In midline gliomas, patients with H3K27M mutation have poor prognosis and shorter median survival. Moreover, since these tumors are located in deep locations biopsy can be challenging with substantial risk of morbidity. Our work proposes a non-invasive deep learning-based technique on pre-operative multi-modal MRI to detect the H3K27M mutation. Results demonstrate a testing accuracy of 69.76% on 51 patients. Furthermore, the class activation maps illustrate the regions that support the classification. Overall, our preliminary results provide a testimony that multimodal MRI can support identifying H3K27M mutation and with further larger studies can be translated to clinical workflow.
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