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Abstract #0664

Deep learning based prediction of H3K27M mutation in midline gliomas on multimodal MRI

Priyanka Tupe Waghmare1, Piyush Malpure2, Manali Jadhav2, Abhilasha Indoria3, Richa Singh Chauhan4, Subhas Konar5, Vani Santosh3, Jitender Saini6, and Madhura Ingalhalikar7
1E &TC, Symbiosis Institute of Technology, Pune, India, 2Symbiosis Center for Medical Image Analysis, Pune, India, 3National Institute of Mental Health and Neurosciences, Bangalore, India, 4National Institute of Mental Health & Neurosciences, Pune, India, 5National Institute of Mental Health & Neurosciences, Bangalore, India, 6Department of Neuroimaging & Interventional Radiology, National Institute of Mental Health & Neurosciences, Bangalore, India, 7Symbiosis Center for Medical Image Analysis and Symbiosis Institute of Technology, Pune, India

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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