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Erschienen in: Journal of Digital Imaging 5/2017

07.08.2017

Residual Deep Convolutional Neural Network Predicts MGMT Methylation Status

verfasst von: Panagiotis Korfiatis, Timothy L. Kline, Daniel H. Lachance, Ian F. Parney, Jan C. Buckner, Bradley J. Erickson

Erschienen in: Journal of Imaging Informatics in Medicine | Ausgabe 5/2017

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Abstract

Predicting methylation of the O6-methylguanine methyltransferase (MGMT) gene status utilizing MRI imaging is of high importance since it is a predictor of response and prognosis in brain tumors. In this study, we compare three different residual deep neural network (ResNet) architectures to evaluate their ability in predicting MGMT methylation status without the need for a distinct tumor segmentation step. We found that the ResNet50 (50 layers) architecture was the best performing model, achieving an accuracy of 94.90% (+/− 3.92%) for the test set (classification of a slice as no tumor, methylated MGMT, or non-methylated). ResNet34 (34 layers) achieved 80.72% (+/− 13.61%) while ResNet18 (18 layers) accuracy was 76.75% (+/− 20.67%). ResNet50 performance was statistically significantly better than both ResNet18 and ResNet34 architectures (p < 0.001). We report a method that alleviates the need of extensive preprocessing and acts as a proof of concept that deep neural architectures can be used to predict molecular biomarkers from routine medical images.
Literatur
1.
Zurück zum Zitat Johnson DR, O’Neill BP: Glioblastoma survival in the United States before and during the temozolomide era. J Neurooncol 107:359–364, 2011CrossRefPubMed Johnson DR, O’Neill BP: Glioblastoma survival in the United States before and during the temozolomide era. J Neurooncol 107:359–364, 2011CrossRefPubMed
2.
3.
Zurück zum Zitat Weizman L, Ben-Sira L, Joskowicz L, Aizenstein O, Shofty B, Constantini S, Ben-Bashat D: Prediction of brain MR scans in longitudinal tumor follow-up studies. Med Image Comput Comput Assist Interv 15:179–187, 2012PubMed Weizman L, Ben-Sira L, Joskowicz L, Aizenstein O, Shofty B, Constantini S, Ben-Bashat D: Prediction of brain MR scans in longitudinal tumor follow-up studies. Med Image Comput Comput Assist Interv 15:179–187, 2012PubMed
4.
Zurück zum Zitat Law M, Young RJ, Babb JS, Peccerelli N, Chheang S, Gruber ML, Miller DC, Golfinos JG, Zagzag D, Johnson G: Gliomas: predicting time to progression or survival with cerebral blood volume measurements at dynamic susceptibility-weighted contrast-enhanced perfusion MR imaging. Radiology 247:490–498, 2008CrossRefPubMedPubMedCentral Law M, Young RJ, Babb JS, Peccerelli N, Chheang S, Gruber ML, Miller DC, Golfinos JG, Zagzag D, Johnson G: Gliomas: predicting time to progression or survival with cerebral blood volume measurements at dynamic susceptibility-weighted contrast-enhanced perfusion MR imaging. Radiology 247:490–498, 2008CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Jain R, Poisson LM, Gutman D et al.: Outcome prediction in patients with glioblastoma by using imaging, clinical, and genomic biomarkers: focus on the nonenhancing component of the tumor. Radiology 272:484–493, 2014CrossRefPubMedPubMedCentral Jain R, Poisson LM, Gutman D et al.: Outcome prediction in patients with glioblastoma by using imaging, clinical, and genomic biomarkers: focus on the nonenhancing component of the tumor. Radiology 272:484–493, 2014CrossRefPubMedPubMedCentral
6.
Zurück zum Zitat Zhang K, Wang X-Q, Zhou B, Zhang L: The prognostic value of MGMT promoter methylation in glioblastoma multiforme: a meta-analysis. Fam Cancer 12:449–458, 2013CrossRefPubMed Zhang K, Wang X-Q, Zhou B, Zhang L: The prognostic value of MGMT promoter methylation in glioblastoma multiforme: a meta-analysis. Fam Cancer 12:449–458, 2013CrossRefPubMed
7.
