Magnetic Resonance Imaging Datasets Research Articles

A 10-Year Longitudinal Study of Brain Cortical Thickness in People with First-Episode Psychosis Using Normative Models.

Clinical forecasting models have potential to optimize treatment and improve outcomes in psychosis, but predicting long-term outcomes is challenging and long-term follow-up data are scarce. In this 10-year longitudinal study, we aimed to characterize the temporal evolution of cortical correlates of psychosis and their associations with symptoms. Structural magnetic resonance imaging (MRI) from people with first-episode psychosis and controls (n = 79 and 218) were obtained at enrollment, after 12 months (n = 67 and 197), and 10 years (n = 23 and 77), within the Thematically Organized Psychosis (TOP) study. Normative models for cortical thickness estimated on public MRI datasets (n = 42 983) were applied to TOP data to obtain deviation scores for each region and timepoint. Positive and Negative Syndrome Scale (PANSS) scores were acquired at each timepoint along with registry data. Linear mixed effects models assessed effects of diagnosis, time, and their interactions on cortical deviations plus associations with symptoms. LMEs revealed conditional main effects of diagnosis and time × diagnosis interactions in a distributed cortical network, where negative deviations in patients attenuate over time. In patients, symptoms also attenuate over time. LMEs revealed effects of anterior cingulate on PANSS total, and insular and orbitofrontal regions on PANSS negative scores. This long-term longitudinal study revealed a distributed pattern of cortical differences which attenuated over time together with a reduction in symptoms. These findings are not in line with a simple neurodegenerative account of schizophrenia, and deviations from normative models offer a promising avenue to develop biomarkers to track clinical trajectories over time.

Automatic segmentation of the spinal cord nerve rootlets

Abstract Precise identification of spinal nerve rootlets is relevant to delineate spinal levels for the study of functional activity in the spinal cord. The goal of this study was to develop an automatic method for the semantic segmentation of spinal nerve rootlets from T2-weighted magnetic resonance imaging (MRI) scans. Images from two open-access 3T MRI datasets were used to train a 3D multi-class convolutional neural network using an active learning approach to segment C2-C8 dorsal nerve rootlets. Each output class corresponds to a spinal level. The method was tested on 3T T2-weighted images from three datasets unseen during training to assess inter-site, inter-session, and inter-resolution variability. The test Dice score was 0.67 ± 0.16 (mean ± standard deviation across testing images and rootlets levels), suggesting a good performance. The method also demonstrated low inter-vendor and inter-site variability (coefficient of variation ≤ 1.41%), as well as low inter-session variability (coefficient of variation ≤ 1.30%), indicating stable predictions across different MRI vendors, sites, and sessions. The proposed methodology is open-source and readily available in the Spinal Cord Toolbox (SCT) v6.2 and higher.

Revolutionizing disease diagnosis and management: Open-access magnetic resonance imaging datasets a challenge for artificial intelligence driven liver iron quantification

Artificial intelligence (AI), particularly machine learning (ML) and deep learning (DL) techniques, such as convolutional neural networks (CNNs), have emerged as transformative technologies with vast potential in healthcare. Body iron load is usually assessed using slightly invasive blood tests (serum ferritin, serum iron, and serum transferrin). Serum ferritin is widely used to assess body iron and drive medical management; however, it is an acute phase reactant protein offering wrong interpretation in the setting of inflammation and distressed patients. Magnetic resonance imaging is a non-invasive technique that can be used to assess liver iron. The ML and DL algorithms can be used to enhance the detection of minor changes. However, a lack of open-access datasets may delay the advancement of medical research in this field. In this letter, we highlight the importance of standardized datasets for advancing AI and CNNs in medical imaging. Despite the current limitations, embracing AI and CNNs holds promise in revolutionizing disease diagnosis and treatment.

