Identification of sarcomatoid differentiation in renal cell carcinoma by machine learning on multiparametric MRI

Abstract Sarcomatoid differentiation in RCC (sRCC) is associated with a poor prognosis, necessitating more aggressive management than RCC without sarcomatoid components (nsRCC). Since suspected renal cell carcinoma (RCC) tumors are not routinely biopsied for histologic evaluation, there is a clinica...

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Autores principales: Asim Mazin, Samuel H. Hawkins, Olya Stringfield, Jasreman Dhillon, Brandon J. Manley, Daniel K. Jeong, Natarajan Raghunand
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/2fe9e616bc764151986167520d42be11
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spelling oai:doaj.org-article:2fe9e616bc764151986167520d42be112021-12-02T12:11:07ZIdentification of sarcomatoid differentiation in renal cell carcinoma by machine learning on multiparametric MRI10.1038/s41598-021-83271-42045-2322https://doaj.org/article/2fe9e616bc764151986167520d42be112021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-83271-4https://doaj.org/toc/2045-2322Abstract Sarcomatoid differentiation in RCC (sRCC) is associated with a poor prognosis, necessitating more aggressive management than RCC without sarcomatoid components (nsRCC). Since suspected renal cell carcinoma (RCC) tumors are not routinely biopsied for histologic evaluation, there is a clinical need for a non-invasive method to detect sarcomatoid differentiation pre-operatively. We utilized unsupervised self-organizing map (SOM) and supervised Learning Vector Quantizer (LVQ) machine learning to classify RCC tumors on T2-weighted, non-contrast T1-weighted fat-saturated, contrast-enhanced arterial-phase T1-weighted fat-saturated, and contrast-enhanced venous-phase T1-weighted fat-saturated MRI images. The SOM was trained on 8 nsRCC and 8 sRCC tumors, and used to compute Activation Maps for each training, validation (3 nsRCC and 3 sRCC), and test (5 nsRCC and 5 sRCC) tumor. The LVQ classifier was trained and optimized on Activation Maps from the 22 training and validation cohort tumors, and tested on Activation Maps of the 10 unseen test tumors. In this preliminary study, the SOM-LVQ model achieved a hold-out testing accuracy of 70% in the task of identifying sarcomatoid differentiation in RCC on standard multiparameter MRI (mpMRI) images. We have demonstrated a combined SOM-LVQ machine learning approach that is suitable for analysis of limited mpMRI datasets for the task of differential diagnosis.Asim MazinSamuel H. HawkinsOlya StringfieldJasreman DhillonBrandon J. ManleyDaniel K. JeongNatarajan RaghunandNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Asim Mazin
Samuel H. Hawkins
Olya Stringfield
Jasreman Dhillon
Brandon J. Manley
Daniel K. Jeong
Natarajan Raghunand
Identification of sarcomatoid differentiation in renal cell carcinoma by machine learning on multiparametric MRI
description Abstract Sarcomatoid differentiation in RCC (sRCC) is associated with a poor prognosis, necessitating more aggressive management than RCC without sarcomatoid components (nsRCC). Since suspected renal cell carcinoma (RCC) tumors are not routinely biopsied for histologic evaluation, there is a clinical need for a non-invasive method to detect sarcomatoid differentiation pre-operatively. We utilized unsupervised self-organizing map (SOM) and supervised Learning Vector Quantizer (LVQ) machine learning to classify RCC tumors on T2-weighted, non-contrast T1-weighted fat-saturated, contrast-enhanced arterial-phase T1-weighted fat-saturated, and contrast-enhanced venous-phase T1-weighted fat-saturated MRI images. The SOM was trained on 8 nsRCC and 8 sRCC tumors, and used to compute Activation Maps for each training, validation (3 nsRCC and 3 sRCC), and test (5 nsRCC and 5 sRCC) tumor. The LVQ classifier was trained and optimized on Activation Maps from the 22 training and validation cohort tumors, and tested on Activation Maps of the 10 unseen test tumors. In this preliminary study, the SOM-LVQ model achieved a hold-out testing accuracy of 70% in the task of identifying sarcomatoid differentiation in RCC on standard multiparameter MRI (mpMRI) images. We have demonstrated a combined SOM-LVQ machine learning approach that is suitable for analysis of limited mpMRI datasets for the task of differential diagnosis.
format article
author Asim Mazin
Samuel H. Hawkins
Olya Stringfield
Jasreman Dhillon
Brandon J. Manley
Daniel K. Jeong
Natarajan Raghunand
author_facet Asim Mazin
Samuel H. Hawkins
Olya Stringfield
Jasreman Dhillon
Brandon J. Manley
Daniel K. Jeong
Natarajan Raghunand
author_sort Asim Mazin
title Identification of sarcomatoid differentiation in renal cell carcinoma by machine learning on multiparametric MRI
title_short Identification of sarcomatoid differentiation in renal cell carcinoma by machine learning on multiparametric MRI
title_full Identification of sarcomatoid differentiation in renal cell carcinoma by machine learning on multiparametric MRI
title_fullStr Identification of sarcomatoid differentiation in renal cell carcinoma by machine learning on multiparametric MRI
title_full_unstemmed Identification of sarcomatoid differentiation in renal cell carcinoma by machine learning on multiparametric MRI
title_sort identification of sarcomatoid differentiation in renal cell carcinoma by machine learning on multiparametric mri
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/2fe9e616bc764151986167520d42be11
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