RESUMO
Purpose: Spinal multiple myeloma (MM) and metastases are two common cancer types with similar imaging characteristics, for which differential diagnosis is needed to ensure precision therapy. The aim of this study is to establish radiomics models for effective differentiation between them. Methods: Enrolled in this study were 263 patients from two medical institutions, including 127 with spinal MM and 136 with spinal metastases. Of them, 210 patients from institution I were used as the internal training cohort and 53 patients from Institution II were used as the external validation cohort. Contrast-enhanced T1-weighted imaging (CET1) and T2-weighted imaging (T2WI) sequences were collected and reviewed. Based on the 1037 radiomics features extracted from both CET1 and T2WI images, Logistic Regression (LR), AdaBoost (AB), Support Vector Machines (SVM), Random Forest (RF), and multiple kernel learning based SVM (MKL-SVM) were constructed. Hyper-parameters were tuned by five-fold cross-validation. The diagnostic efficiency among different radiomics models was compared by accuracy (ACC), sensitivity (SEN), specificity (SPE), area under the ROC curve (AUC), YI, positive predictive value (PPV), negative predictive value (NPY), and F1-score. Results: Based on single-sequence, the RF model outperformed all other models. All models based on T2WI images performed better than those based on CET1. The efficiency of all models was boosted by incorporating CET1 and T2WI sequences, and the MKL-SVM model achieved the best performance with ACC, AUC, and F1-score of 0.862, 0.870, and 0.874, respectively. Conclusions: The radiomics models constructed based on MRI achieved satisfactory diagnostic performance for differentiation of spinal MM and metastases, demonstrating broad application prospects for individualized diagnosis and treatment.
RESUMO
BACKGROUND AND OBJECTIVE: Glioma is the most common primary craniocerebral tumor caused by the cancelation of glial cells in the brain and spinal cord, with a high incidence and cure rate. Magnetic resonance imaging (MRI) is a common technique for detecting and analyzing brain tumors. Due to improper hardware and operation, the obtained brain MRI images are low-resolution, making it difficult to detect and grade gliomas accurately. However, super-resolution reconstruction technology can improve the clarity of MRI images and help experts accurately detect and grade glioma. METHODS: We propose a glioma magnetic resonance image super-resolution reconstruction method based on channel attention generative adversarial network (CGAN). First, we replace the base block of SRGAN with a residual dense block based on the channel attention mechanism. Second, we adopt a relative average discriminator to replace the discriminator in standard GAN. Finally, we add the mean squared error loss to the training, consisting of the mean squared error loss, the L1 norm loss, and the generator's adversarial loss to form the generator loss function. RESULTS: On the Set5, Set14, Urban100, and glioma datasets, compared with the state-of-the-art algorithms, our proposed CGAN method has improved peak signal-to-noise ratio and structural similarity, and the reconstructed glioma images are more precise than other algorithms. CONCLUSION: The experimental results show that our CGAN method has apparent improvements in objective evaluation indicators and subjective visual effects, indicating its effectiveness and superiority.