PT  - JOURNAL ARTICLE
AU  - Lost, Jan
AU  - Verma, Tej
AU  - Jekel, Leon
AU  - von Reppert, Marc
AU  - Tillmanns, Niklas
AU  - Merkaj, Sara
AU  - Petersen, Gabriel Cassinelli
AU  - Bahar, Ryan
AU  - Gordem, Ayyüce
AU  - Haider, Muhammad A.
AU  - Subramanian, Harry
AU  - Brim, Waverly
AU  - Ikuta, Ichiro
AU  - Omuro, Antonio
AU  - Conte, Gian Marco
AU  - Marquez-Nostra, Bernadette V.
AU  - Avesta, Arman
AU  - Bousabarah, Khaled
AU  - Nabavizadeh, Ali
AU  - Kazerooni, Anahita Fathi
AU  - Aneja, Sanjay
AU  - Bakas, Spyridon
AU  - Lin, MingDe
AU  - Sabel, Michael
AU  - Aboian, Mariam
TI  - Systematic Literature Review of Machine Learning Algorithms Using Pretherapy Radiologic Imaging for Glioma Molecular Subtype Prediction
AID  - 10.3174/ajnr.A8000
DP  - 2023 Sep 28
TA  - American Journal of Neuroradiology
4099  - http://www.ajnr.org/content/early/2023/09/28/ajnr.A8000.short
4100  - http://www.ajnr.org/content/early/2023/09/28/ajnr.A8000.full
AB  - BACKGROUND: The molecular profile of gliomas is a prognostic indicator for survival, driving clinical decision-making for treatment. Pathology-based molecular diagnosis is challenging because of the invasiveness of the procedure, exclusion from neoadjuvant therapy options, and the heterogeneous nature of the tumor.PURPOSE: We performed a systematic review of algorithms that predict molecular subtypes of gliomas from MR Imaging.DATA SOURCES: Data sources were Ovid Embase, Ovid MEDLINE, Cochrane Central Register of Controlled Trials, Web of Science.STUDY SELECTION: Per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, 12,318 abstracts were screened and 1323 underwent full-text review, with 85 articles meeting the inclusion criteria.DATA ANALYSIS: We compared prediction results from different machine learning approaches for predicting molecular subtypes of gliomas. Bias analysis was conducted for each study, following the Prediction model Risk Of Bias Assessment Tool (PROBAST) guidelines.DATA SYNTHESIS: Isocitrate dehydrogenase mutation status was reported with an area under the curve and accuracy of 0.88 and 85% in internal validation and 0.86 and 87% in limited external validation data sets, respectively. For the prediction of O6-methylguanine-DNA methyltransferase promoter methylation, the area under the curve and accuracy in internal validation data sets were 0.79 and 77%, and in limited external validation, 0.89 and 83%, respectively. PROBAST scoring demonstrated high bias in all articles.LIMITATIONS: The low number of external validation and studies with incomplete data resulted in unequal data analysis. Comparing the best prediction pipelines of each study may introduce bias.CONCLUSIONS: While the high area under the curve and accuracy for the prediction of molecular subtypes of gliomas are reported in internal and external validation data sets, limited use of external validation and the increased risk of bias in all articles may present obstacles for clinical translation of these techniques.AUCarea under the curveDLdeep learningMGMTO6-methylguanine-DNA methyltransferaseMLmachine learningSVMsupport vector machineWHOWorld Health OrganizationIDHisocitrate dehydrogenase