Skull Stripping Research Articles

An intelligent magnetic resonance imagining-based multistage Alzheimer's disease classification using swish-convolutional neural networks.

Alzheimer's disease (AD) refers to a neurological disorder that causes damage to brain cells and results in decreasing cognitive abilities and memory. In brain scans, this degeneration can be seen in different ways. The disease can be classified into four stages: Non-demented (ND), moderate demented (MoD), mild demented (MiD), and very mild demented (VMD). To prepare the raw dataset for analysis, the collected magnetic resonance imaging (MRI) images are subjected to several pre-processing techniques in order to improve the performance accuracy of the proposed model. Medical images generally have poor contrast and get affected by noise, which ends up with inaccurate diagnosis. For the different phases of AD to be detected, a clear image is necessary. To address this issue, the influence of the artefacts must be reduced, enhance the contrast, and reduce the loss of information. A novel framework for image enhancement is suggested to increase the accuracy in the detection and identification of AD. In this study, the raw MRI dataset from the Alzheimer's disease neuroimaging initiative (ADNI) database is subjected to skull stripping, contrast enhancement, and image filtering followed by data augmentation to balance the dataset with four types of Alzheimer's classes. The pre-processed data are subjected to five different pre-trained models such as AlexNet, ResNet, VGG 16, EfficientNet, and Inceptionv3 achieving a testing accuracy rate of 91.2%, 88.21%, 92.34%, 93.45%, and 85.12%, respectively. These pre-trained models are compared with the proposed CNN (convolutional neural network) model designed with Adam optimizer and Flatten Swish activation function which reaches the highest accuracy of 96.5% with a learning rate of 0.000001. The five pre-trained CNNmodels along with the proposed swish-based AD-CNN were tested using various performance metrics to evaluate the model efficiency in classifying and identifying the AD classes. From the result analysis, it is evident that the proposed AD-CNN model outperforms all the other models.

Radiomic detection of abnormal brain regions in tuberous sclerosis complex.

Radiomics refers to the extraction of quantitative information from medical images and is most commonly utilized in oncology to provide ancillary information for solid tumor diagnosis, prognosis, and treatment response. The traditional radiomic pipeline involves segmentation of volumes of interest with comparison to normal brain. In other neurologic disorders, such as epilepsy, lesion delineation may be difficult or impossible due to poor anatomic definition, small size, and multifocal or diffuse distribution. Tuberous sclerosis complex (TSC) is a rare genetic disease in which brain magnetic resonance imaging (MRI) demonstrates multifocal abnormalities with variable imaging and epileptogenic features. The purpose of this study was to develop a radiomic workflow for identification of abnormal brain regions in TSC, using a whole-brain atlas-based approach with generation of heatmaps based on signal deviation from normal controls. This was a retrospective pilot study utilizing high-resolution whole-brain 3D FLAIR MRI datasets from retrospective enrollment of tuberous sclerosis complex (TSC) patients and normal controls. Subjects underwent MRI including high-resolution 3D FLAIR sequences. Preprocessing included skull stripping, coregistration, and intensity normalization. Using the Brainnetome and Harvard-Oxford atlases, brain regions were parcellated into 318 discrete regions. Expert neuroradiologists spatially labeled all tubers in TSC patients using ITK-SNAP. The pyradiomics toolbox was used to extract 88 radiomic features based on IBSI guidelines, comparing tuber-affected and non-tuber-affected parenchyma in TSC patients, as well as normal brain tissue in control patients. For model training and validation, regions with tubers from 20 TSC patients and 30 normal control subjects were randomly divided into two training sets (80%) and two validation sets (20%). Additional model testing was performed on a separate group of 20 healthy controls. LASSO (least absolute shrinkage and selection operator) was used to perform variable selection and regularization to identify regions containing tubers. Relevant radiomic features selected by LASSO were combined to produce a radiomic score ω, defined as the sum of squared differences from average control group values. Region-specific ω scores were converted to heat maps and spatially coregistered with brain MRI to reflect overall radiomic deviation from normal. The proposed radiomic workflow allows for quantification of deviation from normal in 318 regions of the brain with the use of a summative radiomic score ω. This score can be used to generate spatially registered heatmaps to identify brain regions with radiomic abnormalities. The pilot study of TSC showed radiomic scores ω that were statistically different in regions containing tubers from regions without tubers/normal brain (p<0.0001). Our model exhibits an AUC of 0.81 (95% confidence interval: 0.78-0.84) on the testing set, and the best threshold obtained on the training set, when applied to the testing set, allows us to identify regions with tubers with a specificity of 0.91 and a sensitivity of 0.60. We describe a whole-brain atlas-based radiomic approach to identify abnormal brain regions in TSC patients. This approach may be helpful for identifying specific regions of interest based on relatively greater signal deviation, particularly in clinical scenarios with numerous or poorly defined anatomic lesions.

