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Abstract #0525

Differentiation of recurrent tumor from post-treatment changes in Glioblastoma patients using Deep Learning and Restriction Spectrum Imaging

Louis Gagnon1, Diviya Gupta1, Nathan S White2, Vaness Goodwill3, Carrie McDonald4, Thomas Beaumont5, Tyler M Seibert1,4,6, Jona Hattangadi-Gluth4, Santosh Kesari7, Jessica Schulte8, David Piccioni8, Anders M Dale1,8, Nikdokht Farid1, and Jeffrey D Rudie1
1Department of Radiology, University of California San Diego, La Jolla, CA, United States, 2Cortechs.ai, San Diego, CA, United States, 3Department of Pathology, University of California San Diego, La Jolla, CA, United States, 4Department of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, CA, United States, 5Department of Neurological Surgery, University of California San Diego, La Jolla, CA, United States, 6Department of Bioengineering, University of California San Diego, La Jolla, CA, United States, 7Department of Translational Neurosciences, Pacific Neuroscience Institute and Saint John’s Cancer Institute at Providence Saint Johns’ Health Center, Santa Monica, CA, United States, 8Department of Neuroscience, University of California San Diego, La Jolla, CA, United States

Synopsis

Keywords: Tumors, Diffusion/other diffusion imaging techniques

Differentiating recurrent tumor from post-treatment changes is challenging in glioblastoma. Using restriction spectrum imaging (RSI) and deep learning, we were able to accurately identify and segment residual and recurrent enhancing and non-enhancing cellular tumor in post-treatment brain MRIs. Including RSI in the deep learning model improved tumor segmentation due to the ability of RSI to separate cellular tumor from peritumoral edema and treatment related enhancement. The volume of cellular tumor was also predictive of survival. Our results suggest that combining deep learning and RSI may identify recurrent tumor in glioblastoma patients, which could improve targeted treatments and guide clinical decision-making.

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