An accessible deep learning tool for voxel-wise classification of brain malignancies from perfusion MRI

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Alonso Garcia-Ruiz - , Vall d'Hebron Institute of Oncology (VHIO) (Author)
  • Albert Pons-Escoda - , University Hospital of Bellvitge, Bellvitge Biomedical Research Institute (IDIBELL) (Author)
  • Francesco Grussu - , Vall d'Hebron Institute of Oncology (VHIO) (Author)
  • Pablo Naval-Baudin - , University Hospital of Bellvitge (Author)
  • Camilo Monreal-Aguero - , Vall d'Hebron Institute of Oncology (VHIO) (Author)
  • Gretchen Hermann - , University of California at San Diego (Author)
  • Roshan Karunamuni - , University of California at San Diego (Author)
  • Marta Ligero - , Vall d'Hebron Institute of Oncology (VHIO) (Author)
  • Antonio Lopez-Rueda - , Hospital Clinic of Barcelona (Author)
  • Laura Oleaga - , Hospital Clinic of Barcelona (Author)
  • M. Álvaro Berbís - , Hospital San Juan de Dios de Córdoba (Author)
  • Alberto Cabrera-Zubizarreta - , HT Medica (Author)
  • Teodoro Martin-Noguerol - , HT Medica (Author)
  • Antonio Luna - , HT Medica (Author)
  • Tyler M. Seibert - , University of California at San Diego (Author)
  • Carlos Majos - , University Hospital of Bellvitge, Bellvitge Biomedical Research Institute (IDIBELL) (Author)
  • Raquel Perez-Lopez - , Vall d'Hebron Institute of Oncology (VHIO) (Author)

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 languageEnglish
Article number101464
JournalCell Reports Medicine
Volume5
Issue number3
Publication statusPublished - 19 Mar 2024
Peer-reviewedYes
Externally publishedYes

External IDs

PubMed 38471504

Keywords

Keywords

  • deep learning, diagnosis, dynamic susceptibility contrast, glioblastoma, lymphoma, metastasis, neuro-oncology, perfusion MRI