Zurück zum Zitat Li H, Li J, Cheng G, Zhang J, Li X: IDH mutation and MGMT promoter methylation are associated with the pseudoprogression and improved prognosis of glioblastoma multiforme patients who have undergone concurrent and adjuvant temozolomide-based chemoradiotherapy. Clin Neurol Neurosurg 151:31–36, 2016CrossRefPubMed Li H, Li J, Cheng G, Zhang J, Li X: IDH mutation and MGMT promoter methylation are associated with the pseudoprogression and improved prognosis of glioblastoma multiforme patients who have undergone concurrent and adjuvant temozolomide-based chemoradiotherapy. Clin Neurol Neurosurg 151:31–36, 2016CrossRefPubMed
8.
Zurück zum Zitat Rivera AL, Pelloski CE, Gilbert MR, Colman H, De La Cruz C, Sulman EP, Bekele BN, Aldape KD: MGMT promoter methylation is predictive of response to radiotherapy and prognostic in the absence of adjuvant alkylating chemotherapy for glioblastoma. Neuro Oncol 12:116–121, 2010CrossRefPubMed Rivera AL, Pelloski CE, Gilbert MR, Colman H, De La Cruz C, Sulman EP, Bekele BN, Aldape KD: MGMT promoter methylation is predictive of response to radiotherapy and prognostic in the absence of adjuvant alkylating chemotherapy for glioblastoma. Neuro Oncol 12:116–121, 2010CrossRefPubMed
9.
Zurück zum Zitat Ellingson BM: Radiogenomics and imaging phenotypes in glioblastoma: novel observations and correlation with molecular characteristics. Curr Neurol Neurosci Rep 15:506, 2015CrossRefPubMed Ellingson BM: Radiogenomics and imaging phenotypes in glioblastoma: novel observations and correlation with molecular characteristics. Curr Neurol Neurosci Rep 15:506, 2015CrossRefPubMed
10.
Zurück zum Zitat Rundle-Thiele D, Day B, Stringer B et al.: Using the apparent diffusion coefficient to identifying MGMT promoter methylation status early in glioblastoma: importance of analytical method. J Med Radiat Sci 62:92–98, 2015CrossRefPubMedPubMedCentral Rundle-Thiele D, Day B, Stringer B et al.: Using the apparent diffusion coefficient to identifying MGMT promoter methylation status early in glioblastoma: importance of analytical method. J Med Radiat Sci 62:92–98, 2015CrossRefPubMedPubMedCentral
11.
Zurück zum Zitat Drabycz S, Roldán G, de Robles P, Adler D, McIntyre JB, Magliocco AM, Cairncross JG, Mitchell JR: An analysis of image texture, tumor location, and MGMT promoter methylation in glioblastoma using magnetic resonance imaging. Neuroimage 49:1398–1405, 2010CrossRefPubMed Drabycz S, Roldán G, de Robles P, Adler D, McIntyre JB, Magliocco AM, Cairncross JG, Mitchell JR: An analysis of image texture, tumor location, and MGMT promoter methylation in glioblastoma using magnetic resonance imaging. Neuroimage 49:1398–1405, 2010CrossRefPubMed
12.
Zurück zum Zitat Levner I, Drabycz S, Roldan G, De Robles P, Gregory Cairncross J, Mitchell R: Predicting MGMT Methylation Status of Glioblastomas from MRI Texture. Med Image Comput Comput Assist Interv. 2009;12(Pt 2):522–530 Levner I, Drabycz S, Roldan G, De Robles P, Gregory Cairncross J, Mitchell R: Predicting MGMT Methylation Status of Glioblastomas from MRI Texture. Med Image Comput Comput Assist Interv. 2009;12(Pt 2):522–530
13.
Zurück zum Zitat Moon W-J, Choi JW, Roh HG, Lim SD, Koh Y-C: Imaging parameters of high grade gliomas in relation to the MGMT promoter methylation status: the CT, diffusion tensor imaging, and perfusion MR imaging. Neuroradiology 54:555–563, 2012CrossRefPubMed Moon W-J, Choi JW, Roh HG, Lim SD, Koh Y-C: Imaging parameters of high grade gliomas in relation to the MGMT promoter methylation status: the CT, diffusion tensor imaging, and perfusion MR imaging. Neuroradiology 54:555–563, 2012CrossRefPubMed
14.
Zurück zum Zitat Ahn SS, Shin N-Y, Chang JH, Kim SH, Kim EH, Kim DW, Lee S-K: Prediction of methylguanine methyltransferase promoter methylation in glioblastoma using dynamic contrast-enhanced magnetic resonance and diffusion tensor imaging. J Neurosurg 121:367–373, 2014CrossRefPubMed Ahn SS, Shin N-Y, Chang JH, Kim SH, Kim EH, Kim DW, Lee S-K: Prediction of methylguanine methyltransferase promoter methylation in glioblastoma using dynamic contrast-enhanced magnetic resonance and diffusion tensor imaging. J Neurosurg 121:367–373, 2014CrossRefPubMed
