Radiogenomic classification of the 1p/19q status in presumed low-grade gliomas

Abstract

1p/19q co-deletion is an important prognostic factor in low grade gliomas. However, determination of the 1p/19q status currently requires a biopsy. To overcome this, we investigate a radiogenomic classification using support vector machines to non-invasively predict the 1p/19q status from multimodal MRI data. Different approaches of predicting this status were compared: a direct approach which predicts the 1p/19q co-deletion status and an indirect approach which predicts the mutation status of 1p and 19q individually and combines these predictions to predict the 1p/19q co-deletion status. Using the indirect approach based on both the T1-weighted and T2-weighted images delivered the best result and resulted in a 95% confidence interval for the sensitivity and specificity of [0.44; 0.89] and [0.70; 1.00] respectively.