About this trial
Glioma are type of primary brain tumors arising within the substance of brain. Different type of gliomas are seen which are classified depending upon pathological examination and advanced molecular techniques, which help to determine the aggressiveness of the tumor and outcomes. Artificial intelligence uses advanced analytical process aided by computer which can be undertaken on the medical images. We plan to use artificial intelligence techniques to identify the abnormal areas within the brain representing tumor from the radiological images. Also, similar approach will be undertaken to classify gliomas with good or bad prognosis, to differentiate glioma from other type of brain tumors, and to detect response after treatment.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients with glioma or glioma-mimicking pathology with imaging available in TMC between January 2010 and December 2022.
Disqualifiers
Imaging done outside TMC.
Motion artifacts or other artifacts causing image degradation.
Size of tumor or region of interest < 1 cm in the largest dimension
Trial population
Study population will be according to the Inclusion and Exclusion Criteria . Study Includes vulnerable participants also. Minors (up to 18 years),Elderly
Trial design
Case-only
Retrospective
Treatments tested in this trial
Radiomic analysis of imaging - MRI, PET, CT
Diagnostic testRadiomic analysis of imaging will be undertaken as a standard of care to develop computational algorithms for patients treated in our institution.
Treatment groups
Trial outcomes
Primary outcomes
Autosegmentation of tumor
The correlation of tumor region between manual segmentation and artificial intelligence-based autosegmentation model will be assessed using the Dice coefficient of similarity.
Prognostication of gliomas
Radiomic signature in prognostication of gliomas with estimation of progression-free survival and overall survival using Kaplan Meier plots and radiomics score-based nomograms.
Secondary outcomes
Response assessment in gliomas
Response assessment of gliomas using artificial intelligence model-based prediction and comparison with actual response (like radionecrosis, progression) using confusion matrices and estimation of parameters like sensitivity, specificity, accuracy, area under curve.
Differentiation of glioma from non-glioma histology
Use of radiomics model to differentiate gliomas from other brain tumors, with performance indices calculated using sensitivity, specificity, accuracy, area under curve.
Sponsors and contacts
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Tata Memorial Centre
Lead sponsor
Indian Statistical Institute, Kolkata
Collaborator