AUTHOR=Faustino Ricardo , Lopes Cristina , Jantarada Afonso , Mendonça Ana , Raposo Rafael , Ferrão Cristina , Freitas Joana , Mateus Constança , Pinto Ana , Almeida Ellen , Gomes Nuno , Marques Liliana , Palavra Filipe TITLE=Neuroimaging characterization of multiple sclerosis lesions in pediatric patients: an exploratory radiomics approach JOURNAL=Frontiers in Neuroscience VOLUME=18 YEAR=2024 URL=https://www.frontiersin.org/journals/neuroscience/articles/10.3389/fnins.2024.1294574 DOI=10.3389/fnins.2024.1294574 ISSN=1662-453X ABSTRACT=Introduction

Multiple sclerosis (MS), a chronic inflammatory immune-mediated disease of the central nervous system (CNS), is a common condition in young adults, but it can also affect children. The aim of this study was to construct radiomic models of lesions based on magnetic resonance imaging (MRI, T2-weighted-Fluid-Attenuated Inversion Recovery), to understand the correlation between extracted radiomic features, brain and lesion volumetry, demographic, clinical and laboratorial data.

Methods

The neuroimaging data extracted from eleven scans of pediatric MS patients were analyzed. A total of 60 radiomic features based on MR T2-FLAIR images were extracted and used to calculate gray level co-occurrence matrix (GLCM). The principal component analysis and ROC analysis were performed to select the radiomic features, respectively. The realized classification task by the logistic regression models was performed according to these radiomic features.

Results

Ten most relevant features were selected from data extracted. The logistic regression applied to T2-FLAIR radiomic features revealed significant predictor for multiple sclerosis (MS) lesion detection. Only the variable “contrast” was statistically significant, indicating that only this variable played a significant role in the model. This approach enhances the classification of lesions from normal tissue.

Discussion and conclusion

Our exploratory results suggest that the radiomic models based on MR imaging (T2-FLAIR) may have a potential contribution to characterization of brain tissues and classification of lesions in pediatric MS.