ISSN 1004-4140
    CN 11-3017/P

    融合MRI视觉与ADC特征的智能模型预测成人型弥漫性胶质瘤分子分型

    Application of a Fusion Model Combining MRI-VASARI Features and ADC in Predicting the Molecular Subtypes of Adult Diffuse Gliomas

    • 摘要: 目的:构建融合MRI伦勃朗视觉感受图像(VASARI)特征与ADC参数的机器学习模型,实现成人型弥漫性胶质瘤三亚型术前分型。方法:回顾性纳入经病理证实的成人型弥漫性胶质瘤206例,按扫描设备分为训练集114例和独立验证集92例。基于nnU-Net进行肿瘤多区域自动分割,提取VASARI特征及ADC相关参数,采用递归特征消除交叉验证、XGBoost重要性排序及增量筛选确定最优特征,构建XGBoost多分类融合模型。结果:三亚型间12项VASARI特征及ADCmin、ADCmean、rADCmin、rADCmean差异均有统计学意义。最终纳入8个特征建模。融合模型在训练集和验证集准确率分别为96.49%和80.43%。验证集中,预测星形细胞瘤和胶质母细胞瘤的曲线下面积(AUC)分别为0.96和0.97,均优于单独VASARI模型和ADC模型;预测少突胶质细胞瘤的AUC为0.59。SHAP分析显示,扩散受限、ADC参数及非强化区边界为主要贡献特征。结论:XGBoost融合MRI-VASARI特征与ADC的融合模型在识别胶质母细胞瘤和星形细胞瘤方面表现出较高的诊断效能,但对少突胶质细胞瘤的区分能力仍有限,未来需结合钙化等相关影像特征进一步优化模型性能。

       

      Abstract: Objective: To develop a machine learning model integrating MRI visually accessible Rembrandt images (VASARI) features and apparent diffusion coefficient (ADC) parameters for the preoperative classification of the three subtypes of adult-type diffuse glioma. Methods: This study retrospectively enrolled 206 patients with pathologically confirmed adult-type diffuse glioma and divided them by scanner type into a training set (n=114) and an independent validation set (n=92). Tumor multi-region segmentation was conducted using nnU-Net, followed by extraction of VASARI features and ADC-related parameters. Recursive feature elimination with cross-validation (RFECV), XGBoost feature importance ranking, and incremental feature selection were applied to identify the optimal feature subset, and an XGBoost-based multiclass fusion model was subsequently constructed. Results: Twelve VASARI features and four ADC parameters (ADCmin, ADCmean, rADCmin, and rADCmean) differed significantly among the three subtypes. Eight features were finally selected for model construction. The fusion model achieved accuracies of 96.49% in the training set and 80.43% in the validation set. In the validation cohort, the AUCs for predicting astrocytoma and glioblastoma were 0.96 and 0.97, respectively; both higher than those of the standalone VASARI and ADC models, while the AUC for oligodendroglioma was 0.59. SHAP analysis revealed that diffusion restriction, ADC parameters, and the margin of the non-enhancing region were the primary contributors to the model. Conclusion: The XGBoost-based fusion model integrating MRI-VASARI features and ADC demonstrated a high diagnostic performance in distinguishing glioblastoma and astrocytoma, but its ability to differentiate oligodendroglioma remained limited. Future studies should incorporate additional imaging features, such as calcification, to further improve the model performance.

       

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