MEG AND PET IMAGES-BASED BRAIN TUMOR DETECTION USING KAPUR’S OTSU SEGMENTATION AND SOOTY OPTIMIZED MOBILENET CLASSIFICATION

Deep learning techniques have revolutionized medical image analysis recently, particularly in brain tumor (BT) detection. A comprehensive overview of the advancements and challenges associated with employing deep learning methodologies for the accurate and timely detection of BT. This work proposes a novel brain hybrid hexagonal mobile network (BH2Mnet) to identify benign and malignant tumors using MEG and PET images. An adaptive bilateral filter (ABF) is used as a de-noising for input images to eliminate noise artifacts. Eliminating the skull and outer cortical regions, a process known as "skull stripping" is utilized to enhance the number of training images. The de-noised images are segmented to detect the BT using Kapur's Otsu threshold (KOT) algorithm. Based on these segmented tumors, hexagonal feature sets with and without segmentation masks are produced using hybrid hexagonal features (HHF). Finally, the Sooty optimization-based MobileNet classifier is employed to classify the BT into benign, malignant cases. It was determined that the proposed BH2Mnet approach was 99.21 % accurate in classifying data. According to the proposed BH2Mnet NS-CNN, the total accuracy is enhanced by 1.67 %, 2.69 %, and 4.11 % compared to hybrid DAE, BFC, Deep CNN, and Neutrosophy.

NnU-Net-based Segmentation of Tumor Subcompartments in Pediatric Medulloblastoma Using Multiparametric MRI: A Multi-institutional Study.

Purpose To evaluate nnU-Net-based segmentation models for automated delineation of medulloblastoma tumors on multi-institutional MRI scans. Materials and Methods This retrospective study included 78 pediatric patients (52 male, 26 female), with ages ranging from 2 to 18 years, with medulloblastomas, from three different sites (28 from hospital A, 18 from hospital B, and 32 from hospital C), who had data available from three clinical MRI protocols (gadolinium-enhanced T1-weighted, T2-weighted, and fluid-attenuated inversion recovery). The scans were retrospectively collected from the year 2000 until May 2019. Reference standard annotations of the tumor habitat, including enhancing tumor, edema, and cystic core plus nonenhancing tumor subcompartments, were performed by two experienced neuroradiologists. Preprocessing included registration to age-appropriate atlases, skull stripping, bias correction, and intensity matching. The two models were trained as follows: (a) the transfer learning nnU-Net model was pretrained on an adult glioma cohort (n = 484) and fine-tuned on medulloblastoma studies using Models Genesis and (b) the direct deep learning nnU-Net model was trained directly on the medulloblastoma datasets, across fivefold cross-validation. Model robustness was evaluated on the three datasets when using different combinations of training and test sets, with data from two sites at a time used for training and data from the third site used for testing. Results Analysis on the three test sites yielded Dice scores of 0.81, 0.86, and 0.86 and 0.80, 0.86, and 0.85 for tumor habitat; 0.68, 0.84, and 0.77 and 0.67, 0.83, and 0.76 for enhancing tumor; 0.56, 0.71, and 0.69 and 0.56, 0.71, and 0.70 for edema; and 0.32, 0.48, and 0.43 and 0.29, 0.44, and 0.41 for cystic core plus nonenhancing tumor for the transfer learning and direct nnU-Net models, respectively. The models were largely robust to site-specific variations. Conclusion nnU-Net segmentation models hold promise for accurate, robust automated delineation of medulloblastoma tumor subcompartments, potentially leading to more effective radiation therapy planning in pediatric medulloblastoma. Keywords: Pediatrics, MR Imaging, Segmentation, Transfer Learning, Medulloblastoma, nnU-Net, MRI Supplemental material is available for this article. © RSNA, 2024 See also the commentary by Rudie and Correia de Verdier in this issue.

