3,331 research outputs found
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
Computerized Analysis of Magnetic Resonance Images to Study Cerebral Anatomy in Developing Neonates
The study of cerebral anatomy in developing neonates is of great importance for
the understanding of brain development during the early period of life. This
dissertation therefore focuses on three challenges in the modelling of cerebral
anatomy in neonates during brain development. The methods that have been
developed all use Magnetic Resonance Images (MRI) as source data.
To facilitate study of vascular development in the neonatal period, a set of image
analysis algorithms are developed to automatically extract and model cerebral
vessel trees. The whole process consists of cerebral vessel tracking from
automatically placed seed points, vessel tree generation, and vasculature
registration and matching. These algorithms have been tested on clinical Time-of-
Flight (TOF) MR angiographic datasets.
To facilitate study of the neonatal cortex a complete cerebral cortex segmentation
and reconstruction pipeline has been developed. Segmentation of the neonatal
cortex is not effectively done by existing algorithms designed for the adult brain
because the contrast between grey and white matter is reversed. This causes pixels
containing tissue mixtures to be incorrectly labelled by conventional methods. The
neonatal cortical segmentation method that has been developed is based on a novel
expectation-maximization (EM) method with explicit correction for mislabelled
partial volume voxels. Based on the resulting cortical segmentation, an implicit
surface evolution technique is adopted for the reconstruction of the cortex in
neonates. The performance of the method is investigated by performing a detailed
landmark study.
To facilitate study of cortical development, a cortical surface registration algorithm
for aligning the cortical surface is developed. The method first inflates extracted
cortical surfaces and then performs a non-rigid surface registration using free-form
deformations (FFDs) to remove residual alignment. Validation experiments using
data labelled by an expert observer demonstrate that the method can capture local
changes and follow the growth of specific sulcus
Identifying and reverting the adverse effects of white matter hyperintensities on cortical surface analyses
ありふれた脳の白質病変がMRI画像解析を悪化させていた --従来手法に機械学習を組み入れた改善手法の開発--. 京都大学プレスリリース. 2023-10-02.The Human Connectome Project (HCP)-style surface-based brain MRI analysis is a powerful technique that allows precise mapping of the cerebral cortex. However, the strength of its surface-based analysis has not yet been tested in the older population that often presents with white matter hyperintensities (WMHs) on T2-weighted (T2w) MRI (hypointensities on T1w MRI). We investigated T1-weighted (T1w) and T2w structural MRI in 43 healthy middle-aged to old participants. Juxtacortical WMHs were often misclassified by the default HCP pipeline as parts of the gray matter in T1w MRI, leading to incorrect estimation of the cortical surfaces and cortical metrics. To revert the adverse effects of juxtacortical WMHs, we incorporated the Brain Intensity AbNormality Classification Algorithm into the HCP pipeline (proposed pipeline). Blinded radiologists performed stereological quality control (QC) and found a decrease in the estimation errors in the proposed pipeline. The superior performance of the proposed pipeline was confirmed using an originally-developed automated surface QC based on a large database. Here we showed the detrimental effects of juxtacortical WMHs for estimating cortical surfaces and related metrics and proposed a possible solution for this problem. The present knowledge and methodology should help researchers identify adequate cortical surface biomarkers for aging and age-related neuropsychiatric disorders
Segmentation of brain MRI during early childhood
The objective of this thesis is the development of automatic methods to measure the changes in
volume and growth of brain structures in prematurely born infants. Automatic tools for accurate
tissue quantification from magnetic resonance images can provide means for understanding
how the neurodevelopmental effects of the premature birth, such as cognitive, neurological or
behavioural impairment, are related to underlying changes in brain anatomy. Understanding
these changes forms a basis for development of suitable treatments to improve the outcomes of
premature birth.
In this thesis we focus on the segmentation of brain structures from magnetic resonance images
during early childhood. Most of the current brain segmentation techniques have been focused
on the segmentation of adult or neonatal brains. As a result of rapid development, the brain
anatomy during early childhood differs from anatomy of both adult and neonatal brains and
therefore requires adaptations of available techniques to produce good results.
To address the issue of anatomical differences of the brain during early childhood compared
to other age-groups, population-specific deformable and probabilistic atlases are introduced. A
method for generation of population-specific prior information in form of a probabilistic atlas
is proposed and used to enhance existing segmentation algorithms.
The evaluation of registration-based and intensity-based approaches shows the techniques to
be complementary in the quality of automatic segmentation in different parts of the brain. We
propose a novel robust segmentation method combining the advantages of both approaches. The
method is based on multiple label propagation using B-spline non-rigid registration followed by
EM segmentation.
Intensity inhomogeneity is a shading artefact resulting from the acquisition process, which
significantly affects modern high resolution MR data acquired at higher magnetic field strengths.
A novel template based method focused on correcting the intensity inhomogeneity in data
acquired at higher magnetic field strengths is therefore proposed.