Hypergraph-Based Multitask Feature Selection with Temporally Constrained Group Sparsity Learning on fMRI

Localizing the brain regions affected by tasks is crucial to understanding the mechanisms of brain function. However, traditional statistical analysis does not accurately identify the brain regions of interest due to factors such as sample size, task design, and statistical effects. Here, we propose a hypergraph-based multitask feature selection framework, referred to as HMTFS, which we apply to a functional magnetic resonance imaging (fMRI) dataset to extract task-related brain regions. HMTFS is characterized by its ability to construct a hypergraph through correlations between subjects, treating each subject as a node to preserve high-order information of time-varying signals. Additionally, it manages feature selection across different time windows in fMRI data as multiple tasks, facilitating time-constrained group sparse learning with a smoothness constraint. We utilize a large fMRI dataset from the Human Connectome Project (HCP) to validate the performance of HMTFS in feature selection. Experimental results demonstrate that brain regions selected by HMTFS can provide higher accuracy for downstream classification tasks compared to other competing feature selection methods and align with findings from previous neuroscience studies.

Recursive Deformable Pyramid Network for Unsupervised Medical Image Registration.

Complicated deformation problems are frequently encountered in medical image registration tasks. Although various advanced registration models have been proposed, accurate and efficient deformable registration remains challenging, especially for handling the large volumetric deformations. To this end, we propose a novel recursive deformable pyramid (RDP) network for unsupervised non-rigid registration. Our network is a pure convolutional pyramid, which fully utilizes the advantages of the pyramid structure itself, but does not rely on any high-weight attentions or transformers. In particular, our network leverages a step-by-step recursion strategy with the integration of high-level semantics to predict the deformation field from coarse to fine, while ensuring the rationality of the deformation field. Meanwhile, due to the recursive pyramid strategy, our network can effectively attain deformable registration without separate affine pre-alignment. We compare the RDP network with several existing registration methods on three public brain magnetic resonance imaging (MRI) datasets, including LPBA, Mindboggle and IXI. Experimental results demonstrate our network consistently outcompetes state of the art with respect to the metrics of Dice score, average symmetric surface distance, Hausdorff distance, and Jacobian. Even for the data without the affine pre-alignment, our network maintains satisfactory performance on compensating for the large deformation. The code is publicly available at https://github.com/ZAX130/RDP.

SurvNet: A low-complexity convolutional neural network for survival time classification of patients with glioblastoma

Background and objectiveMalignant primary brain tumors cause the greatest number of years of life lost than any other cancer. Grade 4 glioma is particularly devastating: The median survival without any treatment is less than six months and with standard-of-care treatment is only 14.6 months. Accurate identification of the overall survival time of patients with brain tumors is of profound importance in many clinical applications. Automated image analytics with magnetic resonance imaging (MRI) can provide insights into the prognosis of patients with brain tumors. MethodsIn this paper, We propose SurvNet, a low-complexity deep learning architecture based on the convolutional neural network to classify the overall survival time of patients with brain tumors into long-time and short-time survival cohorts. Through the incorporation of diverse MRI modalities as inputs, we facilitate deep feature extraction at various anatomical sites, thereby augmenting the precision of predictive modeling. We compare SurvNet with the Inception V3, VGG 16 and ensemble CNN models on pre-operative magnetic resonance image datasets. We also analyzed the effect of segmented brain tumors and training data on the system performance. ResultsSeveral measures, such as accuracy, precision, and recall, are calculated to examine the perfor-mance of SurvNet on three-fold cross-validation. SurvNet with T1 MRI modality achieved a 62.7 % accuracy, compared with 52.9 % accuracy of the Inception V3 model, 58.5 % accuracy of the VGG 16 model, and 54.9 % of the ensemble CNN model. By increasing the MRI input modalities, SurvNet becomes more accurate and achieves 76.5 % accuracy with four MRI modalities. Combining the segmented data, SurvNet achieved the highest accuracy of 82.4 %. ConclusionsThe research results show that SurvNet achieves higher metrics such as accuracy and f1-score than the comparisons. Our research also proves that by using multiparametric MRI modalities, SurvNet is able to learn more image features and performs a better classification accuracy. We can conclude that SurvNet with the complete scenario, i.e., segmented data and four MRI modalities, achieved the best accuracy, showing the validity of segmentation information during the survival time prediction process.

