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Gurumurthy G, Gurumurthy J, Gurumurthy S. Machine learning in paediatric haematological malignancies: a systematic review of prognosis, toxicity and treatment response models. Pediatr Res 2024:10.1038/s41390-024-03494-9. [PMID: 39215200 DOI: 10.1038/s41390-024-03494-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2024] [Revised: 06/22/2024] [Accepted: 08/05/2024] [Indexed: 09/04/2024]
Abstract
BACKGROUND Machine Learning (ML) has demonstrated potential in enhancing care in adult oncology. However, its application in paediatric haematological malignancies is still emerging, necessitating a comprehensive review of its capabilities and limitations in this area. METHODS A literature search was conducted through Ovid. Studies included focused on ML models in paediatric patients with haematological malignancies. Studies were categorised into thematic groups for analysis. RESULTS Twenty studies, primarily on leukaemia, were included in this review. Studies were organised into thematic categories such as prognoses, treatment responses and toxicity predictions. Prognostic studies showed AUC scores between 0.685 and 0.929, indicating moderate-high predictive accuracy. Treatment response studies demonstrated AUC scores between 0.840 and 0.875, reflecting moderate accuracy. Toxicity prediction studies reported high accuracy with AUC scores from 0.870 to 0.927. Only five studies (25%) performed external validation. Significant heterogeneity was noted in ML tasks, reporting formats, and effect measures across studies, highlighting a lack of standardised reporting and challenges in data comparability. CONCLUSION The clinical applicability of these ML models remains limited by the lack of external validation and methodological heterogeneity. Addressing these challenges through standardised reporting and rigorous external validation is needed to translate ML from a promising research tool into a reliable clinical practice component. IMPACT Key message: Machine Learning (ML) significantly enhances predictive models in paediatric haematological cancers, offering new avenues for personalised treatment strategies. Future research should focus on developing ML models that can integrate with real-time clinical workflows. Addition to literature: Provides a comprehensive overview of current ML applications and trends. It identifies limitations to its applicability, including the limited diversity in datasets, which may affect the generalisability of ML models across different populations. IMPACT Encourages standardisation and external validation in ML studies, aiming to improve patient outcomes through precision medicine in paediatric haematological oncology.
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Affiliation(s)
| | - Juditha Gurumurthy
- School of Cancer and Pharmaceutical Sciences, King's College London, London, UK
| | - Samantha Gurumurthy
- Department of Infectious Diseases & Immunology, Imperial College London, London, UK
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Wang YK, Shi BW, Zhao JM, Wang YX, Jiang YF, Yang GL, Gao XD, Qiang T. Highly Sensitive and Linear Resonator-Based Biosensor for White Blood Cell Counting: Feasible Measurement Method and Intrinsic Mechanism Exploration. BIOSENSORS 2024; 14:180. [PMID: 38667173 PMCID: PMC11048127 DOI: 10.3390/bios14040180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/11/2024] [Revised: 04/04/2024] [Accepted: 04/05/2024] [Indexed: 04/28/2024]
Abstract
Since different quantities of white blood cells (WBCs) in solution possess an adaptive osmotic pressure of cells, the WBCs themselves and in solution have similar concentrations, resulting in them having similar dielectric properties. Therefore, a microwave sensor could have difficulty in sensing the quantity variation when WBCs are in solution. This paper presents a highly sensitive, linear permittivity-inspired microwave biosensor for WBCs, counting through the evaporation method. Such a measurement method is proposed to record measurements after the cell solution is dripped onto the chip and is completely evaporated naturally. The proposed biosensor consists of an air-bridged asymmetric differential inductor and a centrally located circular fork-finger capacitor fabricated on a GaAs substrate using integrated passive fabrication technology. It is optimized to feature a larger sensitive area and improved Q-factor, which increases the effective area of interaction between cells and the electromagnetic field and facilitates the detection of their changes in number. The sensing relies on the dielectric properties of the cells and the change in the dielectric constant for different concentrations, and the change in resonance properties, which mainly represents the frequency shift, corresponds to the macroscopic change in the concentration of the cells. The microwave biosensors are used to measure biological samples with concentrations ranging from 0.25 × 106 to 8 × 106 cells per mL in a temperature (26.00 ± 0.40 °C) and humidity (54.40 ± 3.90 RH%) environment. The measurement results show a high sensitivity of 25.06 Hz/cells·mL-1 with a highly linear response of r2 = 0.99748. In addition, a mathematical modeling of individual cells in suspension is performed to estimate the dielectric constant of individual cells and further explain the working mechanism of the proposed microwave biosensor.
