Accuracy of vestibular schwannoma segmentation using deep learning models - a systematic review & meta-analysis.

Vestibular Schwannoma (VS) is a rare tumor with varied incidence rates, predominantly affecting the 60–69 age group. In the era of artificial intelligence (AI), deep learning (DL) algorithms show promise in automating diagnosis. However, a knowledge gap exists in the automated segmentation of VS usi...

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Publicado en:Neuroradiology Vol. 67; no. 3; pp. 729 - 743
Autores principales: Łajczak, Paweł, Matyja, Jakub, Jóźwik, Kamil, Nawrat, Zbigniew
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Springer Nature Mar2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2025
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      pub: Springer Nature
      place: New York, New York
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        atl: Accuracy of vestibular schwannoma segmentation using deep learning models - a systematic review & meta-analysis.
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        au:
          Łajczak, Paweł
          Matyja, Jakub
          Jóźwik, Kamil
          Nawrat, Zbigniew
        affil: https://ror.org/0104rcc94 Department of Biophysics, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Jordana 18, Mekelweg 5, 40-043,, Zabrze, Poland
      sug:
        subj:
          Neuroma, Acoustic Diagnosis
          Deep Learning
          Prediction Models
          Predictive Value of Tests
          Magnetic Resonance Imaging
          Image Interpretation, Computer Assisted
          Algorithms
          Human
          Systematic Review
          Meta Analysis
          Confidence Intervals
          Descriptive Statistics
          Checklists
      ab: Vestibular Schwannoma (VS) is a rare tumor with varied incidence rates, predominantly affecting the 60–69 age group. In the era of artificial intelligence (AI), deep learning (DL) algorithms show promise in automating diagnosis. However, a knowledge gap exists in the automated segmentation of VS using DL. To address this gap, this meta-analysis aims to provide insights into the current state of DL algorithms applied to MR images of VS. Methodology: Following 2020 PRISMA guidelines, a search across four databases was conducted. Inclusion criteria focused on articles using DL for VS MR image segmentation. The primary metric was the Dice score, supplemented by relative volume error (RVE) and average symmetric surface distance (ASSD). Results: The search process identified 752 articles, leading to 11 studies for meta-analysis. A QUADAS- 2 analysis revealed varying biases. The overall Dice score for 56 models was 0.89 (CI: 0.88–0.90), with high heterogeneity (I2 = 95.9%). Subgroup analyses based on DL architecture, MRI inputs, and testing set sizes revealed performance variations. 2.5D DL networks demonstrated comparable efficacy to 3D networks. Imaging input analyses highlighted the superiority of contrast-enhanced T1-weighted imaging and mixed MRI inputs. Discussion: This study fills a gap in systematic review in the automated segmentation of VS using DL techniques. Despite promising results, limitations include publication bias and high heterogeneity. Future research should focus on standardized designs, larger testing sets, and addressing biases for more reliable results. DL have promising efficacy in VS diagnosis, however further validation and standardization is needed. Conclusion: In conclusion, this meta-analysis provides comprehensive review into the current landscape of automated VS segmentation using DL. The high Dice score indicates promising agreement in segmentation, yet challenges like bias and heterogeneity must be addressed in the future research.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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