15.
Zurück zum Zitat Gupta A, Omuro AMP, Shah AD, Graber JJ, Shi W, Zhang Z, Young RJ: Continuing the search for MR imaging biomarkers for MGMT promoter methylation status: conventional and perfusion MRI revisited. Neuroradiology 54:641–643, 2012CrossRefPubMed Gupta A, Omuro AMP, Shah AD, Graber JJ, Shi W, Zhang Z, Young RJ: Continuing the search for MR imaging biomarkers for MGMT promoter methylation status: conventional and perfusion MRI revisited. Neuroradiology 54:641–643, 2012CrossRefPubMed
16.
Zurück zum Zitat Kanas VG, Zacharaki EI, Thomas GA, Zinn PO, Megalooikonomou V, Colen RR: Learning MRI-based classification models for MGMT methylation status prediction in glioblastoma. Comput Methods Programs Biomed 140:249–257, 2017CrossRefPubMed Kanas VG, Zacharaki EI, Thomas GA, Zinn PO, Megalooikonomou V, Colen RR: Learning MRI-based classification models for MGMT methylation status prediction in glioblastoma. Comput Methods Programs Biomed 140:249–257, 2017CrossRefPubMed
17.
Zurück zum Zitat Korfiatis P, Kline TL, Coufalova L, Lachance DH, Parney IF, Carter RE, Buckner JC, Erickson BJ: MRI texture features as biomarkers to predict MGMT methylation status in glioblastomas. Med Phys 43:2835, 2016CrossRefPubMedPubMedCentral Korfiatis P, Kline TL, Coufalova L, Lachance DH, Parney IF, Carter RE, Buckner JC, Erickson BJ: MRI texture features as biomarkers to predict MGMT methylation status in glioblastomas. Med Phys 43:2835, 2016CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat Eckel-Passow JE, Lachance DH, Molinaro AM et al.: Glioma groups based on 1p/19q, IDH, and TERT promoter mutations in tumors. N Engl J Med 372:2499–2508, 2015CrossRefPubMedPubMedCentral Eckel-Passow JE, Lachance DH, Molinaro AM et al.: Glioma groups based on 1p/19q, IDH, and TERT promoter mutations in tumors. N Engl J Med 372:2499–2508, 2015CrossRefPubMedPubMedCentral
19.
Zurück zum Zitat Greenspan H, van Ginneken B, Summers RM: Guest editorial deep learning in medical imaging: overview and future promise of an exciting new technique. IEEE Trans Med Imaging 35:1153–1159, 2016CrossRef Greenspan H, van Ginneken B, Summers RM: Guest editorial deep learning in medical imaging: overview and future promise of an exciting new technique. IEEE Trans Med Imaging 35:1153–1159, 2016CrossRef
20.
Zurück zum Zitat Anthimopoulos M, Christodoulidis S, Ebner L, Christe A, Mougiakakou S: Lung pattern classification for interstitial lung diseases using a deep convolutional neural network. IEEE Trans Med Imaging 35:1207–1216, 2016CrossRefPubMed Anthimopoulos M, Christodoulidis S, Ebner L, Christe A, Mougiakakou S: Lung pattern classification for interstitial lung diseases using a deep convolutional neural network. IEEE Trans Med Imaging 35:1207–1216, 2016CrossRefPubMed
21.
Zurück zum Zitat Dalmış MU, Litjens G, Holland K, Setio A, Mann R, Karssemeijer N, Gubern-Mérida A: Using deep learning to segment breast and fibroglandular tissue in MRI volumes. Med Phys 44:533–546, 2017CrossRefPubMed Dalmış MU, Litjens G, Holland K, Setio A, Mann R, Karssemeijer N, Gubern-Mérida A: Using deep learning to segment breast and fibroglandular tissue in MRI volumes. Med Phys 44:533–546, 2017CrossRefPubMed
22.
Zurück zum Zitat Dhungel N, Carneiro G, Bradley AP: A deep learning approach for the analysis of masses in mammograms with minimal user intervention. Med Image Anal 37:114–128, 2017CrossRefPubMed Dhungel N, Carneiro G, Bradley AP: A deep learning approach for the analysis of masses in mammograms with minimal user intervention. Med Image Anal 37:114–128, 2017CrossRefPubMed
23.
Zurück zum Zitat Spampinato C, Palazzo S, Giordano D, Aldinucci M, Leonardi R: Deep learning for automated skeletal bone age assessment in X-ray images. Med Image Anal 36:41–51, 2017CrossRefPubMed Spampinato C, Palazzo S, Giordano D, Aldinucci M, Leonardi R: Deep learning for automated skeletal bone age assessment in X-ray images. Med Image Anal 36:41–51, 2017CrossRefPubMed
24.