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Affiliation(s)
- Yi-Ke Wang
- School of Internet of Things Engineering, Institute of Advanced Technology, Jiangnan University, Wuxi 214122, China; (Y.-K.W.); (B.-W.S.); (J.-M.Z.); (Y.-X.W.); (Y.-F.J.)
| | - Bo-Wen Shi
- School of Internet of Things Engineering, Institute of Advanced Technology, Jiangnan University, Wuxi 214122, China; (Y.-K.W.); (B.-W.S.); (J.-M.Z.); (Y.-X.W.); (Y.-F.J.)
| | - Jun-Ming Zhao
- School of Internet of Things Engineering, Institute of Advanced Technology, Jiangnan University, Wuxi 214122, China; (Y.-K.W.); (B.-W.S.); (J.-M.Z.); (Y.-X.W.); (Y.-F.J.)
| | - Yan-Xiong Wang
- School of Internet of Things Engineering, Institute of Advanced Technology, Jiangnan University, Wuxi 214122, China; (Y.-K.W.); (B.-W.S.); (J.-M.Z.); (Y.-X.W.); (Y.-F.J.)
| | - Yan-Feng Jiang
- School of Internet of Things Engineering, Institute of Advanced Technology, Jiangnan University, Wuxi 214122, China; (Y.-K.W.); (B.-W.S.); (J.-M.Z.); (Y.-X.W.); (Y.-F.J.)
| | - Gang-Long Yang
- State Key Laboratory of Biochemical Engineering, Institute of Process Engineering, Chinese Academy of Sciences, Beijing 100190, China;
- Key Laboratory of Biopharmaceutical Preparation and Delivery, Chinese Academy of Sciences, Beijing 100190, China
| | - Xiao-Dong Gao
- School of Biotechnology, The Key Laboratory of Carbohydrate Chemistry and Biotechnology, Ministry of Education, Jiangnan University, Wuxi 214122, China
| | - Tian Qiang
- School of Internet of Things Engineering, Institute of Advanced Technology, Jiangnan University, Wuxi 214122, China; (Y.-K.W.); (B.-W.S.); (J.-M.Z.); (Y.-X.W.); (Y.-F.J.)
- School of Biotechnology, The Key Laboratory of Carbohydrate Chemistry and Biotechnology, Ministry of Education, Jiangnan University, Wuxi 214122, China
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Juez-Castillo G, Valencia-Vidal B, Orrego LM, Cabello-Donayre M, Montosa-Hidalgo L, Pérez-Victoria JM. FiCRoN, a deep learning-based algorithm for the automatic determination of intracellular parasite burden from fluorescence microscopy images. Med Image Anal 2024; 91:103036. [PMID: 38016388 DOI: 10.1016/j.media.2023.103036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Revised: 06/27/2023] [Accepted: 11/13/2023] [Indexed: 11/30/2023]
Abstract
Protozoan parasites are responsible for dramatic, neglected diseases. The automatic determination of intracellular parasite burden from fluorescence microscopy images is a challenging problem. Recent advances in deep learning are transforming this process, however, high-performance algorithms have not been developed. The limitations in image acquisition, especially for intracellular parasites, make this process complex. For this reason, traditional image-processing methods are not easily transferred between different datasets and segmentation-based strategies do not have a high performance. Here, we propose a novel method FiCRoN, based on fully convolutional regression networks (FCRNs), as a promising new tool for estimating intracellular parasite burden. This estimation requires three values, intracellular parasites, infected cells and uninfected cells. FiCRoN solves this problem as multi-task learning: counting by regression at two scales, a smaller one for intracellular parasites and a larger one for host cells. It does not use segmentation or detection, resulting in a higher generalization of counting tasks and, therefore, a decrease in error propagation. Linear regression reveals an excellent correlation coefficient between manual and automatic methods. FiCRoN is an innovative freedom-respecting image analysis software based on deep learning, designed to provide a fast and accurate quantification of parasite burden, also potentially useful as a single-cell counter.
