Abstract:In this paper, we present an automated approach for segmenting multiple sclerosis (MS) lesions from multi-modal brain magnetic resonance images. Our method is based on a deep end-to-end 2D convolutional neural network (CNN) for slice-based segmentation of 3D volumetric data. The proposed CNN includes a multi-branch downsampling path, which enables the network to encode information from multiple modalities separately. Multi-scale feature fusion blocks are proposed to combine feature maps from different modaliti… Show more
“…For comparison, we evaluated two state-of-the-art MS WML segmentation methods publicly available: LST-LGA is an unsupervised lesion growth algorithm ( Schmidt et al, 2012 ) implemented in the LST toolbox version 3.0.0 ( LST, 2020 ) for Statistical Parametric Mapping (SPM). LST-LGA has been widely evaluated in the context of MS WML segmentation and used as comparison with more recent approaches ( Aslani et al, 2019 , Valverde et al, 2017 , Roy et al, 2018 ). In a nutshell, the algorithm performs an initial bias field correction and affine registration of the T1 image (in our case the MP2RAGE) to the FLAIR, and then proceed with the lesion segmentation.…”
Section: Methodsmentioning
confidence: 99%
“… nicMSlesions is a state-of-the-art deep learning WML segmentation method ( Valverde et al, 2017 , Valverde et al, 2019 ). Having reached an excellent performance in a MS lesion segmentation challenge ( Carass et al, 2017 ), it is now a common method to compare with ( Aslani et al, 2019 , Weeda et al, 2019 , Roy et al, 2018 ). This method selects lesion candidates’ voxels based on the FLAIR contrast and extracts 11x11x11 patches around them.…”
Section: Methodsmentioning
confidence: 99%
“…Specifically, several convolutional neural network (CNN) architectures have been tailored for the segmentation of MS WMLs ( Kaur et al, 2020 ). Some of them employ 2D convolutional layers ( Aslani et al, 2019 , Roy et al, 2018 ), whereas others employ 3D convolutional layers to incorporate information from all three spatial directions simultaneously ( Hashemi et al, 2019 , La Rosa et al, 2019 , Valverde et al, 2017 , Valverde et al, 2019 ). The clear edge these methods have over classical approaches is the capability of automatically extracting the relevant features for the task.…”
“…For comparison, we evaluated two state-of-the-art MS WML segmentation methods publicly available: LST-LGA is an unsupervised lesion growth algorithm ( Schmidt et al, 2012 ) implemented in the LST toolbox version 3.0.0 ( LST, 2020 ) for Statistical Parametric Mapping (SPM). LST-LGA has been widely evaluated in the context of MS WML segmentation and used as comparison with more recent approaches ( Aslani et al, 2019 , Valverde et al, 2017 , Roy et al, 2018 ). In a nutshell, the algorithm performs an initial bias field correction and affine registration of the T1 image (in our case the MP2RAGE) to the FLAIR, and then proceed with the lesion segmentation.…”
Section: Methodsmentioning
confidence: 99%
“… nicMSlesions is a state-of-the-art deep learning WML segmentation method ( Valverde et al, 2017 , Valverde et al, 2019 ). Having reached an excellent performance in a MS lesion segmentation challenge ( Carass et al, 2017 ), it is now a common method to compare with ( Aslani et al, 2019 , Weeda et al, 2019 , Roy et al, 2018 ). This method selects lesion candidates’ voxels based on the FLAIR contrast and extracts 11x11x11 patches around them.…”
Section: Methodsmentioning
confidence: 99%
“…Specifically, several convolutional neural network (CNN) architectures have been tailored for the segmentation of MS WMLs ( Kaur et al, 2020 ). Some of them employ 2D convolutional layers ( Aslani et al, 2019 , Roy et al, 2018 ), whereas others employ 3D convolutional layers to incorporate information from all three spatial directions simultaneously ( Hashemi et al, 2019 , La Rosa et al, 2019 , Valverde et al, 2017 , Valverde et al, 2019 ). The clear edge these methods have over classical approaches is the capability of automatically extracting the relevant features for the task.…”
“…Aslani et al [27] introduced an automated method for segmenting MS lesions from multi-modal brain magnetic resonance images. Their approach based on a deep-end to end 2D CNN.…”
