1. Strategy for automated metabolic profiling of glioma subtypes from ex-vivo HRMAS spectra
- Author
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Sarah J. Nelson, Stojan Maleschlijski, Tracy Luks, Marram P. Olson, Tracy McKnight, Adam Autry, and Llewellyn Jalbert
- Subjects
Oncology ,medicine.medical_specialty ,business.industry ,Endocrinology, Diabetes and Metabolism ,Clinical Biochemistry ,Recurrent Glioma ,medicine.disease ,Bioinformatics ,Biochemistry ,030218 nuclear medicine & medical imaging ,Malignant transformation ,03 medical and health sciences ,0302 clinical medicine ,In vivo ,Automated algorithm ,Glioma ,Internal medicine ,Medicine ,Primary Brain Tumors ,business ,Pathological ,030217 neurology & neurosurgery ,Ex vivo - Abstract
Infiltrating gliomas are primary brain tumors that express significant biological and clinical heterogeneity in adults, which complicates their treatment and prognosis. Characterization of tumor subtypes using spectroscopic analysis may assist in predicting malignant transformation and quantification of response to therapy. To implement an automated algorithm for classification of metabolomic profiles for the classification of glioma pathological grades and the prediction of malignant progression using spectra obtained by high-resolution magic angle spinning (HR-MAS) spectroscopy of patient-derived tissue samples. 237 image-guided tissue samples were obtained from 152 patients who underwent surgery for newly diagnosed or recurrent glioma and analyzed via HR-MAS spectroscopy. Orthogonal projection to latent structures discriminant analysis was used as a classifier and the variable-influence-on-projection values were evaluated to identify signature spectral regions. The accuracy of classifiers developed for discriminating glioma subtypes was 68% for newly diagnosed grade II versus III samples; 86 and 92% for new and recurrent grade III versus IV, respectively; 95% for newly diagnosed grade II versus IV; and 88% for recurrent grade II versus IV lesions. Classifiers distinguished between samples from newly diagnosed vs. recurrent lesions with an accuracy of 78% for grade III and 99% for grade IV glioma. Classifying metabolomic profiles for new and recurrent glioma without prior assumptions regarding spectral components identified candidate in vivo biomarkers for use in assessing changes that are likely to impact treatment decisions.
- Published
- 2017