1. MRI textures as outcome predictor for Gamma Knife radiosurgery on vestibular schwannoma
- Author
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Sieger Leenstra, Peter N. de With, Jeroen Verheul, Svetlana Zinger, Mark Legters, Patrick Langenhuizen, Video Coding & Architectures, Electrical Engineering, Industrial Engineering and Innovation Sciences, and Biomedical Diagnostics Lab
- Subjects
medicine.medical_specialty ,SVM ,Decision tree ,Gamma knife radiosurgery ,Schwannoma ,Standard deviation ,RLM ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Vestibular schwannoma ,Outcome predictor ,Medicine ,Tumor growth ,DT ,Vestibular system ,business.industry ,treatment outcome prediction ,MRI texture features ,GLCM ,medicine.disease ,Gamma Knife radiosurgery ,machine learning ,Feature (computer vision) ,Radiology ,business ,030217 neurology & neurosurgery - Abstract
Vestibular schwannomas (VS) are benign brain tumors that can be treated with high-precision focused radiation with the Gamma Knife in order to stop tumor growth. Outcome prediction of Gamma Knife radiosurgery (GKRS) treatment can help in determining whether GKRS will be effective on an individual patient basis. However, at present, prognostic factors of tumor control after GKRS for VS are largely unknown, and only clinical factors, such as size of the tumor at treatment and pre-treatment growth rate of the tumor, have been considered thus far. This research aims at outcome prediction of GKRS by means of quantitative texture feature analysis on conventional MRI scans. We compute first-order statistics and features based on gray-level co-occurrence (GLCM) and run-length matrices (RLM), and employ support vector machines and decision trees for classification. In a clinical dataset, consisting of 20 tumors showing treatment failure and 20 tumors exhibiting treatment success, we have discovered that the second-order statistical metrics distilled from GLCM and RLM are suitable for describing texture, but are slightly outperformed by simple first-order statistics, like mean, standard deviation and median. The obtained prediction accuracy is about 85%, but a final choice of the best feature can only be made after performing more extensive analyses on larger datasets. In any case, this work provides suitable texture measures for successful prediction of GKRS treatment outcome for VS.
- Published
- 2018
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