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A deep learning approach with subregion partition in MRI image analysis for metastatic brain tumor.


ABSTRACT:

Purpose

To propose a deep learning network with subregion partition for predicting metastatic origins and EGFR/HER2 status in patients with brain metastasis.

Methods

We retrospectively enrolled 140 patients with clinico-pathologically confirmed brain metastasis originated from primary NSCLC (n = 60), breast cancer (BC, n = 60) and other tumor types (n = 20). All patients underwent contrast-enhanced brain MRI scans. The brain metastasis was subdivided into phenotypically consistent subregions using patient-level and population-level clustering. A residual network with a global average pooling layer (RN-GAP) was proposed to calculate deep learning-based features. Features from each subregion were selected with least absolute shrinkage and selection operator (LASSO) to build logistic regression models (LRs) for predicting primary tumor types (LR-NSCLC for the NSCLC origin and LR-BC for the BC origin), EGFR mutation status (LR-EGFR) and HER2 status (LR-HER2).

Results

The brain metastasis can be partitioned into a marginal subregion (S1) and an inner subregion (S2) in the MRI image. The developed models showed good predictive performance in the training (AUCs, LR-NSCLC vs. LR-BC vs. LR-EGFR vs. LR-HER2, 0.860 vs. 0.909 vs. 0.850 vs. 0.900) and validation (AUCs, LR-NSCLC vs. LR-BC vs. LR-EGFR vs. LR-HER2, 0.819 vs. 0.872 vs. 0.750 vs. 0.830) set.

Conclusion

Our proposed deep learning network with subregion partitions can accurately predict metastatic origins and EGFR/HER2 status of brain metastasis, and hence may have the potential to be non-invasive and preoperative new markers for guiding personalized treatment plans in patients with brain metastasis.

SUBMITTER: Shi J 

PROVIDER: S-EPMC9382021 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature

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Publications

A deep learning approach with subregion partition in MRI image analysis for metastatic brain tumor.

Shi Jiaxin J   Zhao Zilong Z   Jiang Tao T   Ai Hua H   Liu Jiani J   Chen Xinpu X   Luo Yahong Y   Fan Huijie H   Jiang Xiran X  

Frontiers in neuroinformatics 20220803


<h4>Purpose</h4>To propose a deep learning network with subregion partition for predicting metastatic origins and EGFR/HER2 status in patients with brain metastasis.<h4>Methods</h4>We retrospectively enrolled 140 patients with clinico-pathologically confirmed brain metastasis originated from primary NSCLC (<i>n</i> = 60), breast cancer (BC, <i>n</i> = 60) and other tumor types (<i>n</i> = 20). All patients underwent contrast-enhanced brain MRI scans. The brain metastasis was subdivided into phen  ...[more]

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