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Pediatric brain tumor classification using deep learning on MR-images with age fusion
Linköping University, Department of Biomedical Engineering, Division of Biomedical Engineering. Linköping University, Center for Medical Image Science and Visualization (CMIV). Linköping University, Faculty of Science & Engineering.ORCID iD: 0000-0002-7582-1706
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Diagnostics and Specialist Medicine. Linköping University, Center for Medical Image Science and Visualization (CMIV). Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Biomedical Engineering, Division of Biomedical Engineering. Linköping University, Faculty of Science & Engineering.ORCID iD: 0000-0001-9709-803X
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Diagnostics and Specialist Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Diagnostics, Department of Radiology in Linköping. Linköping University, Center for Medical Image Science and Visualization (CMIV).ORCID iD: 0000-0002-8857-5698
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Diagnostics and Specialist Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Diagnostics, Medical radiation physics. Linköping University, Center for Medical Image Science and Visualization (CMIV). Region Östergötland, Center for Diagnostics, Department of Radiology in Linköping.ORCID iD: 0000-0001-8661-2232
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2025 (English)In: Neuro-Oncology Advances, E-ISSN 2632-2498, ISSN 2632-2498, Vol. 7, no 1, article id vdae205Article in journal (Refereed) Published
Abstract [en]

Purpose: To implement and evaluate deep learning-based methods for the classification of pediatric brain tumors in MR data.

Materials and methods: A subset of the “Children’s Brain Tumor Network” dataset was retrospectively used (n=178 subjects, female=72, male=102, NA=4, age-range [0.01, 36.49] years) with tumor types being low-grade astrocytoma (n=84), ependymoma (n=32), and medulloblastoma (n=62). T1w post-contrast (n=94 subjects), T2w (n=160 subjects), and ADC (n=66 subjects) MR sequences were used separately. Two deep-learning models were trained on transversal slices showing tumor. Joint fusion was implemented to combine image and age data, and two pre-training paradigms were utilized. Model explainability was investigated using gradient-weighted class activation mapping (Grad-CAM), and the learned feature space was visualized using principal component analysis (PCA).

Results: The highest tumor-type classification performance was achieved when using a vision transformer model pre-trained on ImageNet and fine-tuned on ADC images with age fusion (MCC: 0.77 ± 0.14 Accuracy: 0.87 ± 0.08), followed by models trained on T2w (MCC: 0.58 ± 0.11, Accuracy: 0.73 ± 0.08) and T1w post-contrast (MCC: 0.41 ± 0.11, Accuracy: 0.62 ± 0.08) data. Age fusion marginally improved the model’s performance. Both model architectures performed similarly across the experiments, with no differences between the pre-training strategies. Grad-CAMs showed that the models’ attention focused on the brain region. PCA of the feature space showed greater separation of the tumor-type clusters when using contrastive pre-training.

Conclusion: Classification of pediatric brain tumors on MR-images could be accomplished using deep learning, with the top-performing model being trained on ADC data, which is used by radiologists for the clinical classification of these tumors.

Place, publisher, year, edition, pages
Oxford University Press, 2025. Vol. 7, no 1, article id vdae205
Keywords [en]
deep-learning, artificial intelligence, cancer, pediatric brain tumor, MRI, data fusion
National Category
Medical Imaging Cancer and Oncology Pediatrics
Identifiers
URN: urn:nbn:se:liu:diva-208701DOI: 10.1093/noajnl/vdae205ISI: 001390014100001PubMedID: 39777258Scopus ID: 2-s2.0-85214564318OAI: oai:DiVA.org:liu-208701DiVA, id: diva2:1906998
Funder
Swedish Childhood Cancer Foundation, MT2021-0011, MT2022-0013Linköpings universitet, Cocozza 2022Linköpings universitet, Cancer Strength AreaRegion Östergötland, ALF, 974566
Note

Funding Agencies|Swedish Childhood Cancer Foundation; Children's Brain Tumor Tissue Consortium (CBTTC) / The Children's Brain Tumor Network (CBTN)

Available from: 2024-10-21 Created: 2024-10-21 Last updated: 2025-04-10Bibliographically approved
In thesis
1. Deep learning for medical image analysis in cancer diagnosis
Open this publication in new window or tab >>Deep learning for medical image analysis in cancer diagnosis
2024 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Medical imaging is one of the cornerstones of clinical diagnosis, providing insights into the anatomy and physiology of organs and tissues for screening, initial diagnosis, treatment planning, and follow-up. Utilizing both invasive and non-invasive techniques, medical imaging employs various contrast mechanisms to capture details of the tissue structure and the functionality of biological systems at different spatial and temporal resolutions, and dimensionalities. The ever-growing volume of medical image data driven by screening programs, digitalization, and the push towards precision medicine has highlighted the need for automatic image analysis methods to reduce the workload of healthcare personnel in reviewing these images.

Deep learning (DL), a subset of artificial intelligence (AI), comprises of methods that learn representations from data to perform various predictive tasks. Although DL was introduced in the mid-1960s, it has only been successfully applied for computer vision tasks in the past two decades, becoming the standard method for natural image processing. Additionally, the versatility of DL in processing data from diverse sources (such as speech, text, and climate) has encouraged its application in the medical domain as well.

This thesis explores the application of DL-based methods for medical image analysis, focusing on cancer diagnosis at various treatment planning stages, including preoperative, intraoperative, and postoperative procedures. Methods were developed and applied to three medical imaging modalities: optical coherence tomography (OCT) for intraoperative diagnosis, magnetic resonance imaging (MRI) for pre-operative diagnosis and radiotherapy treatment planning, and histopathology whole-slide images (WSI) for postoperative final diagnosis, addressing tasks such as detection, semantic segmentation, and classification for thyroid diseases and pediatric and adult brain tumors.

In summary, the outcomes of this thesis highlight the potential of deep learning-based methods for medical image analysis in the context of cancer diagnosis. These works demonstrate the versatility of deep learning in processing medical images from various sources and at different spatial resolutions and dimensionalities. Appropriate dataset curation, method validation and interpretation, and translational research are needed to promote the integration of deep learning-powered tools in the clinic.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2024. p. 78
Series
Linköping Studies in Science and Technology. Dissertations, ISSN 0345-7524 ; 2408
Keywords
Medical imaging, Cancer diagnosis, Deep learning
National Category
Medical Imaging
Identifiers
urn:nbn:se:liu:diva-208602 (URN)10.3384/9789180757805 (DOI)9789180757799 (ISBN)9789180757805 (ISBN)
Public defence
2024-11-27, Belladonna, Building 511, Campus US, Linköping, 09:00 (English)
Opponent
Supervisors
Available from: 2024-10-17 Created: 2024-10-17 Last updated: 2025-02-09Bibliographically approved

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Tampu, Iulian EmilBianchessi, TamaraBlystad, IdaLundberg, PeterNyman, PerHaj-Hosseini, Neda

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Division of Biomedical EngineeringCenter for Medical Image Science and Visualization (CMIV)Faculty of Science & EngineeringDivision of Diagnostics and Specialist MedicineFaculty of Medicine and Health SciencesDepartment of Radiology in LinköpingMedical radiation physicsH.K.H. Kronprinsessan Victorias barn- och ungdomssjukhusThe Division of Statistics and Machine Learning
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