Performance Enhancement of Alzheimer's Disease Diagnosis Using Generative Adversarial Network

Insufficient medical images have always been a challenge for deep learning-based Alzheimer's disease classification and detection tasks. The availability of Magnetic Resonance Imaging (MRI) data is limited due to patients' privacy issues. Access to individual medical records is strongly protected by the law, and appropriate consent is needed to utilize them for research purposes. Besides that, publicly available databases often experience imbalanced classes, further contributing to the issue of insufficient data. Thus, the performance of deep learning models used to diagnose Alzheimer's disease is often hindered by this issue. Basic data augmentation methods such as geometrical augmentation techniques also had limited applications to medical data. Hence, this study proposes a deep learning technique of Generative Adversarial Network (GAN) to expand the MRI dataset and improve the classification model performance. MRI images from the Open Access Series of Imaging Studies (OASIS) database are used in this study to perform experiments and validate hypotheses. After applying GAN to expand the dataset, a pre-trained Convolutional Neural Network (CNN) model is used to classify the data into multiple classes of Alzheimer's and the model's performance is measured. As a result, an improvement in accuracy for the classification task can be observed, indicating that the GAN is a solution for overcoming the challenge of insufficient data for Alzheimer's diagnosis.

NBEST: Deep-learning-based non-human primates Brain Extraction and Segmentation Toolbox across ages, sites and species

Accurate processing and analysis of non-human primate (NHP) brain magnetic resonance imaging (MRI) serves an indispensable role in understanding brain evolution, development, aging, and diseases. Despite the accumulation of diverse NHP brain MRI datasets at various developmental stages and from various imaging sites/scanners, existing computational tools designed for human MRI typically perform poor on NHP data, due to huge differences in brain sizes, morphologies, and imaging appearances across species, sites, and ages, highlighting the imperative for NHP-specialized MRI processing tools. To address this issue, in this paper, we present a robust, generic, and fully automated computational pipeline, called non-human primates Brain Extraction and Segmentation Toolbox (nBEST), whose main functionality includes brain extraction, non-cerebrum removal, and tissue segmentation. Building on cutting-edge deep learning techniques by employing lifelong learning to flexibly integrate data from diverse NHP populations and innovatively constructing 3D U-NeXt architecture, nBEST can well handle structural NHP brain MR images from multi-species, multi-site, and multi-developmental-stage (from neonates to the elderly). We extensively validated nBEST based on, to our knowledge, the largest assemblage dataset in NHP brain studies, encompassing 1,469 scans with 11 species (e.g., rhesus macaques, cynomolgus macaques, chimpanzees, marmosets, squirrel monkeys, etc.) from 23 independent datasets. Compared to alternative tools, nBEST outperforms in precision, applicability, robustness, comprehensiveness, and generalizability, greatly benefiting downstream longitudinal, cross-sectional, and cross-species quantitative analyses. We have made nBEST an open-source toolbox (https://github.com/TaoZhong11/nBEST) and we are committed to its continual refinement through lifelong learning with incoming data to greatly contribute to the research field.

Ensemble Learning-based Brain Stroke Prediction Model Using Magnetic Resonance Imaging

Brain stroke (BS) imposes a substantial burden on healthcare systems due to the long-term care and high expenditure. Earlier detection and intervention can reduce the impact of BS. Magnetic resonance imaging (MRI) is commonly applied for BS detection. Deep learning techniques can employ MRI images to identify the BS risks in the initial stages. This study developed a BS detection model using an ensemble learning approach that combines the predictions of the base models. A MobileNet V3 model backbone was used to extract the intricate patterns of BS from MRI images. LightGBM and CatBoost models were used as base models to predict BS using the extracted features. In addition, the random forest model was used to integrate the predictions of base models to identify BS. The proposed model was generalized on a public MRI dataset that covers 2888 clinical MRI images. The experimental outcomes showed the effectiveness of the suggested BS detection model. The proposed model has obtained an accuracy of 98.7%, an area under the receiver operating characteristic score of 0.95, and an area under the precision–recall curve of 0.92. The recommended model is believed to be deployed in real-time healthcare settings to assist radiologists and clinicians in making effective decisions.

