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      Automatic risk prediction of intracranial aneurysm on CTA image with convolutional neural networks and radiomics analysis

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          Abstract

          Background

          Intracranial aneurysm (IA) is a nodular protrusion of the arterial wall caused by the localized abnormal enlargement of the lumen of a brain artery, which is the primary cause of subarachnoid hemorrhage. Accurate rupture risk prediction can effectively aid treatment planning, but conventional rupture risk estimation based on clinical information is subjective and time-consuming.

          Methods

          We propose a novel classification method based on the CTA images for differentiating aneurysms that are prone to rupture. The main contribution of this study is that the learning-based method proposed in this study leverages deep learning and radiomics features and integrates clinical information for a more accurate prediction of the risk of rupture. Specifically, we first extracted the provided aneurysm regions from the CTA images as 3D patches with the lesions located at their centers. Then, we employed an encoder using a 3D convolutional neural network (CNN) to extract complex latent features automatically. These features were then combined with radiomics features and clinical information. We further applied the LASSO regression method to find optimal features that are highly relevant to the rupture risk information, which is fed into a support vector machine (SVM) for final rupture risk prediction.

          Results

          The experimental results demonstrate that our classification method can achieve accuracy and AUC scores of 89.78% and 89.09%, respectively, outperforming all the alternative methods.

          Discussion

          Our study indicates that the incorporation of CNN and radiomics analysis can improve the prediction performance, and the selected optimal feature set can provide essential biomarkers for the determination of rupture risk, which is also of great clinical importance for individualized treatment planning and patient care of IA.

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          Most cited references38

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          Random Forests

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            Support-vector networks

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              Computational Radiomics System to Decode the Radiographic Phenotype

              Radiomics aims to quantify phenotypic characteristics on medical imaging through the use of automated algorithms. Radiomic artificial intelligence (AI) technology, either based on engineered hard-coded algorithms or deep learning methods, can be used to develop non-invasive imaging-based biomarkers. However, lack of standardized algorithm definitions and image processing severely hampers reproducibility and comparability of results. To address this issue, we developed PyRadiomics , a flexible open-source platform capable of extracting a large panel of engineered features from medical images. PyRadiomics is implemented in Python and can be used standalone or using 3D-Slicer. Here, we discuss the workflow and architecture of PyRadiomics and demonstrate its application in characterizing lung-lesions. Source code, documentation, and examples are publicly available at www.radiomics.io . With this platform, we aim to establish a reference standard for radiomic analyses, provide a tested and maintained resource, and to grow the community of radiomic developers addressing critical needs in cancer research.
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                Author and article information

                Contributors
                Journal
                Front Neurol
                Front Neurol
                Front. Neurol.
                Frontiers in Neurology
                Frontiers Media S.A.
                1664-2295
                29 June 2023
                2023
                : 14
                : 1126949
                Affiliations
                [1] 1School of Biomedical Engineering, Shanghai Jiao Tong University , Shanghai, China
                [2] 2Department of Radiology, West China Hospital of Sichuan University , Chengdu, China
                [3] 3Department of Research and Development, Shanghai United Imaging Intelligence Co., Ltd. , Shanghai, China
                [4] 4Department of Pulmonary Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University , Shanghai, China
                Author notes

                Edited by: Xianli Lv, Tsinghua University, China

                Reviewed by: Osamah Alwalid, Sidra Medicine, Qatar; Puhong Duan, Hunan University, China

                *Correspondence: Lichi Zhang lichizhang@ 123456sjtu.edu.cn

                †These authors have contributed equally to this work

                Article
                10.3389/fneur.2023.1126949
                10345199
                058151ad-179d-4092-956a-a8d1cde1fc9b
                Copyright © 2023 Xie, Liu, Lin, Wu, Shi, Pan, Zhang and Song.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 18 December 2022
                : 30 May 2023
                Page count
                Figures: 4, Tables: 5, Equations: 1, References: 42, Pages: 9, Words: 6582
                Funding
                Funded by: National Natural Science Foundation of China, doi 10.13039/501100001809;
                Award ID: 62001292
                Award ID: 81830056
                Funded by: National Key Research and Development Program of China, doi 10.13039/501100012166;
                Award ID: 2018YFC0116400
                This study was funded in part by the National Natural Science Foundation of China (81830056 and 62001292), the National Key Research and Development Program of China (2018YFC0116400), and the Scientific Research Project of Shanghai Municipal Health Commission (20194Y0168).
                Categories
                Neurology
                Original Research
                Custom metadata
                Endovascular and Interventional Neurology

                Neurology
                intracranial aneurysm,risk estimation,feature extraction,classification,machine learning
                Neurology
                intracranial aneurysm, risk estimation, feature extraction, classification, machine learning

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