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Affiliation(s)
- Graciela Juez-Castillo
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientìficas, (IPBLN-CSIC), PTS Granada, 18016 Granada, Spain; Research Group Osiris&Bioaxis, Faculty of Engineering, El Bosque University, 110121 Bogotá, Colombia
| | - Brayan Valencia-Vidal
- Research Group Osiris&Bioaxis, Faculty of Engineering, El Bosque University, 110121 Bogotá, Colombia; Department of Computer Engineering, Automation and Robotics, Research Centre for Information and Communication Technologies, University of Granada, 18014 Granada, Spain.
| | - Lina M Orrego
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientìficas, (IPBLN-CSIC), PTS Granada, 18016 Granada, Spain
| | - María Cabello-Donayre
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientìficas, (IPBLN-CSIC), PTS Granada, 18016 Granada, Spain; Universidad Internacional de la Rioja, 26006 La Rioja, Spain
| | - Laura Montosa-Hidalgo
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientìficas, (IPBLN-CSIC), PTS Granada, 18016 Granada, Spain
| | - José M Pérez-Victoria
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientìficas, (IPBLN-CSIC), PTS Granada, 18016 Granada, Spain.
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van Huizen LMG, Blokker M, Rip Y, Veta M, Mooij Kalverda KA, Bonta PI, Duitman JW, Groot ML. Leukocyte differentiation in bronchoalveolar lavage fluids using higher harmonic generation microscopy and deep learning. PLoS One 2023; 18:e0279525. [PMID: 37368904 DOI: 10.1371/journal.pone.0279525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Accepted: 06/11/2023] [Indexed: 06/29/2023] Open
Abstract
BACKGROUND In diseases such as interstitial lung diseases (ILDs), patient diagnosis relies on diagnostic analysis of bronchoalveolar lavage fluid (BALF) and biopsies. Immunological BALF analysis includes differentiation of leukocytes by standard cytological techniques that are labor-intensive and time-consuming. Studies have shown promising leukocyte identification performance on blood fractions, using third harmonic generation (THG) and multiphoton excited autofluorescence (MPEF) microscopy. OBJECTIVE To extend leukocyte differentiation to BALF samples using THG/MPEF microscopy, and to show the potential of a trained deep learning algorithm for automated leukocyte identification and quantification. METHODS Leukocytes from blood obtained from three healthy individuals and one asthma patient, and BALF samples from six ILD patients were isolated and imaged using label-free microscopy. The cytological characteristics of leukocytes, including neutrophils, eosinophils, lymphocytes, and macrophages, in terms of cellular and nuclear morphology, and THG and MPEF signal intensity, were determined. A deep learning model was trained on 2D images and used to estimate the leukocyte ratios at the image-level using the differential cell counts obtained using standard cytological techniques as reference. RESULTS Different leukocyte populations were identified in BALF samples using label-free microscopy, showing distinctive cytological characteristics. Based on the THG/MPEF images, the deep learning network has learned to identify individual cells and was able to provide a reasonable estimate of the leukocyte percentage, reaching >90% accuracy on BALF samples in the hold-out testing set. CONCLUSIONS Label-free THG/MPEF microscopy in combination with deep learning is a promising technique for instant differentiation and quantification of leukocytes. Immediate feedback on leukocyte ratios has potential to speed-up the diagnostic process and to reduce costs, workload and inter-observer variations.
