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Wang Q, Pei J, Ouyang J, Chen Y, Pu J, Humayun A, Zhao D, Liu B. A method framework of automatic localization and quantitative segmentation for the cavum septum pellucidum complex and the cerebellar vermis in fetal brain ultrasound images. Quant Imaging Med Surg 2023; 13:6059-6088. [PMID: 37711808 PMCID: PMC10498265 DOI: 10.21037/qims-22-1242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Accepted: 07/18/2023] [Indexed: 09/16/2023]
Abstract
Background Early detection of central nervous system (CNS) anomalies in human embryos through prenatal screening is crucial for timely intervention and improved patient outcomes. Fetal brain mid-sagittal ultrasound images (FBMUIs) play a pivotal role as a diagnostic tool for detecting structural abnormalities. However, the automatic localization and quantitative segmentation of complex anatomical structures such as the corpus callosum-cavum septum pellucidum complex (CCC) and cerebellar vermis (CV) in FBMUIs present significant challenges. Methods To address this issue, we propose an integrated framework that combines anatomical knowledge with computer vision techniques. Our framework comprises four steps: (I) generation of average templates for CCC and CV local images using a variational autoencoder (VAE); (II) localizing the CCC by using the "Initial Localization-Accurate Localization-Result Detection" strategy, followed by segmenting it based on morphological characteristics using the "Initial Contour Fitting-Contour Iteration" strategy; (III) applying a similar strategy as CCC localization and CV segmentation; and (IV) leveraging spatial and morphological characteristics to achieve accurate localization and segmentation. Results Our CCC and CV localization and segmentation methods were validated by using 140 FBMUIs from various perspectives. The accuracy and effectiveness of our approach were demonstrated through data statistics and comparative analysis. Currently, clinical trials are being conducted on our method at Shengjing Hospital of China Medical University. Conclusions Our proposed integrated framework presents a novel solution for the automatic localization and quantitative segmentation of the CCC and CV in FBMUIs. It shows promise for early diagnosis of CNS anomalies in human embryos, offering significant clinical implications.
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Affiliation(s)
- Qifeng Wang
- International School of Information Science & Engineering (DUT-RUISE), Dalian University of Technology, Dalian, China
- Key Lab of Ubiquitous Network and Service Software of Liaoning Province, Dalian University of Technology, Dalian, China
- DUT-RU Co-Research Center of Advanced ICT for Active Life, Dalian University of Technology, Dalian, China
| | - Jingzhu Pei
- International School of Information Science & Engineering (DUT-RUISE), Dalian University of Technology, Dalian, China
- Key Lab of Ubiquitous Network and Service Software of Liaoning Province, Dalian University of Technology, Dalian, China
- DUT-RU Co-Research Center of Advanced ICT for Active Life, Dalian University of Technology, Dalian, China
| | - Jing Ouyang
- International School of Information Science & Engineering (DUT-RUISE), Dalian University of Technology, Dalian, China
- Key Lab of Ubiquitous Network and Service Software of Liaoning Province, Dalian University of Technology, Dalian, China
- DUT-RU Co-Research Center of Advanced ICT for Active Life, Dalian University of Technology, Dalian, China
| | - Yanjie Chen
- International School of Information Science & Engineering (DUT-RUISE), Dalian University of Technology, Dalian, China
| | - Juncheng Pu
- International School of Information Science & Engineering (DUT-RUISE), Dalian University of Technology, Dalian, China
| | - Ahsan Humayun
- International School of Information Science & Engineering (DUT-RUISE), Dalian University of Technology, Dalian, China
- Key Lab of Ubiquitous Network and Service Software of Liaoning Province, Dalian University of Technology, Dalian, China
- DUT-RU Co-Research Center of Advanced ICT for Active Life, Dalian University of Technology, Dalian, China
| | - Dan Zhao
- Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang, China
| | - Bin Liu
- International School of Information Science & Engineering (DUT-RUISE), Dalian University of Technology, Dalian, China
- Key Lab of Ubiquitous Network and Service Software of Liaoning Province, Dalian University of Technology, Dalian, China
- DUT-RU Co-Research Center of Advanced ICT for Active Life, Dalian University of Technology, Dalian, China
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Chandra A, Verma S, Raghuvanshi A, Kuber Bodhey N. PCcS-RAU-Net: Automated parcellated Corpus callosum segmentation from brain MRI images using modified residual attention U-Net. Biocybern Biomed Eng 2023. [DOI: 10.1016/j.bbe.2023.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/10/2023]
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Kim JI, Bang S, Yang JJ, Kwon H, Jang S, Roh S, Kim SH, Kim MJ, Lee HJ, Lee JM, Kim BN. Classification of Preschoolers with Low-Functioning Autism Spectrum Disorder Using Multimodal MRI Data. J Autism Dev Disord 2023; 53:25-37. [PMID: 34984638 DOI: 10.1007/s10803-021-05368-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/05/2021] [Indexed: 02/03/2023]
Abstract
Multimodal imaging studies targeting preschoolers and low-functioning autism spectrum disorder (ASD) patients are scarce. We applied machine learning classifiers to parameters from T1-weighted MRI and DTI data of 58 children with ASD (age 3-6 years) and 48 typically developing controls (TDC). Classification performance reached an accuracy, sensitivity, and specificity of 88.8%, 93.0%, and 83.8%, respectively. The most prominent features were the cortical thickness of the right inferior occipital gyrus, mean diffusivity of the middle cerebellar peduncle, and nodal efficiency of the left posterior cingulate gyrus. Machine learning-based analysis of MRI data was useful in distinguishing low-functioning ASD preschoolers from TDCs. Combination of T1 and DTI improved classification accuracy about 10%, and large-scale multi-modal MRI studies are warranted for external validation.
