Home Radiogenomics based survival prediction of small-sample glioblastoma patients by multi-task DFFSP model
Article
Licensed
Unlicensed Requires Authentication

Radiogenomics based survival prediction of small-sample glioblastoma patients by multi-task DFFSP model

  • Xue Fu , Chunxiao Chen EMAIL logo , Zhiying Chen , Jie Yu and Liang Wang
Published/Copyright: September 4, 2024

Abstract

In this paper, the multi-task dense-feature-fusion survival prediction (DFFSP) model is proposed to predict the three-year survival for glioblastoma (GBM) patients based on radiogenomics data. The contrast-enhanced T1-weighted (T1w) image, T2-weighted (T2w) image and copy number variation (CNV) is used as the input of the three branches of the DFFSP model. This model uses two image extraction modules consisting of residual blocks and one dense feature fusion module to make multi-scale fusion of T1w and T2w image features as backbone. Also, a gene feature extraction module is used to adaptively weight CNV fragments. Besides, a transfer learning module is introduced to solve the small sample problem and an image reconstruction module is adopted to make the model anatomy-aware under a multi-task framework. 256 sample pairs (T1w and corresponding T2w MRI slices) and 187 CNVs of 74 patients were used. The experimental results show that the proposed model can predict the three-year survival of GBM patients with the accuracy of 89.1 %, which is improved by 3.2 and 4.7 % compared with the model without genes and the model using last fusion strategy, respectively. This model could also classify the patients into high-risk and low-risk groups, which will effectively assist doctors in diagnosing GBM patients.


Corresponding author: Chunxiao Chen, Department of Biomedical Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing 211106, China, E-mail:

Award Identifier / Grant number: 12071215

Acknowledgments

This study was supported by the Natural Science Foundation of China (Grant No. 12071215). The results here are in whole based upon data generated by the TCGA Research Network: http://cancergenome.nih.gov/.

  1. Research ethics: This article does not contain any studies with human participants performed by any of the authors. The local Institutional Review Board deemed the study exempt from review.

  2. Informed consent: Informed consent was obtained from all individuals included in this study.

  3. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  4. Competing interests: Authors state no conflict of interest.

  5. Research funding: This study was supported by the Natural Science Foundation of China (Grant No. 12071215).

References

1. Ostrom, QT, Gittleman, H, Truitt, G, Boscia, A, Kruchko, C, Barnholtz-Sloan, JS. CBTRUS statistical report: primary brain and other central nervous system tumors diagnosed in the United States in 2011–2015. Neuro Oncol 2018;20:iv1–86. https://doi.org/10.1093/neuonc/noy131.Search in Google Scholar PubMed PubMed Central

2. Yang, JY, Kong, SH, Ahn, HS, Lee, HJ, Jeong, SY, Ha, J, et al.. Prognostic factors for reoperation of recurrent retroperitoneal sarcoma: the role of clinicopathological factors other than histologic grade. J Surg Oncol 2015;111:165–72. https://doi.org/10.1002/jso.23783.Search in Google Scholar PubMed

3. Stupp, R, Hegi, ME, Mason, WP, Bent, MJ, Taphoorn, MJ, Janzer, RC, et al.. Effects of radiotherapy with concomitant and adjuvant temozolomide versus radiotherapy alone on survival in glioblastoma in a randomised phase III study: 5-year analysis of the EORTC-NCIC trial. Lancet Oncol 2009;10:459–66. https://doi.org/10.1016/s1470-2045(09)70025-7.Search in Google Scholar

4. Saurabh, R, Nandi, S, Sinha, N, Shukla, M, Sarkar, RR. Prediction of survival rate and effect of drugs on cancer patients with somatic mutations of genes: an AI‐based approach. Chem Biol Drug Des 2020;96:1005–1019. https://doi.org/10.1111/cbdd.13668.Search in Google Scholar PubMed

5. Buchwald, ZS, Tian, S, Rossi, M, Smith, GH, Switchenko, J, Hauenstein, JE, et al.. Genomic copy number variation correlates with survival outcomes in WHO grade IV glioma. Sci Rep 2020;10:1–10. https://doi.org/10.1038/s41598-020-63789-9.Search in Google Scholar PubMed PubMed Central

