Exploring Multi-Pathology Brain Segmentation: From Volume-Based to Component-Based Deep Learning Analysis

Detection and segmentation of brain abnormalities using Magnetic Resonance Imaging (MRI) is an important task that, nowadays, the role of AI algorithms as supporting tools is well established both at the research and clinical-production level. While the performance of the state-of-the-art models is...

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Main Authors: Ioannis Stathopoulos, Roman Stoklasa, Maria Anthi Kouri, Georgios Velonakis, Efstratios Karavasilis, Efstathios Efstathopoulos, Luigi Serio
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Journal of Imaging
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Online Access:https://www.mdpi.com/2313-433X/11/1/6
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author Ioannis Stathopoulos
Roman Stoklasa
Maria Anthi Kouri
Georgios Velonakis
Efstratios Karavasilis
Efstathios Efstathopoulos
Luigi Serio
author_facet Ioannis Stathopoulos
Roman Stoklasa
Maria Anthi Kouri
Georgios Velonakis
Efstratios Karavasilis
Efstathios Efstathopoulos
Luigi Serio
author_sort Ioannis Stathopoulos
collection DOAJ
description Detection and segmentation of brain abnormalities using Magnetic Resonance Imaging (MRI) is an important task that, nowadays, the role of AI algorithms as supporting tools is well established both at the research and clinical-production level. While the performance of the state-of-the-art models is increasing, reaching radiologists and other experts’ accuracy levels in many cases, there is still a lot of research needed on the direction of in-depth and transparent evaluation of the correct results and failures, especially in relation to important aspects of the radiological practice: abnormality position, intensity level, and volume. In this work, we focus on the analysis of the segmentation results of a pre-trained U-net model trained and validated on brain MRI examinations containing four different pathologies: Tumors, Strokes, Multiple Sclerosis (MS), and White Matter Hyperintensities (WMH). We present the segmentation results for both the whole abnormal volume and for each abnormal component inside the examinations of the validation set. In the first case, a dice score coefficient (DSC), sensitivity, and precision of 0.76, 0.78, and 0.82, respectively, were found, while in the second case the model detected and segmented correct (True positives) the 48.8% (DSC ≥ 0.5) of abnormal components, partially correct the 27.1% (0.05 > DSC > 0.5), and missed (False Negatives) the 24.1%, while it produced 25.1% False Positives. Finally, we present an extended analysis between the True positives, False Negatives, and False positives versus their position inside the brain, their intensity at three MRI modalities (FLAIR, T2, and T1ce) and their volume.
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spelling doaj-art-c1584582d481462da69db135e4a63de72025-01-24T13:36:14ZengMDPI AGJournal of Imaging2313-433X2024-12-01111610.3390/jimaging11010006Exploring Multi-Pathology Brain Segmentation: From Volume-Based to Component-Based Deep Learning AnalysisIoannis Stathopoulos0Roman Stoklasa1Maria Anthi Kouri2Georgios Velonakis3Efstratios Karavasilis4Efstathios Efstathopoulos5Luigi Serio62nd Department of Radiology, Medical School, Attikon University Hospital, National and Kapodistrian University of Athens, 11527 Athens, GreeceTechnology Department, CERN, 1211 Geneva, Switzerland2nd Department of Radiology, Medical School, Attikon University Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece2nd Department of Radiology, Medical School, Attikon University Hospital, National and Kapodistrian University of Athens, 11527 Athens, GreeceMedical Physics Laboratory, School of Medicine, Democritus University of Thrace, 68100 Alexandroupolis, Greece2nd Department of Radiology, Medical School, Attikon University Hospital, National and Kapodistrian University of Athens, 11527 Athens, GreeceTechnology Department, CERN, 1211 Geneva, SwitzerlandDetection and segmentation of brain abnormalities using Magnetic Resonance Imaging (MRI) is an important task that, nowadays, the role of AI algorithms as supporting tools is well established both at the research and clinical-production level. While the performance of the state-of-the-art models is increasing, reaching radiologists and other experts’ accuracy levels in many cases, there is still a lot of research needed on the direction of in-depth and transparent evaluation of the correct results and failures, especially in relation to important aspects of the radiological practice: abnormality position, intensity level, and volume. In this work, we focus on the analysis of the segmentation results of a pre-trained U-net model trained and validated on brain MRI examinations containing four different pathologies: Tumors, Strokes, Multiple Sclerosis (MS), and White Matter Hyperintensities (WMH). We present the segmentation results for both the whole abnormal volume and for each abnormal component inside the examinations of the validation set. In the first case, a dice score coefficient (DSC), sensitivity, and precision of 0.76, 0.78, and 0.82, respectively, were found, while in the second case the model detected and segmented correct (True positives) the 48.8% (DSC ≥ 0.5) of abnormal components, partially correct the 27.1% (0.05 > DSC > 0.5), and missed (False Negatives) the 24.1%, while it produced 25.1% False Positives. Finally, we present an extended analysis between the True positives, False Negatives, and False positives versus their position inside the brain, their intensity at three MRI modalities (FLAIR, T2, and T1ce) and their volume.https://www.mdpi.com/2313-433X/11/1/6deep learningmagnetic resonance imaging (MRI)AI algorithmstumorsstrokesmultiple sclerosis (MS)
spellingShingle Ioannis Stathopoulos
Roman Stoklasa
Maria Anthi Kouri
Georgios Velonakis
Efstratios Karavasilis
Efstathios Efstathopoulos
Luigi Serio
Exploring Multi-Pathology Brain Segmentation: From Volume-Based to Component-Based Deep Learning Analysis
Journal of Imaging
deep learning
magnetic resonance imaging (MRI)
AI algorithms
tumors
strokes
multiple sclerosis (MS)
title Exploring Multi-Pathology Brain Segmentation: From Volume-Based to Component-Based Deep Learning Analysis
title_full Exploring Multi-Pathology Brain Segmentation: From Volume-Based to Component-Based Deep Learning Analysis
title_fullStr Exploring Multi-Pathology Brain Segmentation: From Volume-Based to Component-Based Deep Learning Analysis
title_full_unstemmed Exploring Multi-Pathology Brain Segmentation: From Volume-Based to Component-Based Deep Learning Analysis
title_short Exploring Multi-Pathology Brain Segmentation: From Volume-Based to Component-Based Deep Learning Analysis
title_sort exploring multi pathology brain segmentation from volume based to component based deep learning analysis
topic deep learning
magnetic resonance imaging (MRI)
AI algorithms
tumors
strokes
multiple sclerosis (MS)
url https://www.mdpi.com/2313-433X/11/1/6
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