Machine learning-based prediction of glioma margin from 5-ALA induced PpIX fluorescence spectroscopy

Sci Rep. 2020 Jan 29;10(1):1462. doi: 10.1038/s41598-020-58299-7.

Abstract

Gliomas are infiltrative brain tumors with a margin difficult to identify. 5-ALA induced PpIX fluorescence measurements are a clinical standard, but expert-based classification models still lack sensitivity and specificity. Here a fully automatic clustering method is proposed to discriminate glioma margin. This is obtained from spectroscopic fluorescent measurements acquired with a recently introduced intraoperative set up. We describe a data-driven selection of best spectral features and show how this improves results of margin prediction from healthy tissue by comparison with the standard biomarker-based prediction. This pilot study based on 10 patients and 50 samples shows promising results with a best performance of 77% of accuracy in healthy tissue prediction from margin tissue.

MeSH terms

  • Aminolevulinic Acid / metabolism
  • Biomarkers, Tumor
  • Brain Neoplasms / diagnosis*
  • Brain Neoplasms / pathology
  • Cell Line, Tumor
  • Cluster Analysis
  • Computer Simulation
  • Glioma / diagnosis*
  • Glioma / pathology
  • Humans
  • Machine Learning*
  • Margins of Excision
  • Pilot Projects
  • Predictive Value of Tests
  • Prognosis
  • Protoporphyrins / chemistry
  • Spectrometry, Fluorescence

Substances

  • Biomarkers, Tumor
  • Protoporphyrins
  • Aminolevulinic Acid
  • protoporphyrin IX