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Affiliation(s)
- Laura M G van Huizen
- LaserLab Amsterdam, Department of Physics, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Max Blokker
- LaserLab Amsterdam, Department of Physics, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Yael Rip
- LaserLab Amsterdam, Department of Physics, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Mitko Veta
- Medical Image Analysis Group (IMAG/e), Department of Biomedical Engineering, University of Technology, Eindhoven, The Netherlands
| | - Kirsten A Mooij Kalverda
- Department of Pulmonary Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands
| | - Peter I Bonta
- Department of Pulmonary Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands
| | - Jan Willem Duitman
- Department of Pulmonary Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands
- Department of Experimental immunology, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands
- Amsterdam Infection & Immunity, Inflammatory Diseases, Amsterdam, The Netherlands
| | - Marie Louise Groot
- LaserLab Amsterdam, Department of Physics, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
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Giacopelli G, Migliore M, Tegolo D. NeuronAlg: An Innovative Neuronal Computational Model for Immunofluorescence Image Segmentation. SENSORS (BASEL, SWITZERLAND) 2023; 23:4598. [PMID: 37430509 DOI: 10.3390/s23104598] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/05/2023] [Revised: 04/24/2023] [Accepted: 05/03/2023] [Indexed: 07/12/2023]
Abstract
Background: Image analysis applications in digital pathology include various methods for segmenting regions of interest. Their identification is one of the most complex steps and therefore of great interest for the study of robust methods that do not necessarily rely on a machine learning (ML) approach. Method: A fully automatic and optimized segmentation process for different datasets is a prerequisite for classifying and diagnosing indirect immunofluorescence (IIF) raw data. This study describes a deterministic computational neuroscience approach for identifying cells and nuclei. It is very different from the conventional neural network approaches but has an equivalent quantitative and qualitative performance, and it is also robust against adversative noise. The method is robust, based on formally correct functions, and does not suffer from having to be tuned on specific data sets. Results: This work demonstrates the robustness of the method against variability of parameters, such as image size, mode, and signal-to-noise ratio. We validated the method on three datasets (Neuroblastoma, NucleusSegData, and ISBI 2009 Dataset) using images annotated by independent medical doctors. Conclusions: The definition of deterministic and formally correct methods, from a functional and structural point of view, guarantees the achievement of optimized and functionally correct results. The excellent performance of our deterministic method (NeuronalAlg) in segmenting cells and nuclei from fluorescence images was measured with quantitative indicators and compared with those achieved by three published ML approaches.
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Affiliation(s)
| | - Michele Migliore
- National Research Council, Institute of Biophysics, 90153 Palermo, Italy
| | - Domenico Tegolo
- National Research Council, Institute of Biophysics, 90153 Palermo, Italy
- Dipartimento Matematica e Informatica, Universitá degli Studi di Palermo, 90123 Palermo, Italy
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Giczewska A, Pastuszak K, Houweling M, Abdul KU, Faaij N, Wedekind L, Noske D, Wurdinger T, Supernat A, Westerman BA. Longitudinal drug synergy assessment using convolutional neural network image-decoding of glioblastoma single-spheroid cultures. Neurooncol Adv 2023; 5:vdad134. [PMID: 38047207 PMCID: PMC10691443 DOI: 10.1093/noajnl/vdad134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2023] Open
Abstract
Background In recent years, drug combinations have become increasingly popular to improve therapeutic outcomes in various diseases, including difficult to cure cancers such as the brain cancer glioblastoma. Assessing the interaction between drugs over time is critical for predicting drug combination effectiveness and minimizing the risk of therapy resistance. However, as viability readouts of drug combination experiments are commonly performed as an endpoint where cells are lysed, longitudinal drug-interaction monitoring is currently only possible through combined endpoint assays. Methods We provide a method for massive parallel monitoring of drug interactions for 16 drug combinations in 3 glioblastoma models over a time frame of 18 days. In our assay, viabilities of single neurospheres are to be estimated based on image information taken at different time points. Neurosphere images taken on the final day (day 18) were matched to the respective viability measured by CellTiter-Glo 3D on the same day. This allowed to use of machine learning to decode image information to viability values on day 18 as well as for the earlier time points (on days 8, 11, and 15). Results Our study shows that neurosphere images allow us to predict cell viability from extrapolated viabilities. This enables to assess of the drug interactions in a time window of 18 days. Our results show a clear and persistent synergistic interaction for several drug combinations over time. Conclusions Our method facilitates longitudinal drug-interaction assessment, providing new insights into the temporal-dynamic effects of drug combinations in 3D neurospheres which can help to identify more effective therapies against glioblastoma.
