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Research ArticlePediatric Neuroimaging

Radiomics Can Distinguish Pediatric Supratentorial Embryonal Tumors, High-Grade Gliomas, and Ependymomas

M. Zhang, L. Tam, J. Wright, M. Mohammadzadeh, M. Han, E. Chen, M. Wagner, J. Nemalka, H. Lai, A. Eghbal, C.Y. Ho, R.M. Lober, S.H. Cheshier, N.A. Vitanza, G.A. Grant, L.M Prolo, K.W. Yeom and A. Jaju
American Journal of Neuroradiology April 2022, 43 (4) 603-610; DOI: https://doi.org/10.3174/ajnr.A7481
M. Zhang
aFrom the Departments of Neurosurgery (M.Z.)
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L. Tam
bStanford University School of Medicine (L.T.), Stanford, California
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J. Wright
cDepartment of Radiology (J.W.)
eDepartment of Radiology (J.W.), Harborview Medical Center, Seattle,Washington
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M. Mohammadzadeh
fDepartment of Radiology (M.M.), Tehran University of Medical Sciences, Tehran, Iran
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M. Han
gDepartment of Pediatrics (M.H.), Children’s Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pennsylvania
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E. Chen
hDepartments of Clinical Radiology & Imaging Sciences (E.C., C.Y.H.), Riley Children’s Hospital, Indiana University, Indianapolis, Indiana
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M. Wagner
iDepartment of Diagnostic Imaging (M.W.), The Hospital for Sick Children, Ontario, Canada
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J. Nemalka
jDivision of Pediatric Neurosurgery (J.N., S.H.C.), Department of Neurosurgery, Huntsman Cancer Institute, Intermountain Healthcare Primary Children’s Hospital, University of Utah School of Medicine, Salt Lake City, Utah
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H. Lai
kDepartment of Radiology (H.L., A.E.), CHOC Children’s Hospital of Orange County California, University of California, Irvine, California
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A. Eghbal
kDepartment of Radiology (H.L., A.E.), CHOC Children’s Hospital of Orange County California, University of California, Irvine, California
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C.Y. Ho
hDepartments of Clinical Radiology & Imaging Sciences (E.C., C.Y.H.), Riley Children’s Hospital, Indiana University, Indianapolis, Indiana
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R.M. Lober
lDivision of Neurosurgery (R.M.L.), Dayton Children’s Hospital, Dayton, Ohio; Department of Pediatrics, Wright State University Boonshoft School of Medicine, Dayton, Ohio
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S.H. Cheshier
jDivision of Pediatric Neurosurgery (J.N., S.H.C.), Department of Neurosurgery, Huntsman Cancer Institute, Intermountain Healthcare Primary Children’s Hospital, University of Utah School of Medicine, Salt Lake City, Utah
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N.A. Vitanza
dDivision of Pediatric Hematology/Oncology (N.A.V.), and Department of Pediatrics, Seattle Children’s Hospital, Seattle,Washington
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G.A. Grant
nNeurosurgery (G.A.G., L.M.P.), Lucile Packard Children’s Hospital, Stanford University, Palo Alto, California
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L.M Prolo
nNeurosurgery (G.A.G., L.M.P.), Lucile Packard Children’s Hospital, Stanford University, Palo Alto, California
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K.W. Yeom
mDepartments of Radiology (K.W.Y.)
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A. Jaju
oDepartment of Medical Imaging (A.J.), Ann and Robert H. Lurie Children’s Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois
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    FIG 1.

    Density plots of the top 3 features, including age at diagnosis (A), T2-Cluster Shade (B), and T1-Mean Intensity (C). D, Bar plot measuring the relative influence as calculated by LR of the top 10 reduced features for the binary classifier trained to distinguish embryonal tumors and high-grade gliomas.

  • FIG 2.
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    FIG 2.

    Density plots of the top 3 features, including T2-kurtosis (A), T1-skewness (B), and T1-information measure of correlation (C). D, Bar plot measuring the relative influence as calculated by XGB of the 4 reduced features for the binary classifier trained to distinguish embryonal tumor and ependymoma.

  • FIG 3.
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    FIG 3.

    Density plots of the top 3 features, including T1-mean (A), T1-cluster shade (B), and T2-maximal correlation coefficient (C). D, Bar plot measuring the relative influence as calculated by LR of the top 10 reduced features for the binary classifier trained to distinguish ependymomas and high-grade gliomas.

  • FIG 4.
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    FIG 4.

    Examples of model-derived probability output are shown on test cohorts of supratentorial embryonal tumors (EMB), EP, and HGG that did not participate in training. Due to overlap in macroscopic features of these malignant supratentorial tumors (eg, a wide range in size, morphology, and enhancement/intensity features), independent binary classifiers that specifically targeted feature separation for EMB versus EP (A, XGB), EMB versus HGG (B, LR), and HGG versus EP (C, Neural network [NN]) were found predictive over a single multiclass classifier. Examples of the same EMB tumors that were separately submitted into XGB and LR models are shown (asterisk) and show strong EMB discrimination against EP and HGG, respectively. In 1 example, the same EP tumor could be distinguished from EMB (yellow arrow) but was not predictive against HGG (gray arrow). ATRT indicates atypical teratoid/rhabdoid tumors; ETMR, embryonal tumor with multi-layered rosettes; NB, CNS neuroblastoma; NOS, not otherwise specified.

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American Journal of Neuroradiology: 43 (4)
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M. Zhang, L. Tam, J. Wright, M. Mohammadzadeh, M. Han, E. Chen, M. Wagner, J. Nemalka, H. Lai, A. Eghbal, C.Y. Ho, R.M. Lober, S.H. Cheshier, N.A. Vitanza, G.A. Grant, L.M Prolo, K.W. Yeom, A. Jaju
Radiomics Can Distinguish Pediatric Supratentorial Embryonal Tumors, High-Grade Gliomas, and Ependymomas
American Journal of Neuroradiology Apr 2022, 43 (4) 603-610; DOI: 10.3174/ajnr.A7481

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Radiomics Can Distinguish Pediatric Supratentorial Embryonal Tumors, High-Grade Gliomas, and Ependymomas
M. Zhang, L. Tam, J. Wright, M. Mohammadzadeh, M. Han, E. Chen, M. Wagner, J. Nemalka, H. Lai, A. Eghbal, C.Y. Ho, R.M. Lober, S.H. Cheshier, N.A. Vitanza, G.A. Grant, L.M Prolo, K.W. Yeom, A. Jaju
American Journal of Neuroradiology Apr 2022, 43 (4) 603-610; DOI: 10.3174/ajnr.A7481
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