Research Article

Noninvasive Prediction of TERT Promoter Mutations in High-Grade Glioma by Radiomics Analysis Based on Multiparameter MRI

Table 1

Characteristics of patients in the training and validation cohorts.

Training cohortValidation cohort value
TERTwTERTm valueTERTwTERTm value

513722160.995
Age (year)53 (18-78)58 (30-81)0.03352 (26-78)60 (42-80)0.0310.986
Gender0.5710.1200.975
 Female19 (37.25%)16 (43.24%)11 (50.00%)4 (25.00%)
 Male32 (62.75%)21 (56.76%)11 (50.00%)12 (75.00%)
Grade0.1700.3660.327
 III21 (41.18%)10 (27.03%)7 (31.82%)3 (18.75%)
 IV30 (58.82%)27 (72.97%)15 (68.18%)13 (81.25%)
Side0.3840.0500.219
 Left27 (52.94%)15 (40.54%)17 (77.27%)7 (43.75%)
 Right20 (39.22%)20 (54.05%)3 (13.64%)8 (50.00%)
 Both4 (7.84%)2 (5.41%)2 (9.09%)1 (6.25%)
Location0.0480.0280.421
 Frontal23 (45.10%)7 (18.92%)8 (36.36%)1 (6.25%)
 Temporal16 (31.37%)23 (62.16%)4 (18.18%)11 (68.75%)
 Parietal7 (13.73%)3 (8.11%)4 (18.18%)2 (12.50%)
 Occipital2 (3.92%)2 (5.41%)2 (9.09%)1 (6.25%)
 Other3 (5.88%)2 (5.41%)4 (18.18%)1 (6.25%)
NeV0.42 (0.00-2.59)0.86 (0.04-4.44)0.2430.41 (0.00-2.61)0.95 (0.08-4.05)0.1020.559
EnV2.62 (0.02-41.70)1.93 (0.03-37.17)0.7153.02 (0.20-28.36)1.97 (0.11-9.99)0.1150.633
EdV1.31 (0.01-56.46)2.88 (0.03-37.17)0.1621.16 (0.04-65.77)2.15 (0.45-17.06)0.8560.827
CNV (%)14.71 (0.00-40.44)43.48 (14.91-84.49)<0.00114.38 (0.00-38.38)37.64 (11.54-71.20)<0.0010.264
ONV (%)12.44 (0.00-39.55)15.42 (4.55-29.16)0.1966.75 (0.00-32.33)17.98 (1.76-28.18)0.0910.197
Cho/NAA4.65 (3.14)4.40 (1.89)0.6704.22 (1.51)4.80 (2.79)0.4130.868
Cho/Cr2.75 (1.06)3.39 (1.53)0.0232.54 (0.68)3.19 (1.04)0.0250.390
Lip0.6160.1520.944
 No33 (64.71%)22 (59.46%)16 (72.73%)8 (50.00%)
 Yes18 (35.29%)15 (40.54%)6 (27.27%)8 (50.00%)
Lac0.0250.0340.370
 No33 (64.71%)15 (40.54%)17 (77.27%)7 (43.75%)
 Yes18 (35.29%)22 (59.46%)5 (22.73%)9 (56.25%)

Data were the median(min-max); the remainder were mean (standard deviation) or number (%). value <0.05 was considered a significant difference. NeV: necrotic volume of tumor; EnV: volume of enhanced portion of tumor; EdV: volume of edema around tumor; CNV: necrotic volume percentage of core; ONV: necrotic volume percentage of overall; Cho/NAA: the ratio of N-acetylaspartic acid to creatine in MRS; Cho/Cr: the ratio of choline to creatine in MRS; Lip: lipid peak of MRS; Lac: lactate peak of MRS; TERTm: the TERT promoter mutations; TERTw: the wild type of TERT promoter.