Subudhi Asit, Dash Pratyusa, Mohapatra Manoranjan, Tan Ru-San, Acharya U Rajendra, Sabut Sukanta
Department of Electronics & Communication Engineering, ITER, SOA Deemed to be University, Odisha 700107, India.
Department of Computer Science and Engineering, Heritage Institute of Technology, Kolkata 700107, India.
Diagnostics (Basel). 2022 Oct 19;12(10):2535. doi: 10.3390/diagnostics12102535.
Magnetic resonance imaging (MRI) is a standard tool for the diagnosis of stroke, but its manual interpretation by experts is arduous and time-consuming. Thus, there is a need for computer-aided-diagnosis (CAD) models for the automatic segmentation and classification of stroke on brain MRI. The heterogeneity of stroke pathogenesis, morphology, image acquisition modalities, sequences, and intralesional tissue signal intensity, as well as lesion-to-normal tissue contrast, pose significant challenges to the development of such systems. Machine learning (ML) is increasingly being used in predictive neuroimaging diagnosis and prognostication. This paper reviews image processing and machine learning techniques that have been applied to detect ischemic stroke on brain MRI, including details on image acquisition, pre-processing, techniques to segment, extraction of features, and classification into stroke types. The main objective of this work is to find the state-of-art machine learning techniques used to predict the ischemic stroke and their application in clinical set-up. The article selection is performed according to PRISMA guideline. The state-of-the-art on automated MRI stroke diagnosis, with a focus on machine learning, is discussed, along with its advantages and limitations. We found that the various machine learning models discussed in this article are able to detect the infarcts with an acceptable accuracy of 70-90%. However, no one has highlighted the time complexity to predict the stroke in the model developed, which is an important factor. The work concludes with proposals for future recommendations for building efficient and robust deep learning (DL) models for quantitative brain MRI analysis. In recent work, with the application of DL approaches, using large datasets to train the models has improved the detection accuracy and reduced computational complexity. We suggest that the design of a decision support system based on artificial intelligence (AI) and clinical data presenting symptoms is essential to support clinicians to accelerate diagnosis and timeous therapy in the emergency management of stroke.
磁共振成像(MRI)是诊断中风的标准工具,但其由专家进行的人工解读既费力又耗时。因此,需要计算机辅助诊断(CAD)模型来对脑部MRI上的中风进行自动分割和分类。中风发病机制、形态、图像采集方式、序列以及病灶内组织信号强度的异质性,连同病灶与正常组织的对比度,都给此类系统的开发带来了重大挑战。机器学习(ML)在预测性神经影像诊断和预后判断中的应用越来越广泛。本文综述了已应用于检测脑部MRI上缺血性中风的图像处理和机器学习技术,包括图像采集、预处理、分割技术、特征提取以及中风类型分类的详细信息。这项工作的主要目标是找出用于预测缺血性中风的先进机器学习技术及其在临床环境中的应用。文章的选取是根据PRISMA指南进行的。本文讨论了以机器学习为重点的自动化MRI中风诊断的最新进展,以及其优点和局限性。我们发现本文讨论的各种机器学习模型能够以70%至90%的可接受准确率检测梗死灶。然而,没有人强调所开发模型中预测中风的时间复杂性,而这是一个重要因素。工作最后针对构建用于定量脑MRI分析的高效且稳健的深度学习(DL)模型提出了未来建议。在最近的工作中,随着DL方法的应用,使用大型数据集训练模型提高了检测准确率并降低了计算复杂性。我们建议设计一个基于人工智能(AI)和呈现症状的临床数据的决策支持系统,对于在中风的急诊管理中支持临床医生加快诊断和及时治疗至关重要。
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