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Abstract #5120

Automated MR Spectroscopy single-voxel placement in suspected diffuse glioma based on tumor biology

Saahil Chadha1,2,3, Sarah M Jacobs1,4, Tal Zeevi1, Niklas Tillmanns1, Sara Merkaj1,5, Jan Lost1, MingDe Lin1,6, Khaled Bousabarah6, Wolfgang Holler6, Fatima Memon1, Sanjay Aneja2,3, and Mariam S Aboian1
1Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, United States, 2Department of Therapeutic Radiology, Yale School of Medicine, New Haven, CT, United States, 3Center for Outcomes Research and Evaluation (CORE), Yale School of Medicine, New Haven, CT, United States, 4Center for Image Sciences, University Medical Center Utrecht, Utrecht, Netherlands, 5University of Ulm, Ulm, Germany, 6Visage Imaging GmbH, Berlin, Germany

Synopsis

Keywords: Tumors (Pre-Treatment), Software Tools, AI/ML Software; Brain; Machine Learning/Artificial Intelligence;Neuro; Spectroscopy; Tumors

Motivation: Acquiring single-voxel Magnetic Resonance Spectroscopy (MRS) data in clinic currently involves manual voxel placement by technicians without the time capacity to review tumor biology in detail, leading to poor-quality spectra.

Goal(s): To achieve consistent and accurate single-voxel placement to minimize variability in metabolite quantification.

Approach: We developed an auto-placement algorithm that identifies an optimized MRS single-voxel position and rotation based on tumor biology (tumor core, necrosis, and edema) and outputs this voxel as a mask on MR Imaging.

Results: Performance of the automated MRS single-voxel placement rivals clinical placement and integrates with an existing clinically implemented automated brain tumor segmentation workflow.

Impact: Our new algorithm will assist radiology technicians in reliably placing MR Spectroscopy single-voxels with accuracy that rivals clinical placement. This is a primary need for non-invasive diagnosis and management of diffuse gliomas.

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Keywords