Automated White Matter Hyperintensity Detection in Multiple Sclerosis Using 3D T2 FLAIR

White matter hyperintensities (WMH) seen on T2WI are a hallmark of multiple sclerosis (MS) as it indicates inflammation associated with the disease. Automatic detection of the WMH can be valuable in diagnosing and monitoring of treatment effectiveness. T2 fluid attenuated inversion recovery (FLAIR)...

Full description

Saved in:
Bibliographic Details
Main Authors: Yi Zhong, David Utriainen, Ying Wang, Yan Kang, E. Mark Haacke
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:International Journal of Biomedical Imaging
Online Access:http://dx.doi.org/10.1155/2014/239123
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:White matter hyperintensities (WMH) seen on T2WI are a hallmark of multiple sclerosis (MS) as it indicates inflammation associated with the disease. Automatic detection of the WMH can be valuable in diagnosing and monitoring of treatment effectiveness. T2 fluid attenuated inversion recovery (FLAIR) MR images provided good contrast between the lesions and other tissue; however the signal intensity of gray matter tissue was close to the lesions in FLAIR images that may cause more false positives in the segment result. We developed and evaluated a tool for automated WMH detection only using high resolution 3D T2 fluid attenuated inversion recovery (FLAIR) MR images. We use a high spatial frequency suppression method to reduce the gray matter area signal intensity. We evaluate our method in 26 MS patients and 26 age matched health controls. The data from the automated algorithm showed good agreement with that from the manual segmentation. The linear correlation between these two approaches in comparing WMH volumes was found to be Y=1.04X+1.74  (R2=0.96). The automated algorithm estimates the number, volume, and category of WMH.
ISSN:1687-4188
1687-4196