Analysis of white matter hyperintensities in Alzheimer’s disease and vascular dementia with magnetic resonance imaging

Objectives: The study aimed to analyze the brain white matter hyperintensities (WMHs) of patients with vascular dementia (VaD) and Alzheimer’s disease (AD) using magnetic resonance imaging to determine whether white matter lesions in the brain could be detected by a computer using image processing methods. Patients and methods: In this retrospective observational study, a unimodal, unsupervised, and automatic method was developed, and magnetic resonance imaging of 35 patients were examined. Of the 35 patients, 19 (14 males, 5 females; mean age: 73.2±6.7 years; range, 56 to 83 years) were picked from patients with AD or VaD who were admitted to a neurology clinic between January 2016 and December 2022 (Group 1). The remaining 16 patients (10 females, 5 males; mean age: 80.4±5.4 years; range, 69 to 92 years) were included from the ABVIB (Aging Brain: Vasculature, Ischemia, and Behavior) study from the ADNI (Alzheimer’s Disease Neuroimaging Initiative) database (Group 2). To calculate the volume of WMHs, a detailed analysis was conducted. Initially, skull stripping was performed, and then the brain was segmented. Afterward, two types of masks (Mask1 and Mask-2) were obtained by applying painting, decreasing, and blurring processes to the segmented white matter. These masks limited the region that was searched for WMHs. With this limitation, false positives that could arise from gray matter intensities were tried to be prevented. To evaluate the accuracy of WMH detection, a user interface was developed, and manual marking was conducted by an expert neurologist. After WMH detection, WMH volumes were calculated. Results: For Group 1, the similarity index was found to be 0.76 for Mask-1 and 0.80 for Mask-2, while for Group 2, the similarity index was 0.71 for Mask-1 and 0.87 for Mask-2. In patients with AD, the mean WMH lesion load (LL) was 15.16±16.59 mL. In patients with VaD, who were expected to suffer more from WMHs, the mean WMH LL was 29.22±11.40 mL. In Group 2, the mean WMH LL was 17.77±12.26 mL. Conclusion: This study may contribute to the literature since it is an automatic, unimodal, and unsupervised method that was applied to both a completely unique data set with many different scanning parameters and an open database data set.

Efficient MRI image enhancement by improved denoising techniques for better skull stripping using attention module-based convolution neural network

ABSTRACT Anatomical structure preservation throughout the denoising process is a challenge in the domain of medical imaging. The Rician noise introduced through the acquisition procedure by the Magnetic Resonance Imaging (MRI) scanner distorts the images. In this study, denoising using Wavelet-based Non-Local Median Filter (WBNLMF) and a novel contrast-enhancement method termed Improved Minimum Intensity Error Intuitionistic Fuzzy Contrast Enhancement (IMIEIFCET) is suggested. This methodology gives superior results while maintaining the edges and the brightness of the original image. An Attention Module-based Convolution Neural Network (AM-CNN) is suggested in the research as a methodology for skull stripping from MRI data. With a mean Dice coefficient of 0.998, a Sensitivity of 0.9975, and a Specificity of 0.9985, the proposed network exhibits result that are comparable to those of the specified Deep Learning (DL)-based technique.

Improved neurological diagnoses and treatment strategies via automated human brain tissue segmentation from clinical magnetic resonance imaging

ObjectiveSegmentation of medical images is a crucial process in various image analysis applications. Automated segmentation methods excel in accuracy when compared to manual segmentation in the context of medical image analysis. One of the essential phases in the quantitative analysis of the brain is automated brain tissue segmentation using clinically obtained magnetic resonance imaging (MRI) data. It allows for precise quantitative examination of the brain, which aids in diagnosis, identification, and classification of disorders. Consequently, the efficacy of the segmentation approach is crucial to disease diagnosis and treatment planning. MethodsThis study presented a hybrid optimization method for segmenting brain tissue in clinical MRI scans using a fractional Henry horse herd gas optimization-based Shepard convolutional neural network (FrHHGO-based ShCNN). To segment the clinical brain MRI images into white matter (WM), grey matter (GM), and cerebrospinal fluid (CSF) tissues, the proposed framework was evaluated on the Lifespan Human Connectome Projects (HCP) database. The hybrid optimization algorithm, FrHHGO, integrates the fractional Henry gas optimization (FHGO) and horse herd optimization (HHO) algorithms. Training required 30 min, whereas testing and segmentation of brain tissues from an unseen image required an average of 12 s. ResultsCompared to the results obtained with no refinements, the Skull stripping refinement showed significant improvement. As the method included a preprocessing stage, it was flexible enough to enhance image quality, allowing for better results even with low-resolution input. Maximum precision of 93.2%, recall of 91.5%, Dice score of 91.1%, and F1-score of 90.5% were achieved using the proposed FrHHGO-based ShCNN, which was superior to all other approaches. ConclusionThe proposed method may outperform existing state-of-the-art methodologies in qualitative and quantitative measurements across a wide range of medical modalities. It might demonstrate its potential for real-life clinical application.