The proposed segmentation method combined with proposed intensity inhomogeneity correction
method offers a robust tool for quantification of volumes and growth of brain structures during
early childhood. The tool have been applied to 67 T1-weigted images of subject at one and two years of age
PSACNN: Pulse Sequence Adaptive Fast Whole Brain Segmentation
With the advent of convolutional neural networks~(CNN), supervised learning
methods are increasingly being used for whole brain segmentation. However, a
large, manually annotated training dataset of labeled brain images required to
train such supervised methods is frequently difficult to obtain or create. In
addition, existing training datasets are generally acquired with a homogeneous
magnetic resonance imaging~(MRI) acquisition protocol. CNNs trained on such
datasets are unable to generalize on test data with different acquisition
protocols. Modern neuroimaging studies and clinical trials are necessarily
multi-center initiatives with a wide variety of acquisition protocols. Despite
stringent protocol harmonization practices, it is very difficult to standardize
the gamut of MRI imaging parameters across scanners, field strengths, receive
coils etc., that affect image contrast. In this paper we propose a CNN-based
segmentation algorithm that, in addition to being highly accurate and fast, is
also resilient to variation in the input acquisition. Our approach relies on
building approximate forward models of pulse sequences that produce a typical
test image. For a given pulse sequence, we use its forward model to generate
plausible, synthetic training examples that appear as if they were acquired in
a scanner with that pulse sequence. Sampling over a wide variety of pulse
sequences results in a wide variety of augmented training examples that help
build an image contrast invariant model. Our method trains a single CNN that
can segment input MRI images with acquisition parameters as disparate as
-weighted and -weighted contrasts with only -weighted training
data. The segmentations generated are highly accurate with state-of-the-art
results~(overall Dice overlap), with a fast run time~( 45
seconds), and consistent across a wide range of acquisition protocols.Comment: Typo in author name corrected. Greves -> Grev
Automated detection of lupus white matter lesions in MRI
Brain magnetic resonance imaging provides detailed information which can be used to detect and segment white matter lesions (WML). In this work we propose an approach to automatically segment WML in Lupus patients by using T1w and fluid-attenuated inversion recovery (FLAIR) images. Lupus WML appear as small focal abnormal tissue observed as hyperintensities in the FLAIR images. The quantification of these WML is a key factor for the stratification of lupus patients and therefore both lesion detection and segmentation play an important role. In our approach, the T1w image is first used to classify the three main tissues of the brain, white matter (WM), gray matter (GM), and cerebrospinal fluid (CSF), while the FLAIR image is then used to detect focal WML as outliers of its GM intensity distribution. A set of post-processing steps based on lesion size, tissue neighborhood, and location are used to refine the lesion candidates. The proposal is evaluated on 20 patients, presenting qualitative, and quantitative results in terms of precision and sensitivity of lesion detection [True Positive Rate (62%) and Positive Prediction Value (80%), respectively] as well as segmentation accuracy [Dice Similarity Coefficient (72%)]. Obtained results illustrate the validity of the approach to automatically detect and segment lupus lesions. Besides, our approach is publicly available as a SPM8/12 toolbox extension with a simple parameter configuration
Altered corticomotor-cerebellar integrity in young ataxia telangiectasia patients
Magnetic resonance imaging (MRI) research in identifying altered brain structure and function in ataxia-telangiectasia, an autosomal recessive neurodegenerative disorder, is limited. Diffusion-weighted MRI were obtained from 11 ataxia telangiectasia patients (age range, 7-22 years; mean, 12 years) and 11 typically developing age-matched participants (age range, 8-23 years; mean, 13 years). Gray matter volume alterations in patients were compared with those of healthy controls using voxel-based morphometry, whereas tract-based spatial statistics was employed to elucidate white matter microstructure differences between groups. White matter microstructure was probed using quantitative fractional anisotropy and mean diffusivity measures. Reduced gray matter volume in both cerebellar hemispheres and in the precentral-postcentral gyrus in the left cerebral hemisphere was observed in ataxia telangiectasia patients compared with controls (P < 0.05, corrected for multiple comparisons). A significant reduction in fractional anisotropy in the cerebellar hemispheres, anterior/posterior horns of the medulla, cerebral peduncles, and internal capsule white matter, particularly in the left posterior limb of the internal capsule and corona radiata in the left cerebral hemisphere, was observed in patients compared with controls (P< 0.05). Mean diffusivity differences were observed within the left cerebellar hemisphere and the white matter of the superior lobule of the right cerebellar hemisphere (P< 0.05). Cerebellum-localized gray matter changes are seen in young ataxia telangiectasia patients along with white matter tract degeneration projecting from the cerebellum into corticomotor regions. The lack of cortical involvement may reflect early-stage white matter motor pathway degeneration within young patients
Trustworthy Deep Learning for Medical Image Segmentation
Despite the recent success of deep learning methods at achieving new
state-of-the-art accuracy for medical image segmentation, some major
limitations are still restricting their deployment into clinics. One major
limitation of deep learning-based segmentation methods is their lack of
robustness to variability in the image acquisition protocol and in the imaged
anatomy that were not represented or were underrepresented in the training
dataset. This suggests adding new manually segmented images to the training
dataset to better cover the image variability. However, in most cases, the
manual segmentation of medical images requires highly skilled raters and is
time-consuming, making this solution prohibitively expensive. Even when
manually segmented images from different sources are available, they are rarely
annotated for exactly the same regions of interest. This poses an additional
challenge for current state-of-the-art deep learning segmentation methods that
rely on supervised learning and therefore require all the regions of interest
to be segmented for all the images to be used for training. This thesis
introduces new mathematical and optimization methods to mitigate those
limitations.Comment: PhD thesis successfully defended on 1st July 2022. Examiners: Prof
Sotirios Tsaftaris and Dr Wenjia Ba
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