Deep Learning for Reaction-Diffusion Glioma Growth Modeling: Towards a Fully Personalized Model?

Cancers (Basel). 2022 May 20;14(10):2530. doi: 10.3390/cancers14102530.

Abstract

Reaction-diffusion models have been proposed for decades to capture the growth of gliomas, the most common primary brain tumors. However, ill-posedness of the initialization at diagnosis time and parameter estimation of such models have restrained their clinical use as a personalized predictive tool. In this work, we investigate the ability of deep convolutional neural networks (DCNNs) to address commonly encountered pitfalls in the field. Based on 1200 synthetic tumors grown over real brain geometries derived from magnetic resonance (MR) data of six healthy subjects, we demonstrate the ability of DCNNs to reconstruct a whole tumor cell-density distribution from only two imaging contours at a single time point. With an additional imaging contour extracted at a prior time point, we also demonstrate the ability of DCNNs to accurately estimate the individual diffusivity and proliferation parameters of the model. From this knowledge, the spatio-temporal evolution of the tumor cell-density distribution at later time points can ultimately be precisely captured using the model. We finally show the applicability of our approach to MR data of a real glioblastoma patient. This approach may open the perspective of a clinical application of reaction-diffusion growth models for tumor prognosis and treatment planning.

Keywords: cellularity; deep convolutional neural network; glioma; magnetic resonance imaging; reaction-diffusion model; tumor growth modeling.

Grants and funding

This research was supported by the Walloon Region (Belgium) in the framework of the PIT program Prother-wal under grant agreement No. 7289. C.D. is a senior research associate at F.R.S.-FNRS. The Department of Nuclear Medicine at Hôpital Erasme is supported by Association Vinçotte Nuclear (AVN), Fonds Erasme, and the Walloon Region (BioWin). The CMMI is supported by the European Union and the Walloon Region (FEDER). The APC was funded by the Walloon Region (Prother-wal).