PMID- 35326634 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221215 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 14 IP - 6 DP - 2022 Mar 14 TI - Tumor Connectomics: Mapping the Intra-Tumoral Complex Interaction Network Using Machine Learning. LID - 10.3390/cancers14061481 [doi] LID - 1481 AB - The high-level relationships that form complex networks within tumors and between surrounding tissue is challenging and not fully understood. To better understand these tumoral networks, we developed a tumor connectomics framework (TCF) based on graph theory with machine learning to model the complex interactions within and around the tumor microenvironment that are detectable on imaging. The TCF characterization model was tested with independent datasets of breast, brain, and prostate lesions with corresponding validation datasets in breast and brain cancer. The TCF network connections were modeled using graph metrics of centrality, average path length (APL), and clustering from multiparametric MRI with IsoSVM. The Matthews Correlation Coefficient (MCC), Area Under the Curve-ROC, and Precision-Recall (AUC-ROC and AUC-PR) were used for statistical analysis. The TCF classified the breast and brain tumor cohorts with an IsoSVM AUC-PR and MCC of 0.86, 0.63 and 0.85, 0.65, respectively. The TCF benign breast lesions had a significantly higher clustering coefficient and degree centrality than malignant TCFs. Grade 2 brain tumors demonstrated higher connectivity compared to Grade 4 tumors with increased degree centrality and clustering coefficients. Gleason 7 prostate lesions had increased betweenness centrality and APL compared to Gleason 6 lesions with AUC-PR and MCC ranging from 0.90 to 0.99 and 0.73 to 0.87, respectively. These TCF findings were similar in the validation breast and brain datasets. In conclusion, we present a new method for tumor characterization and visualization that results in a better understanding of the global and regional connections within the lesion and surrounding tissue. FAU - Parekh, Vishwa S AU - Parekh VS AUID- ORCID: 0000-0002-6306-0305 AD - The Russell H. Morgan Department of Radiology and Radiological Science, School of Medicine, The Johns Hopkins University, Baltimore, MD 21205, USA. AD - Department of Computer Science, The Johns Hopkins University, Baltimore, MD 21210, USA. FAU - Pillai, Jay J AU - Pillai JJ AUID- ORCID: 0000-0002-8306-7192 AD - The Russell H. Morgan Department of Radiology and Radiological Science, School of Medicine, The Johns Hopkins University, Baltimore, MD 21205, USA. AD - Department of Neurosurgery, School of Medicine, The Johns Hopkins University, Baltimore, MD 21287, USA. FAU - Macura, Katarzyna J AU - Macura KJ AD - The Russell H. Morgan Department of Radiology and Radiological Science, School of Medicine, The Johns Hopkins University, Baltimore, MD 21205, USA. AD - Sidney Kimmel Comprehensive Cancer Center, School of Medicine, The Johns Hopkins University, Baltimore, MD 21205, USA. FAU - LaViolette, Peter S AU - LaViolette PS AUID- ORCID: 0000-0002-9602-6891 AD - Department of Radiology, Medical College of Wisconsin, Milwaukee, WI 53226, USA. FAU - Jacobs, Michael A AU - Jacobs MA AUID- ORCID: 0000-0002-1125-1644 AD - The Russell H. Morgan Department of Radiology and Radiological Science, School of Medicine, The Johns Hopkins University, Baltimore, MD 21205, USA. AD - Sidney Kimmel Comprehensive Cancer Center, School of Medicine, The Johns Hopkins University, Baltimore, MD 21205, USA. LA - eng GR - R01 CA249882/CA/NCI NIH HHS/United States GR - R01CA18144/NH/NIH HHS/United States GR - Tax Check-off Program for Prostate Cancer Research/The State of Wisconsin/ GR - R01 CA218144/CA/NCI NIH HHS/United States GR - 1R01CA190299/NH/NIH HHS/United States GR - 5P30CA006973 (Imaging Response Assessment Team-IRAT)/NH/NIH HHS/United States GR - R01CA249882/NH/NIH HHS/United States GR - U01CA140204/NH/NIH HHS/United States PT - Journal Article DEP - 20220314 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC8946165 OTO - NOTNLM OT - brain OT - breast OT - cancer OT - complex networks OT - graph theory OT - multiparametric MRI OT - prostate OT - tumor connectomics COIS- The authors declare no conflict of interest. EDAT- 2022/03/26 06:00 MHDA- 2022/03/26 06:01 PMCR- 2022/03/14 CRDT- 2022/03/25 01:02 PHST- 2021/12/13 00:00 [received] PHST- 2022/03/01 00:00 [revised] PHST- 2022/03/09 00:00 [accepted] PHST- 2022/03/25 01:02 [entrez] PHST- 2022/03/26 06:00 [pubmed] PHST- 2022/03/26 06:01 [medline] PHST- 2022/03/14 00:00 [pmc-release] AID - cancers14061481 [pii] AID - cancers-14-01481 [pii] AID - 10.3390/cancers14061481 [doi] PST - epublish SO - Cancers (Basel). 2022 Mar 14;14(6):1481. doi: 10.3390/cancers14061481.