Quantifying intra-tumoral genetic heterogeneity of glioblastoma toward precision medicine using MRI and a data-inclusive machine learning algorithm

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Main Authors: Wang, Lujia, Wang, Hairong, D'Angelo, Fulvio, Curtin, Lee, Sereduk, Christopher P., De Leon, Gustavo, Singleton, Kyle W., Urcuyo, Javier, Hawkins-Daarud, Andrea, Jackson, Pamela R., Krishna, Chandan, Zimmerman, Richard S., Patra, Devi P., Bendok, Bernard R., Smith, Kris A., Nakaji, Peter, Donev, Kliment, Baxter, Leslie C., Mrugała, Maciej M., Ceccarelli, Michele, Iavarone, Antonio, Swanson, Kristin R., Tran, Nhan L., Hu, Leland S., Li, Jing
Format: Preprint
Published: 2023
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author Wang, Lujia
Wang, Hairong
D'Angelo, Fulvio
Curtin, Lee
Sereduk, Christopher P.
De Leon, Gustavo
Singleton, Kyle W.
Urcuyo, Javier
Hawkins-Daarud, Andrea
Jackson, Pamela R.
Krishna, Chandan
Zimmerman, Richard S.
Patra, Devi P.
Bendok, Bernard R.
Smith, Kris A.
Nakaji, Peter
Donev, Kliment
Baxter, Leslie C.
Mrugała, Maciej M.
Ceccarelli, Michele
Iavarone, Antonio
Swanson, Kristin R.
Tran, Nhan L.
Hu, Leland S.
Li, Jing
author_facet Wang, Lujia
Wang, Hairong
D'Angelo, Fulvio
Curtin, Lee
Sereduk, Christopher P.
De Leon, Gustavo
Singleton, Kyle W.
Urcuyo, Javier
Hawkins-Daarud, Andrea
Jackson, Pamela R.
Krishna, Chandan
Zimmerman, Richard S.
Patra, Devi P.
Bendok, Bernard R.
Smith, Kris A.
Nakaji, Peter
Donev, Kliment
Baxter, Leslie C.
Mrugała, Maciej M.
Ceccarelli, Michele
Iavarone, Antonio
Swanson, Kristin R.
Tran, Nhan L.
Hu, Leland S.
Li, Jing
contents Glioblastoma (GBM) is one of the most aggressive and lethal human cancers. Intra-tumoral genetic heterogeneity poses a significant challenge for treatment. Biopsy is invasive, which motivates the development of non-invasive, MRI-based machine learning (ML) models to quantify intra-tumoral genetic heterogeneity for each patient. This capability holds great promise for enabling better therapeutic selection to improve patient outcomes. We proposed a novel Weakly Supervised Ordinal Support Vector Machine (WSO-SVM) to predict regional genetic alteration status within each GBM tumor using MRI. WSO-SVM was applied to a unique dataset of 318 image-localized biopsies with spatially matched multiparametric MRI from 74 GBM patients. The model was trained to predict the regional genetic alteration of three GBM driver genes (EGFR, PDGFRA, and PTEN) based on features extracted from the corresponding region of five MRI contrast images. For comparison, a variety of existing ML algorithms were also applied. The classification accuracy of each gene was compared between the different algorithms. The SHapley Additive exPlanations (SHAP) method was further applied to compute contribution scores of different contrast images. Finally, the trained WSO-SVM was used to generate prediction maps within the tumoral area of each patient to help visualize the intra-tumoral genetic heterogeneity. This study demonstrated the feasibility of using MRI and WSO-SVM to enable non-invasive prediction of intra-tumoral regional genetic alteration for each GBM patient, which can inform future adaptive therapies for individualized oncology.
format Preprint
id arxiv_https___arxiv_org_abs_2401_00128
institution arXiv
publishDate 2023
record_format arxiv
spellingShingle Quantifying intra-tumoral genetic heterogeneity of glioblastoma toward precision medicine using MRI and a data-inclusive machine learning algorithm
Wang, Lujia
Wang, Hairong
D'Angelo, Fulvio
Curtin, Lee
Sereduk, Christopher P.
De Leon, Gustavo
Singleton, Kyle W.
Urcuyo, Javier
Hawkins-Daarud, Andrea
Jackson, Pamela R.
Krishna, Chandan
Zimmerman, Richard S.
Patra, Devi P.
Bendok, Bernard R.
Smith, Kris A.
Nakaji, Peter
Donev, Kliment
Baxter, Leslie C.
Mrugała, Maciej M.
Ceccarelli, Michele
Iavarone, Antonio
Swanson, Kristin R.
Tran, Nhan L.
Hu, Leland S.
Li, Jing
Machine Learning
Computer Vision and Pattern Recognition
Optimization and Control
Glioblastoma (GBM) is one of the most aggressive and lethal human cancers. Intra-tumoral genetic heterogeneity poses a significant challenge for treatment. Biopsy is invasive, which motivates the development of non-invasive, MRI-based machine learning (ML) models to quantify intra-tumoral genetic heterogeneity for each patient. This capability holds great promise for enabling better therapeutic selection to improve patient outcomes. We proposed a novel Weakly Supervised Ordinal Support Vector Machine (WSO-SVM) to predict regional genetic alteration status within each GBM tumor using MRI. WSO-SVM was applied to a unique dataset of 318 image-localized biopsies with spatially matched multiparametric MRI from 74 GBM patients. The model was trained to predict the regional genetic alteration of three GBM driver genes (EGFR, PDGFRA, and PTEN) based on features extracted from the corresponding region of five MRI contrast images. For comparison, a variety of existing ML algorithms were also applied. The classification accuracy of each gene was compared between the different algorithms. The SHapley Additive exPlanations (SHAP) method was further applied to compute contribution scores of different contrast images. Finally, the trained WSO-SVM was used to generate prediction maps within the tumoral area of each patient to help visualize the intra-tumoral genetic heterogeneity. This study demonstrated the feasibility of using MRI and WSO-SVM to enable non-invasive prediction of intra-tumoral regional genetic alteration for each GBM patient, which can inform future adaptive therapies for individualized oncology.
title Quantifying intra-tumoral genetic heterogeneity of glioblastoma toward precision medicine using MRI and a data-inclusive machine learning algorithm
topic Machine Learning
Computer Vision and Pattern Recognition
Optimization and Control
url https://arxiv.org/abs/2401.00128