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Affiliation(s)
- Johanna Inhyang Kim
- Department of Psychiatry, Hanyang University Medical Center, 222-1 Wangsimni-ro, Sungdong-gu, Seoul, 04763, Republic of Korea
| | - Sungkyu Bang
- Department of Biomedical Engineering, Hanyang University, 222 Wangsimni-ro, Sungdong-gu, Seoul, 04763, Republic of Korea
| | - Jin-Ju Yang
- Department of Biomedical Engineering, Hanyang University, 222 Wangsimni-ro, Sungdong-gu, Seoul, 04763, Republic of Korea
| | - Heejin Kwon
- Department of Psychology, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul, 02722, Republic of Korea
| | - Soomin Jang
- Department of Psychiatry, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea
| | - Sungwon Roh
- Department of Psychiatry, Hanyang University Medical Center, 222-1 Wangsimni-ro, Sungdong-gu, Seoul, 04763, Republic of Korea
- Department of Psychiatry, Hanyang University College of Medicine, 222 Wangsimni-ro, Seongdong-gu, Seoul, 04763, Republic of Korea
| | - Seok Hyeon Kim
- Department of Psychiatry, Hanyang University Medical Center, 222-1 Wangsimni-ro, Sungdong-gu, Seoul, 04763, Republic of Korea
- Department of Psychiatry, Hanyang University College of Medicine, 222 Wangsimni-ro, Seongdong-gu, Seoul, 04763, Republic of Korea
| | - Mi Jung Kim
- Department of Rehabilitation Medicine, Hanyang University College of Medicine, 222 Wangsimni-ro, Sungdong-gu, Seoul, 04763, Republic of Korea
| | - Hyun Ju Lee
- Department of Pediatrics, Hanyang University College of Medicine, 222 Wangsimni-ro, Sungdong-gu, Seoul, 04763, Republic of Korea
| | - Jong-Min Lee
- Department of Biomedical Engineering, Hanyang University, 222 Wangsimni-ro, Sungdong-gu, Seoul, 04763, Republic of Korea.
| | - Bung-Nyun Kim
- Department of Psychiatry, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
- Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine, 101 Daehak-no, Chongno-gu, Seoul, 03080, Republic of Korea.
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CCsNeT: Automated Corpus Callosum segmentation using fully convolutional network based on U-Net. Biocybern Biomed Eng 2022. [DOI: 10.1016/j.bbe.2021.12.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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Platten M, Brusini I, Andersson O, Ouellette R, Piehl F, Wang C, Granberg T. Deep Learning Corpus Callosum Segmentation as a Neurodegenerative Marker in Multiple Sclerosis. J Neuroimaging 2021; 31:493-500. [PMID: 33587820 DOI: 10.1111/jon.12838] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2020] [Revised: 01/14/2021] [Accepted: 01/14/2021] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND AND PURPOSE Corpus callosum atrophy is a sensitive biomarker of multiple sclerosis (MS) neurodegeneration but typically requires manual 2D or volumetric 3D-based segmentations. We developed a supervised machine learning algorithm, DeepnCCA, for corpus callosum segmentation and relate callosal morphology to clinical disability using conventional MRI scans collected in clinical routine. METHODS In a prospective study of 553 MS patients with 704 acquisitions, 200 unique 2D T2 -weighted MRI scans were delineated to develop, train, and validate DeepnCCA. Comparative FreeSurfer segmentations were obtained in 504 3D T1 -weighted scans. Both FreeSurfer and DeepnCCA outputs were correlated with clinical disability. Using principal component analysis of the DeepnCCA output, the morphological changes were explored in relation to clinical disease burden. RESULTS DeepnCCA and manual segmentations had high similarity (Dice coefficients 98.1 ± .11%, 89.3 ± .76%, for intracranial and corpus callosum area, respectively through 10-fold cross-validation). DeepnCCA had numerically stronger correlations with cognitive and physical disability as compared to FreeSurfer: Expanded disability status scale (EDSS) ±6 months (r = -.22 P = .002; r = -.17, P = .013), future EDSS (r = -.26, P<.001; r = -.17, P = .012), and future symbol digit modalities test (r = .26, P = .001; r = .24, P = .003). The corpus callosum became thinner with increasing cognitive and physical disability. Increasing physical disability, additionally, significantly correlated with a more angled corpus callosum. CONCLUSIONS DeepnCCA (https://github.com/plattenmichael/DeepnCCA/) is an openly available tool that can provide fast and accurate corpus callosum measurements applicable to large MS cohorts, potentially suitable for monitoring disease progression and therapy response.
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Affiliation(s)
- Michael Platten
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.,School of Engineering Sciences in Chemistry, Biotechnology and Health, Royal Institute of Technology, Stockholm, Sweden.,Department of Neuroradiology, Karolinska University Hospital, Stockholm, Sweden
| | - Irene Brusini
- School of Engineering Sciences in Chemistry, Biotechnology and Health, Royal Institute of Technology, Stockholm, Sweden.,Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
| | - Olle Andersson
- School of Engineering Sciences in Chemistry, Biotechnology and Health, Royal Institute of Technology, Stockholm, Sweden
| | - Russell Ouellette
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.,Department of Neuroradiology, Karolinska University Hospital, Stockholm, Sweden
| | - Fredrik Piehl
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.,Department of Neurology, Karolinska University Hospital, Stockholm, Sweden.,Center for Neurology, Academic Specialist Center, Stockholm Health Services, Stockholm, Sweden
| | - Chunliang Wang
- School of Engineering Sciences in Chemistry, Biotechnology and Health, Royal Institute of Technology, Stockholm, Sweden
| | - Tobias Granberg
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.,Department of Neuroradiology, Karolinska University Hospital, Stockholm, Sweden
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