M. S. Sadique

M. S. Sadique, W. Farzana, A. Temtam et al.

GBM (Glioblastoma multiforme) is the most aggressive type of brain tumor in adults that has a short survival rate even after aggressive treatment with surgery and radiation therapy. The changes on magnetic resonance imaging (MRI) for patients with GBM after radiotherapy are indicative of either radiation-induced necrosis (RN) or recurrent brain tumor (rBT). Screening for rBT and RN at an early stage is crucial for facilitating faster treatment and better outcomes for the patients. Differentiating rBT from RN is challenging as both may present with similar radiological and clinical characteristics on MRI. Moreover, learning-based rBT versus RN classification using MRI may suffer from class imbalance due to lack of patient data. While synthetic data generation using generative models has shown promise to address class imbalance, the underlying data representation may be different in synthetic or augmented data. This study proposes computational modeling with statistically rigorous repeated random sub-sampling to balance the subset sample size for rBT and RN classification. The proposed pipeline includes multiresolution radiomic feature (MRF) extraction followed by feature selection with statistical significance testing (p<0.05). The five-fold cross validation results show the proposed model with MRF features classifies rBT from RN with an area under the curve (AUC) of 0.8920+-.055. Moreover, considering the dependence between survival time and censor time (where patients are not followed up until death), we demonstrate the feasibility of using MRF radiomic features as a non-invasive biomarker to identify patients who are at higher risk of recurrence or radiation necrosis. The cross-validated results show that the MRF model provides the best overall performance with an AUC of 0.770+-.032.

Ahmed Temtam, Megan A. Witherow, Liangsuo Ma et al.

Understanding the neurobiology of opioid use disorder (OUD) using resting-state functional magnetic resonance imaging (rs-fMRI) may help inform treatment strategies to improve patient outcomes. Recent literature suggests time-frequency characteristics of rs-fMRI blood oxygenation level-dependent (BOLD) signals may offer complementary information to traditional analysis techniques. However, existing studies of OUD analyze BOLD signals using measures computed across all time points. This study, for the first time in the literature, employs data-driven machine learning (ML) for time-frequency analysis of local neural activity within key functional networks to differentiate OUD subjects from healthy controls (HC). We obtain time-frequency features based on rs-fMRI BOLD signals from the default mode network (DMN), salience network (SN), and executive control network (ECN) for 31 OUD and 45 HC subjects. Then, we perform 5-fold cross-validation classification (OUD vs. HC) experiments to study the discriminative power of functional network features while taking into consideration significant demographic features. The DMN and SN show the most discriminative power, significantly (p < 0.05) outperforming chance baselines with mean F1 scores of 0.7097 and 0.7018, respectively, and mean AUCs of 0.8378 and 0.8755, respectively. Follow-up Boruta ML analysis of selected time-frequency (wavelet) features reveals significant (p < 0.05) detail coefficients for all three functional networks, underscoring the need for ML and time-frequency analysis of rs-fMRI BOLD signals in the study of OUD.