Robust brain tumor detection and classification via multi-technique image analysis

Accurate detection and classification of brain tumors play a critical role in neurological diagnosis and treatment.Proposed work developed a sophisticated technique to precisely identify and classify brain neoplasms in medical imaging. Our approach integrates various techniques, including Otsu’s thresholding, anisotropic diffusion, modified 3-category Fuzzy C-Means (FCM) for segmentation after skull stripping and wavelet transformation for post-processing for segmentation, and Convolution neural networks for classification. This approach not only recognizes that discriminating healthy brain tissue from tumor-affected areas is challenging, yet it also focuses on finding abnormalities inside brain tumors and early detection of tiny tumor structures. Initial preprocessing stages improve the visibility of images and the identification of various regions while accurately classifying tumor locations into core, edema, and enhancing regions by segmentation as well. Ultimately, these segmented zones are refined using wavelet transforms, which remove noise and improve feature extraction. Our CNN architecture uses learned abstractions to distinguish between healthy and malignant regions, ensuring robust classification. It is particularly good at identifying tiny tumors and detecting anomalies inside tumor regions, which provides substantial advances in accurate tumor detection. Comprehensive hypothetical evaluations validate its efficacy, which could improve clinical diagnostics and perhaps influence brain tumor research and treatment approaches.

Enhanced Segmentation of Ischemic Stroke Lesion in MRI Images Using a Geometrically Customised Deep Convolution Model (GCDCM)

Ischemic stroke lesion often known as a stroke, is a significant health issue that requires accurate analysis and classification of brain magnetic resonance imaging (MRI) data. In this study, we propose a novel deep transfer learning approach, called geometrically customized deep convolution model, for the purpose of MRI analysis and classification of brain stroke. Neurostroke segmentation is a serious medical image processing challenge. Segmented regions aid disease identification and treatment. Anywhere can form thrombi. Segmentation facilitates automatic detection because they can be any size or shape. Popular image analysis tool MRI diagnoses well. This diagnostic method shows brain stroke architecture. MRI must replace manual detection. Online datasets recommended cerebral stroke detection and segmentation. Deep learning model MRI scans and detectron 2 with masked CNN Nets segment thrombus. This net architecture recognises dataset stroke boundaries. Classifying strokes with vgg16, resnet50, inceptionv3, and resnet5 transfer learning is possible. Mask the image, then binary predict by eliminating the skull, extracting features, and iterating to find stroke. The model and thrombus mask are predicted if the binary prediction matches the human forecast. Otherwise, data processing resumes. Binary prediction uses the segmentation region and pixels overlap between the ground truth and predicted segmentation to calculate parameters. Compared to reality, the categorization of medical images with weak signals seems tough, especially with a short "train" dataset. Mixing deep learning architectures avoids these drawbacks and extracts signals to accurately classify classes. Deep neural networks best recognise, find, and divide computer vision objects for clinical image analysis. Preprocessing MRI scans, skull stripping with deep CNN architecture combinational net, and brain stroke segmentation are our main tasks. Modern medical image processing is hard. Flexible and uneven borders make brain strokes hard to identify and segment. The transfer learning-based super pixel approach segments brainstrokes. Because we predict every visual pixel, dense prediction occurs. Early discovery of thrombus improves treatment and survival. These procedures have considerably improved our quality indexes.

Retraction Note: A new method for skull stripping in brain MRI using multistable cellular neural networks

Retraction Note: A new method for skull stripping in brain MRI using multistable cellular neural networks

Impact of SUSAN Denoising and ComBat Harmonization on Machine Learning Model Performance for Malignant Brain Neoplasms.

