Prediction of Ablation Rate for High-Intensity Focused Ultrasound Therapy of Adenomyosis in MR Images Based on Multi-model Fusion

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This study developed a multi-model fusion approach combining radiomics and deep learning features from MR images to predict the ablation rate in adenomyosis patients treated with HIFU.

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This retrospective study developed and evaluated an ensemble machine-learning model to predict HIFU ablation rate in 119 patients with adenomyosis using MRI-derived radiomics from T2-weighted images and deep features extracted with VGG-19, then combined them via multi-model fusion. The fusion model, composed of four base classifiers, outperformed radiomics-only and deep-learning-only models, achieving accuracy of 0.848 (training) and 0.814 (test) and AUC of 0.916 (training) and 0.861 (test). Performance was also better than that of the individual base classifiers used in the fusion approach. The main limitation explicitly indicated by the study design is that data were retrospective with a single 7:3 train/test split rather than prospectively validated across independent cohorts. This paper is centrally about endometriosis — it specifically focuses on adenomyosis treated with MR-guided high-intensity focused ultrasound and predicting ablation rate from imaging features.

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Abstract

This study aimed to develop a model based on radiomics and deep learning features to predict the ablation rate in patients with adenomyosis undergoing high-intensity focused ultrasound (HIFU) therapy. A total of 119 patients with adenomyosis who received HIFU therapy were retrospectively analyzed. Participants were included in the training and testing queues in a 7:3 ratio. Radiomics features were extracted from T2-weighted imaging (T2WI) images, and VGG-19 was used to extract advanced deep features. An ensemble model based on multi-model fusion for predicting the efficacy of HIFU in adenomyosis was proposed, which consists of four base classifiers and was evaluated using accuracy, precision, recall, F-score, and area under the receiver operating characteristic curve (AUC). The predictive performance of the combined model combining radiomics and deep learning features outperformed the radiomics and deep learning feature models alone, with accuracy of 0.848 and 0.814 in training and test sets, and AUC of 0.916 and 0.861, respectively. Compared with the base classifiers that make up the multi-model fusion model, the fusion model also exhibited better prediction performance. The fusion model incorporating both radiomics and deep learning features had certain predictive value for the ablation rate of adenomyosis under HIFU therapy and could help select patients with adenomyosis who would benefit from HIFU therapy. Similar content being viewed by others Data Availability The data that support the findings of this study are available from the corresponding author upon reasonable request.

