Textural analysis and artificial intelligence as decision support tools in the diagnosis of multiple sclerosis – a systematic review

IntroductionMagnetic resonance imaging (MRI) is conventionally used for the detection and diagnosis of multiple sclerosis (MS), often complemented by lumbar puncture—a highly invasive method—to validate the diagnosis. Additionally, MRI is periodically repeated to monitor disease progression and trea...

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Main Authors: Filip Orzan, Ştefania D. Iancu, Laura Dioşan, Zoltán Bálint
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Neuroscience
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Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2024.1457420/full
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author Filip Orzan
Ştefania D. Iancu
Laura Dioşan
Zoltán Bálint
author_facet Filip Orzan
Ştefania D. Iancu
Laura Dioşan
Zoltán Bálint
author_sort Filip Orzan
collection DOAJ
description IntroductionMagnetic resonance imaging (MRI) is conventionally used for the detection and diagnosis of multiple sclerosis (MS), often complemented by lumbar puncture—a highly invasive method—to validate the diagnosis. Additionally, MRI is periodically repeated to monitor disease progression and treatment efficacy. Recent research has focused on the application of artificial intelligence (AI) and radiomics in medical image processing, diagnosis, and treatment planning.MethodsA review of the current literature was conducted, analyzing the use of AI models and texture analysis for MS lesion segmentation and classification. The study emphasizes common models, including U-Net, Support Vector Machine, Random Forest, and K-Nearest Neighbors, alongside their evaluation metrics.ResultsThe analysis revealed a fragmented research landscape, with significant variation in model architectures and performance. Evaluation metrics such as Accuracy, Dice score, and Sensitivity are commonly employed, with some models demonstrating robustness across multi-center datasets. However, most studies lack validation in clinical scenarios.DiscussionThe absence of consensus on the optimal model for MS lesion segmentation highlights the need for standardized methodologies and clinical validation. Future research should prioritize clinical trials to establish the real-world applicability of AI-driven decision support tools. This review provides a comprehensive overview of contemporary advancements in AI and radiomics for analyzing and monitoring emerging MS lesions in MRI.
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spelling doaj-art-b94b063aa1624d5eaa9a223659dfa35e2025-01-21T08:36:34ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2025-01-011810.3389/fnins.2024.14574201457420Textural analysis and artificial intelligence as decision support tools in the diagnosis of multiple sclerosis – a systematic reviewFilip Orzan0Ştefania D. Iancu1Laura Dioşan2Zoltán Bálint3Department of Biomedical Physics, Faculty of Physics, Babeş-Bolyai University, Cluj-Napoca, RomaniaDepartment of Biomedical Physics, Faculty of Physics, Babeş-Bolyai University, Cluj-Napoca, RomaniaFaculty of Mathematics and Computer Science, Babeş-Bolyai University, Cluj-Napoca, RomaniaDepartment of Biomedical Physics, Faculty of Physics, Babeş-Bolyai University, Cluj-Napoca, RomaniaIntroductionMagnetic resonance imaging (MRI) is conventionally used for the detection and diagnosis of multiple sclerosis (MS), often complemented by lumbar puncture—a highly invasive method—to validate the diagnosis. Additionally, MRI is periodically repeated to monitor disease progression and treatment efficacy. Recent research has focused on the application of artificial intelligence (AI) and radiomics in medical image processing, diagnosis, and treatment planning.MethodsA review of the current literature was conducted, analyzing the use of AI models and texture analysis for MS lesion segmentation and classification. The study emphasizes common models, including U-Net, Support Vector Machine, Random Forest, and K-Nearest Neighbors, alongside their evaluation metrics.ResultsThe analysis revealed a fragmented research landscape, with significant variation in model architectures and performance. Evaluation metrics such as Accuracy, Dice score, and Sensitivity are commonly employed, with some models demonstrating robustness across multi-center datasets. However, most studies lack validation in clinical scenarios.DiscussionThe absence of consensus on the optimal model for MS lesion segmentation highlights the need for standardized methodologies and clinical validation. Future research should prioritize clinical trials to establish the real-world applicability of AI-driven decision support tools. This review provides a comprehensive overview of contemporary advancements in AI and radiomics for analyzing and monitoring emerging MS lesions in MRI.https://www.frontiersin.org/articles/10.3389/fnins.2024.1457420/fullmultiple sclerosisMRIartificial intelligencecomputer assisted diagnosisU-Netradiomics
spellingShingle Filip Orzan
Ştefania D. Iancu
Laura Dioşan
Zoltán Bálint
Textural analysis and artificial intelligence as decision support tools in the diagnosis of multiple sclerosis – a systematic review
Frontiers in Neuroscience
multiple sclerosis
MRI
artificial intelligence
computer assisted diagnosis
U-Net
radiomics
title Textural analysis and artificial intelligence as decision support tools in the diagnosis of multiple sclerosis – a systematic review
title_full Textural analysis and artificial intelligence as decision support tools in the diagnosis of multiple sclerosis – a systematic review
title_fullStr Textural analysis and artificial intelligence as decision support tools in the diagnosis of multiple sclerosis – a systematic review
title_full_unstemmed Textural analysis and artificial intelligence as decision support tools in the diagnosis of multiple sclerosis – a systematic review
title_short Textural analysis and artificial intelligence as decision support tools in the diagnosis of multiple sclerosis – a systematic review
title_sort textural analysis and artificial intelligence as decision support tools in the diagnosis of multiple sclerosis a systematic review
topic multiple sclerosis
MRI
artificial intelligence
computer assisted diagnosis
U-Net
radiomics
url https://www.frontiersin.org/articles/10.3389/fnins.2024.1457420/full
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