Deep learning radiomics nomograms predict Isocitrate dehydrogenase (IDH) genotypes in brain glioma: A multicenter study.

Magn Reson Imaging

Department of Nuclear Magnetic Resonance, The Second Hospital & Clinical Medical School, Lanzhou University, Lanzhou 730030, China; Gansu Province Clinical Research Center for Functional and Molecular Imaging, Lanzhou 730030, China. Electronic address:

Published: December 2024

AI Article Synopsis

  • The study investigates the effectiveness of Deep Learning Radiomics Nomograms (DLRN) for predicting IDH genotype in glioma patients.
  • A total of 402 patients were divided into training and validation groups to develop a model that combines deep learning, radiomics, and clinical data for accurate classification.
  • The DLRN showed high performance with an AUC of 0.98, indicating its potential to improve patient management and targeted therapy based on IDH mutation status.

Article Abstract

Purpose: To explore the feasibility of Deep learning radiomics nomograms (DLRN) in predicting IDH genotype.

Methods: A total of 402 glioma patients from two independent centers were retrospectively included, and the data from center I was randomly divided into a training cohort (n = 239) and an internal validation cohort (n = 103) on a 7:3 basis. Center II served as an independent external validation cohort (n = 60). We developed a DLRN for IDH classification of gliomas based on T2 images. This hybrid model integrates deep learning features, radiomics features, and clinical features most relevant to IDH genotypes and finally classifies them using multivariate logistic regression analysis. We used the area under the curve (AUC) of the receiver operating characteristic (ROC) to evaluate the performance of the model and applied the DLRN score to the survival analysis of some of the follow-up glioma patients.

Results: The proposed model had an area under the curve (AUC) of 0.98 in an externally validated cohort, and DLRN scores were significantly associated with the overall survival of glioma patients.

Conclusions: Deep learning radiomics nomograms performed well in non-invasively predicting IDH mutation status in gliomas, assisting stratified management and targeted therapy for glioma patients.

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http://dx.doi.org/10.1016/j.mri.2024.110314DOI Listing

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