Machine learning based radiomics approach for outcome prediction of meningioma – a systematic review [version 1; peer review: 2 approved]

Introduction Meningioma is the most common brain tumor in adults. Magnetic resonance imaging (MRI) is the preferred imaging modality for assessing tumor outcomes. Radiomics, an advanced imaging technique, assesses tumor heterogeneity and identifies predictive markers, offering a non-invasive alterna...

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Main Authors: Saikiran Pendem, Divya B, Girish R Menon, Saroh S, Shailesh Nayak S, Prakashini K, Priyanka -
Format: Article
Language:English
Published: F1000 Research Ltd 2025-03-01
Series:F1000Research
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Online Access:https://f1000research.com/articles/14-330/v1
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_version_ 1850215699167838208
author Saikiran Pendem
Divya B
Girish R Menon
Saroh S
Shailesh Nayak S
Prakashini K
Priyanka -
author_facet Saikiran Pendem
Divya B
Girish R Menon
Saroh S
Shailesh Nayak S
Prakashini K
Priyanka -
author_sort Saikiran Pendem
collection DOAJ
description Introduction Meningioma is the most common brain tumor in adults. Magnetic resonance imaging (MRI) is the preferred imaging modality for assessing tumor outcomes. Radiomics, an advanced imaging technique, assesses tumor heterogeneity and identifies predictive markers, offering a non-invasive alternative to biopsies. Machine learning (ML) based radiomics models enhances diagnostic and prognostic accuracy of tumors. Comprehensive review on ML-based radiomics models for predicting meningioma recurrence and survival are lacking. Hence, the aim of the study is to summarize the performance measures of ML based radiomics models in the prediction of outcomes such as progression/recurrence (P/R) and overall survival analysis of meningioma. Methods Data bases such as Scopus, Web of Science, PubMed, and Embase were used to conduct a literature search in order to find pertinent original articles that concentrated on meningioma outcome prediction. PRISMA (Preferred reporting items for systematic reviews and meta-analysis) recommendations were used to extract data from selected studies. Results Eight articles were included in the study. MRI Radiomics-based models combined with clinical and pathological data showed strong predictive performance for meningioma recurrence. A decision tree model achieved 90% accuracy, outperforming an apparent diffusion coefficient (ADC) based model (83%). A support vector machine (SVM) model reached an area under curve (AUC) of 0.80 with radiomic features, improving to 0.88 with ADC integration. A combined clinico-pathological radiomics model (CPRM) achieved an AUC of 0.88 in testing. Key predictors of recurrence include ADC values, radiomic scores, ki-67 index, and Simpson grading. For predicting overall survival analysis of meningioma, the combined clinicopathological and radiomic features achieved an AUC of 0.78. Conclusion Integrating radiomics with clinical and pathological data through ML models greatly improved the outcome prediction for meningioma. These ML models surpass conventional MRI in predicting meningioma recurrence and aggressiveness, providing crucial insights for personalized treatment and surgical planning.
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spelling doaj-art-34fb08fcd8cc4719be104704772c006f2025-08-20T02:08:32ZengF1000 Research LtdF1000Research2046-14022025-03-011410.12688/f1000research.162306.1178486Machine learning based radiomics approach for outcome prediction of meningioma – a systematic review [version 1; peer review: 2 approved]Saikiran Pendem0https://orcid.org/0000-0001-7933-1192Divya B1https://orcid.org/0000-0002-9523-5229Girish R Menon2https://orcid.org/0000-0002-1849-0453Saroh S3https://orcid.org/0009-0004-5271-9663Shailesh Nayak S4https://orcid.org/0000-0001-6548-8092Prakashini K5Priyanka -6https://orcid.org/0000-0002-9792-6242Department of Medical Imaging Technology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, IndiaDepartment of Electronics and Communication Engineering, Manipal institute of Technology, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, IndiaDepartment of Neurosurgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, IndiaDepartment of Medical Imaging Technology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, IndiaDepartment of Medical Imaging Technology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, IndiaDepartment of Radio Diagnosis and Imaging, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, IndiaDepartment of Medical Imaging Technology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, IndiaIntroduction Meningioma is the most common brain tumor in adults. Magnetic resonance imaging (MRI) is the preferred imaging modality for assessing tumor outcomes. Radiomics, an advanced imaging technique, assesses tumor heterogeneity and identifies predictive markers, offering a non-invasive alternative to biopsies. Machine learning (ML) based radiomics models enhances diagnostic and prognostic accuracy of tumors. Comprehensive review on ML-based radiomics models for predicting meningioma recurrence and survival are lacking. Hence, the aim of the study is to summarize the performance measures of ML based radiomics models in the prediction of outcomes such as progression/recurrence (P/R) and overall survival analysis of meningioma. Methods Data bases such as Scopus, Web of Science, PubMed, and Embase were used to conduct a literature search in order to find pertinent original articles that concentrated on meningioma outcome prediction. PRISMA (Preferred reporting items for systematic reviews and meta-analysis) recommendations were used to extract data from selected studies. Results Eight articles were included in the study. MRI Radiomics-based models combined with clinical and pathological data showed strong predictive performance for meningioma recurrence. A decision tree model achieved 90% accuracy, outperforming an apparent diffusion coefficient (ADC) based model (83%). A support vector machine (SVM) model reached an area under curve (AUC) of 0.80 with radiomic features, improving to 0.88 with ADC integration. A combined clinico-pathological radiomics model (CPRM) achieved an AUC of 0.88 in testing. Key predictors of recurrence include ADC values, radiomic scores, ki-67 index, and Simpson grading. For predicting overall survival analysis of meningioma, the combined clinicopathological and radiomic features achieved an AUC of 0.78. Conclusion Integrating radiomics with clinical and pathological data through ML models greatly improved the outcome prediction for meningioma. These ML models surpass conventional MRI in predicting meningioma recurrence and aggressiveness, providing crucial insights for personalized treatment and surgical planning.https://f1000research.com/articles/14-330/v1Meningioma recurrence outcome prediction overall survival analysis machine learning radiomic featureseng
spellingShingle Saikiran Pendem
Divya B
Girish R Menon
Saroh S
Shailesh Nayak S
Prakashini K
Priyanka -
Machine learning based radiomics approach for outcome prediction of meningioma – a systematic review [version 1; peer review: 2 approved]
F1000Research
Meningioma
recurrence
outcome prediction
overall survival analysis
machine learning
radiomic features
eng
title Machine learning based radiomics approach for outcome prediction of meningioma – a systematic review [version 1; peer review: 2 approved]
title_full Machine learning based radiomics approach for outcome prediction of meningioma – a systematic review [version 1; peer review: 2 approved]
title_fullStr Machine learning based radiomics approach for outcome prediction of meningioma – a systematic review [version 1; peer review: 2 approved]
title_full_unstemmed Machine learning based radiomics approach for outcome prediction of meningioma – a systematic review [version 1; peer review: 2 approved]
title_short Machine learning based radiomics approach for outcome prediction of meningioma – a systematic review [version 1; peer review: 2 approved]
title_sort machine learning based radiomics approach for outcome prediction of meningioma a systematic review version 1 peer review 2 approved
topic Meningioma
recurrence
outcome prediction
overall survival analysis
machine learning
radiomic features
eng
url https://f1000research.com/articles/14-330/v1
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