Enhancing Brain Segmentation in MRI through Integration of Hidden Markov Random Field Model and Whale Optimization Algorithm

The automatic delineation and segmentation of the brain tissues from Magnetic Resonance Images (MRIs) is a great challenge in the medical context. The difficulty of this task arises out of the similar visual appearance of neighboring brain structures in MR images. In this study, we present an automatic approach for robust and accurate brain tissue boundary outlining in MR images. This algorithm is proposed for the tissue classification of MR brain images into White Matter (WM), Gray Matter (GM) and Cerebrospinal Fluid (CSF). The proposed segmentation process combines two algorithms, the Hidden Markov Random Field (HMRF) model and the Whale Optimization Algorithm (WOA), to enhance the treatment accuracy. In addition, we use the Whale Optimization Algorithm (WOA) to optimize the performance of the segmentation method. The experimental results from a dataset of brain MR images show the superiority of our proposed method, referred to HMRF-WOA, as compared to other reported approaches. The HMRF-WOA is evaluated on multiple MRI contrasts, including both simulated and real MR brain images. The well-known Dice coefficient (DC) and Jaccard coefficient (JC) were used as similarity metrics. The results show that, in many cases, our proposed method approaches the perfect segmentation with a Dice coefficient and Jaccard coefficient above 0.9.

A multi-institutional meningioma MRI dataset for automated multi-sequence image segmentation

Meningiomas are the most common primary intracranial tumors and can be associated with significant morbidity and mortality. Radiologists, neurosurgeons, neuro-oncologists, and radiation oncologists rely on brain MRI for diagnosis, treatment planning, and longitudinal treatment monitoring. However, automated, objective, and quantitative tools for non-invasive assessment of meningiomas on multi-sequence MR images are not available. Here we present the BraTS Pre-operative Meningioma Dataset, as the largest multi-institutional expert annotated multilabel meningioma multi-sequence MR image dataset to date. This dataset includes 1,141 multi-sequence MR images from six sites, each with four structural MRI sequences (T2-, T2/FLAIR-, pre-contrast T1-, and post-contrast T1-weighted) accompanied by expert manually refined segmentations of three distinct meningioma sub-compartments: enhancing tumor, non-enhancing tumor, and surrounding non-enhancing T2/FLAIR hyperintensity. Basic demographic data are provided including age at time of initial imaging, sex, and CNS WHO grade. The goal of releasing this dataset is to facilitate the development of automated computational methods for meningioma segmentation and expedite their incorporation into clinical practice, ultimately targeting improvement in the care of meningioma patients.

A novel approach of brain-computer interfacing (BCI) and Grad-CAM based explainable artificial intelligence: Use case scenario for smart healthcare

BackgroundIn order to push the frontiers of brain-computer interface (BCI) and neuron-electronics, this research presents a novel framework that combines cutting-edge technologies for improved brain-related diagnostics in smart healthcare. This research offers a ground-breaking application of transparent strategies to BCI, promoting openness and confidence in brain-computer interactions and taking inspiration from Grad-CAM (Gradient-weighted Class Activation Mapping) based Explainable Artificial Intelligence (XAI) methodology. The landscape of healthcare diagnostics is about to be redefined by the integration of various technologies, especially when it comes to illnesses related to the brain. New methodA novel approach has been proposed in this study comprising of Xception architecture which is trained on imagenet database following transfer learning process for extraction of significant features from magnetic resonance imaging dataset acquired from publicly available distinct sources as an input and linear support vector machine has been used for distinguishing distinct classes.Afterwards, gradient-weighted class activation mapping has been deployed as the foundation for explainable artificial intelligence (XAI) for generating informative heatmaps, representing spatial localization of features which were focused to achieve model’s predictions. ResultsThus, the proposed model not only provides accurate outcomes but also provides transparency for the predictions generated by the Xception network to diagnose presence of abnormal tissues and avoids overfitting issues. Hyperparameters along with performance-metrics are also obtained while validating the proposed network on unseen brain MRI scans to ensure effectiveness of the proposed network. Comparison with existing methods and conclusionsThe integration of Grad-CAM based explainable artificial intelligence with deep neural network namely Xception offers a significant impact in diagnosing brain tumor disease while highlighting the specific regions of input brain MRI images responsible for making predictions. In this study, the proposed network results in 98.92% accuracy, 98.15% precision, 99.09% sensitivity, 98.18% specificity and 98.91% dice-coefficient while identifying presence of abnormal tissues in the brain. Thus, Xception model trained on distinct dataset following transfer learning process offers remarkable diagnostic accuracy and linear support vector act as a classifier to provide efficient classification among distinct classes. In addition, the deployed explainable artificial intelligence approach helps in revealing the reasoning behind predictions made by deep neural network having black-box nature and provides a clear perspective to assist medical experts in achieving trustworthiness and transparency while diagnosing brain tumor disease in the smart healthcare

