a classification-based glioma diffusion model using mri data marianne morris 1,2 russ greiner 1,2,...
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![Page 1: A Classification-based Glioma Diffusion Model Using MRI Data Marianne Morris 1,2 Russ Greiner 1,2, Jörg Sander 2, Albert Murtha 3, Mark Schmidt 1,2 1 Alberta](https://reader036.vdocuments.net/reader036/viewer/2022062714/56649d425503460f94a1e48a/html5/thumbnails/1.jpg)
A Classification-based Glioma Diffusion Model Using MRI Data
Marianne Morris1,2
Russ Greiner1,2, Jörg Sander2, Albert Murtha3, Mark Schmidt1,2
1 Alberta Ingenuity Centre for Machine Learning 2 University of Alberta3 Cross Cancer Institute, Alberta Cancer Board
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Predict Tumour Growth
Why? Study tumour growth patterns Improve treatment planning
initial tumour tumour 6 months later
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Outline
Introduction Incremental Growth Modeling
Features Models (UG, GW, CDM)
Experiments
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Incremental Growth Model
Iteratively assign each voxel around the active tumour border to tumour vsnon-tumour
Stops at termination condition Reaching a specified size of tumour … there’s no more voxels to add
Several Approaches
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Incremental Growth Model
Tumor
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Incremental Growth Model
Tumor
Neighbours
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Incremental Growth Model
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- +
- +
- +
+ + -
Tumor
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Incremental Growth Model
- + +
- +
- +
- +
+ + -
Tumor
Neighbours
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Incremental Growth Model
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Tumor
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Incremental Growth Model
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Tumor
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Which New Voxels to Add
UG: Uniform Growth GW: Growth based on tissue types CDM: Classification-based diffusion
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Tumour growth modeling – uniform diffusion (UG)
Radial uniform growth(in all directions alike)
Original tumour
Final tumour volume
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Tumour growth modeling –
White vs. Grey matter (GW)
A 5:1 ratio for diffusion in white matter vs. grey matter (Sawnson et al., 2000)
White matter Grey matter
Original tumourFinal tumour volume
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Tumour growth modeling
Uniform growth: Yes!
GW model: If White matter: Yes! If Grey matter: 20%
CDM model: “Learn” tumour
growth pattern
Am I a tumour?
voxel
Active tumour border
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Classification-Based Diffusion Model (CDM) Preprocessing
Noise reduction Spatial registration Intensity Standardization Tissue segmentation Tumour segmentation
Feature extraction Classification Tumour growth modeling
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Features
Patient features Tumour properties Voxel features Features of neighbouring voxels
A total of 75 features
patient
tumour
voxel
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Features: Patient
Age Correlation between age and glioma grade
(more aggressive tumours occur in older patients; benign tumours in children)
patient
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Features: Tumour
Area-volume ratio Volume increase between 2
scans Percentage of edema
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Features: Voxel Min Distance from tumour border Tissue type derived from template Tissue type derived from patient’s image Image intensities (T1, T1-contrast, T2) Template intensity Edema region Coordinates & Tissue Map Distance-Area ratio
tumour
voxel
tumour
voxel
tumour
edema
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Features: Neighbourhood
For each of 6 neighbours*
Edema Image intensities Tissue type derived from template Tissue type derived from patient’s
image
A neighbourhood in 3D is the 6 voxels immediately adjacent to some voxel v (not including diagonal ones)
10 36
5
2
4
6 neighbours
y
x
z
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Classification-Based Diffusion Model (CDM) Preprocessing
Noise reduction Spatial registration Intensity Standardization Tissue segmentation Tumour segmentation
Feature extraction Classification Tumour growth modeling
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CDM Classifier
Voxel v becomes tumour given…qv = PΘ (class (v) = tumour | epatient,etumour,ev)
Features of the patient epatient
the tumour etumour
the voxel and its neighbours evpatient
tumour
voxel v
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Learning Parameters (Classifier)
How to learn Θ ? Naïve Bayes Logistic Regression Linear-kernel SVM
Trained on other brain images
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Outline
Introduction Incremental Growth Modeling Experiments
Evaluation Measure Model Comparison
Best Case Average Case Special Cases Average P/R
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Experimental Procedure
Training data Sample of voxels in volume-
difference between two scans including 2-voxel border around the volume at the 2nd time scan
Volume-pairs for 17 patients Total of ½ million voxels
We evaluate voxels encountered in diffusion process Cross-validation (17 patients)
Original tumour
Additional tumour growth
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Tumour growth modeling –
CDM (wrt Neighbours) Voxel v becomes tumour based on…
Features: epatient,etumour,ev Compute:
qv = PΘ (class (v) = tumour | epatient,etumour,ev)
Neighbours of voxel v If k tumour-voxel neighbours,
probability that voxel v becomes tumourpv = 1 – (1 – qv)k
Decision Declare voxel v is tumour if pv 0.65
v6,v7 : k = 0v1,v2,v5 : k = 1v3,v4 : k = 2
v1
v2
v6
v7
v5
+ + v3
v4
+
+ + + + +
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System Performance
Time 1 scan
Time 2 scan
CDMprediction
Left to right: Slices from lower to upper brain
True positivesFalse positivesFalse negatives
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Evaluation
Precision, Recall for tumour, non-tumour voxels
nt = truth & pt = prediction ; Precision = Recall
Correct ntPredicted pt
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Diffusion Modeling Process
We grow tumour from initial volume at 1st time scan to size of tumour volume at 2nd time scan Precision = Recallbecause predicted volume truth
volume
Tumour at 1st time scan
Tumour volume at2nd time scan
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Results – Model Comparison
0
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GB
M_1
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M_3
A.G
BM
_4
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UG
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Results (Best case)
GBM_7: CDM beats UG by 20% and GW by 12%
True positivesFalse positivesFalse negatives
Grew tumour along edema regions but…didn’t predict other wing of butterfly
0
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Results (Average case)
GBM_1: CDM beats UG by 6% and GW by 8%
True positivesFalse positivesFalse negatives
Need a more accurate brain atlas
0
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M_1
GB
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A.G
BM
_4
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AA
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_2
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CDM
UG
GW
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Results (Special case)
GBM_10: CDM beats UG by 8% and GW by 2%
True positivesFalse positivesFalse negatives
Resection & Recurrence
0
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M_1
GB
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BM
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GB
M_5
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A_1
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M_9
MO
A
GB
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0
GB
M_1
1
GB
M_1
2
GB
M_1
3
CDM
UG
GW
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Results T-test: the probability
that the means are not significantly different
Paired data (same data sample; different models) CDM vs UG: p = 0.001 CDM vs GW: p = 0.001
(UG vs GW: p = 0.034)
X is the meanVar: the variancen: the number of samples
CDM performs significantlybetter than UG and GW!
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Future work More expressive
features Spectroscopy, DTI,
genetic data Larger dataset
(treatment effect) Brain atlas
(“highways” vs. “barriers”)
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Conclusion
Challenge: Predicting how brain tumours will grow
Answer: Learned model CDM performs significantly better than other existing models!
… can improve with additional data
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Acknowledgements
The University of Alberta;Dept of Computing Science
The Alberta Ingenuity Centre for Machine Learning
Cross Cancer InstituteAlberta Cancer Board
Brain Tumor Growth Prediction team