Application of deep learning for automatic segmentation of brain tumors on magnetic resonance imaging: a heuristic approach in the clinical scenario.

Purpose: Accurate brain tumor segmentation on magnetic resonance imaging (MRI) has wide-ranging applications such as radiosurgery planning. Advances in artificial intelligence, especially deep learning (DL), allow development of automatic segmentation that overcome the labor-intensive and operator-d...

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Publicado en:Neuroradiology Vol. 63; no. 8; pp. 1253 - 1263
Autores principales: Di Ieva, Antonio, Russo, Carlo, Liu, Sidong, Jian, Anne, Bai, Michael Y., Qian, Yi, Magnussen, John S.
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Aug2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2021
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00234-021-02649-3
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        atl: Application of deep learning for automatic segmentation of brain tumors on magnetic resonance imaging: a heuristic approach in the clinical scenario.
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          Di Ieva, Antonio
          Russo, Carlo
          Liu, Sidong
          Jian, Anne
          Bai, Michael Y.
          Qian, Yi
          Magnussen, John S.
        affil: Department of Clinical Medicine, Faculty of Medicine, Human and Health Sciences, Macquarie University, Sydney, Australia
      sug:
        subj:
          Brain Neoplasms Diagnosis
          Magnetic Resonance Imaging Methods
          Deep Learning Utilization
          Validity
          Glioma
          Human
          Female
          Male
          Artificial Intelligence
          Neural Networks (Computer)
          Image Processing, Computer Assisted
          Brain Neoplasms Radiography
          Software
          Descriptive Statistics
          Female
          Male
      ab: Purpose: Accurate brain tumor segmentation on magnetic resonance imaging (MRI) has wide-ranging applications such as radiosurgery planning. Advances in artificial intelligence, especially deep learning (DL), allow development of automatic segmentation that overcome the labor-intensive and operator-dependent manual segmentation. We aimed to evaluate the accuracy of the top-performing DL model from the 2018 Brain Tumor Segmentation (BraTS) challenge, the impact of missing MRI sequences, and whether a model trained on gliomas can accurately segment other brain tumor types. Methods: We trained the model using Medical Decathlon dataset, applied it to the BraTS 2019 glioma dataset, and developed additional models using individual and multimodal MRI sequences. The Dice score was calculated to assess the model's accuracy compared to ground truth labels by neuroradiologists on BraTS dataset. The model was then applied to a local dataset of 105 brain tumors, performance of which was qualitatively evaluated. Results: The DL model using pre- and post-gadolinium contrast T1 and T2 FLAIR sequences performed best, with a Dice score 0.878 for whole tumor, 0.732 tumor core, and 0.699 active tumor. Lack of T1 or T2 sequences did not significantly degrade performance, but FLAIR and T1C were important contributors. All segmentations performed by the model in the local dataset, including non-glioma cases, were considered accurate by a pool of specialists. Conclusion: The DL model could use available MRI sequences to optimize glioma segmentation and adopt transfer learning to segment non-glioma tumors, thereby serving as a useful tool to improve treatment planning and personalized surveillance of patients.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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