539 research outputs found
Multi-branch Convolutional Neural Network for Multiple Sclerosis Lesion Segmentation
In this paper, we present an automated approach for segmenting multiple
sclerosis (MS) lesions from multi-modal brain magnetic resonance images. Our
method is based on a deep end-to-end 2D convolutional neural network (CNN) for
slice-based segmentation of 3D volumetric data. The proposed CNN includes a
multi-branch downsampling path, which enables the network to encode information
from multiple modalities separately. Multi-scale feature fusion blocks are
proposed to combine feature maps from different modalities at different stages
of the network. Then, multi-scale feature upsampling blocks are introduced to
upsize combined feature maps to leverage information from lesion shape and
location. We trained and tested the proposed model using orthogonal plane
orientations of each 3D modality to exploit the contextual information in all
directions. The proposed pipeline is evaluated on two different datasets: a
private dataset including 37 MS patients and a publicly available dataset known
as the ISBI 2015 longitudinal MS lesion segmentation challenge dataset,
consisting of 14 MS patients. Considering the ISBI challenge, at the time of
submission, our method was amongst the top performing solutions. On the private
dataset, using the same array of performance metrics as in the ISBI challenge,
the proposed approach shows high improvements in MS lesion segmentation
compared with other publicly available tools.Comment: This paper has been accepted for publication in NeuroImag
One-shot domain adaptation in multiple sclerosis lesion segmentation using convolutional neural networks
In recent years, several convolutional neural network (CNN) methods have been
proposed for the automated white matter lesion segmentation of multiple
sclerosis (MS) patient images, due to their superior performance compared with
those of other state-of-the-art methods. However, the accuracies of CNN methods
tend to decrease significantly when evaluated on different image domains
compared with those used for training, which demonstrates the lack of
adaptability of CNNs to unseen imaging data. In this study, we analyzed the
effect of intensity domain adaptation on our recently proposed CNN-based MS
lesion segmentation method. Given a source model trained on two public MS
datasets, we investigated the transferability of the CNN model when applied to
other MRI scanners and protocols, evaluating the minimum number of annotated
images needed from the new domain and the minimum number of layers needed to
re-train to obtain comparable accuracy. Our analysis comprised MS patient data
from both a clinical center and the public ISBI2015 challenge database, which
permitted us to compare the domain adaptation capability of our model to that
of other state-of-the-art methods. For the ISBI2015 challenge, our one-shot
domain adaptation model trained using only a single image showed a performance
similar to that of other CNN methods that were fully trained using the entire
available training set, yielding a comparable human expert rater performance.
We believe that our experiments will encourage the MS community to incorporate
its use in different clinical settings with reduced amounts of annotated data.
This approach could be meaningful not only in terms of the accuracy in
delineating MS lesions but also in the related reductions in time and economic
costs derived from manual lesion labeling
Soft Null Hypotheses: A Case Study of Image Enhancement Detection in Brain Lesions
This work is motivated by a study of a population of multiple sclerosis (MS)
patients using dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI)
to identify active brain lesions. At each visit, a contrast agent is
administered intravenously to a subject and a series of images is acquired to
reveal the location and activity of MS lesions within the brain. Our goal is to
identify and quantify lesion enhancement location at the subject level and
lesion enhancement patterns at the population level. With this example, we aim
to address the difficult problem of transforming a qualitative scientific null
hypothesis, such as "this voxel does not enhance", to a well-defined and
numerically testable null hypothesis based on existing data. We call the
procedure "soft null hypothesis" testing as opposed to the standard "hard null
hypothesis" testing. This problem is fundamentally different from: 1) testing
when a quantitative null hypothesis is given; 2) clustering using a mixture
distribution; or 3) identifying a reasonable threshold with a parametric null
assumption. We analyze a total of 20 subjects scanned at 63 visits (~30Gb), the
largest population of such clinical brain images
Comparing lesion segmentation methods in multiple sclerosis: Input from one manually delineated subject is sufficient for accurate lesion segmentation
PURPOSE: Accurate lesion segmentation is important for measurements of lesion load and atrophy in subjects with multiple sclerosis (MS). International MS lesion challenges show a preference of convolutional neural networks (CNN) strategies, such as nicMSlesions. However, since the software is trained on fairly homogenous training data, we aimed to test the performance of nicMSlesions in an independent dataset with manual and other automatic lesion segmentations to determine whether this method is suitable for larger, multi-center studies. METHODS: Manual lesion segmentation was performed in fourteen subjects with MS on sagittal 3D FLAIR images from a 3T GE whole-body scanner with 8-channel head coil. We compared five different categories of automated lesion segmentation methods for their volumetric and spatial agreement with manual segmentation: (i) unsupervised, untrained (LesionTOADS); (ii) supervised, untrained (LST-LPA and nicMSlesions with default settings); (iii) supervised, untrained with threshold adjustment (LST-LPA optimized for current data); (iv) supervised, trained with leave-one-out cross-validation on fourteen subjects with MS (nicMSlesions and BIANCA); and (v) supervised, trained on a single subject with MS (nicMSlesions). Volumetric accuracy was determined by the intra-class correlation coefficient (ICC) and spatial accuracy by Dice's similarity index (SI). Volumes and SI were compared between methods using repeated measures ANOVA or Friedman tests with post-hoc pairwise comparison. RESULTS: The best volumetric and spatial agreement with manual was obtained with the supervised and trained methods nicMSlesions and BIANCA (ICC absolute agreement > 0.968 and median SI > 0.643) and the worst with the unsupervised, untrained method LesionTOADS (ICC absolute agreement = 0.140 and median SI = 0.444). Agreement with manual in the single-subject network training of nicMSlesions was poor for input with low lesion volumes (i.e. two subjects with lesion volumes ≤ 3.0 ml). For the other twelve subjects, ICC varied from 0.593 to 0.973 and median SI varied from 0.535 to 0.606. In all cases, the single-subject trained nicMSlesions segmentations outperformed LesionTOADS, and in almost all cases it also outperformed LST-LPA. CONCLUSION: Input from only one subject to re-train the deep learning CNN nicMSlesions is sufficient for adequate lesion segmentation, with on average higher volumetric and spatial agreement with manual than obtained with the untrained methods LesionTOADS and LST-LPA