Feature variability in radiomics studies due to technical and magnet strength parameters is well-known and may be addressed through various preprocessing methods. However, very few studies have evaluated the downstream impact of variable preprocessing on model classification performance in a multiclass setting. We sought to evaluate the impact of Smallest Univalue Segment Assimilating Nucleus (SUSAN) denoising and Combining Batches harmonization on model classification performance. A total of 493 cases (410 internal and 83 external data sets) of glioblastoma, intracranial metastatic disease, and primary CNS lymphoma underwent semiautomated 3D-segmentation post-baseline image processing (BIP) consisting of resampling, realignment, coregistration, skull-stripping, and image normalization. Post-BIP, 2 sets were generated, one with and another without SUSAN denoising. Radiomics features were extracted from both data sets and batch-corrected to produce 4 data sets: (a) BIP, (b) BIP with SUSAN denoising, (c) BIP with Combining Batches, and (d) BIP with both SUSAN denoising and Combining Batches harmonization. Performance was then summarized for models using a combination of 6 feature-selection techniques and 6 machine learning models across 4 mask-sequence combinations with features derived from 1 to 3 (multiparametric) MRI sequences. Most top-performing models on the external test set used BIP+SUSAN denoising-derived features. Overall, the use of SUSAN denoising and Combining Batches harmonization led to a slight but generally consistent improvement in model performance on the external test set. The use of image-preprocessing steps such as SUSAN denoising and Combining Batches harmonization may be more useful in a multi-institutional setting to improve model generalizability. Models derived from only T1 contrast-enhanced images showed comparable performance to models derived from multiparametric MRI.

Brain Tumor Segmentation Using Enhancement Convolved and Deconvolved CNN Model

The brain assumes the role of the primary organ in the human body, serving as the ultimate controller and regulator. Nevertheless, certain instances may give rise to the development of malignant tumors within the brain. At present, a definitive explanation of the etiology of brain cancer has yet to be established. This study develops a model that can accurately identify the presence of a tumor in a given magnetic resonance imaging (MRI) scan and subsequently determine its size within the brain. The proposed methodology comprises a two-step process, namely, tumor extraction and measurement (segmentation), followed by the application of deep learning techniques for the identification and classification of brain tumors. The detection and measurement of a brain tumor involve a series of steps, namely, preprocessing, skull stripping, and tumor segmentation. The overfitting of BTNet-convolutional neural network (CNN) models occurs after a lot of training time because training the model with a large number of images. Moreover, the tuned CNN model shows a better performance for classification step by achieving an accuracy rate of 98%. The performance metrics imply that the BTNet model can reach the optimal classification accuracy for the brain tumor (BraTS 2020) dataset identification. The model analysis segment has a WT specificity of 0.97, a TC specificity of 0.925914, an ET specificity of 0.967717, and Dice scores of 79.73% for ET, 91.64% for WT, and 87.73% for TC.

Machine-Learning and Radiomics-Based Preoperative Prediction of Ki-67 Expression in Glioma Using MRI Data

BackgroundGliomas are the most common primary brain tumours and constitute approximately half of all malignant glioblastomas. Unfortunately, patients diagnosed with malignant glioblastomas typically survive for less than a year. In light of this circumstance, genotyping is an effective means of categorizing gliomas. The Ki67 proliferation index, a widely used marker of cellular proliferation in clinical contexts, has demonstrated potential for predicting tumour classification and prognosis. In particular, magnetic resonance imaging (MRI) plays a vital role in the diagnosis of brain tumours. Using MRI to extract glioma-related features and construct a machine learning model offers a viable avenue to classify and predict the level of Ki67 expression. MethodsThis study retrospectively collected MRI data and postoperative immunohistochemical results from 613 glioma patients from the …… Hospital. Subsequently, we performed registration and skull stripping on the four MRI modalities: T1-weighted (T1), T2-weighted (T2), T1-weighted with contrast enhancement (T1CE), and Fluid Attenuated Inversion Recovery (FLAIR). Each modality's segmentation yielded three distinct tumour regions. Following segmentation, a comprehensive set of features encompassing texture, first-order, and shape attributes were extracted from these delineated regions. Feature selection was conducted using the least absolute shrinkage and selection operator (LASSO) algorithm with subsequent sorting to identify the most important features. These selected features were further analysed using correlation analysis to finalise the selection for machine learning model development. Eight models: logistic regression (LR), naive bayes, decision tree, gradient boosting tree, and support vector classification (SVM), random forest (RF), XGBoost, and LightGBM were used to objectively classify Ki67 expression. ResultsIn total, 613 patients were enrolled in the study, and 24,455 radiomic features were extracted from each patient’s MRI. These features were eventually reduced to 36 after LASSO screening, RF importance ranking, and correlation analysis. Among all the tested machine learning models, LR and linear SVM exhibited superior performance. LR achieved the highest area under the curve score of 0.912 ± 0.036, while linear SVM obtained the top accuracy with a score of 0.884 ± 0.031. ConclusionsThis study introduced a novel approach for classifying Ki67 expression levels using MRI, which has been proven to be highly effective. With the LR model at its core, our method demonstrated its potential in signalling a promising avenue for future research. This innovative approach of predicting Ki67 expression based on MRI features not only enhances our understanding of cell activity but also represents a significant leap forward in brain glioma research. This underscores the potential of integrating machine learning with medical imaging to aid in the diagnosis and prognosis of complex diseases.