Towards a unified approach for unsupervised brain MRI Motion Artefact Detection with few shot Anomaly Detection

Automated Motion Artefact Detection (MAD) in Magnetic Resonance Imaging (MRI) is a field of study that aims to automatically flag motion artefacts in order to prevent the requirement for a repeat scan. In this paper, we identify and tackle the three current challenges in the field of automated MAD; (1) reliance on fully-supervised training, meaning they require specific examples of Motion Artefacts (MA), (2) inconsistent use of benchmark datasets across different works and use of private datasets for testing and training of newly proposed MAD techniques and (3) a lack of sufficiently large datasets for MRI MAD. To address these challenges, we demonstrate how MAs can be identified by formulating the problem as an unsupervised Anomaly Detection (AD) task. We compare the performance of three State-of-the-Art AD algorithms DeepSVDD, Interpolated Gaussian Descriptor and FewSOME on two open-source Brain MRI datasets on the task of MAD and MA severity classification, with FewSOME achieving a MAD AUC >90% on both datasets and a Spearman Rank Correlation Coefficient of 0.8 on the task of MA severity classification. These models are trained in the few shot setting, meaning large Brain MRI datasets are not required to build robust MAD algorithms. This work also sets a standard protocol for testing MAD algorithms on open-source benchmark datasets. In addition to addressing these challenges, we demonstrate how our proposed ‘anomaly-aware’ scoring function improves FewSOME’s MAD performance in the setting where one and two shots of the anomalous class are available for training. Code available at https://github.com/niamhbelton/Unsupervised-Brain-MRI-Motion-Artefact-Detection/.

Artificial intelligence for volumetric measurement of cerebral white matter hyperintensities on thick-slice fluid-attenuated inversion recovery (FLAIR) magnetic resonance images from multiple centers

We aimed to develop a new artificial intelligence software that can automatically extract and measure the volume of white matter hyperintensities (WMHs) in head magnetic resonance imaging (MRI) using only thick-slice fluid-attenuated inversion recovery (FLAIR) sequences from multiple centers. We enrolled 1092 participants in Japan, comprising the thick-slice Private Dataset. Based on 207 randomly selected participants, neuroradiologists annotated WMHs using predefined guidelines. The annotated images of participants were divided into training (n = 138) and test (n = 69) datasets. The WMH segmentation model comprised a U-Net ensemble and was trained using the Private Dataset. Two other models were trained for validation using either both thin- and thick-slice MRI datasets or the thin-slice dataset alone. The voxel-wise Dice similarity coefficient (DSC) was used as the evaluation metric. The model trained using only thick-slice MRI showed a DSC of 0.820 for the test dataset, which is comparable to the accuracy of human readers. The model trained with the additional thin-slice dataset showed only a slightly improved DSC of 0.822. This automatic WMH segmentation model comprising a U-Net ensemble trained on a thick-slice FLAIR MRI dataset is a promising new method. Despite some limitations, this model may be applicable in clinical practice.

Attentional adversarial training for few-shot medical image segmentation without annotations.