Multiple Sclerosis (MS) is a complex autoimmune neurological disease affecting the myelin sheath of the nerve system. In the world, there are about 2.5 million patients with MS, in South and East Asia the ratio of MS is high. This disease affects young and middle-aged people. The MS is a fatal disease, and the numbers and volumes of MS lesions can be used to determine the degree of disease severity and track its progression. The detection of multiple sclerosis is a critical problem in MRI images because MS is described as frequently involves lesions, it can be appeared on a scan at one time-point and not appeared in subsequent time points. Also, MS on the T2 FLAIR MRI image is more often manifested by the presence of focal changes in the substance of the brain and spinal cord, which complicate their dynamic control according to MRI data. The detection and extraction of the MS lesions features are not just a tedious and time-consuming process, but also required experts and trained physicians, so the computer-aided tools become very important to overcome these obstacles. In this paper, we present a novel computer-aided approach based on digital image processing methods for enhancing the structures, removing undesired signals, segmenting the MS lesions from the background, and finally measuring the size of MS lesions to provide information about the current status of MS, which represent MS lesions that are either new, increasing or shrinking. The accuracy of the proposed methodology was 96%, according to the results presented in data. The lack of accuracy is related to some errors in segmentation.
“…[15][16][17] But as taking 3D context information into consideration, 3D methods can maintain the 3D consistency between the segmentation of different slices and should be theoretically more consistent and accurate than 2D methods. However, in the context of cardiac image segmentation, due to the low through-plane resolution characteristic of cardiac MRI and the shortcomings of 3D methods such as reduction of training images and high risk of overfitting, 15,18 the segmentation performance of 3D methods may be limited to some extent. For instance, the previous work [19][20][21] evaluated on the automatic cardiac diagnosis challenge (ACDC) dataset indicated that the proposed 3D models did not meet the expectations in performance improvement over the corresponding 2D models.…”
Purpose
Segmentation of the left ventricle (LV), right ventricle (RV) cavities and the myocardium (MYO) from cine cardiac magnetic resonance (MR) images is an important step for diagnosis and monitoring cardiac diseases. Spatial context information may be highly beneficial for segmentation performance improvement. To this end, this paper proposes an iterative multi‐path fully convolutional network (IMFCN) to effectively leverage spatial context for automatic cardiac segmentation in cine MR images.
Methods
To effectively leverage spatial context information, the proposed IMFCN explicitly models the interslice spatial correlations using a multi‐path late fusion strategy. First, the contextual inputs including both the adjacent slices and the already predicted mask of the above adjacent slice are processed by independent feature‐extraction paths. Then, an atrous spatial pyramid pooling (ASPP) module is employed at the feature fusion process to combine the extracted high‐level contextual features in a more effective way. Finally, deep supervision (DS) and batch‐wise class re‐weighting mechanism are utilized to enhance the training of the proposed network.
Results
The proposed IMFCN was evaluated and analyzed on the MICCAI 2017 automatic cardiac diagnosis challenge (ACDC) dataset. On the held‐out training dataset reserved for testing, our method effectively improved its counterparts that without spatial context and that with spatial context but using an early fusion strategy. On the 50 subjects test dataset, our method achieved Dice similarity coefficient of 0.935, 0.920, and 0.905, and Hausdorff distance of 7.66, 12.10, and 8.80 mm for LV, RV, and MYO, respectively, which are comparable or even better than the state‐of‐the‐art methods of ACDC Challenge. In addition, to explore the applicability to other datasets, the proposed IMFCN was retrained on the Sunnybrook dataset for LV segmentation and also produced comparable performance to the state‐of‐the‐art methods.
Conclusions
We have presented an automatic end‐to‐end fully convolutional architecture for accurate cardiac segmentation. The proposed method provides an effective way to leverage spatial context in a two‐dimensional manner and results in precise and consistent segmentation results.
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