Quantitative MRI biomarker for treatment response assessment of multiple myeloma: robustness evaluation using independent test set of prospective cases

Author(s):  
Chuan Zhou ◽  
Qian Dong ◽  
Heang-Ping Chan ◽  
Erica L. Campagnaro ◽  
Jun Wei ◽  
...  
Radiology ◽  
2010 ◽  
Vol 254 (2) ◽  
pp. 521-531 ◽  
Author(s):  
Chieh Lin ◽  
Alain Luciani ◽  
Karim Belhadj ◽  
Jean-François Deux ◽  
Frédérique Kuhnowski ◽  
...  

Author(s):  
Sameh Nassar ◽  
Ahmed Taher ◽  
Rosario Spear ◽  
Felicia Wang ◽  
John E. Madewell ◽  
...  

2021 ◽  
Vol 11 ◽  
Author(s):  
Jungheum Cho ◽  
Young Jae Kim ◽  
Leonard Sunwoo ◽  
Gi Pyo Lee ◽  
Toan Quang Nguyen ◽  
...  

BackgroundAlthough accurate treatment response assessment for brain metastases (BMs) is crucial, it is highly labor intensive. This retrospective study aimed to develop a computer-aided detection (CAD) system for automated BM detection and treatment response evaluation using deep learning.MethodsWe included 214 consecutive MRI examinations of 147 patients with BM obtained between January 2015 and August 2016. These were divided into the training (174 MR images from 127 patients) and test datasets according to temporal separation (temporal test set #1; 40 MR images from 20 patients). For external validation, 24 patients with BM and 11 patients without BM from other institutions were included (geographic test set). In addition, we included 12 MRIs from BM patients obtained between August 2017 and March 2020 (temporal test set #2). Detection sensitivity, dice similarity coefficient (DSC) for segmentation, and agreements in one-dimensional and volumetric Response Assessment in Neuro-Oncology Brain Metastases (RANO-BM) criteria between CAD and radiologists were assessed.ResultsIn the temporal test set #1, the sensitivity was 75.1% (95% confidence interval [CI]: 69.6%, 79.9%), mean DSC was 0.69 ± 0.22, and false-positive (FP) rate per scan was 0.8 for BM ≥ 5 mm. Agreements in the RANO-BM criteria were moderate (κ, 0.52) and substantial (κ, 0.68) for one-dimensional and volumetric, respectively. In the geographic test set, sensitivity was 87.7% (95% CI: 77.2%, 94.5%), mean DSC was 0.68 ± 0.20, and FP rate per scan was 1.9 for BM ≥ 5 mm. In the temporal test set #2, sensitivity was 94.7% (95% CI: 74.0%, 99.9%), mean DSC was 0.82 ± 0.20, and FP per scan was 0.5 (6/12) for BM ≥ 5 mm.ConclusionsOur CAD showed potential for automated treatment response assessment of BM ≥ 5 mm.


Diagnostics ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 706
Author(s):  
Kota Yokoyama ◽  
Junichi Tsuchiya ◽  
Ukihide Tateishi

The present study was designed to assess the additional value of 2-deoxy-2[18F]fluoro-D-glucose ([18F]FDG) positron emission tomography/computed tomography (PET/CT) to magnetic resonance imaging (MRI) in the treatment response assessment of multiple myeloma (MM). We performed a meta-analysis of all available studies to compare the detectability of treatment response of [18F]FDG PET/CT and MRI in treated MM. We defined detecting a good therapeutic effect as positive, and residual disease as negative. We determined the sensitivities and specificities across studies, calculated the positive and negative likelihood ratios (LR), and made summary receiver operating characteristic curves (SROC) using hierarchical regression models. The pooled analysis included six studies that comprised 278 patients. The respective performance characteristics (95% confidence interval (CI)) of [18F]FDG PET/CT and MRI were as follows: sensitivity of 80% (56% to 94%) and 25% (19% to 31%); specificity of 58% (44% to 71%) and 83% (71% to 91%); diagnostic odds ratio (DOR) of 6.0 (3.0–12.0) and 1.7 (0.7–2.7); positive LR of 1.8 (1.3–2.4) and 1.4 (0.7–2.7); and negative LR of 0.33 (0.21–0.53) and 0.81 (0.62–1.1). In the respective SROC curves, the area under the curve was 0.77 (SE, 0.038) and 0.59 (SE, 0.079) and the Q* index was 0.71 and 0.57. Compared with MRI, [18F]FDG PET/CT had higher sensitivity and better DOR and SROC curves. Compared with MRI, [18F]FDG PET/CT had greater ability to detect the treatment assessment of MM.


2021 ◽  
Author(s):  
Chunhao Wang ◽  
Kyle R. Padgett ◽  
Min‐Ying Su ◽  
Eric A. Mellon ◽  
Danilo Maziero ◽  
...  

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