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Research ArticlePediatric Neuroimaging
Open Access

MR Imaging–Based Radiomic Signatures of Distinct Molecular Subgroups of Medulloblastoma

M. Iv, M. Zhou, K. Shpanskaya, S. Perreault, Z. Wang, E. Tranvinh, B. Lanzman, S. Vajapeyam, N.A. Vitanza, P.G. Fisher, Y.J. Cho, S. Laughlin, V. Ramaswamy, M.D. Taylor, S.H. Cheshier, G.A. Grant, T. Young Poussaint, O. Gevaert and K.W. Yeom
American Journal of Neuroradiology December 2018, DOI: https://doi.org/10.3174/ajnr.A5899
M. Iv
aFrom the Department of Radiology (M.I., M.Z., K.S., E.T., B.L., K.W.Y.)
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M. Zhou
aFrom the Department of Radiology (M.I., M.Z., K.S., E.T., B.L., K.W.Y.)
dStanford Center for Biomedical Informatics (M.Z., O.G., Z.W.)
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K. Shpanskaya
aFrom the Department of Radiology (M.I., M.Z., K.S., E.T., B.L., K.W.Y.)
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S. Perreault
fDepartment of Pediatrics (S.P.), Pediatric Neurology, Centre Hospitalier Universitaire Sainte Justine, University of Montréal, Montreal, Quebec, Canada
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Z. Wang
dStanford Center for Biomedical Informatics (M.Z., O.G., Z.W.)
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E. Tranvinh
aFrom the Department of Radiology (M.I., M.Z., K.S., E.T., B.L., K.W.Y.)
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B. Lanzman
aFrom the Department of Radiology (M.I., M.Z., K.S., E.T., B.L., K.W.Y.)
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S. Vajapeyam
gDepartment of Radiology (S.V., T.Y.P.), Boston Children's Hospital, Harvard University, Boston, Massachusetts
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N.A. Vitanza
gDepartment of Radiology (S.V., T.Y.P.), Boston Children's Hospital, Harvard University, Boston, Massachusetts
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P.G. Fisher
bDepartment of Pediatrics (P.G.F.), Pediatric Neurology
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Y.J. Cho
iDepartment of Pediatrics (Y.J.C.), Pediatric Neurology, Oregon Health & Science University, Portland, Oregon
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S. Laughlin
jDepartments of Radiology, Neuro-Oncology, and Neurosurgery (S.L., V.R., M.D.T.), Hospital for Sick Children, Toronto, Ontario, Canada
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V. Ramaswamy
jDepartments of Radiology, Neuro-Oncology, and Neurosurgery (S.L., V.R., M.D.T.), Hospital for Sick Children, Toronto, Ontario, Canada
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M.D. Taylor
jDepartments of Radiology, Neuro-Oncology, and Neurosurgery (S.L., V.R., M.D.T.), Hospital for Sick Children, Toronto, Ontario, Canada
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S.H. Cheshier
kDepartment of Neurosurgery (S.H.C.), Pediatric Neurosurgery, University of Utah, Salt Lake City, Utah.
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G.A. Grant
cDepartment of Neurosurgery (G.A.G.), Pediatric Neurosurgery, Lucile Packard Children's Hospital, Stanford University, Palo Alto, California
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T. Young Poussaint
gDepartment of Radiology (S.V., T.Y.P.), Boston Children's Hospital, Harvard University, Boston, Massachusetts
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O. Gevaert
dStanford Center for Biomedical Informatics (M.Z., O.G., Z.W.)
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K.W. Yeom
aFrom the Department of Radiology (M.I., M.Z., K.S., E.T., B.L., K.W.Y.)
bDepartment of Pediatrics (P.G.F.), Pediatric Neurology
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    Fig 1.

    Illustration of 2 strategies used to evaluate the supervised machine learning models to predict the molecular subgroups of medulloblastoma. The upper and lower figures show details of double 10-fold cross-validation and 3-dataset cross-validation schemes, respectively.

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    Fig 2.

    Receiver operating characteristic curves with a double 10-fold cross-validation scheme for support vector machine to predict the 4 main molecular subgroups of medulloblastoma with the use of computational MR imaging features.

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    Fig 3.

    Receiver operating characteristic curves with the largest mean AUC values for 4 distinct molecular subgroups of medulloblastoma with a 3-dataset cross-validation scheme.

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    Fig 4.

    MR imaging appearance of the 4 core molecular subgroups of medulloblastoma on T2-weighted and contrast-enhanced T1-weighted images.

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    Table 1:

    Patient demographics

    CharacteristicInstitutional Cohort
    StanfordBostonToronto
    No. of patients322849
    Age (mean) (yr)10.14 ± 8.498.54 ± 4.527.53 ± 3.69
    Male sex (No.) (%)23 (72)9 (32)32 (65)
    Molecular subgroup (No.)
        SHH11910
        WNT4510
        Group 37512
        Group 410917
    MRI availability (No.)
        3T501
        1.5T272848
        T1-weighted322648
        2D T1-weighted28257
        3D T1-weighted4141
        T2-weighted302729
        T1- and T2-weighted302527
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    Table 2:

    Predictive performance of 2 machine learning models for the identification of medulloblastoma molecular subgroups

    MRI Dataset/Targeted SubgroupAUC with Double 10-Fold Cross-ValidationAUC with 3-Dataset Cross-Validation
    T1
        SHH0.670.73
        WNT0.560.47
        Group 30.400.54
        Group 40.790.76
    T2
        SHH0.700.66
        WNT0.630.72
        Group 30.510.57
        Group 40.540.59
    T1 + T2
        SHH0.790.70
        WNT0.450.45
        Group 30.700.39
        Group 40.830.80
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M. Iv, M. Zhou, K. Shpanskaya, S. Perreault, Z. Wang, E. Tranvinh, B. Lanzman, S. Vajapeyam, N.A. Vitanza, P.G. Fisher, Y.J. Cho, S. Laughlin, V. Ramaswamy, M.D. Taylor, S.H. Cheshier, G.A. Grant, T. Young Poussaint, O. Gevaert, K.W. Yeom
MR Imaging–Based Radiomic Signatures of Distinct Molecular Subgroups of Medulloblastoma
American Journal of Neuroradiology Dec 2018, DOI: 10.3174/ajnr.A5899

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MR Imaging–Based Radiomic Signatures of Distinct Molecular Subgroups of Medulloblastoma
M. Iv, M. Zhou, K. Shpanskaya, S. Perreault, Z. Wang, E. Tranvinh, B. Lanzman, S. Vajapeyam, N.A. Vitanza, P.G. Fisher, Y.J. Cho, S. Laughlin, V. Ramaswamy, M.D. Taylor, S.H. Cheshier, G.A. Grant, T. Young Poussaint, O. Gevaert, K.W. Yeom
American Journal of Neuroradiology Dec 2018, DOI: 10.3174/ajnr.A5899
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