Comparative Evaluation of the Possibilities of Radiomic Аnalysis of Magnetic Resonance Imaging in the Differential Diagnostics of Primary Extra-Axial Intracranial Tumors

E. N. Surovcev, A. Kapishnikov, A. Kolsanov
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Abstract

Purpose of the study. Comparing magnetic resonance imaging (MRI) abilities in differential diagnostic of three types of primary extra‑ axial brain tumors (benign and malignant meningiomas, and neuromas) based on standard semiotics and radiomic features.Patients and methods. Retrospective research included 66 patients with primary extra‑a xial tumors who were divided into two groups: the instructional (39 patients) and the valid (27 patients). MRI was used towards all patients before surgery. The one method of statistical modeling – discriminant analysis – was used to compare the abilities of differential diagnostic based on semiotic features and radiomic parameters.Results. The features of tumor semiotics MRI didn’t allow to differentiate effectively benign and malignant meningiomas. Several parameters were certainly varied for all those tumor types (neuromas, benign and malignant meningiomas). The modelling based on the discriminant analysis demonstrated that radiomic features can be used for primary extra‑a xial tumors differential diagnostic. The area of the radiomic model ROC‑curve took 0.86 which exceeds the result of the model based on semiotic features (AUC 0.78).Conclusion. The best results of the tumors classification by radiomic model demonstrate expediency to continue research the primary extra‑ axial tumors differential diagnostic with support of histogram and textural parameters of MRI imaging.
磁共振影像放射组学Аnalysis对原发性轴外颅内肿瘤鉴别诊断可能性的比较评价
研究目的:比较磁共振成像(MRI)在基于标准符号学和放射学特征的三种原发性轴外脑肿瘤(良性和恶性脑膜瘤和神经瘤)鉴别诊断中的能力。患者和方法。回顾性研究纳入66例原发性轴外肿瘤患者,分为两组:指导性组(39例)和有效组(27例)。所有患者术前均行MRI检查。采用统计建模的一种方法——判别分析,比较了基于符号学特征和放射学参数的鉴别诊断能力。肿瘤符号学MRI特征不能有效区分脑膜瘤的良恶性。所有这些肿瘤类型(神经瘤、良性和恶性脑膜瘤)的一些参数肯定是不同的。基于判别分析的模型表明,放射学特征可用于原发性轴外肿瘤的鉴别诊断。放射学模型的ROC曲线面积为0.86,超过了基于符号特征的模型的结果(AUC为0.78)。放射组学模型对肿瘤分类的最佳结果表明,在MRI成像的直方图和纹理参数的支持下,便于继续研究原发性轴外肿瘤的鉴别诊断。
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