SWI and CTP fusion model based on sparse representation method to predict cerebral infarction trend

ObjectiveSWI image signal is related to venous reflux disorder and perfusion defect. Computed tomography perfusion (CTP) contains perfusion information in space and time. There is a complementary basis between them to affect the prognosis of cerebral infarction.MethodsSixty-six patients included in the retrospective study were designated as the training set. Effective perfusion indicator features and imaging radiomic features of the peri-infarction area on Susceptibility weighted imaging (SWI) and CTP modality images were extracted from each case. Thirty-three patients from the prospectively included group were designated as the test set of the machine learning model based on a sparse representation method. The predicted results were compared with the DWI results of the patients’ 7–10 days review to assess the validity and accuracy of the prediction.ResultsThe AUC of the SWI + CTP integrated model was 0.952, the ACC was 0.909, the SEN was 0.889, and the SPE was 0.933. The prediction performance is the highest. Compared with the value of AUC: the SWI model is 0.874, inferior to the performance of the SWI + CTP model, and the CTP model is 0.715.ConclusionThe prediction efficiency of the changing trend of infarction volume is further improved by the correlation between the combination of the two image features

Multicomponent and Longitudinal Imaging Seen as a Communication Channel—An Application to Stroke

International audienceIn longitudinal medical studies, multicomponent images of the tissues, acquired at a given stage of a disease, are used to provide information on the fate of the tissues. We propose a quantification of the predictive value of multicomponent images using information theory. To this end, we revisit the predictive information introduced for monodimensional time series and extend it to multicomponent images. The interest of this theoretical approach is illustrated on multicomponent magnetic resonance images acquired on stroke patients at acute and late stages, for which we propose an original and realistic model of noise together with a spatial encoding for the images. We address therefrom very practical questions such as the impact of noise on the predictability, the optimal choice of an observation scale and the predictability gain brought by the addition of imaging components