論文

査読有り 責任著者
2016年7月

Visualization of heterogeneity and regional grading of gliomas by multiple features using magnetic resonance-based clustered images

SCIENTIFIC REPORTS
  • Rika Inano
  • ,
  • Naoya Oishi
  • ,
  • Takeharu Kunieda
  • ,
  • Yoshiki Arakawa
  • ,
  • Takayuki Kikuchi
  • ,
  • Hidenao Fukuyama
  • ,
  • Susumu Miyamoto

6
開始ページ
30344
終了ページ
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1038/srep30344
出版者・発行元
NATURE PUBLISHING GROUP

Preoperative glioma grading is important for therapeutic strategies and influences prognosis. Intratumoral heterogeneity can cause an underestimation of grading because of the sampling error in biopsies. We developed a voxel-based unsupervised clustering method with multiple magnetic resonance imaging (MRI)-derived features using a self-organizing map followed by K-means. This method produced novel magnetic resonance-based clustered images (MRcIs) that enabled the visualization of glioma grades in 36 patients. The 12-class MRcIs revealed the highest classification performance for the prediction of glioma grading (area under the receiver operating characteristic curve = 0.928; 95% confidential interval = 0.920-0.936). Furthermore, we also created 12-class MRcIs in four new patients using the previous data from the 36 patients as training data and obtained tissue sections of the classes 11 and 12, which were significantly higher in high-grade gliomas (HGGs), and those of classes 4, 5 and 9, which were not significantly different between HGGs and low-grade gliomas (LGGs), according to a MRcI-based navigational system. The tissues of classes 11 and 12 showed features of malignant glioma, whereas those of classes 4, 5 and 9 showed LGGs without anaplastic features. These results suggest that the proposed voxel-based clustering method provides new insights into preoperative regional glioma grading.

リンク情報
DOI
https://doi.org/10.1038/srep30344
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000380197200002&DestApp=WOS_CPL
ID情報
  • DOI : 10.1038/srep30344
  • ISSN : 2045-2322
  • Web of Science ID : WOS:000380197200002

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