IDH-Based Radiogenomic Characterization of Glioma Using Local Ternary Pattern Descriptor Integrated with Radiographic Features and Random Forest Classifier

Mutations in family of Isocitrate Dehydrogenase (IDH) gene occur early in oncogenesis, especially with glioma brain tumor. Molecular diagnostic of glioma using machine learning has grabbed attention to some extent from last couple of years. The development of molecular-level predictive approach carries great potential in radiogenomic field. But more focused efforts need to be put to develop such approaches. This study aims to develop an integrative genomic diagnostic method to assess the significant utility of textures combined with other radiographic and clinical features for IDH classification of glioma into IDH mutant and IDH wild type. Random forest classifier is used for classification of combined set of clinical features and radiographic features extracted from axial T2-weighted Magnetic Resonance Imaging (MRI) images of low- and high-grade glioma. Such radiogenomic analysis is performed on The Cancer Genome Atlas (TCGA) data of 74 patients of IDH mutant and 104 patients of IDH wild type. Texture features are extracted using uniform, rotation invariant Local Ternary Pattern (LTP) method. Other features such as shape, first-order statistics, image contrast-based, clinical data like age, histologic grade are combined with LTP features for IDH discrimination. Proposed random forest-assisted model achieved an accuracy of 85.89% with multivariate analysis of integrated set of feature descriptors using Glioblastoma and Low-Grade Glioma dataset available with The Cancer Imaging Archive (TCIA). Such an integrated feature analysis using LTP textures and other descriptors can effectively predict molecular class of glioma as IDH mutant and wild type.