Evaluating severity of white matter lesions from computed tomography images with convolutional neural network.

Purpose: Severity of white matter lesion (WML) is typically evaluated on magnetic resonance images (MRI), yet the more accessible, faster, and less expensive method is computed tomography (CT). Our objective was to study whether WML can be automatically segmented from CT images using a convolutional...

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Published in:Neuroradiology Vol. 62; no. 10; pp. 1257 - 1264
Main Authors: Pitkänen, Johanna, Koikkalainen, Juha, Nieminen, Tuomas, Marinkovic, Ivan, Curtze, Sami, Sibolt, Gerli, Jokinen, Hanna, Rueckert, Daniel, Barkhof, Frederik, Schmidt, Reinhold, Pantoni, Leonardo, Scheltens, Philip, Wahlund, Lars-Olof, Korvenoja, Antti, Lötjönen, Jyrki, Erkinjuntti, Timo, Melkas, Susanna
Format: diagnostic images research tables/charts Journal Article
Published: Springer Nature Oct2020
Online Access:View this record in EBSCOhost
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      dt: Oct2020
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00234-020-02410-2
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        atl: Evaluating severity of white matter lesions from computed tomography images with convolutional neural network.
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          Pitkänen, Johanna
          Koikkalainen, Juha
          Nieminen, Tuomas
          Marinkovic, Ivan
          Curtze, Sami
          Sibolt, Gerli
          Jokinen, Hanna
          Rueckert, Daniel
          Barkhof, Frederik
          Schmidt, Reinhold
          Pantoni, Leonardo
          Scheltens, Philip
          Wahlund, Lars-Olof
          Korvenoja, Antti
          Lötjönen, Jyrki
          Erkinjuntti, Timo
          Melkas, Susanna
        affil: Department of Neurology, University of Helsinki and Helsinki University Hospital, PO Box 302, 00029 HUS, Helsinki, Finland
      sug:
        subj:
          White Matter Physiopathology
          White Matter Radiography
          Neural Networks (Computer) Utilization
          Tomography, X-Ray Computed
          Human
          Brain Physiopathology
          Magnetic Resonance Imaging
          Image Processing, Computer Assisted
          Machine Learning
          Pearson's Correlation Coefficient
      ab: Purpose: Severity of white matter lesion (WML) is typically evaluated on magnetic resonance images (MRI), yet the more accessible, faster, and less expensive method is computed tomography (CT). Our objective was to study whether WML can be automatically segmented from CT images using a convolutional neural network (CNN). The second aim was to compare CT segmentation with MRI segmentation. Methods: The brain images from the Helsinki University Hospital clinical image archive were systematically screened to make CT-MRI image pairs. Selection criteria for the study were that both CT and MRI images were acquired within 6 weeks. In total, 147 image pairs were included. We used CNN to segment WML from CT images. Training and testing of CNN for CT was performed using 10-fold cross-validation, and the segmentation results were compared with the corresponding segmentations from MRI. Results: A Pearson correlation of 0.94 was obtained between the automatic WML volumes of MRI and CT segmentations. The average Dice similarity index validating the overlap between CT and FLAIR segmentations was 0.68 for the Fazekas 3 group. Conclusion: CNN-based segmentation of CT images may provide a means to evaluate the severity of WML and establish a link between CT WML patterns and the current standard MRI-based visual rating scale.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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