Robust deep learning classification of adamantinomatous craniopharyngioma from limited preoperative radiographic images.

Journal: Scientific reports
PMID:

Abstract

Deep learning (DL) is a widely applied mathematical modeling technique. Classically, DL models utilize large volumes of training data, which are not available in many healthcare contexts. For patients with brain tumors, non-invasive diagnosis would represent a substantial clinical advance, potentially sparing patients from the risks associated with surgical intervention on the brain. Such an approach will depend upon highly accurate models built using the limited datasets that are available. Herein, we present a novel genetic algorithm (GA) that identifies optimal architecture parameters using feature embeddings from state-of-the-art image classification networks to identify the pediatric brain tumor, adamantinomatous craniopharyngioma (ACP). We optimized classification models for preoperative Computed Tomography (CT), Magnetic Resonance Imaging (MRI), and combined CT and MRI datasets with demonstrated test accuracies of 85.3%, 83.3%, and 87.8%, respectively. Notably, our GA improved baseline model performance by up to 38%. This work advances DL and its applications within healthcare by identifying optimized networks in small-scale data contexts. The proposed system is easily implementable and scalable for non-invasive computer-aided diagnosis, even for uncommon diseases.

Authors

  • Eric W Prince
    Department of Neurosurgery, University of Colorado School of Medicine, Aurora, CO, United States.
  • Ros Whelan
    Department of Neurosurgery, University of Colorado School of Medicine, Aurora, 80045, USA.
  • David M Mirsky
    Morgan Adams Foundation Pediatric Brain Tumor Research Program, University of Colorado School of Medicine, Aurora, CO, United States.
  • Nicholas Stence
    Division of Pediatric Radiology, Children's Hospital Colorado, Aurora, 80045, USA.
  • Susan Staulcup
    Department of Neurosurgery, University of Colorado School of Medicine, Aurora, 80045, USA.
  • Paul Klimo
    Department of Neurosurgery, University of Tennessee Health and Sciences Center, Memphis, 38163, USA.
  • Richard C E Anderson
    Department of Neurosurgery, Columbia University Medical Center, New York, New York.
  • Toba N Niazi
    Department of Pediatric Neurosurgery, Nicklaus Children's Hospital, Miami, 33155, USA.
  • Gerald Grant
    Department of Pediatric Neurosurgery, Lucile Packard Children's Hospital at Stanford University, Palo Alto, 94305, USA.
  • Mark Souweidane
    Department of Neurosurgery, Memorial Sloan Kettering Cancer Center, New York, 10065, USA.
  • James M Johnston
    Division of Pediatric Neurosurgery, University of Alabama at Birmingham, Birmingham, 35233, USA.
  • Eric M Jackson
    Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, 21205, USA.
  • David D Limbrick
    Department of Pediatrics, Washington University School of Medicine, St. Louis, 63110, USA.
  • Amy Smith
    Department of Pediatric Hematology-Oncology, Arnold Palmer Hospital, Orlando, 32806, USA.
  • Annie Drapeau
    Division of Pediatric Neurosurgery, Nationwide Children's Hospital, Columbus, 43205, USA.
  • Joshua J Chern
    Departments of Pediatrics and Neurosurgery, Emory University School of Medicine, Atlanta, 30322, USA.
  • Lindsay Kilburn
    Children's National Health System, Brain Tumor Institute, Washington, DC, 20010, USA.
  • Kevin Ginn
    Division of Pediatric Hematology and Oncology, Children's Mercy Hospital, Kansas City, 64108, USA.
  • Robert Naftel
    Department of Neurological Surgery, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, 37212, USA.
  • Roy Dudley
    Department of Neurosurgery, McGill University, Montreal, H3A 2B4, Canada.
  • Elizabeth Tyler-Kabara
    Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, 15213, USA.
  • George Jallo
    Institute of Brain Protection Sciences, Johns Hopkins All Children's Hospital, St Petersburg, 33701, USA.
  • Michael H Handler
    Division of Pediatric Neurosurgery, Children's Hospital Colorado, Aurora, 80045, USA.
  • Kenneth Jones
    University of Oklahoma Health Sciences Center, Oklahoma City, 73104, USA.
  • Andrew M Donson
    Morgan Adams Foundation Pediatric Brain Tumor Research Program, Aurora, 80045, USA.
  • Nicholas K Foreman
    Morgan Adams Foundation Pediatric Brain Tumor Research Program, Aurora, 80045, USA.
  • Todd C Hankinson
    Department of Neurosurgery, University of Colorado School of Medicine, Aurora, CO, United States.