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Register a new userNovel solutions toward high accuracy automatic brain tissue classification in young children
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Accurate automatic classification of major tissue classes and the cerebrospinal fluid in pediatric MR scans of early childhood brains remains a challenge. A poor and highly variable grey matter and white matter contrast on T1-weighted MR scans of developing brains complicates the automatic categorization of voxels into major tissue classes using state-of-the-art classification methods (Partial Volume Estimation). Varying intensities across brain tissues and possible tissue artifacts further contribute to misclassification. In order to improve the accuracy of automatic detection of major tissue types and the cerebrospinal fluid in infants brains within the age range from 10 days to 4.5 years, we propose a new classification method based on Kernel Fisher Discriminant Analysis (KFDA) for pattern recognition, combined with an objective structural similarity index (SSIM) for perceptual image quality assessment. The proposed method performs an optimal partitioning of the image domain into subdomains having different average intensity values and relatively homogeneous tissue intensity. In the KFDA-based framework, a complex non-linear structure of grey matter, white matter and cerebrospinal fluid intensity clusters in a 3D (T1W, T2W, PDW)-space is exploited to find an accurate classification. Based on Computer Vision hypothesis that the Human Visual System is an optimal structural information extractor, the SSIM finds a new role in the evaluation of the quality of classification. A comparison with the state-of-the-art Partial Volume Estimation method using the SSIM index demonstrates superior performance of the local KFDA-based algorithm in low contrast subdomains and more accurate detection of grey matter, white matter, and cerebrospinal fluid patterns in the brain volume.
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Most segmentation methods in child brain MRI are supervised and are based on global intensity distributions of major brain structures. The successful implementation of a supervised approach depends on availability of an age-appropriate probabilistic brain atlas. For the study of early normal brain development, the construction of such a brain atlas remains a significant challenge. Moreover, using global intensity statistics leads to inaccurate detection of major brain tissue classes due to substantial intensity variations of MR signal within the constituent parts of early developing brain. In order to overcome these methodological limitations we develop a local, semi-supervised framework. It is based on Kernel Fisher Discriminant Analysis (KFDA) for pattern recognition, combined with an objective structural similarity index (SSIM) for perceptual image quality assessment. The proposed method performs optimal brain partitioning into subdomains having different average intensity values followed by SSIM-guided computation of separating surfaces between the constituent brain parts. The classified image subdomains are then stitched slice by slice via simulated annealing to form a global image of the classified brain. In this paper, we consider classification into major tissue classes (white matter and grey matter) and the cerebrospinal fluid and illustrate the proposed framework on examples of brain templates for ages 8 to 11 months and ages 44 to 60 months. We show that our method improves detection of the tissue classes by its comparison to state-of-the-art classification techniques known as Partial Volume Estimation.
Whole brain extraction, also known as skull stripping, is a process in neuroimaging in which non-brain tissue such as skull, eyeballs, skin, etc. are removed from neuroimages. Skull striping is a preliminary step in presurgical planning, cortical reconstruction, and automatic tumor segmentation. Despite a plethora of skull stripping approaches in the literature, few are sufficiently accurate for processing pathology-presenting MRIs, especially MRIs with brain tumors. In this work we propose a deep learning approach for skull striping common MRI sequences in oncology such as T1-weighted with gadolinium contrast (T1Gd) and T2-weighted fluid attenuated inversion recovery (FLAIR) in patients with brain tumors. We automatically created gray matter, white matter, and CSF probability masks using SPM12 software and merged the masks into one for a final whole-brain mask for model training. Dice agreement, sensitivity, and specificity of the model (referred herein as DeepBrain) was tested against manual brain masks. To assess data efficiency, we retrained our models using progressively fewer training data examples and calculated average dice scores on the test set for the models trained in each round. Further, we tested our model against MRI of healthy brains from the LBP40A dataset. Overall, DeepBrain yielded an average dice score of 94.5%, sensitivity of 96.4%, and specificity of 98.5% on brain tumor data. For healthy brains, model performance improved to a dice score of 96.2%, sensitivity of 96.6% and specificity of 99.2%. The data efficiency experiment showed that, for this specific task, comparable levels of accuracy could have been achieved with as few as 50 training samples. In conclusion, this study demonstrated that a deep learning model trained on minimally processed automatically-generated labels can generate more accurate brain masks on MRI of brain tumor patients within seconds.
Cancer is a complex disease that provides various types of information depending on the scale of observation. While most tumor diagnostics are performed by observing histopathological slides, radiology images should yield additional knowledge towards the efficacy of cancer diagnostics. This work investigates a deep learning method combining whole slide images and magnetic resonance images to classify tumors. In particular, our solution comprises a powerful, generic and modular architecture for whole slide image classification. Experiments are prospectively conducted on the 2020 Computational Precision Medicine challenge, in a 3-classes unbalanced classification task. We report cross-validation (resp. validation) balanced-accuracy, kappa and f1 of 0.913, 0.897 and 0.951 (resp. 0.91, 0.90 and 0.94). For research purposes, including reproducibility and direct performance comparisons, our finale submitted models are usable off-the-shelf in a Docker image available at https://hub.docker.com/repository/docker/marvinler/cpm_2020_marvinler.
Quantitative myocardial perfusion mapping has advantages over qualitative assessment, including the ability to detect global flow reduction. However, it is not clinically available and remains as a research tool. Building upon the previously described imaging sequence, this paper presents algorithm and implementation of an automated solution for inline perfusion flow mapping with step by step performance characterization. An inline perfusion flow mapping workflow is proposed and demonstrated on normal volunteers. Initial evaluation demonstrates the fully automated proposed solution for the respiratory motion correction, AIF LV mask detection and pixel-wise mapping, from free-breathing myocardial perfusion imaging.
Diffusion-weighted magnetic resonance imaging (DW-MRI) is the only non-invasive approach for estimation of intra-voxel tissue microarchitecture and reconstruction of in vivo neural pathways for the human brain. With improvement in accelerated MRI acquisition technologies, DW-MRI protocols that make use of multiple levels of diffusion sensitization have gained popularity. A well-known advanced method for reconstruction of white matter microstructure that uses multi-shell data is multi-tissue constrained spherical deconvolution (MT-CSD). MT-CSD substantially improves the resolution of intra-voxel structure over the traditional single shell version, constrained spherical deconvolution (CSD). Herein, we explore the possibility of using deep learning on single shell data (using the b=1000 s/mm2 from the Human Connectome Project (HCP)) to estimate the information content captured by 8th order MT-CSD using the full three shell data (b=1000, 2000, and 3000 s/mm2 from HCP). Briefly, we examine two network architectures: 1.) Sequential network of fully connected dense layers with a residual block in the middle (ResDNN), 2.) Patch based convolutional neural network with a residual block (ResCNN). For both networks an additional output block for estimation of voxel fraction was used with a modified loss function. Each approach was compared against the baseline of using MT-CSD on all data on 15 subjects from the HCP divided into 5 training, 2 validation, and 8 testing subjects with a total of 6.7 million voxels. The fiber orientation distribution function (fODF) can be recovered with high correlation (0.77 vs 0.74 and 0.65) as compared to the ground truth of MT-CST, which was derived from the multi-shell DW-MRI acquisitions. Source code and models have been made publicly available.
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