Comparative Evaluation Of Three Methods Of Automatic Segmentation Of Brain Structures Using 426 Cases

Segmentation of brain structures in a large dataset of magnetic resonance images (MRI) necessitates automatic segmentation instead of manual tracing. Automatic segmentation methods provide a much-needed alternative to manual segmentation which is both labor intensive and time-consuming. Among brain structures, the hippocampus presents a challenging segmentation task due to its irregular shape, small size, and unclear edges. In this work, we use T1-weighted MRI of 426 subjects to validate the approach and compare three automatic segmentation methods: FreeSurfer, LocalInfo, and ABSS. Four evaluation measures are used to assess agreement between automatic and manual segmentation of the hippocampus. ABSS outperformed the others based on the Dice coefficient, precision, Hausdorff distance, ASSD, RMS, similarity, sensitivity, and volume agreement. Moreover, comparison of the segmentation results, acquired using 1.5T and 3T MRI systems, showed that ABSS is more sensitive than the others to the field inhomogeneity of 3T MRI

Hippocampus Segmentation on Epilepsy and Alzheimer's Disease Studies with Multiple Convolutional Neural Networks

Hippocampus segmentation on magnetic resonance imaging is of key importance for the diagnosis, treatment decision and investigation of neuropsychiatric disorders. Automatic segmentation is an active research field, with many recent models using deep learning. Most current state-of-the art hippocampus segmentation methods train their methods on healthy or Alzheimer's disease patients from public datasets. This raises the question whether these methods are capable of recognizing the hippocampus on a different domain, that of epilepsy patients with hippocampus resection. In this paper we present a state-of-the-art, open source, ready-to-use, deep learning based hippocampus segmentation method. It uses an extended 2D multi-orientation approach, with automatic pre-processing and orientation alignment. The methodology was developed and validated using HarP, a public Alzheimer's disease hippocampus segmentation dataset. We test this methodology alongside other recent deep learning methods, in two domains: The HarP test set and an in-house epilepsy dataset, containing hippocampus resections, named HCUnicamp. We show that our method, while trained only in HarP, surpasses others from the literature in both the HarP test set and HCUnicamp in Dice. Additionally, Results from training and testing in HCUnicamp volumes are also reported separately, alongside comparisons between training and testing in epilepsy and Alzheimer's data and vice versa. Although current state-of-the-art methods, including our own, achieve upwards of 0.9 Dice in HarP, all tested methods, including our own, produced false positives in HCUnicamp resection regions, showing that there is still room for improvement for hippocampus segmentation methods when resection is involved.Comment: Code is available at https://github.com/dscarmo/e2dhipseg Published in Heliyon: https://www.sciencedirect.com/science/article/pii/S240584402100331