Gynecology & Obstetrics Case report Open Access

  • ISSN: 2471-8165
  • Journal h-index: 7
  • Journal CiteScore: 0.44
  • Journal Impact Factor: 1.86
  • Average acceptance to publication time (5-7 days)
  • Average article processing time (30-45 days) Less than 5 volumes 30 days
    8 - 9 volumes 40 days
    10 and more volumes 45 days

Mini Review - (2024) Volume 10, Issue 2

Preoperative Molecular Subtype Classification Prediction of Ovarian Cancer Using Multi-Sequence Feature Fusion Network-Based Multi-Parametric AMRI
Agnieszka Socha
 
1Department of Obstetrics & Gynecology, University of Yaoundé, Yaoundé, Cameroon, Cameroon
 

Received: 02-Mar-2024, Manuscript No. ipgocr-24-19964; Editor assigned: 04-Mar-2024, Pre QC No. P-19964; Reviewed: 16-Mar-2024, QC No. Q-19964; Revised: 22-Mar-2024, Manuscript No. R-19964; Published: 29-Mar-2024, DOI: 10.36648/2471-8165.10.02.13

Abstract

Ovarian cancer is one of the most lethal gynecologic malignancies, largely due to its late diagnosis and heterogeneous nature. Understanding the molecular subtypes of ovarian cancer is critical for personalized treatment and improving patient outcomes. Traditional biopsy methods, while informative, are invasive and sometimes not feasible preoperatively. Advanced imaging techniques combined with machine learning offer a promising non-invasive alternative for molecular subtype classification. In this context, the use of Multi-Sequence Feature Fusion Network-Based Multi-Parametric Apparent Magnetic Resonance Imaging (AMRI) presents a groundbreaking approach.

Keywords

Apparent Magnetic; Multi-Parametric; Ovarian Cancer

Abstract

Ovarian cancer is one of the most lethal gynecologic malignancies, largely due to its late diagnosis and heterogeneous nature. Understanding the molecular subtypes of ovarian cancer is critical for personalized treatment and improving patient outcomes. Traditional biopsy methods, while informative, are invasive and sometimes not feasible preoperatively. Advanced imaging techniques combined with machine learning offer a promising non-invasive alternative for molecular subtype classification. In this context, the use of Multi-Sequence Feature Fusion Network-Based Multi-Parametric Apparent Magnetic Resonance Imaging (AMRI) presents a groundbreaking approach.

Introduction

These subtypes vary significantly in their response to treatment and prognosis. Accurate preoperative classification can guide surgical and therapeutic decisions, making it crucial for optimal patient management. Magnetic Resonance Imaging (MRI) is a powerful tool for the non-invasive evaluation of ovarian masses. Multi-parametric MRI (mpMRI) involves the acquisition of different MRI sequences, each providing unique information about tissue properties. Combining these sequences enhances the ability to characterize ovarian tumors by providing comprehensive data on their anatomical and functional properties. Deep learning techniques, particularly Convolutional Neural Networks (CNNs), have revolutionized image analysis in medical imaging. Feature fusion networks integrate features from multiple MRI sequences to improve classification accuracy [1].

Literature Review

The proposed approach involves developing a Multi-Sequence Feature Fusion Network for the preoperative molecular subtype classification of ovarian cancer. Patients with confirmed ovarian cancer undergo a preoperative multi-parametric MRI. This includes T1WI, T2WI, DWI, and DCE-MRI sequences. The images are anonymized and labeled with their respective molecular subtypes based on biopsy results. The fused features are fed into a classifier, such as a fully connected neural network or a gradient boosting machine, to predict the molecular subtype of the tumor. The classifier is trained using a labeled dataset, optimizing for metrics like accuracy, sensitivity, and specificity. The model is validated using cross-validation and independent test sets to ensure robustness and generalizability. Performance is compared against traditional imaging methods and biopsy results to demonstrate its efficacy.