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Affiliation(s)
- Anna Giczewska
- Laboratory of Translational Oncology, Intercollegiate Faculty of Biotechnology, University of Gdańsk and Medical University of Gdańsk, Gdańsk, Poland
| | - Krzysztof Pastuszak
- Laboratory of Translational Oncology, Intercollegiate Faculty of Biotechnology, University of Gdańsk and Medical University of Gdańsk, Gdańsk, Poland
- Center of Biostatistics and Bioinformatics, Medical University of Gdańsk, Gdańsk, Poland
- Department of Algorithms and System Modeling, Gdansk University of Technology, Gdańsk, Poland
| | - Megan Houweling
- Department of Neurosurgery, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Cancer Center Amsterdam, Brain Tumor Center Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands
- The WINDOW Consortium (www.window-consortium.org)
| | - Kulsoom U Abdul
- Department of Neurosurgery, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Cancer Center Amsterdam, Brain Tumor Center Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands
- The WINDOW Consortium (www.window-consortium.org)
| | - Noa Faaij
- Department of Neurosurgery, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Cancer Center Amsterdam, Brain Tumor Center Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands
| | - Laurine Wedekind
- Department of Neurosurgery, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Cancer Center Amsterdam, Brain Tumor Center Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands
| | - David Noske
- Department of Neurosurgery, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Cancer Center Amsterdam, Brain Tumor Center Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands
| | - Thomas Wurdinger
- Department of Neurosurgery, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Cancer Center Amsterdam, Brain Tumor Center Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands
- The WINDOW Consortium (www.window-consortium.org)
| | - Anna Supernat
- Laboratory of Translational Oncology, Intercollegiate Faculty of Biotechnology, University of Gdańsk and Medical University of Gdańsk, Gdańsk, Poland
- Center of Biostatistics and Bioinformatics, Medical University of Gdańsk, Gdańsk, Poland
| | - Bart A Westerman
- Department of Neurosurgery, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Cancer Center Amsterdam, Brain Tumor Center Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands
- The WINDOW Consortium (www.window-consortium.org)
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Bai J, Xue H, Jiang X, Zhou Y. Recognition of bovine milk somatic cells based on multi-feature extraction and a GBDT-AdaBoost fusion model. MATHEMATICAL BIOSCIENCES AND ENGINEERING : MBE 2022; 19:5850-5866. [PMID: 35603382 DOI: 10.3934/mbe.2022274] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Traditional laboratory microscopy for identifying bovine milk somatic cells is subjective, time-consuming, and labor-intensive. The accuracy of the recognition directly through a single classifier is low. In this paper, a novel algorithm that combined the feature extraction algorithm and fusion classification model was proposed to identify the somatic cells. First, 392 cell images from four types of bovine milk somatic cells dataset were trained and tested. Secondly, filtering and the K-means method were used to preprocess and segment the images. Thirdly, the color, morphological, and texture features of the four types of cells were extracted, totaling 100 features. Finally, the gradient boosting decision tree (GBDT)-AdaBoost fusion model was proposed. For the GBDT classifier, the light gradient boosting machine (LightGBM) was used as the weak classifier. The decision tree (DT) was used as the weak classifier of the AdaBoost classifier. The results showed that the average recognition accuracy of the GBDT-AdaBoost reached 98.0%. At the same time, that of random forest (RF), extremely randomized tree (ET), DT, and LightGBM was 79.9, 71.1, 67.3 and 77.2%, respectively. The recall rate of the GBDT-AdaBoost model was the best performance on all types of cells. The F1-Score of the GBDT-AdaBoost model was also better than the results of any single classifiers. The proposed algorithm can effectively recognize the image of bovine milk somatic cells. Moreover, it may provide a reference for recognizing bovine milk somatic cells with similar shape size characteristics and is difficult to distinguish.
