Distinguishing between paediatric brain tumour types using multi-parametric magnetic resonance imaging and machine learning: A multi-site study.

Journal: NeuroImage. Clinical
Published Date:

Abstract

The imaging and subsequent accurate diagnosis of paediatric brain tumours presents a radiological challenge, with magnetic resonance imaging playing a key role in providing tumour specific imaging information. Diffusion weighted and perfusion imaging are commonly used to aid the non-invasive diagnosis of children's brain tumours, but are usually evaluated by expert qualitative review. Quantitative studies are mainly single centre and single modality. The aim of this work was to combine multi-centre diffusion and perfusion imaging, with machine learning, to develop machine learning based classifiers to discriminate between three common paediatric tumour types. The results show that diffusion and perfusion weighted imaging of both the tumour and whole brain provide significant features which differ between tumour types, and that combining these features gives the optimal machine learning classifier with >80% predictive precision. This work represents a step forward to aid in the non-invasive diagnosis of paediatric brain tumours, using advanced clinical imaging.

Authors

  • James T Grist
    Institute of Cancer and Genomic Sciences, School of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom.
  • Stephanie Withey
    Institute of Cancer and Genomic Sciences, School of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom; Oncology, Birmingham Women's and Children's NHS foundation trust, Birmingham, United Kingdom; RRPPS, University Hospitals Birmingham NHS foundation trust, Birmingham, United Kingdom.
  • Lesley MacPherson
    Radiology, Birmingham Women's and Children's NHS foundation trust, Birmingham, United Kingdom.
  • Adam Oates
    Radiology, Birmingham Women's and Children's NHS foundation trust, Birmingham, United Kingdom.
  • Stephen Powell
    Institute of Cancer and Genomic Sciences, School of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom.
  • Jan Novak
    Oncology, Birmingham Women's and Children's NHS foundation trust, Birmingham, United Kingdom; Department of Psychology, School of Life and Health sciences, Aston University, Birmingham, United Kingdom.
  • Laurence Abernethy
    Radiology, Alder Hey Children's NHS foundation trust, Liverpool, United Kingdom.
  • Barry Pizer
    Institute of Translational Medicine, University of Liverpool, Liverpool, United Kingdom.
  • Richard Grundy
    The Children's Brain Tumour Research Centre, University of Nottingham, Nottingham, United Kingdom.
  • Simon Bailey
    Sir James Spence Institute of Child Health, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.
  • Dipayan Mitra
    Neuroradiology, Royal Victoria Infirmary, Newcastle Upon Tyne, United Kingdom.
  • Theodoros N Arvanitis
    Institute of Digital Healthcare, WMG, University of Warwick. UK.
  • Dorothee P Auer
    Sir Peter Mansfield Imaging Centre, University of Nottingham Biomedical Research Centre, Nottingham, United Kingdom; NIHR Nottingham Biomedical Research Centre, Nottingham, United Kingdom.
  • Shivaram Avula
    Department of Radiology, Alder Hey Foundation Trust Hospital, Liverpool, United Kingdom.
  • Andrew C Peet
    Institute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, United Kingdom.