Detection of Brain Tumour Via Reversing Hexagonal Feature Pattern for Classifying Double-Modal Brain Images

The diagnosis of brain tumours (BT) is time-consuming and heavily dependent on the radiologists' abilities. Multiple algorithms have been developed for detecting and classifying BT that are both accurate and fast. Recent years have seen an increase in the popularity of deep learning, especially when it comes to developing automated systems that can diagnose and segment BT more accurately and with less time. In this paper, a novel Brain Hexagonal Pattern Network (BHPN) has been proposed to classify the MEG and PET images into normal, benign and malignant tumours. For pre-processing, a bilateral filter is employed to remove noise artifacts from the collected MEG and PET images. To remove the outer cortical and skull region, skull stripping is used, to be implemented to raise the volume of the training datasets. The pre-processed images are segmented using the Otsu threshold algorithm to segment the BT. These segmented tumours are taken as input to the Reversing Hexagonal algorithm to generate the hexagonal feature sets with and without a segmentation mask. In order to categorize tumours into normal, benign and malignant cases, a Spiking Dilated Convolutional Neural Network (SDCNN) classifier system is implemented. The classification accuracy of the Proposed BHPN approach is 99.54%. The Proposed BHPN approach improves the overall accuracy by 1.49%, 2.52%, and 3.93% better than hybrid deep autoencoder (DAE) and Bayesian Fuzzy Clustering (BFC), Deep CNN, and Neutrosophy and Convolutional Neural Network (NS-CNN) respectively.

Abstract TMP84: Multi-Institutional Validation of an Automated Segmentation Tool for Intracerebral Hemorrhage (ICH) and Peri-Hematomal Edema (PHE) on Head CT

Objective: In patients with acute intracerebral hemorrhage (ICH), the volume of hemorrhage, and perihematomal edema (PHE) are representative of primary, and secondary brain injury, respectively. Automated quantification of ICH and PHE volumes from admission non-contrast head CT can facilitate evaluation of large stroke datasets, and expedite treatment triage when volume cutoffs are applied. We aimed to train and externally validate an automated model for segmentation and quantification of ICH and PHE volumes on non-contrast head CT scans. Methods: For training of the model, we used the data from multicentric ATACH-2 clinical trial with head CTs from eleven medical institutes in six countries. The model was then exported and tested on two external datasets from Yale and University of Berlin. We designed an automated pipeline for extracting brain window from 3D non-contrast head CT, skull stripping, resampling to homogenous voxel size, and segmentation. For segmentation we applied a deep learning model based on 3D full resolution nnUNet. We used the Dice Similarity Coefficient (DSC), Hausdorff Distance (HD), and Volume Similarity (VS) between automated segmentation and ground truth manual segmentation volumes to evaluate the models’ performance. Results: A total of 854 patients from the ATACH-2 trial (854 х2, baseline and follow-up CT scans) were used for training of the model in 5-fold cross-validation. In validation folds, the model achieved a mean DSC=0.90±0.10, HD =1.42±16.0mm, and VS=0.95±0.10 for ICH; and DSC=0.74±0.12, HD =3.0±16.5 mm, and VS=0.91±0.12 for PHE. In the externaltesting cohort from Yale (200 patients х2, baseline and follow-up CT scans), the model archieved median DSC=0.93, HD=0.98 mm, and VS=0.97 for ICH; and median DSC=0.69, HD=4.52 mm, and VS=0.84 for PHE. In the externaltesting cohort from Charité Hospital, University of Berlin (915 baseline CT scans), the model archived median DSC=0.87, HD=4 mm, and VS=0.90 for ICH; and median DSC=0.65, HD=5 mm, VS=0.85 for PHE. Conclusion: We trained, validated, and externally tested an end-to-end automated tool for segmentation of both ICH and PHE on non-contrast head CT. Such tool can facilitate treatment triage for trials when volume cutoffs are applied for enrollment.

