Identification of magnetic resonance imaging features for the prediction of molecular profiles of newly diagnosed glioblastoma

Sung Soo Ahn, Chansik An, Yae Won Park, Kyunghwa Han, Jong Hee Chang, Se Hoon Kim, Seung Koo Lee, Soonmee Cha

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


Purpose: We predicted molecular profiles in newly diagnosed glioblastoma patients using magnetic resonance (MR) imaging features and explored the associations between imaging features and major molecular alterations. Methods: This retrospective study included patients with newly diagnosed glioblastoma and available next-generation sequencing results. From preoperative MR imaging, Visually AcceSAble Rembrandt Images (VASARI) features, volumetric parameters, and apparent diffusion coefficient (ADC) values were obtained. First, univariate random forest was performed to identify gene abnormalities that could be predicted by imaging features with high accuracy and stability. Next, multivariate random forest was trained to predict the selected genes in the discovery cohort and was validated in the external cohort. Univariable logistic regression was performed to further explore the associations between imaging features and genes. Results: Univariate random forest identified nine genes predicted by imaging features, with high accuracy and stability. The multivariate random forest model showed excellent performance in predicting IDH and PTPN11 mutations in the discovery cohort, which were validated in the external validation cohorts (areas under the receiver operator characteristic curve [AUCs] of 0.855 for IDH and 0.88 for PTPN11). ATRX loss and EGFR mutation were predicted with AUCs of 0.753 and 0.739, respectively, whereas PTEN could not be reliably predicted. Based on univariable logistic regression analyses, IDH, ATRX, and TP53 were clustered according to their shared imaging features, whereas EGFR and CDKN2A/B were clustered in the opposite direction. Conclusions: MR imaging features are related to specific molecular alterations and can be used to predict molecular profiles in patients with newly diagnosed glioblastoma.

Original languageEnglish
Pages (from-to)83-92
Number of pages10
JournalJournal of Neuro-Oncology
Issue number1
Publication statusPublished - 2021 Aug

Bibliographical note

Funding Information:
This study was funded by the Basic Science Research Program through the National Research Foundation of Korea, funded by the Ministry of Science, Information, and Communication Technologies & Future Planning (Grant Nos. 2017R1D1A1B03030440 and 2020R1A2C1003886).

Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

All Science Journal Classification (ASJC) codes

  • Oncology
  • Neurology
  • Clinical Neurology
  • Cancer Research


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