Automatized Hepatic Tumor Volume Analysis of Neuroendocrine Liver Metastases by Gd-EOB MRI-A Deep-Learning Model to Support Multidisciplinary Cancer Conference Decision-Making.

MRI automatized quantification deep learning liver metastases multidisciplinary cancer conference neuroendocrine neoplasms

Journal

Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829

Informations de publication

Date de publication:
31 May 2021
Historique:
received: 06 05 2021
revised: 22 05 2021
accepted: 25 05 2021
entrez: 2 6 2021
pubmed: 3 6 2021
medline: 3 6 2021
Statut: epublish

Résumé

Rapid quantification of liver metastasis for diagnosis and follow-up is an unmet medical need in patients with secondary liver malignancies. We present a 3D-quantification model of neuroendocrine liver metastases (NELM) using gadoxetic-acid (Gd-EOB)-enhanced MRI as a useful tool for multidisciplinary cancer conferences (MCC). Manual 3D-segmentations of NELM and livers (149 patients in 278 Gd-EOB MRI scans) were used to train a neural network ( Internal validation of the model's accuracy showed a high overlap for NELM and livers (Matthew's correlation coefficient (φ): 0.76/0.95, respectively) with higher φ in larger NELM volume (φ = 0.80 vs. 0.71; The model shows high accuracy in 3D-quantification of NELM and HTL in Gd-EOB-MRI. The model's measurements correlated well with MCC's evaluation of therapeutic response.

Sections du résumé

BACKGROUND BACKGROUND
Rapid quantification of liver metastasis for diagnosis and follow-up is an unmet medical need in patients with secondary liver malignancies. We present a 3D-quantification model of neuroendocrine liver metastases (NELM) using gadoxetic-acid (Gd-EOB)-enhanced MRI as a useful tool for multidisciplinary cancer conferences (MCC).
METHODS METHODS
Manual 3D-segmentations of NELM and livers (149 patients in 278 Gd-EOB MRI scans) were used to train a neural network (
RESULTS RESULTS
Internal validation of the model's accuracy showed a high overlap for NELM and livers (Matthew's correlation coefficient (φ): 0.76/0.95, respectively) with higher φ in larger NELM volume (φ = 0.80 vs. 0.71;
CONCLUSION CONCLUSIONS
The model shows high accuracy in 3D-quantification of NELM and HTL in Gd-EOB-MRI. The model's measurements correlated well with MCC's evaluation of therapeutic response.

Identifiants

pubmed: 34072865
pii: cancers13112726
doi: 10.3390/cancers13112726
pmc: PMC8199286
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Uli Fehrenbach (U)

Department of Radiology, Charité-Universitätsmedizin Berlin, 13353 Berlin, Germany.

Siyi Xin (S)

Division of Gastroenterology, Medical Department, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany.

Alexander Hartenstein (A)

Department of Radiology, Charité-Universitätsmedizin Berlin, 13353 Berlin, Germany.
Bayer AG, 13353 Berlin, Germany.

Timo Alexander Auer (TA)

Department of Radiology, Charité-Universitätsmedizin Berlin, 13353 Berlin, Germany.
Berlin Institute of Health, 10178 Berlin, Germany.

Franziska Dräger (F)

Department of Radiology, Charité-Universitätsmedizin Berlin, 13353 Berlin, Germany.

Konrad Froböse (K)

Department of Radiology, Charité-Universitätsmedizin Berlin, 13353 Berlin, Germany.

Henning Jann (H)

Division of Gastroenterology, Medical Department, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany.

Martina Mogl (M)

Department of Surgery Campus Charité Mitte/Campus Virchow-Klinikum, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany.

Holger Amthauer (H)

Department of Nuclear Medicine, Charité-Universitätsmedizin Berlin, 13353 Berlin, Germany.

Dominik Geisel (D)

Department of Radiology, Charité-Universitätsmedizin Berlin, 13353 Berlin, Germany.

Timm Denecke (T)

Department of Diagnostic and Interventional Radiology, University Hospital Leipzig, 04103 Leipzig, Germany.

Bertram Wiedenmann (B)

Division of Gastroenterology, Medical Department, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany.

Tobias Penzkofer (T)

Department of Radiology, Charité-Universitätsmedizin Berlin, 13353 Berlin, Germany.
Berlin Institute of Health, 10178 Berlin, Germany.

Classifications MeSH