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MRI Analysis Can Predict Brain Tumor Prognosis

By MedImaging International staff writers
Posted on 09 Apr 2020

Image: MRI scans showing radiomic prognostic features (Photo curtesy of CWRU)

Merging magnetic resonance imaging (MRI) analysis and radiomics-based genomic research can help determine the relative life expectancy of glioblastoma victims, according to a new study.

The prognostic model developed by researchers at Case Western Reserve University (CWRU; Cleveland, OH, USA), the Cleveland Clinic (CC, OH, USA), and other institutions identifies pre-treatment MRI radiomics features, and connects those features to biological processes in the tumor using artificial intelligence (AI). For the study, the researchers enrolled 130 glioblastoma patients, extracting 2,850 radiomics features. They then identified 25 of these features as especially prognostic of a patient’s progression-free survival.

The features describe image properties such as wavy, ripple and spot-like patterns, the sphericity of the peri-tumoral edema, and tumor sub-compartments, such as a necrotic-core. Via known gene-expression information, they then elucidated which biological pathways were associated with those images. They then combined these features into a model to calculate a radiomic risk score (RRS). Gene ontology and single-sample gene set enrichment analysis were used to identify specific molecular signaling pathway networks that were associated with RRS features. The researchers then showed that the radiomics features correlate with certain gene expressions in the tumor.

The researchers showed that the genes identified control biological processes, such as the rate of cell division or the growth of new blood vessels to transport nutrients to the tumor. The model’s prognostic ability was validated in an independent hold-out cohort of 73 patients, successfully establishing a direct connection between the radiomics features and the biological processes leading to disease progression. The researchers concluded that by determining the relative life expectancy of the glioblastoma victims, clinicians can identify candidates for experimental clinical drug trials. The study was published on March 24, 2020, in Clinical Cancer Research.

“Our results demonstrated that image features associated with poor prognosis were also linked with pathways that contribute to chemo-resistance in glioblastoma. This could have huge implications in designing personalized treatment decisions in glioblastoma patients, down the road,” said study co-author Manmeet Ahluwalia, MD, of the CC. “While we’re just at the beginning, this is a big step, and someday it could mean that if you have glioblastoma, you could know whether you’ll respond to chemotherapy well or to immunotherapy, based on image and gene profiles.”

Radiomics is an extension of computer-aided diagnosis and refers to the comprehensive quantification of tumor phenotypes by extracting a large number of quantitative image features for data mining and precision medicine. In recent years radiomics has successfully extracted a variety of clinically relevant features, merging them into signatures, in order to estimate the probability of malignancy of identified breast cancer lesions.

Related Links:
Case Western Reserve University
Cleveland Clinic

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69 (30.040740966797): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=212 ORDER BY `ordering`

70 (303.98368835449): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294781640 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (212.9077911377): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294781640 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (42.915344238281): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (!!!!! 3093.0042266846): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (45.061111450195): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294781640 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (28.848648071289): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294781640 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (33.140182495117): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294781640 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294781640 AND published='1' LIMIT 1

105 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294781640 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294781640 AND published='1' LIMIT 1

106 (49.829483032227): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294781640 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (449.89585876465): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294781640 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 2243.9956665039): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294781640 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294781640 AND published='1' LIMIT 1

109 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294781640 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294781640 AND published='1' LIMIT 1

110 (46.968460083008): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294781640 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (442.9817199707): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294781640 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (545.02487182617): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (333.07075500488): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294781640 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294781640 AND published='1' LIMIT 1

115 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294781640 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294781640 AND published='1' LIMIT 1

116 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294781640 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294781640 AND published='1' LIMIT 1

117 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294781640 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294781640 AND published='1' LIMIT 1

118 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294781640 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294781640 AND published='1' LIMIT 1

119 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294781640 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294781640 AND published='1' LIMIT 1

120 (294.92378234863): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 60549.974441528): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

122 (231.02760314941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294781640 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294781640 AND published='1' LIMIT 1

123 (299.21531677246): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294781640 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294781640 AND published='1' LIMIT 1

124 (!!!!! 1518.0110931396): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294781640 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294781640 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 820173.02513123): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (73.909759521484): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (36.954879760742): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (27.894973754883): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (37.193298339844): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (27.894973754883): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (27.894973754883): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (27.894973754883): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (344.99168395996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294781640 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (279.18815612793): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294781640 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (38.14697265625): SELECT name FROM jos_deeppockets WHERE id=212

136 (26.941299438477): SELECT name FROM jos_deeppockets WHERE id=212

137 (421.04721069336): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (334.9781036377): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294781640 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294781640 AND published='1' LIMIT 1

140 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294781640 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294781640 AND published='1' LIMIT 1

141 (!!!!! 4034.9960327148): TRUNCATE TABLE jos_trademed_module

142 (!!!!! 1016.1399841309): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294781640 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (152.1110534668): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294781640 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (406.02684020996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294781640 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294781640 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (211.95411682129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294781640 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294781640 AND published='1' LIMIT 1

147 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294781640 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294781640 AND published='1' LIMIT 1

148 (!!!!! 1048.0880737305): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

149 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294781640 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294781640 AND published='1' LIMIT 1

150 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294781640 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294781640 AND published='1' LIMIT 1

151 (38.862228393555): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294781640 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294781640 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (30.040740966797): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

153 (29.087066650391): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

154 (49.829483032227): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (613.92784118652): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294781640 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294781640 AND published='1' LIMIT 1

156 (80.82389831543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294781640 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294781640 AND published='1' LIMIT 1

157 (154.97207641602): select jos_twitters.link from jos_twitters where cat=10

158 (52.928924560547): select jos_facebook.link from jos_facebook where cat=10

159 (44.107437133789): select jos_google_plus.link from jos_google_plus where cat=10

160 (36.954879760742): select jos_linkedin.link from jos_linkedin where cat=10

161 (305.8910369873): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1437.9024505615): insert into jos_banners_delta values (14615,'2025-05-01 21:37:45','18.216.248.35','view'),(14202,'2025-05-01 21:37:45','18.216.248.35','view'),(14203,'2025-05-01 21:37:45','18.216.248.35','view')

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