Subject-Specific Automatic Reconstruction of White Matter Tracts.

MRI-based tractography is still underexploited and unsuited for routine use in brain tumor surgery due to heterogeneity of methods and functional–anatomical definitions and above all, the lack of a turn-key system. Standardization of methods is therefore desirable, whereby an objective and reliable...

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Publicado en:Journal of Digital Imaging Vol. 36; no. 6; pp. 2648 - 2662
Autores principales: Meesters, Stephan, Landers, Maud, Rutten, Geert-Jan, Florack, Luc
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Dec2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2023
      vid: 36
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-023-00883-0
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        atl: Subject-Specific Automatic Reconstruction of White Matter Tracts.
      aug:
        au:
          Meesters, Stephan
          Landers, Maud
          Rutten, Geert-Jan
          Florack, Luc
        affil: https://ror.org/02c2kyt77 Department of Mathematics & Computer Science, Eindhoven University of Technology, Eindhoven, The Netherlands
      sug:
        subj:
          Magnetic Resonance Imaging Methods
          Brain Neoplasms Diagnosis
          Brain Neoplasms Surgery
          White Matter Pathology
          Human
          Descriptive Statistics
          Confidence Intervals
          Reliability
          Comparative Studies
          Reproducibility of Results
          Funding Source
      ab: MRI-based tractography is still underexploited and unsuited for routine use in brain tumor surgery due to heterogeneity of methods and functional–anatomical definitions and above all, the lack of a turn-key system. Standardization of methods is therefore desirable, whereby an objective and reliable approach is a prerequisite before the results of any automated procedure can subsequently be validated and used in neurosurgical practice. In this work, we evaluated these preliminary but necessary steps in healthy volunteers. Specifically, we evaluated the robustness and reliability (i.e., test–retest reproducibility) of tractography results of six clinically relevant white matter tracts by using healthy volunteer data (N = 136) from the Human Connectome Project consortium. A deep learning convolutional network-based approach was used for individualized segmentation of regions of interest, combined with an evidence-based tractography protocol and appropriate post-tractography filtering. Robustness was evaluated by estimating the consistency of tractography probability maps, i.e., averaged tractograms in normalized space, through the use of a hold-out cross-validation approach. No major outliers were found, indicating a high robustness of the tractography results. Reliability was evaluated at the individual level. First by examining the overlap of tractograms that resulted from repeatedly processed identical MRI scans (N = 10, 10 iterations) to establish an upper limit of reliability of the pipeline. Second, by examining the overlap for subjects that were scanned twice at different time points (N = 40). Both analyses indicated high reliability, with the second analysis showing a reliability near the upper limit. The robust and reliable subject-specific generation of white matter tracts in healthy subjects holds promise for future validation of our pipeline in a clinical population and subsequent implementation in brain tumor surgery.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
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      ougenre: Article
    language: English
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