The tumour margin carries the signal
Radiomic analysis usually stops at the visible tumour boundary. Working with multi-parametric MRI from over 500 glioblastoma patients, we extracted roughly 11,000 deep features per patient from tumour and progressively dilated peritumoral regions. Adding a 10 mm peritumoral margin lifted MGMT promoter methylation prediction from an AUC of 0.71 to 0.81, and an 8 mm margin improved survival prediction — evidence that the apparently normal tissue surrounding a glioblastoma encodes both prognostic and molecular information.
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