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Cited by 263

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Multimodal MRI features predict isocitrate dehydrogenase genotype in high-grade gliomas

Open access
Zhang, Biqi, Chang, Ken, Ramkissoon, Shakti, Tanguturi, Shyam, Bi, Wenya Linda, Reardon, David A., Ligon, Keith L., Alexander, Brian M., Wen, Patrick Y., Huang, Raymond Y.·2017·Neuro-Oncology

Abstract

Background.: High-grade gliomas with mutations in the isocitrate dehydrogenase (IDH) gene family confer longer overall survival relative to their IDH-wild-type counterparts. Accurate determination of the IDH genotype preoperatively may have both prognostic and diagnostic value. The current study used a machine-learning algorithm to generate a model predictive of IDH genotype in high-grade gliomas based on clinical variables and multimodal features extracted from conventional MRI. Methods.: Preoperative MRIs were obtained for 120 patients with primary grades III (n = 35) and IV (n = 85) glioma in this retrospective study. IDH genotype was confirmed for grade III (32/35, 91%) and IV (22/85, 26%) tumors by immunohistochemistry, spectrometry-based mutation genotyping (OncoMap), or multiplex exome sequencing (OncoPanel). IDH1 and IDH2 mutations were mutually exclusive, and all mutated tumors were collapsed into one IDH-mutated cohort. Cases were randomly assigned to either the training (n = 90) or validation cohort (n = 30). A total of 2970 imaging features were extracted from pre- and postcontrast T1-weighted, T2-weighted, and apparent diffusion coefficient map. Using a random forest algorithm, nonredundant features were integrated with clinical data to generate a model predictive of IDH genotype. Results.: Our model achieved accuracies of 86% (area under the curve [AUC] = 0.8830) in the training cohort and 89% (AUC = 0.9231) in the validation cohort. Features with the highest predictive value included patient age as well as parametric intensity, texture, and shape features. Conclusion.: Using a machine-learning algorithm, we achieved accurate prediction of IDH genotype in high-grade gliomas with preoperative clinical and MRI features.

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Metadata

Authors
Zhang, B., Chang, K., Ramkissoon, S., Tanguturi, S., Bi, W. L., Reardon, D. A., Ligon, K. L., Alexander, B. M., Wen, P. Y., & Huang, R. Y.
Venue
Neuro-Oncology
Published
2016-06-26
Volume
19
Issue
1
Pages
109-117
ISSN
  • 1522-8517 (ISSN-L)
  • 1523-5866
OpenAlex
W2460918282
Cited by
263
References
50
FWCI
23.13
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Multimodal MRI features predict isocitrate dehydrogenase genotype in high-grade gliomas. https://app.cochat.ai/papers/10.1093/neuonc/now121
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Zhang, B., Chang, K., Ramkissoon, S., Tanguturi, S., Bi, W. L., Reardon, D. A., Ligon, K. L., Alexander, B. M., Wen, P. Y., & Huang, R. Y. (2017). Multimodal MRI features predict isocitrate dehydrogenase genotype in high-grade gliomas. Neuro-Oncology. https://doi.org/10.1093/neuonc/now121

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