Robust Quantification of Affected Brain Volume from Computed Tomography Perfusion: A Hybrid Approach Combining Deep Learning and Singular Value Decomposition.

Volumetric estimation of affected brain volumes using computed tomography perfusion (CTP) is crucial in the management of acute ischemic stroke (AIS) and relies on commercial software, which has limitations such as variations in results due to image quality. To predict affected brain volume accurate...

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Published in:Journal of Imaging Informatics in Medicine Vol. 39; no. 3; pp. 2095 - 2110
Main Authors: Kim, Gi-Youn, Yang, Hyeon Sik, Hwang, Jundong, Lee, Kijeong, Choi, Jin Wook, Jung, Woo Sang, Kim, Regina Eun Young, Kim, Donghyeon, Lee, Minho
Format: diagnostic images equations & formulas pictorial research tables/charts Journal Article
Published: Springer Nature Jun2026
Online Access:View this record in EBSCOhost
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      dt: Jun2026
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-025-01612-5
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        atl: Robust Quantification of Affected Brain Volume from Computed Tomography Perfusion: A Hybrid Approach Combining Deep Learning and Singular Value Decomposition.
      aug:
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          Kim, Gi-Youn
          Yang, Hyeon Sik
          Hwang, Jundong
          Lee, Kijeong
          Choi, Jin Wook
          Jung, Woo Sang
          Kim, Regina Eun Young
          Kim, Donghyeon
          Lee, Minho
        affil: https://ror.org/00c33xm12 Research Institute, Neurophet Inc., 12F, 124, Teheran-ro, Seoul, Gangnam-gu, Republic of Korea
      sug:
        subj:
          Ischemic Stroke Diagnosis
          Brain Physiology
          Image Processing, Computer Assisted
          Tomography, X-Ray Computed
          Machine Learning
          Perfusion Imaging
          Deep Learning
          Prediction Models
          Human
          Algorithms
          Imaging, Three-Dimensional
          Random Forest
          Logistic Regression
          Descriptive Statistics
          Software
          Data Analysis Software
          Linear Regression
          Pearson's Correlation Coefficient
          Funding Source
      ab: Volumetric estimation of affected brain volumes using computed tomography perfusion (CTP) is crucial in the management of acute ischemic stroke (AIS) and relies on commercial software, which has limitations such as variations in results due to image quality. To predict affected brain volume accurately and robustly, we propose a hybrid approach that integrates singular value decomposition (SVD), deep learning (DL), and machine learning (ML) techniques. We included 449 CTP images of patients with AIS with manually annotated vessel landmarks provided by expert radiologists, collected between 2021 and 2023. We developed a CNN-based approach for predicting eight vascular landmarks from CTP images, integrating ML components. We then used SVD-related methods to generate perfusion maps and compared the results with those of the RapidAI software (RapidAI, Menlo Park, California). The proposed CNN model achieved an average Euclidean distance error of 4.63 ± 2.00 mm on the vessel localization. Without the ML components, compared to RapidAI, our method yielded concordance correlation coefficient (CCC) scores of 0.898 for estimating volumes with cerebral blood flow (CBF) < 30% and 0.715 for Tmax > 6 s. Using the ML method, it achieved CCC scores of 0.905 for CBF < 30% and 0.879 for Tmax > 6 s. For the data assessment, it achieved 0.8 accuracy. We developed a robust hybrid model combining DL and ML techniques for volumetric estimation of affected brain volumes using CTP in patients with AIS, demonstrating improved accuracy and robustness compared to existing commercial solutions.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        equations & formulas
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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