6. Peng, C, Li, A. A heterogeneous network based method for identifying GBM-related genes by integrating multi-dimensional data. IEEE ACM Trans Comput Biol Bioinf 2016;14:713–20. https://doi.org/10.1109/tcbb.2016.2555314.Search in Google Scholar PubMed

7. Xiong, M, Dong, H, Siu, H, Peng, G, Wang, Y, Jin, L. Genome-wide association studies of copy number variation in glioblastoma. In: Proc 2010 4th International Conference on Bioinformatics and Biomedical Engineering. IEEE; 2010:1–4 pp.10.1109/ICBBE.2010.5516437Search in Google Scholar

8. Kong, DS, Kim, J, Lee, IH, Kim, ST, Seol, HJ, Lee, JI, et al.. Integrative radiogenomic analysis for multicentric radiophenotype in glioblastoma. Oncotarget 2016;7:11526. https://doi.org/10.18632/oncotarget.7115.Search in Google Scholar PubMed PubMed Central

9. Chang, K, Zhang, B, Guo, X, Zong, M, Rahman, R, Sanchez, D, et al.. Multimodal imaging patterns predict survival in recurrent glioblastoma patients treated with bevacizumab. Neuro Oncol 2016;18:1680–7. https://doi.org/10.1093/neuonc/now086.Search in Google Scholar PubMed PubMed Central

10. Osman, AFI. Automated brain tumor segmentation on magnetic resonance images and patient’s overall survival prediction using support vector machines. In: Proc International MICCAI Brainlesion Workshop. Cham: Springer; 2017:435–49 pp.10.1007/978-3-319-75238-9_37Search in Google Scholar

11. Nie, D, Lu, J, Zhang, H, Adeli, E, Wang, J, Yu, Z, et al.. Multi-channel 3D deep feature learning for survival time prediction of brain tumor patients using multi-modal neuroimages. Sci Rep 2019;9:1–14. https://doi.org/10.1038/s41598-018-37387-9.Search in Google Scholar PubMed PubMed Central

12. Gevaert, O, Mitchell, LA, Achrol, AS, Xu, J, Echegaray, S, Steinberg, GK, et al.. Glioblastoma multiforme: exploratory radiogenomic analysis by using quantitative image features. Radiology 2014;273:168–74. https://doi.org/10.1148/radiol.14131731.Search in Google Scholar PubMed PubMed Central

13. Jamshidi, N, Diehn, M, Bredel, M, Kuo, MD. Illuminating radiogenomic characteristics of glioblastoma multiforme through integration of MR imaging, messenger RNA expression, and DNA copy number variation. Radiology 2014;270:1–2. https://doi.org/10.1148/radiol.13130078.Search in Google Scholar PubMed PubMed Central

14. Gutman, DA, Cooper, LAD, Hwang, SN, Holder, CA, Gao, J, Aurora, TD, et al.. MR imaging predictors of molecular profile and survival: multi-institutional study of the TCGA glioblastoma data set. Radiology 2013;267:560–9. https://doi.org/10.1148/radiol.13120118.Search in Google Scholar PubMed PubMed Central

15. Fu, X, Chen, C, Li, D. Survival prediction of patients suffering from glioblastoma based on two-branch DenseNet using multi-channel features. Int J Comput Assist Radiol Surg 2021;16:207–17. https://doi.org/10.1007/s11548-021-02313-4.Search in Google Scholar PubMed

16. Fu, X, Chen, C, Li, D. Multi-branch residual network applied to predict the three-year survival of patients with glioblastoma. J Med Biol Eng 2020;40:655–62. https://doi.org/10.1007/s40846-020-00559-y.Search in Google Scholar

17. Lu, J, Cowperthwaite, MC, Burnett, MG, Shpak, M. Molecular predictors of long-term survival in glioblastoma multiforme patients. PLoS One 2016;11:e0154313. https://doi.org/10.1371/journal.pone.0154313.Search in Google Scholar PubMed PubMed Central

18. Mohammadi, R, Salehi, M, Ghaffari, H, Rohani, AA, Reiazi, R. Transfer learning-based automatic detection of coronavirus disease 2019 (COVID-19) from chest x-ray images. J Biomed Phys Eng 2020;10:559–68. https://doi.org/10.31661/jbpe.v0i0.2008-1153.Search in Google Scholar PubMed PubMed Central

