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Bumes, Elisabeth ; Fellner, Claudia ; Fellner, Franz A. ; Fleischanderl, Karin ; Häckl, Martina ; Lenz, Stefan ; Linker, Ralf A. ; Mirus, Tim ; Oefner, Peter J. ; Paar, Christian ; Proescholdt, Martin A. ; Riemenschneider, Markus J. ; Rosengarth, Katharina ; Weis, Serge ; Wendl, Christina ; Wimmer, Sibylle ; Hau, Peter ; Gronwald, Wolfram ; Hutterer, Markus

Validation Study for Non-Invasive Prediction of IDH Mutation Status in Patients with Glioma Using In Vivo 1H-Magnetic Resonance Spectroscopy and Machine Learning

Bumes, Elisabeth , Fellner, Claudia, Fellner, Franz A., Fleischanderl, Karin, Häckl, Martina, Lenz, Stefan, Linker, Ralf A., Mirus, Tim, Oefner, Peter J. , Paar, Christian, Proescholdt, Martin A. , Riemenschneider, Markus J. , Rosengarth, Katharina, Weis, Serge, Wendl, Christina, Wimmer, Sibylle, Hau, Peter , Gronwald, Wolfram und Hutterer, Markus (2022) Validation Study for Non-Invasive Prediction of IDH Mutation Status in Patients with Glioma Using In Vivo 1H-Magnetic Resonance Spectroscopy and Machine Learning. Cancers 14 (11), S. 2762.

Veröffentlichungsdatum dieses Volltextes: 22 Jun 2022 07:06
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.52440


Zusammenfassung

Simple Summary The enzyme isocitrate dehydrogenase (IDH) affects glioma cell metabolism in multiple ways. Mutation of IDH is not only indicative of the presence of astrocytoma or oligodendroglioma but it also comes with a better prognosis and constitutes a promising therapeutic target. Therefore, determination of IDH mutation status is essential in clinical practice. In most patients, tissue can ...

Simple Summary The enzyme isocitrate dehydrogenase (IDH) affects glioma cell metabolism in multiple ways. Mutation of IDH is not only indicative of the presence of astrocytoma or oligodendroglioma but it also comes with a better prognosis and constitutes a promising therapeutic target. Therefore, determination of IDH mutation status is essential in clinical practice. In most patients, tissue can be obtained by resection or biopsy to determine IDH status histologically. However, in some cases, this is not possible for technical reasons. We recently showed in a small cohort of patients that non-invasive determination of IDH mutation status using proton magnetic resonance spectroscopy (H-1-MRS) at 3.0 Tesla (T) together with machine learning techniques is feasible in a standard clinical setting and with acceptable effort. Here, we demonstrate that our approach showed comparably good results in sensitivity (82.6%) and specificity (72.7%) in a larger validation cohort employing H-1-MRS at 1.5 T in a retrospective, distinct setting. We concluded that our method works well regardless of the magnetic field strength and scanner used, and thus, may improve patient care. The isocitrate dehydrogenase (IDH) mutation status is an indispensable prerequisite for diagnosis of glioma (astrocytoma and oligodendroglioma) according to the WHO classification of brain tumors 2021 and is a potential therapeutic target. Usually, immunohistochemistry followed by sequencing of tumor tissue is performed for this purpose. In clinical routine, however, non-invasive determination of IDH mutation status is desirable in cases where tumor biopsy is not possible and for monitoring neuro-oncological therapies. In a previous publication, we presented reliable prediction of IDH mutation status employing proton magnetic resonance spectroscopy (H-1-MRS) on a 3.0 Tesla (T) scanner and machine learning in a prospective cohort of 34 glioma patients. Here, we validated this approach in an independent cohort of 67 patients, for which H-1-MR spectra were acquired at 1.5 T between 2002 and 2007, using the same data analysis approach. Despite different technical conditions, a sensitivity of 82.6% (95% CI, 61.2-95.1%) and a specificity of 72.7% (95% CI, 57.2-85.0%) could be achieved. We concluded that our H-1-MRS based approach can be established in a routine clinical setting with affordable effort and time, independent of technical conditions employed. Therefore, the method provides a non-invasive tool for determining IDH status that is well-applicable in an everyday clinical setting.



Beteiligte Einrichtungen


Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftCancers
Verlag:MDPI
Ort der Veröffentlichung:BASEL
Band:14
Nummer des Zeitschriftenheftes oder des Kapitels:11
Seitenbereich:S. 2762
Datum2 Juni 2022
InstitutionenMedizin > Institut für Funktionelle Genomik > Lehrstuhl für Funktionelle Genomik (Prof. Oefner)
Medizin > Lehrstuhl für Neurochirurgie
Medizin > Lehrstuhl für Neurologie
Medizin > Abteilung für Neuropathologie
Medizin > Lehrstuhl für Röntgendiagnostik
Medizin > Zentrum für Neuroradiologie
Identifikationsnummer
WertTyp
10.3390/cancers14112762DOI
35681741PubMed-ID
Stichwörter / Keywordsglioma; IDH mutation; H-1-MRS; 2-hydroxyglutarate; linear support vector machine; independent validation
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenZum Teil
URN der UB Regensburgurn:nbn:de:bvb:355-epub-524407
Dokumenten-ID52440

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