References

Chapron C, Vannuccini S, Santulli P, et al.: Diagnosing adenomyosis: an integrated clinical and imaging approach. Hum Reprod Update 26:392-411, 2020 Stanekova V, Woodman R J, Tremellen K: The rate of euploid miscarriage is increased in the setting of adenomyosis. Hum Reprod Update 3: hoy011, 2018 Sudderuddin S, Helbren E, Telesca M, et al.: MRI appearances of benign uterine disease. Clin Radiol 69:1095-1104, 2014 Dueholm M: Minimally invasive treatment of adenomyosis. Best Pract Res Clin Obstet Gynaecol 51:119-137, 2018 Buggio L, Dridi D, Barbara G: Adenomyosis: impact on fertility and obstetric outcomes. Reprod Sci 28:3081-3084, 2021 Younes G, Tulandi T: Conservative surgery for adenomyosis and results: a systematic review. J Minim Invasive Gynecol 25:265-276, 2018 Yao R, Hu J, Zhao W, et al.: A review of high-intensity focused ultrasound as a novel and non-invasive interventional radiology technique. J Interv Med 5:127-132, 2022 Yu J, Jiang L, Su X, et al.: Comparison efficacy of ultrasound-guided HIFU for adenomyosis-associated dysmenorrhea with different signal intensity on T2-weighted MR imaging. J Obstet Gynaecol Res 49:1189-1197, 2023 Keserci B, Duc N M: Magnetic resonance imaging features influencing high-intensity focused ultrasound ablation of adenomyosis with a nonperfused volume ratio of \(\ge\) 90% as a measure of clinical treatment success: retrospective multivariate analysis. Int J Hyperthermia 35:626-636, 2018 McCague C, Ramlee S, Reinius M, et al.: Introduction to radiomics for a clinical audience. Clin Radiol 78:83-98, 2023 Li H, Gao L, Ma H, et al.: Radiomics-based features for prediction of histological subtypes in central lung cancer. Front Oncol 11:658887, 2021 Sabouri M, Hajianfar G, Hosseini Z, et al.: Myocardial Perfusion SPECT Imaging Radiomic Features and Machine Learning Algorithms for Cardiac Contractile Pattern Recognition. J Digit Imaging 36:497-509, 2023 Qi L, Lu X, Shen H, et al.: Automatic Classification of Mass Shape and Margin on Mammography with Artificial Intelligence: Deep CNN Versus Radiomics. J Digit Imaging 1-9, 2023 Zhou H, Dong D, Chen B, et al.: Diagnosis of distant metastasis of lung cancer: based on clinical and radiomic features. Transl Oncol 11:31-36, 2018 Taleie H, Hajianfar G, Sabouri M, et al.: Left Ventricular Myocardial Dysfunction Evaluation in Thalassemia Patients Using Echocardiographic Radiomic Features and Machine Learning Algorithms. J Digit Imaging 1-13, 2023 Barabino E, Rossi G, Pamparino S, et al.: Exploring response to immunotherapy in non-small cell lung cancer using delta-radiomics. Cancers 14:350, 2022 Sundar S, Sumathy S. Transfer learning approach in deep neural networks for uterine fibroid detection. Int J Computational Science and Engineering 25:52-63, 2022 Dai M, Liu Y, Hu Y, et al.: Combining multiparametric MRI features-based transfer learning and clinical parameters: application of machine learning for the differentiation of uterine sarcomas from atypical leiomyomas. Eur Radiol 32:7988-7997, 2022 Mohammad F, Al Ahmadi S.: Alzheimer’s Disease Prediction Using Deep Feature Extraction and Optimization. Mathematics 11: 3712, 2023 Dey N, Zhang Y D, Rajinikanth V, et al.: Customized VGG19 architecture for pneumonia detection in chest X-rays. Pattern Recognit Lett 143: 67-74, 2021 Gong C, Wang Y, Lv F, et al.: Evaluation of high intensity focused ultrasound treatment for different types of adenomyosis based on magnetic resonance imaging classification. Int J Hyperthermia 39:530-538, 2022 Li J, Wang W, Liao L, et al.: Analysis of the nonperfused volume ratio of adenomyosis from MRI images based on fewshot learning. Phys Med Biol 66:045019, 2021 Kibria H B, Matin A: The severity prediction of the binary and multi-class cardiovascular disease– A machine learning-based fusion approach. Comput Biol Chem 98:107672, 2022 He W, Shi Z, Liu Y, et al.: Feature Fusion Classifier With Dynamic Weights for Abnormality Detection of Amniotic Fluid Cell Chromosome. IEEE Access 11:31755-31766, 2023 Funding This work was supported by the grants from the Shanghai Science and Technology Innovation Action Plan (No. 22S31903700) and grants from Shanghai Hospital Development Center-United Imaging Joint Research & Development Plan (No. 2022SKLY-12). Author information Authors and Affiliations Corresponding authors Ethics declarations Competing Interest The authors declare no competing interests. Additional information Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Rights and permissions Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. About this article Cite this article Ying, J., Jing, X., Gao, F. et al. Prediction of Ablation Rate for High-Intensity Focused Ultrasound Therapy of Adenomyosis in MR Images Based on Multi-model Fusion. J Digit Imaging. Inform. med. 37, 1579–1590 (2024). https://doi.org/10.1007/s10278-024-01063-4 Received: Revised: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s10278-024-01063-4

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adenomyosis

MeSH descriptors

Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis High-Intensity Focused Ultrasound Ablation High-Intensity Focused Ultrasound Ablation High-Intensity Focused Ultrasound Ablation High-Intensity Focused Ultrasound Ablation High-Intensity Focused Ultrasound Ablation High-Intensity Focused Ultrasound Ablation High-Intensity Focused Ultrasound Ablation

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