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Preoperative Brain Tumor Imaging: Models and Software for Segmentation and Standardized Reporting.

作者信息

Bouget David, Pedersen André, Jakola Asgeir S, Kavouridis Vasileios, Emblem Kyrre E, Eijgelaar Roelant S, Kommers Ivar, Ardon Hilko, Barkhof Frederik, Bello Lorenzo, Berger Mitchel S, Conti Nibali Marco, Furtner Julia, Hervey-Jumper Shawn, Idema Albert J S, Kiesel Barbara, Kloet Alfred, Mandonnet Emmanuel, Müller Domenique M J, Robe Pierre A, Rossi Marco, Sciortino Tommaso, Van den Brink Wimar A, Wagemakers Michiel, Widhalm Georg, Witte Marnix G, Zwinderman Aeilko H, De Witt Hamer Philip C, Solheim Ole, Reinertsen Ingerid

机构信息

Department of Health Research, SINTEF Digital, Trondheim, Norway.

Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway.

出版信息

Front Neurol. 2022 Jul 27;13:932219. doi: 10.3389/fneur.2022.932219. eCollection 2022.


DOI:10.3389/fneur.2022.932219
PMID:35968292
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9364874/
Abstract

For patients suffering from brain tumor, prognosis estimation and treatment decisions are made by a multidisciplinary team based on a set of preoperative MR scans. Currently, the lack of standardized and automatic methods for tumor detection and generation of clinical reports, incorporating a wide range of tumor characteristics, represents a major hurdle. In this study, we investigate the most occurring brain tumor types: glioblastomas, lower grade gliomas, meningiomas, and metastases, through four cohorts of up to 4,000 patients. Tumor segmentation models were trained using the AGU-Net architecture with different preprocessing steps and protocols. Segmentation performances were assessed in-depth using a wide-range of voxel and patient-wise metrics covering volume, distance, and probabilistic aspects. Finally, two software solutions have been developed, enabling an easy use of the trained models and standardized generation of clinical reports: Raidionics and Raidionics-Slicer. Segmentation performances were quite homogeneous across the four different brain tumor types, with an average true positive Dice ranging between 80 and 90%, patient-wise recall between 88 and 98%, and patient-wise precision around 95%. In conjunction to Dice, the identified most relevant other metrics were the relative absolute volume difference, the variation of information, and the Hausdorff, Mahalanobis, and object average symmetric surface distances. With our Raidionics software, running on a desktop computer with CPU support, tumor segmentation can be performed in 16-54 s depending on the dimensions of the MRI volume. For the generation of a standardized clinical report, including the tumor segmentation and features computation, 5-15 min are necessary. All trained models have been made open-access together with the source code for both software solutions and validation metrics computation. In the future, a method to convert results from a set of metrics into a final single score would be highly desirable for easier ranking across trained models. In addition, an automatic classification of the brain tumor type would be necessary to replace manual user input. Finally, the inclusion of post-operative segmentation in both software solutions will be key for generating complete post-operative standardized clinical reports.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a8/9364874/1259a21f9287/fneur-13-932219-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a8/9364874/94577e503274/fneur-13-932219-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a8/9364874/deec3c2657f1/fneur-13-932219-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a8/9364874/160b804bf201/fneur-13-932219-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a8/9364874/0923637e4b33/fneur-13-932219-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a8/9364874/1259a21f9287/fneur-13-932219-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a8/9364874/94577e503274/fneur-13-932219-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a8/9364874/deec3c2657f1/fneur-13-932219-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a8/9364874/160b804bf201/fneur-13-932219-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a8/9364874/0923637e4b33/fneur-13-932219-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a8/9364874/1259a21f9287/fneur-13-932219-g0005.jpg

相似文献

[1]
Preoperative Brain Tumor Imaging: Models and Software for Segmentation and Standardized Reporting.

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[2]
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引用本文的文献

[1]
Clinical evaluation of two glioblastoma delineation methods based on neural networks.

Tech Innov Patient Support Radiat Oncol. 2025-8-6

[2]
Performance of Convolutional Neural Network Models in Meningioma Segmentation in Magnetic Resonance Imaging: A Systematic Review and Meta-Analysis.

Neuroinformatics. 2025-1

[3]
Deep learning-based postoperative glioblastoma segmentation and extent of resection evaluation: Development, external validation, and model comparison.

Neurooncol Adv. 2024-11-16

[4]
The prognostic importance of glioblastoma size and shape.

Acta Neurochir (Wien). 2024-11-12

[5]
Predicting Cognitive Functioning for Patients with a High-Grade Glioma: Evaluating Different Representations of Tumor Location in a Common Space.

Neuroinformatics. 2024-7

[6]
Incidence, risk factors, and clinical implications of postoperative blood in or near the resection cavity after glioma surgery.

Brain Spine. 2024-4-26

[7]
Non-navigated 2D intraoperative ultrasound: An unsophisticated surgical tool to achieve high standards of care in glioma surgery.

J Neurooncol. 2024-5

[8]
The relationship between pathological brain activity and functional network connectivity in glioma patients.

J Neurooncol. 2024-2

[9]
Cognitive functioning in untreated glioma patients: The limited predictive value of clinical variables.

Neuro Oncol. 2024-4-5

[10]
Segmentation of glioblastomas in early post-operative multi-modal MRI with deep neural networks.

Sci Rep. 2023-11-2

本文引用的文献

[1]
Meningioma Segmentation in T1-Weighted MRI Leveraging Global Context and Attention Mechanisms.

Front Radiol. 2021-9-23

[2]
Roza: a new and comprehensive metric for evaluating classification systems.

Comput Methods Biomech Biomed Engin. 2022-7

[3]
Glioblastoma Surgery Imaging-Reporting and Data System: Validation and Performance of the Automated Segmentation Task.

Cancers (Basel). 2021-9-17

[4]
Glioblastoma Surgery Imaging-Reporting and Data System: Standardized Reporting of Tumor Volume, Location, and Resectability Based on Automated Segmentations.

Cancers (Basel). 2021-6-8

[5]
The 2021 WHO Classification of Tumors of the Central Nervous System: a summary.

Neuro Oncol. 2021-8-2

[6]
Fast meningioma segmentation in T1-weighted magnetic resonance imaging volumes using a lightweight 3D deep learning architecture.

J Med Imaging (Bellingham). 2021-3

[7]
Handling missing MRI sequences in deep learning segmentation of brain metastases: a multicenter study.

NPJ Digit Med. 2021-2-22

[8]
Image Segmentation Using Deep Learning: A Survey.

IEEE Trans Pattern Anal Mach Intell. 2022-7

[9]
Implications of the updated Lung CT Screening Reporting and Data System (Lung-RADS version 1.1) for lung cancer screening.

J Thorac Dis. 2020-11

[10]
Introducing Biomedisa as an open-source online platform for biomedical image segmentation.

Nat Commun. 2020-11-4

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