Machine Learning-Based Prediction of Glioma IDH Gene Mutation Status Using Physio-Metabolic MRI of Oxygen Metabolism and Neovascularization (A Bicenter Study)

Stadlbauer A, Nikolic K, Oberndorfer S, Marhold F, Kinfe TM, Meyer-Bäse A, Bistrian DA, Schnell O, Dörfler A (2024)

Publication Type: Journal article

Publication year: 2024

Journal

Cancers MDPI

Book Volume: 16

Article Number: 1102

Journal Issue: 6

DOI: 10.3390/cancers16061102

Abstract

The mutational status of the isocitrate dehydrogenase (IDH) gene plays a key role in the treatment of glioma patients because it is known to affect energy metabolism pathways relevant to glioma. Physio-metabolic magnetic resonance imaging (MRI) enables the non-invasive analysis of oxygen metabolism and tissue hypoxia as well as associated neovascularization and microvascular architecture. However, evaluating such complex neuroimaging data requires computational support. Traditional machine learning algorithms and simple deep learning models were trained with radiomic features from clinical MRI (cMRI) or physio-metabolic MRI data. A total of 215 patients (first center: 166 participants + 16 participants for independent internal testing of the algorithms versus second site: 33 participants for independent external testing) were enrolled using two different physio-metabolic MRI protocols. The algorithms trained with physio-metabolic data demonstrated the best classification performance in independent internal testing: precision, 91.7%; accuracy, 87.5%; area under the receiver operating curve (AUROC), 0.979. In external testing, traditional machine learning models trained with cMRI data exhibited the best IDH classification results: precision, 84.9%; accuracy, 81.8%; and AUROC, 0.879. The poor performance for the physio-metabolic MRI approach appears to be explainable by site-dependent differences in data acquisition methodologies. The physio-metabolic MRI approach potentially supports reliable classification of IDH gene status in the presurgical stage of glioma patients. However, non-standardized protocols limit the level of evidence and underlie the need for a reproducible framework of data acquisition techniques.

Authors with CRIS profile

Thomas Mehari Kinfe Professur für Neurochirurgie mit dem Schwerpunkt Funktionelle Stereotaktische Neurochirurgie Oliver Schnell Lehrstuhl für Neurochirurgie Arnd Dörfler Department of Neuroradiology

Involved external institutions

Karl Landsteiner Privatuniversität für Gesundheitswissenschaften GmbH AT Austria (AT) Florida State University (FSU) US United States (USA) (US) Polytechnic University of Timişoara / Universitatea Politehnica Timișoara (UPT) RO Romania (RO)

How to cite

APA:

Stadlbauer, A., Nikolic, K., Oberndorfer, S., Marhold, F., Kinfe, T.M., Meyer-Bäse, A.,... Dörfler, A. (2024). Machine Learning-Based Prediction of Glioma IDH Gene Mutation Status Using Physio-Metabolic MRI of Oxygen Metabolism and Neovascularization (A Bicenter Study). Cancers, 16(6). https://doi.org/10.3390/cancers16061102

MLA:

Stadlbauer, Andreas, et al. "Machine Learning-Based Prediction of Glioma IDH Gene Mutation Status Using Physio-Metabolic MRI of Oxygen Metabolism and Neovascularization (A Bicenter Study)." Cancers 16.6 (2024).

BibTeX: Download