Postoperative glioma segmentation in CT image using deep feature fusion model guided by multi-sequence MRIs.

Objectives: Computed tomography (CT) and magnetic resonance imaging (MRI) are the most commonly selected methods for imaging gliomas. Clinically, radiotherapists always delineate the CT glioma region with reference to multi-modal MR image information. On this basis, we develop a deep feature fusion...

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Publicado en:European Radiology Vol. 30; no. 2; pp. 823 - 833
Autores principales: Tang, Fan, Liang, Shujun, Zhong, Tao, Huang, Xia, Deng, Xiaogang, Zhang, Yu, Zhou, Linghong
Formato: Journal Article
Publicado: Springer Nature Feb2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2020
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00330-019-06441-z
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        atl: Postoperative glioma segmentation in CT image using deep feature fusion model guided by multi-sequence MRIs.
      aug:
        au:
          Tang, Fan
          Liang, Shujun
          Zhong, Tao
          Huang, Xia
          Deng, Xiaogang
          Zhang, Yu
          Zhou, Linghong
        affil: School of Biomedical Engineering, Southern Medical University, No. 1838 Guangzhou Northern Avenue, Baiyun District, 510515, Guangzhou, Guangdong, China
      sug:
      ab: Objectives: Computed tomography (CT) and magnetic resonance imaging (MRI) are the most commonly selected methods for imaging gliomas. Clinically, radiotherapists always delineate the CT glioma region with reference to multi-modal MR image information. On this basis, we develop a deep feature fusion model (DFFM) guided by multi-sequence MRIs for postoperative glioma segmentation in CT images.Methods: DFFM is a multi-sequence MRI-guided convolutional neural network (CNN) that iteratively learns the deep features from CT images and multi-sequence MR images simultaneously by utilizing a multi-channel CNN architecture, and then combines these two deep features together to produce the segmentation result. The whole network is optimized together via a standard back-propagation. A total of 59 CT and MRI datasets (T1/T2-weighted FLAIR, T1-weighted contrast-enhanced, T2-weighted) of postoperative gliomas as tumor grade II (n = 24), grade III (n = 18), or grade IV (n = 17) were included. Dice coefficient (DSC), precision, and recall were used to measure the overlap between automated segmentation results and manual segmentation. The Wilcoxon signed-rank test was used for statistical analysis.Results: DFFM showed a significantly (p < 0.01) higher DSC of 0.836 than U-Net trained by single CT images and U-Net trained by stacking the CT and multi-sequence MR images, which yielded 0.713 DSC and 0.818 DSC, respectively. The precision values showed similar behavior as DSC. Moreover, DSC and precision values have no significant statistical difference (p > 0.01) with difference grades.Conclusions: DFFM enables the accurate automated segmentation of CT postoperative gliomas of profit guided by multi-sequence MR images and may thus improve and facilitate radiotherapy planning.Key Points: • A fully automated deep learning method was developed to segment postoperative gliomas on CT images guided by multi-sequence MRIs. • CT and multi-sequence MR image integration allows for improvements in deep learning postoperative glioma segmentation method. • This deep feature fusion model produces reliable segmentation results and could be useful in delineating GTV in postoperative glioma radiotherapy planning.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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