Medical image segmentation is a critical application that plays a significant role in clinical research. Despite the fact that many deep neural networks have achieved quite high accuracy in the field of medical image segmentation, there is still a scarcity of annotated labels, making it difficult to train a robust and generalized model. Few-shot learning has the potential to predict new classes that are unseen in training with a few annotations. In this study, a novel few-shot semantic segmentation framework named prototype-based generative adversarial network (PG-Net) is proposed for medical image segmentation without annotations. The proposed PG-Net consists of two subnetworks: the prototype-based segmentation network (P-Net) and the guided evaluation network (G-Net). On one hand, the P-Net as a generator focuses on extracting multi-scale features and local spatial information in order to produce refined predictions with discriminative context between foreground and background. On the other hand, the G-Net as a discriminator, which employs an attention mechanism, further distills the relation knowledge between support and query, and contributes to P-Net producing segmentation masks of query with more similar distributions as support. Hence, the PG-Net can enhance segmentation quality by an adversarial training strategy. Compared to the state-of-the-art (SOTA) few-shot segmentation methods, comparative experiments demonstrate that the proposed PG-Net provides noticeably more robust and prominent generalization ability on different medical image modality datasets, including an abdominal Computed Tomography (CT) dataset and an abdominal Magnetic Resonance Imaging (MRI) dataset.

Swin Transformer and the Unet Architecture to Correct Motion Artifacts in Magnetic Resonance Image Reconstruction.

We present a deep learning-based method that corrects motion artifacts and thus accelerates data acquisition and reconstruction of magnetic resonance images. The novel model, the Motion Artifact Correction by Swin Network (MACS-Net), uses a Swin transformer layer as the fundamental block and the Unet architecture as the neural network backbone. We employ a hierarchical transformer with shifted windows to extract multiscale contextual features during encoding. A new dual upsampling technique is employed to enhance the spatial resolutions of feature maps in the Swin transformer-based decoder layer. A raw magnetic resonance imaging dataset is used for network training and testing; the data contain various motion artifacts with ground truth images of the same subjects. The results were compared to six state-of-the-art MRI image motion correction methods using two types of motions. When motions were brief (within 5 s), the method reduced the average normalized root mean square error (NRMSE) from 45.25% to 17.51%, increased the mean structural similarity index measure (SSIM) from 79.43% to 91.72%, and increased the peak signal-to-noise ratio (PSNR) from 18.24 to 26.57 dB. Similarly, when motions were extended from 5 to 10 s, our approach decreased the average NRMSE from 60.30% to 21.04%, improved the mean SSIM from 33.86% to 90.33%, and increased the PSNR from 15.64 to 24.99 dB. The anatomical structures of the corrected images and the motion-free brain data were similar.

Functionality of arousal-regulating brain circuitry at rest predicts human cognitive abilities.

Arousal state is regulated by subcortical neuromodulatory nuclei, such as locus coeruleus, which send wide-reaching projections to cortex. Whether higher-order cortical regions have the capacity to recruit neuromodulatory systems to aid cognition is unclear. Here, we hypothesized that select cortical regions activate the arousal system, which, in turn, modulates large-scale brain activity, creating a functional circuit predicting cognitive ability. We utilized the Human Connectome Project 7T functional magnetic resonance imaging dataset (n = 149), acquired at rest with simultaneous eye tracking, along with extensive cognitive assessment for each subject. First, we discovered select frontoparietal cortical regions that drive large-scale spontaneous brain activity specifically via engaging the arousal system. Second, we show that the functionality of the arousal circuit driven by bilateral posterior cingulate cortex (associated with the default mode network) predicts subjects' cognitive abilities. This suggests that a cortical region that is typically associated with self-referential processing supports cognition by regulating the arousal system.

