Loss of neurofibromatosis 2 (NF2-L) is a well-known genetic alteration of meningiomas and causes meningiomas to evolve into more aggressive and infiltrating form. This study aims to investigate single-voxel proton magnetic resonance spectroscopy (1H-MRS) correlations of NF2-L in meningiomas and to develop machine learning and deep learning models to identify NF2-L in meningiomas. NF2-L meningiomas had significantly higher Ins, Lac, and Ins+Glyc, and lower tNAA than tumors with no copy number loss. While a subspace discriminant model achieved a classification accuracy of 77.25%, a 1D-CNN model obtained a classifcation accuracy of 88.9% for identifying NF2-L meningiomas.
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