Medical imaging analysis with artificial neural networks
Given that neural networks have been widely reported in the research community of medical imaging, we provide a focused literature survey on recent neural network developments in computer-aided diagnosis, medical image segmentation and edge detection towards visual content analysis, and medical image registration for its pre-processing and post-processing, with the aims of increasing awareness of how neural networks can be applied to these areas and to provide a foundation for further research and practical development. Representative techniques and algorithms are explained in detail to provide inspiring examples illustrating: (i) how a known neural network with fixed structure and training procedure could be applied to resolve a medical imaging problem; (ii) how medical images could be analysed, processed, and characterised by neural networks; and (iii) how neural networks could be expanded further to resolve problems relevant to medical imaging. In the concluding section, a highlight of comparisons among many neural network applications is included to provide a global view on computational intelligence with neural networks in medical imaging
Neuroimaging of structural pathology and connectomics in traumatic brain injury: Toward personalized outcome prediction.
Recent contributions to the body of knowledge on traumatic brain injury (TBI) favor the view that multimodal neuroimaging using structural and functional magnetic resonance imaging (MRI and fMRI, respectively) as well as diffusion tensor imaging (DTI) has excellent potential to identify novel biomarkers and predictors of TBI outcome. This is particularly the case when such methods are appropriately combined with volumetric/morphometric analysis of brain structures and with the exploration of TBI-related changes in brain network properties at the level of the connectome. In this context, our present review summarizes recent developments on the roles of these two techniques in the search for novel structural neuroimaging biomarkers that have TBI outcome prognostication value. The themes being explored cover notable trends in this area of research, including (1) the role of advanced MRI processing methods in the analysis of structural pathology, (2) the use of brain connectomics and network analysis to identify outcome biomarkers, and (3) the application of multivariate statistics to predict outcome using neuroimaging metrics. The goal of the review is to draw the community's attention to these recent advances on TBI outcome prediction methods and to encourage the development of new methodologies whereby structural neuroimaging can be used to identify biomarkers of TBI outcome
Validating atlas-based lesion disconnectomics in multiple sclerosis: A retrospective multi-centric study.
The translational potential of MR-based connectivity modelling is limited by the need for advanced diffusion imaging, which is not part of clinical protocols for many diseases. In addition, where diffusion data is available, brain connectivity analyses rely on tractography algorithms which imply two major limitations. First, tracking algorithms are known to be sensitive to the presence of white matter lesions and therefore leading to interpretation pitfalls and poor inter-subject comparability in clinical applications such as multiple sclerosis. Second, tractography quality is highly dependent on the acquisition parameters of diffusion sequences, leading to a trade-off between acquisition time and tractography precision. Here, we propose an atlas-based approach to study the interplay between structural disconnectivity and lesions without requiring individual diffusion imaging. In a multi-centric setting involving three distinct multiple sclerosis datasets (containing both 1.5 T and 3 T data), we compare our atlas-based structural disconnectome computation pipeline to disconnectomes extracted from individual tractography and explore its clinical utility for reducing the gap between radiological findings and clinical symptoms in multiple sclerosis. Results using topological graph properties showed that overall, our atlas-based disconnectomes were suitable approximations of individual disconnectomes from diffusion imaging. Small-worldness was found to decrease for larger total lesion volumes thereby suggesting a loss of efficiency in brain connectivity of MS patients. Finally, the global efficiency of the created brain graph, combined with total lesion volume, allowed to stratify patients into subgroups with different clinical scores in all three cohorts
Deep Autoencoding Models for Unsupervised Anomaly Segmentation in Brain MR Images
Reliably modeling normality and differentiating abnormal appearances from
normal cases is a very appealing approach for detecting pathologies in medical
images. A plethora of such unsupervised anomaly detection approaches has been
made in the medical domain, based on statistical methods, content-based
retrieval, clustering and recently also deep learning. Previous approaches
towards deep unsupervised anomaly detection model patches of normal anatomy
with variants of Autoencoders or GANs, and detect anomalies either as outliers
in the learned feature space or from large reconstruction errors. In contrast
to these patch-based approaches, we show that deep spatial autoencoding models
can be efficiently used to capture normal anatomical variability of entire 2D
brain MR images. A variety of experiments on real MR data containing MS lesions
corroborates our hypothesis that we can detect and even delineate anomalies in
brain MR images by simply comparing input images to their reconstruction.
Results show that constraints on the latent space and adversarial training can
further improve the segmentation performance over standard deep representation
learning
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