Machine and deep learning based on magnetic resonance imaging to segment glioblastoma and predict the spread of recurrence: a multicenter retrospective protocol - Summary - MDSpire

Machine and deep learning based on magnetic resonance imaging to segment glioblastoma and predict the spread of recurrence: a multicenter retrospective protocol

  • By

  • Luana Conte

  • Erica Lo Turco

  • Rosaria V. Abbritti

  • Caterina Accettura

  • Giuseppe Raso

  • Edvige Iaboni

  • Ugo De Giorgi

  • Giorgio De Nunzio

  • Donato Cascio

  • Maria Caffo

  • July 10, 2026

  • 0 min

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Objective:

To develop predictive models for glioblastoma recurrence spread using machine learning and deep learning approaches on MRI data, integrating clinical, imaging, and instrumental data.

Approach:
  • Study Design: A multicenter retrospective collection of clinical and radiological variables from eligible glioblastoma patients will be performed.
  • Data Collection: Variables will include demographic, surgical, pathological, and preoperative MRI features.
  • Predictive Modeling: Classical ML algorithms and a 3D U-Net architecture for DL-based image segmentation will be utilized.
  • Performance Assessment: Model performance will be evaluated using metrics such as AUC, P-R curve, F-score, accuracy, sensitivity, specificity, confusion matrix, and Dice score.
Key Findings:
  • Glioblastoma has high recurrence rates and limited survival.
  • Local recurrence typically occurs within 2 cm of the resection cavity.
  • Machine learning and deep learning can aid in predicting the extent of tumor spread.
Interpretation:

The study aims to develop AI-based models for glioblastoma patients.

Limitations:
  • Retrospective design may introduce biases.
  • Dependence on the quality and completeness of collected data may affect results.
Conclusion:

The findings will provide a basis for future prospective multicenter validation studies.

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