Zurück zum Zitat Yan Z, Zhan Y, Zhang S, Metaxas D, Zhou XS: Multi-Instance Multi-Stage Deep Learning for Medical Image Recognition. IEEE Transactions On Medical Imaging. doi:10.1109/TMI.2016.2524985 Yan Z, Zhan Y, Zhang S, Metaxas D, Zhou XS: Multi-Instance Multi-Stage Deep Learning for Medical Image Recognition. IEEE Transactions On Medical Imaging. doi:10.​1109/​TMI.​2016.​2524985
25.
Zurück zum Zitat Rajkomar A, Lingam S, Taylor AG, Blum M, Mongan J: High-throughput classification of radiographs using deep convolutional neural networks. J Digit Imaging 30:95–101, 2017CrossRefPubMed Rajkomar A, Lingam S, Taylor AG, Blum M, Mongan J: High-throughput classification of radiographs using deep convolutional neural networks. J Digit Imaging 30:95–101, 2017CrossRefPubMed
26.
Zurück zum Zitat Korfiatis PD, Kline TL, Blezek DJ, Langer SG, Ryan WJ, Erickson BJ: MIRMAID: a content management system for medical image analysis research. Radiographics 35:1461–1468, 2015CrossRefPubMedPubMedCentral Korfiatis PD, Kline TL, Blezek DJ, Langer SG, Ryan WJ, Erickson BJ: MIRMAID: a content management system for medical image analysis research. Radiographics 35:1461–1468, 2015CrossRefPubMedPubMedCentral
27.
Zurück zum Zitat Tustison NJ, Avants BB, Cook PA, Zheng Y, Egan A, Yushkevich PA, Gee JC: N4ITK: improved N3 bias correction. IEEE Trans Med Imaging 29:1310–1320, 2010CrossRefPubMedPubMedCentral Tustison NJ, Avants BB, Cook PA, Zheng Y, Egan A, Yushkevich PA, Gee JC: N4ITK: improved N3 bias correction. IEEE Trans Med Imaging 29:1310–1320, 2010CrossRefPubMedPubMedCentral
28.
Zurück zum Zitat Juntu J, Sijbers J, Dyck D, Gielen J: Bias Field Correction for MRI Images. In: Advances in Soft Computing. Springer. pp 543–551 Juntu J, Sijbers J, Dyck D, Gielen J: Bias Field Correction for MRI Images. In: Advances in Soft Computing. Springer. pp 543–551
31.
Zurück zum Zitat He K, Zhang X, Ren S, Sun J: Deep residual learning for image recognition. In: Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition. Las Vegas. 2016, pp 770–778 He K, Zhang X, Ren S, Sun J: Deep residual learning for image recognition. In: Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition. Las Vegas. 2016, pp 770–778
32.
Zurück zum Zitat He K, Zhang X, Ren S, Sun J: Delving Deep into Rectifiers: Surpassing Human-Level Performance on ImageNet Classification. 2015 I.E. International Conference on Computer Vision (ICCV), 2015. doi: 10.1109/iccv.2015.123 He K, Zhang X, Ren S, Sun J: Delving Deep into Rectifiers: Surpassing Human-Level Performance on ImageNet Classification. 2015 I.E. International Conference on Computer Vision (ICCV), 2015. doi: 10.​1109/​iccv.​2015.​123
34.
Zurück zum Zitat Dietterich TG: Approximate statistical tests for comparing supervised classification learning algorithms. Neural Comput 10:1895–1923, 1998 1998CrossRefPubMed Dietterich TG: Approximate statistical tests for comparing supervised classification learning algorithms. Neural Comput 10:1895–1923, 1998 1998CrossRefPubMed
35.
Zurück zum Zitat Pubblicazioni del R Istituto Superiore di Scienze Economiche e Commerciali di Firenze, Vol. 8 (1936), pp. 3–62 Key: citeulike:1778138 Pubblicazioni del R Istituto Superiore di Scienze Economiche e Commerciali di Firenze, Vol. 8 (1936), pp. 3–62 Key: citeulike:1778138
37.
Zurück zum Zitat Nyúl LG, Udupa JK: On standardizing the MR image intensity scale. Magn Reson Med 42:1072–1081, 1999CrossRefPubMed Nyúl LG, Udupa JK: On standardizing the MR image intensity scale. Magn Reson Med 42:1072–1081, 1999CrossRefPubMed
Metadaten
Titel
Residual Deep Convolutional Neural Network Predicts MGMT Methylation Status
verfasst von
Panagiotis Korfiatis
Timothy L. Kline
Daniel H. Lachance
Ian F. Parney
Jan C. Buckner
Bradley J. Erickson
Publikationsdatum
07.08.2017
Verlag
Springer International Publishing
Erschienen in
Journal of Imaging Informatics in Medicine / Ausgabe 5/2017
Print ISSN: 2948-2925
Elektronische ISSN: 2948-2933
DOI
https://doi.org/10.1007/s10278-017-0009-z

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