An accessible deep learning tool for voxel-wise classification of brain malignancies from perfusion MRI
Research output: Contribution to journal › Research article › Contributed › peer-review
Contributors
Abstract
Noninvasive differential diagnosis of brain tumors is currently based on the assessment of magnetic resonance imaging (MRI) coupled with dynamic susceptibility contrast (DSC). However, a definitive diagnosis often requires neurosurgical interventions that compromise patients’ quality of life. We apply deep learning on DSC images from histology-confirmed patients with glioblastoma, metastasis, or lymphoma. The convolutional neural network trained on ∼50,000 voxels from 40 patients provides intratumor probability maps that yield clinical-grade diagnosis. Performance is tested in 400 additional cases and an external validation cohort of 128 patients. The tool reaches a three-way accuracy of 0.78, superior to the conventional MRI metrics cerebral blood volume (0.55) and percentage of signal recovery (0.59), showing high value as a support diagnostic tool. Our open-access software, Diagnosis In Susceptibility Contrast Enhancing Regions for Neuro-oncology (DISCERN), demonstrates its potential in aiding medical decisions for brain tumor diagnosis using standard-of-care MRI.
Details
Original language | English |
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Article number | 101464 |
Journal | Cell Reports Medicine |
Volume | 5 |
Issue number | 3 |
Publication status | Published - 19 Mar 2024 |
Peer-reviewed | Yes |
Externally published | Yes |
External IDs
PubMed | 38471504 |
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Keywords
ASJC Scopus subject areas
Keywords
- deep learning, diagnosis, dynamic susceptibility contrast, glioblastoma, lymphoma, metastasis, neuro-oncology, perfusion MRI