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Affiliation(s)
- Jie Bai
- College of Computer and Information Engineering, Inner Mongolia Agricultural University, Hohhot 010018, China
- Inner Mongolia Autonomous Region Key Laboratory of Big Data Research and Application of Agriculture and Animal Husbandry, Hohhot 010018, China
| | - Heru Xue
- College of Computer and Information Engineering, Inner Mongolia Agricultural University, Hohhot 010018, China
- Inner Mongolia Autonomous Region Key Laboratory of Big Data Research and Application of Agriculture and Animal Husbandry, Hohhot 010018, China
| | - Xinhua Jiang
- College of Computer and Information Engineering, Inner Mongolia Agricultural University, Hohhot 010018, China
- Inner Mongolia Autonomous Region Key Laboratory of Big Data Research and Application of Agriculture and Animal Husbandry, Hohhot 010018, China
| | - Yanqing Zhou
- College of Computer and Information Engineering, Inner Mongolia Agricultural University, Hohhot 010018, China
- Inner Mongolia Autonomous Region Key Laboratory of Big Data Research and Application of Agriculture and Animal Husbandry, Hohhot 010018, China
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Lee KH, Choi ST, Lee GY, Ha YJ, Choi SI. Method for Diagnosing the Bone Marrow Edema of Sacroiliac Joint in Patients with Axial Spondyloarthritis Using Magnetic Resonance Image Analysis Based on Deep Learning. Diagnostics (Basel) 2021; 11:diagnostics11071156. [PMID: 34202607 PMCID: PMC8303557 DOI: 10.3390/diagnostics11071156] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 06/11/2021] [Accepted: 06/18/2021] [Indexed: 11/17/2022] Open
Abstract
Axial spondyloarthritis (axSpA) is a chronic inflammatory disease of the sacroiliac joints. In this study, we develop a method for detecting bone marrow edema by magnetic resonance (MR) imaging of the sacroiliac joints and a deep-learning network. A total of 815 MR images of the sacroiliac joints were obtained from 60 patients diagnosed with axSpA and 19 healthy subjects. Gadolinium-enhanced fat-suppressed T1-weighted oblique coronal images were used for deep learning. Active sacroiliitis was defined as bone marrow edema, and the following processes were performed: setting the region of interest (ROI) and normalizing it to a size suitable for input to a deep-learning network, determining bone marrow edema using a convolutional-neural-network-based deep-learning network for individual MR images, and determining sacroiliac arthritis in subject examinations based on the classification results of individual MR images. About 70% of the patients and normal subjects were randomly selected for the training dataset, and the remaining 30% formed the test dataset. This process was repeated five times to calculate the average classification rate of the five-fold sets. The gradient-weighted class activation mapping method was used to validate the classification results. In the performance analysis of the ResNet18-based classification network for individual MR images, use of the ROI showed excellent detection performance of bone marrow edema with 93.55 ± 2.19% accuracy, 92.87 ± 1.27% recall, and 94.69 ± 3.03% precision. The overall performance was additionally improved using a median filter to reflect the context information. Finally, active sacroiliitis was diagnosed in individual subjects with 96.06 ± 2.83% accuracy, 100% recall, and 94.84 ± 3.73% precision. This is a pilot study to diagnose bone marrow edema by deep learning based on MR images, and the results suggest that MR analysis using deep learning can be a useful complementary means for clinicians to diagnose bone marrow edema.
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Affiliation(s)
- Kang Hee Lee
- Department of Computer Science and Engineering, Dankook University, Yongin-si 16890, Korea;
| | - Sang Tae Choi
- Division of Rheumatology, Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul 06973, Korea;
| | - Guen Young Lee
- Department of Radiology, Chung-Ang University College of Medicine, Seoul 06973, Korea;
| | - You Jung Ha
- Division of Rheumatology, Department of Internal Medicine, Seoul National University Bundang Hospital, Yongin-si 13620, Korea;
| | - Sang-Il Choi
- Department of Computer Engineering, Dankook University, Yongin-si 16890, Korea
- Correspondence: ; Tel.: +82-31-8005-3657
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