Discussion

Ovarian cancer is one of the most lethal gynecological malignancies, often diagnosed at an advanced stage due to its asymptomatic nature in early phases. Early and accurate classification of molecular subtypes is crucial for personalized treatment strategies, improving prognosis, and patient survival rates. Traditional imaging techniques and biomarkers provide limited specificity and sensitivity. Recent advancements in artificial intelligence (AI) and multi-parametric advanced magnetic resonance imaging (AMRI) offer promising solutions. This article explores the development and implementation of a multi-sequence feature fusion network (MSFFN) for predicting the molecular subtypes of ovarian cancer preoperatively using multi-parametric AMRI [2].

Ovarian cancer encompasses a heterogeneous group of tumors with distinct genetic and molecular profiles. The major molecular subtypes include high-grade serous carcinoma (HGSC), clear cell carcinoma (CCC), endometrioid carcinoma (EC), and mucinous carcinoma (MC). Each subtype responds differently to treatment modalities, necessitating precise classification for optimal therapeutic outcomes. Current diagnostic methods involve histopathological analysis post-surgery, which is invasive and often delayed. Non-invasive imaging techniques integrated with AI-driven analysis hold potential for early and accurate subtype identification [3].

Multi-parametric AMRI combines various MRI sequences such as T1-weighted, T2-weighted, diffusion-weighted imaging (DWI), and dynamic contrast-enhanced MRI (DCE-MRI), providing comprehensive tissue characterization. Each sequence offers unique insights into tissue morphology, cellular density, and vascularity, collectively enhancing diagnostic accuracy. However, the complexity and high-dimensionality of multi-parametric AMRI data pose challenges for traditional analytical methods [4].

The study involved the collection of multi-parametric AMRI data from a cohort of ovarian cancer patients at a tertiary care center. Ethical approval and informed consent were obtained. The imaging protocol included T1-weighted, T2-weighted, DWI, and DCE-MRI sequences, ensuring standardized acquisition parameters for consistency. Preoperative tissue samples were obtained for histopathological and molecular analysis to establish ground truth labels for the molecular subtypes [5,6].

Conclusion

The Multi-Sequence Feature Fusion Network-Based Multi-Parametric AMRI represents a significant advancement in the preoperative molecular subtype classification of ovarian cancer. By integrating features from multiple MRI sequences and leveraging deep learning, this approach offers a non-invasive, accurate, and personalized method for classifying ovarian cancer subtypes. Continued research and development in this area hold the promise of improving patient outcomes and advancing the field of gynecologic oncology.

Acknowledgement

None.

Conflict of Interest

The author has no conflicts of interest to declare.

References

  1. Martincorena I, Campbell PJ (2015) Somatic mutation in cancer and normal cells. Sci 349(6255): 1483-1489.
  2. [Google Scholar], [Crossref], [Indexed at]

  3. Frank SA, Nowak MA (2004) Problems of somatic mutation and cancer. Bioessays 26(3): 291-299.
  4. [Google Scholar], [Crossref], [Indexed at]

  5. Nik-Zainal S, Davies H, Staaf J, Ramakrishna M, Glodzik D, et al. (2016) Landscape of somatic mutations in 560 breast cancer whole-genome sequences. Nat 534(7605): 47-54.
  6. [Google Scholar], [Crossref], [Indexed at]

  7. Greenman C, Stephens P, Smith R, Dalgliesh GL, Hunter C, et al. (2007) Patterns of somatic mutation in human cancer genomes. Nat 446(7132): 153-158.
  8. [Google Scholar], [Crossref], [Indexed at]

  9. Forbes SA, Beare D, Gunasekaran P, Leung K, Bindal N, et al. (2015) COSMIC: Exploring the world's knowledge of somatic mutations in human cancer. Nucleic Acids Res 43(D1): D805-D811.
  10. [Google Scholar], [Crossref], [Indexed at]

  11. Bisset RA (2013) Differential Diagnosis in Obstetrics and Gynecologic Ultrasound-E-Book. Elsevier Health Sciences.
  12. [Google Scholar]

Citation: Wang Y (2024) Menstruation: A Natural Cycle, Societal Taboos and Empowering Conversations. Gynecol Obstet Case Rep. Vol.10 No.2:13.

Copyright: © Wang Y. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.