Enhancing healthcare recommendation: transfer learning in deep convolutional neural networks for Alzheimer disease detection.

Neurodegenerative disorders such as Alzheimer's Disease (AD) and Mild Cognitive Impairment (MCI) significantly impact brain function and cognition. Advanced neuroimaging techniques, particularly Magnetic Resonance Imaging (MRI), play a crucial role in diagnosing these conditions by detecting structural abnormalities. This study leverages the ADNI and OASIS datasets, renowned for their extensive MRI data, to develop effective models for detecting AD and MCI. The research conducted three sets of tests, comparing multiple groups: multi-class classification (AD vs. Cognitively Normal (CN) vs. MCI), binary classification (AD vs. CN, and MCI vs. CN), to evaluate the performance of models trained on ADNI and OASIS datasets. Key preprocessing techniques such as Gaussian filtering, contrast enhancement, and resizing were applied to both datasets. Additionally, skull stripping using U-Net was utilized to extract features by removing the skull. Several prominent deep learning architectures including DenseNet-201, EfficientNet-B0, ResNet-50, ResNet-101, and ResNet-152 were investigated to identify subtle patterns associated with AD and MCI. Transfer learning techniques were employed to enhance model performance, leveraging pre-trained datasets for improved Alzheimer's MCI detection. ResNet-101 exhibited superior performance compared to other models, achieving 98.21% accuracy on the ADNI dataset and 97.45% accuracy on the OASIS dataset in multi-class classification tasks encompassing AD, CN, and MCI. It also performed well in binary classification tasks distinguishing AD from CN. ResNet-152 excelled particularly in binary classification between MCI and CN on the OASIS dataset. These findings underscore the utility of deep learning models in accurately identifying and distinguishing neurodegenerative diseases, showcasing their potential for enhancing clinical diagnosis and treatment monitoring.

Dual-3DM3AD: Mixed Transformer Based Semantic Segmentation and Triplet Pre-Processing for Early Multi-Class Alzheimer's Diagnosis.

Alzheimer's Disease (AD) is a widespread, chronic, irreversible, and degenerative condition, and its early detection during the prodromal stage is of utmost importance. Typically, AD studies rely on single data modalities, such as MRI or PET, for making predictions. Nevertheless, combining metabolic and structural data can offer a comprehensive perspective on AD staging analysis. To address this goal, this paper introduces an innovative multi-modal fusion-based approach named as Dual-3DM3-AD. This model is proposed for an accurate and early Alzheimer's diagnosis by considering both MRI and PET image scans. Initially, we pre-process both images in terms of noise reduction, skull stripping and 3D image conversion using Quaternion Non-local Means Denoising Algorithm (QNLM), Morphology function and Block Divider Model (BDM), respectively, which enhances the image quality. Furthermore, we have adapted Mixed-transformer with Furthered U-Net for performing semantic segmentation and minimizing complexity. Dual-3DM3-AD model is consisted of multi-scale feature extraction module for extracting appropriate features from both segmented images. The extracted features are then aggregated using Densely Connected Feature Aggregator Module (DCFAM) to utilize both features. Finally, a multi-head attention mechanism is adapted for feature dimensionality reduction, and then the softmax layer is applied for multi-class Alzheimer's diagnosis. The proposed Dual-3DM3-AD model is compared with several baseline approaches with the help of several performance metrics. The final results unveil that the proposed work achieves 98% of accuracy, 97.8% of sensitivity, 97.5% of specificity, 98.2% of f-measure, and better ROC curves, which outperforms other existing models in multi-class Alzheimer's diagnosis.

