, mean sensitivity = 0.692 and mean specificity = 0.936. Thus, our model exposes good and stable predictive performance with both training and test data. Our radiomics approach shows that with machine learning algorithms and comparatively few explanatory factors such as the location of the tumor within the skull as well as its shape, it is possible to make accurate predictions about whether a meningioma can be completely resected by surgery. Complete resections and resections with larger postoperative tumor volumes can be predicted with very high accuracy. However, cases with very small postoperative tumor volumes are comparatively difficult to predict correctly.
我们的目标是使用放射组学和机器学习,从预处理 T1 对比增强磁共振图像中预测颅骨脑膜瘤的全切除和次全切除。我们根据肿瘤在颅骨内的位置和术后肿瘤体积来分析我们模型预测的准确性。在这项回顾性、IRB 批准的研究中,使用 3D Slicer 开源软件平台对肿瘤的对比增强部分进行半自动图像分割。图像数据随机分为训练数据和独立测试数据。我们通过手动勾画 T1 对比增强磁共振图像上的感兴趣区域提取了总共 107 个放射组学特征。使用八种不同的机器学习算法进行特征预选和模型构建。每个模型在新的训练数据上估计 100 次,然后在以前未知的独立测试数据集上进行测试,以避免可能的过拟合。我们的队列包括 138 名患者。107 例脑膜瘤行全切除,31 例行次全切除。使用训练数据,曲线下面积(AUC)的平均值、准确性的平均值、kappa 的平均值、敏感性的平均值和特异性的平均值分别为 0.901、0.875、0.629、0.675 和 0.933。我们使用独立测试数据得到了非常相似的结果:AUC 的平均值=0.900,准确性的平均值=0.881,kappa 的平均值=0.644,敏感性的平均值=0.692,特异性的平均值=0.936。因此,我们的模型在训练数据和测试数据上都具有良好且稳定的预测性能。我们的放射组学方法表明,使用机器学习算法和相对较少的解释因素,如肿瘤在颅骨内的位置及其形状,可以对脑膜瘤是否可以通过手术完全切除做出准确预测。完全切除和术后肿瘤体积较大的切除可以非常准确地预测。然而,术后肿瘤体积较小的病例预测起来相对困难。