Lim Chee Chin, Ling Apple Ho Wei, Chong Yen Fook, Mashor Mohd Yusoff, Alshantti Khalilalrahman, Aziz Mohd Ezane
Faculty of Electronic Engineering & Technology, Universiti Malaysia Perlis, Arau 02600, Perlis, Malaysia.
Sport Engineering Research Centre (SERC), Universiti Malaysia Perlis, Arau 02600, Perlis, Malaysia.
Diagnostics (Basel). 2023 Jul 14;13(14):2377. doi: 10.3390/diagnostics13142377.
Osteosarcoma is a common type of bone tumor, particularly prevalent in children and adolescents between the ages of 5 and 25 who are experiencing growth spurts during puberty. Manual delineation of tumor regions in MRI images can be laborious and time-consuming, and results may be subjective and difficult to replicate. Therefore, a convolutional neural network (CNN) was developed to automatically segment osteosarcoma cancerous cells in three types of MRI images. The study consisted of five main stages. First, 3692 DICOM format MRI images were acquired from 46 patients, including T1-weighted, T2-weighted, and T1-weighted with injection of Gadolinium (T1W + Gd) images. Contrast stretching and median filter were applied to enhance image intensity and remove noise, and the pre-processed images were reconstructed into NIfTI format files for deep learning. The MRI images were then transformed to fit the CNN's requirements. A 3D U-Net architecture was proposed with optimized parameters to build an automatic segmentation model capable of segmenting osteosarcoma from the MRI images. The 3D U-Net segmentation model achieved excellent results, with mean dice similarity coefficients (DSC) of 83.75%, 85.45%, and 87.62% for T1W, T2W, and T1W + Gd images, respectively. However, the study found that the proposed method had some limitations, including poorly defined borders, missing lesion portions, and other confounding factors. In summary, an automatic segmentation method based on a CNN has been developed to address the challenge of manually segmenting osteosarcoma cancerous cells in MRI images. While the proposed method showed promise, the study revealed limitations that need to be addressed to improve its efficacy.
骨肉瘤是一种常见的骨肿瘤类型,在5至25岁处于青春期生长突增期的儿童和青少年中尤为普遍。在MRI图像中手动勾勒肿瘤区域可能既费力又耗时,而且结果可能主观且难以复制。因此,开发了一种卷积神经网络(CNN)来自动分割三种类型MRI图像中的骨肉瘤癌细胞。该研究包括五个主要阶段。首先,从46名患者那里获取了3692张DICOM格式的MRI图像,包括T1加权、T2加权以及注射钆后的T1加权(T1W + Gd)图像。应用对比度拉伸和中值滤波来增强图像强度并去除噪声,然后将预处理后的图像重建为NIfTI格式文件以用于深度学习。随后对MRI图像进行变换以符合CNN的要求。提出了一种具有优化参数的3D U-Net架构,以构建一个能够从MRI图像中分割骨肉瘤的自动分割模型。该3D U-Net分割模型取得了优异的结果,T1W、T2W和T1W + Gd图像的平均骰子相似系数(DSC)分别为83.75%、85.45%和87.62%。然而,该研究发现所提出的方法存在一些局限性,包括边界定义不清、病变部分缺失以及其他混杂因素。总之,已经开发了一种基于CNN的自动分割方法来应对在MRI图像中手动分割骨肉瘤癌细胞的挑战。虽然所提出的方法显示出了前景,但该研究揭示了需要解决的局限性以提高其有效性。