19. Wang, S, Dong, L, Wang, X, Wang, X. Classification of pathological types of lung cancer from CT images by deep residual neural networks with transfer learning strategy. Open Med 2020;15:190–7. https://doi.org/10.1515/med-2020-0028.Search in Google Scholar PubMed PubMed Central

20. Amyar, A, Modzelewski, R, Li, H, Ruan, S. Multi-task deep learning based CT imaging analysis for COVID-19 pneumonia: classification and segmentation. Comput Biol Med 2020;126:104037. https://doi.org/10.1016/j.compbiomed.2020.104037.Search in Google Scholar PubMed PubMed Central

21. Clark, K, Vendt, B, Smith, K, Freymann, J, Kirby, J, Koppel, P, et al.. The cancer imaging archive (TCIA): maintaining and operating a public information repository. J Digital Imaging 2013;26:1045–57. https://doi.org/10.1007/s10278-013-9622-7.Search in Google Scholar PubMed PubMed Central

22. The Cancer Genome Atlas (TCGA) Research Network. Comprehensive genomic characterization defines human glioblastoma genes and core pathways. Nature 2008;455:1061. https://doi.org/10.1038/nature07385.Search in Google Scholar PubMed PubMed Central

23. Scarpace, L, Mikkelsen, T, Cha, S, Rao, S, Tekchandani, S, Gutman, D, et al.. The cancer genome atlas glioblastoma multiforme collection (TCGA-GBM) (version 5) [Data set]. The Cancer Imaging Archive 2016. https://doi.org/10.7937/K9/TCIA.2016.RNYFUYE9.Search in Google Scholar

24. He, K, Zhang, X, Ren, S, Sun, J. Deep residual learning for image recognition. In: Proceedings of the IEEE conference on computer vision and pattern recognition; 2016:770–8 pp.10.1109/CVPR.2016.90Search in Google Scholar

25. Zhou, T, Fu, H, Chen, G, Shen, J, Shao, L. Hi-net: hybrid-fusion network for multi-modal MR image synthesis. IEEE Trans Med Imag 2020;39:2772–81. https://doi.org/10.1109/tmi.2020.2975344.Search in Google Scholar PubMed

26. Katti, G, Ara, SA, Shireen, A. Magnetic resonance imaging (MRI) – A review. Int J Dent Clin 2011;3:65–70.Search in Google Scholar

27. Godbole, S, Sarawagi, S. Discriminative methods for multi-labeled classification. In: Proc Pacific-Asia conference on knowledge discovery and data mining. Berlin, Heidelberg: Springer; 2004:22–30 pp.10.1007/978-3-540-24775-3_5Search in Google Scholar

28. Fawcett, T. An introduction to ROC analysis. Pattern Recogn Lett 2006;27:861–74. https://doi.org/10.1016/j.patrec.2005.10.010.Search in Google Scholar

29. Hanley, JA, McNeil, BJ. The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology 1982;143:29–36. https://doi.org/10.1148/radiology.143.1.7063747.Search in Google Scholar PubMed

30. Efron, B. Logistic regression, survival analysis, and the Kaplan-Meier curve. J Am Stat Assoc 1988;83:414–25. https://doi.org/10.1080/01621459.1988.10478612.Search in Google Scholar

31. Selvaraju, RR, Cogswell, M, Das, A, Vedantam, R, Parikh, D, Batra, D. Grad-cam: visual explanations from deep networks via gradient-based localization. In: Proceedings of the IEEE international conference on computer vision; 2017:618–26 pp.10.1109/ICCV.2017.74Search in Google Scholar

32. Conti, V, Militello, C, Rundo, L, Vitabile, S. A novel bio-inspired approach for high-performance management in service-oriented networks. IEEE Trans Emerg Top Comput 2020;9:1709–22. https://doi.org/10.1109/tetc.2020.3018312.Search in Google Scholar

Received: 2022-06-06
Accepted: 2024-08-21
Published Online: 2024-09-04
Published in Print: 2024-12-17

© 2024 Walter de Gruyter GmbH, Berlin/Boston

Downloaded on 5.11.2025 from https://www.degruyterbrill.com/document/doi/10.1515/bmt-2022-0221/html
Scroll to top button