Bridging Modalities: A Multimodal Machine Learning Approach for Parkinson’s Disease Diagnosis Using EEG and MRI Data

Parkinson’s disease (PD) is a slowly progressing neurological disorder with symptoms that overlap with those of other conditions, making early detection and accurate diagnosis vital for effective treatment and a patient’s quality of life. Symptoms such as tremors, stiffness, slow movements, and balance issues, along with psychiatric manifestations, are typical of PD. This study introduces a groundbreaking approach to PD diagnosis, utilizing a multimodal machine learning framework that integrates Electroencephalography (EEG) and Magnetic Resonance Imaging (MRI) data. Focusing on the early detection and accurate classification of PD, the proposed research leverages the distinct yet complementary nature of EEG and MRI datasets to enhance diagnostic precision. We employed a robust algorithmic strategy, including LightGBM and machine learning techniques, to analyze the complex patterns inherent in neurological data. The key steps of the proposed research are preprocessing and feature extraction from both EEG and MRI modalities, followed by their fusion using Principal Component Analysis (PCA) for dimensionality reduction. The fused dataset was then analyzed using a LightGBM model and validated through a 10-fold cross-validation process to ensure reliability and stability. The model’s efficacy was further tested on independent datasets, demonstrating its robustness across diverse patient demographics. The obtained results showcased an accuracy of 97.17%, sensitivity of 96.58%, and specificity of 96.82% in PD classification, outperforming traditional multimodal as well as single-modality diagnostic methods. The integration of EEG and MRI data provided a more comprehensive view of the neurophysiological and neuroanatomical changes associated with PD. Additionally, the use of advanced machine learning algorithms allowed for a nuanced analysis, capturing subtle patterns indicative of early PD stages.

Predictive value of magnetic resonance imaging diffusion parameters using artificial intelligence in low-and intermediate-risk prostate cancer patients treated with stereotactic ablative radiotherapy: A pilot study

IntroductionTo investigate the predictive value of the pre-treatment diffusion parameters of diffusion-weighted magnetic resonance imaging (DW-MRI) using artificial intelligence (AI) for prostate-specific antigen (PSA) response in patients with low- and intermediate-risk prostate cancer (PCa) treated with stereotactic ablative radiotherapy (SABR). MethodsRetrospective evaluation was performed for 30 patients using pre-treatment multi-parametric MR image datasets between 2017 and 2021. MR-based mean- and minimum apparent diffusion coefficients (ADCmean, ADCmin) were calculated for the intraprostatic dominant lesion. Therapeutic response was assessed using PSA levels. Predictive performance was assessed by the receiver operating characteristic (ROC) analysis. Statistics performed with a significance level of p ≤ 0.05. ResultsNo biochemical relapse was detected after a median follow-up of twenty-three months (range: 3–50), with a median PSA of 0.01 ng/ml (range: 0.006–2.8) at the last examination. Significant differences were observed between the pre-treatment ADCmean, ADCmin parameters, and the group averages of patients with low and high 1-year-PSA measurements (p < 0.0001, p < 0.0001). In prediction, the random forest (RF) model outperformed the decision tree (DT) and support vector machine (SVM) models by yielding area under the curves (AUC), with 0.722, 0.685, and 0.5, respectively. ConclusionOur findings suggest that pre-treatment MR diffusion data may predict therapeutic response using the novel approach of machine learning in PCa patients treated with SABR. Implications for practiceClinicians shall measure and implement the evaluation of the suggested parameters (ADCmin, ADCmean) to provide the most accurate therapy for the patient.

An integrated deep learning and supervised learning approach for early detection of brain tumor using magnetic resonance imaging

Diagnosing brain tumors is difficult, especially at an early stage of the disease. Conventional approaches often cause delays in providing required treatment to the patients and shorten their lifespan. This paper presents a novel integrated approach with advanced subsets of artificial intelligence, including deep learning and supervised learning algorithms. These new technologies have demonstrated outstanding potential due to their ability to capture the appropriate features based on the input data. They can assist medical experts in identifying abnormal growth of cells inside the brain. We use publicly available brain magnetic resonance imaging (MRI) datasets to diagnose brain tumors and develop an automated system. The proposed approach uses data augmentation to enhance the image sizes and maintain standardization. We then deploy a visual geometry group with 16 layers following transfer learning to help minimize the medical experts’ workload in making accurate decisions. We extract the most significant features and improve the diagnostic speed and accuracy using a supervised learning algorithm and linear support vector machines (SVM). The proposed model outperforms the existing approaches with an accuracy of 98.87%, precision of 99.09%, recall of 98.73%, specificity of 99.02%, and F1-score of 98.91%.