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基于传统磁共振图像的胶质瘤分级:一项采用迁移学习的深度学习研究

Glioma Grading on Conventional MR Images: A Deep Learning Study With Transfer Learning.

作者信息

Yang Yang, Yan Lin-Feng, Zhang Xin, Han Yu, Nan Hai-Yan, Hu Yu-Chuan, Hu Bo, Yan Song-Lin, Zhang Jin, Cheng Dong-Liang, Ge Xiang-Wei, Cui Guang-Bin, Zhao Di, Wang Wen

机构信息

Functional and Molecular Imaging Key Lab of Shaanxi Province, Department of Radiology, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.

Computer Network Information Center, Chinese Academy of Sciences, Beijing, China.

出版信息

Front Neurosci. 2018 Nov 15;12:804. doi: 10.3389/fnins.2018.00804. eCollection 2018.

Abstract

Accurate glioma grading before surgery is of the utmost importance in treatment planning and prognosis prediction. But previous studies on magnetic resonance imaging (MRI) images were not effective enough. According to the remarkable performance of convolutional neural network (CNN) in medical domain, we hypothesized that a deep learning algorithm can achieve high accuracy in distinguishing the World Health Organization (WHO) low grade and high grade gliomas. One hundred and thirteen glioma patients were retrospectively included. Tumor images were segmented with a rectangular region of interest (ROI), which contained about 80% of the tumor. Then, 20% data were randomly selected and leaved out at patient-level as test dataset. AlexNet and GoogLeNet were both trained from scratch and fine-tuned from models that pre-trained on the large scale natural image database, ImageNet, to magnetic resonance images. The classification task was evaluated with five-fold cross-validation (CV) on patient-level split. The performance measures, including validation accuracy, test accuracy and test area under curve (AUC), averaged from five-fold CV of GoogLeNet which trained from scratch were 0.867, 0.909, and 0.939, respectively. With transfer learning and fine-tuning, better performances were obtained for both AlexNet and GoogLeNet, especially for AlexNet. Meanwhile, GoogLeNet performed better than AlexNet no matter trained from scratch or learned from pre-trained model. In conclusion, we demonstrated that the application of CNN, especially trained with transfer learning and fine-tuning, to preoperative glioma grading improves the performance, compared with either the performance of traditional machine learning method based on hand-crafted features, or even the CNNs trained from scratch.

摘要

术前准确的胶质瘤分级对于治疗规划和预后预测至关重要。但以往关于磁共振成像(MRI)图像的研究效果不够理想。鉴于卷积神经网络(CNN)在医学领域的卓越表现,我们推测深度学习算法能够在区分世界卫生组织(WHO)低级别和高级别胶质瘤方面实现高精度。本研究回顾性纳入了113例胶质瘤患者。肿瘤图像用包含约80%肿瘤的矩形感兴趣区域(ROI)进行分割。然后,随机选择20%的数据并在患者层面留出作为测试数据集。AlexNet和GoogLeNet均从零开始训练,并从在大规模自然图像数据库ImageNet上预训练的模型微调至磁共振图像。在患者层面分割上采用五折交叉验证(CV)对分类任务进行评估。从零开始训练的GoogLeNet经五折CV平均得到的性能指标,包括验证准确率、测试准确率和测试曲线下面积(AUC),分别为0.867、0.909和0.939。通过迁移学习和微调,AlexNet和GoogLeNet均获得了更好的性能,尤其是AlexNet。同时,无论从零开始训练还是从预训练模型学习,GoogLeNet的表现均优于AlexNet。总之,我们证明,与基于手工特征的传统机器学习方法的性能相比,甚至与从零开始训练的CNNs相比,将CNN应用于术前胶质瘤分级,尤其是通过迁移学习和微调进行训练,可提高性能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aba0/6250094/886fe89e83ce/fnins-12-00804-g001.jpg

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