Automated Alzheimer's disease diagnosis using radiomics feature extraction on magnetic resonance images

The current study investigates automated Alzheimer disease diagnosis using radiomic feature extraction on magnetic resonance images. Alzheimer’s disease (AD) is a progressive, incurable neurological brain disorder. Early diagnosis of AD might prevent brain tissue damage and assist with proper treatment. Researchers examine numerous statistical and machine learning (ML) techniques for the detection of AD. Analyzing magnetic resonance imaging (MRI) is a traditional way of analyzing for AD in clinical examination. Diagnosis of AD is challenging because of the similarity in MRI statistics and standard healthy MRI information for elderly people. The application of DL to earlier diagnosis and automatic classification of AD is gaining immense popularity in recent times, as rapid development in neuroimaging techniques has generated large-scale multimodal neuroimaging datasets. This study develops a new Automated Alzheimer's Disease Diagnosis using Deep Learning Model (AADD-DLM) on MRI images. The presented AADD-DLM technique examines the MRI images to assist in the AD diagnostic process. In the presented AADD-DLM technique, three major processes are involved, namely skull stripping, segmentation, and feature extraction. Initially, the AADD-DLM technique uses the U-Net model for the skull stripping process, which enables the removal of the skull regions in the brain MRI. Next, the QuickNAT model is utilized for an effective brain MRI segmentation process. Moreover, the radiomics feature extraction approach is used to generate a useful set of feature vectors. For exhibiting the promising performance of the AADD-DLM technique, widespread experimentation analysis is made on the ADNI database. The optimized model achieves 99.6% accuracy in the ADNI database. The simulation outcomes revealed the improved effectiveness of the AADD-DLM technique over other recent approaches.

Hybrid D-OCapNet: Automated Multi-Class Alzheimer’s Disease Classification in Brain MRI Using Hybrid Dense Optimal Capsule Network

Efficient detection of Alzheimer’s disease (AD) is challenging in medical image processing. Different methodologies are proposed for detecting AD at earlier stages, but certain demerits emerge, like less robust, less convergent, time-consuming, and lead over maximized losses. Hence the proposed research paper develops an efficient and automated deep learning-based AD detection using MRI image data. The initial step in AD classification is data acquisition which focuses on collecting brain MRI images from Alzheimer’s disease Neuroimaging Initiative (ADNI) Extracted Axial dataset and OASIS dataset. The gathered data are pre-processed through an Improved Median Filter (IMF), normalization is performed using the [0, 1] rescaling method, and skull stripping is done using Morphological Thresholding (MoT). The pre-processed images are fed into Multiview Fuzzy Clustering (MvFC) algorithm to segment the brain tissues as Gray Matter (GM), Cerebrospinal Fluid (CSF) and White Matter (WM) effectively. The process of Deep Feature Extraction, Multi-class Classification and loss optimization is performed using the Hybrid Dense Optimal Capsule Network (Hybrid D-OCapNet). The loss evaluated in the proposed Hybrid D-OCapNet model is optimized using the Modified Bald Eagle Search (M-BES) optimization algorithm. The simulation outcomes of training, testing and validation in AD classification are analyzed using MATLAB. The overall accuracy in classifying AD is 99.32%, sensitivity is 98.42%, specificity is 98.90%, precision is 98.93%, and F1 score is 98.44 for the ADNI dataset. The accuracy of 98.97%, the sensitivity of 98.31% and the F1 score of 98.39% are obtained for the OASIS dataset.

Pseudo-Label Assisted nnU-Net enables automatic segmentation of 7T MRI from a single acquisition.

Automatic whole brain and lesion segmentation at 7T presents challenges, primarily from bias fields, susceptibility artifacts including distortions, and registration errors. Here, we sought to use deep learning algorithms (D/L) to do both skull stripping and whole brain segmentation on multiple imaging contrasts generated in a single Magnetization Prepared 2 Rapid Acquisition Gradient Echoes (MP2RAGE) acquisition on participants clinically diagnosed with multiple sclerosis (MS), bypassing registration errors. Brain scans Segmentation from 3T and 7T scanners were analyzed with software packages such as FreeSurfer, Classification using Derivative-based Features (C-DEF), nnU-net, and a novel 3T-to-7T transfer learning method, Pseudo-Label Assisted nnU-Net (PLAn). 3T and 7T MRIs acquired within 9 months from 25 study participants with MS (Cohort 1) were used for training and optimizing. Eight MS patients (Cohort 2) scanned only at 7T, but with expert annotated lesion segmentation, was used to further validate the algorithm on a completely unseen dataset. Segmentation results were rated visually by experts in a blinded fashion and quantitatively using Dice Similarity Coefficient (DSC). Of the methods explored here, nnU-Net and PLAn produced the best tissue segmentation at 7T for all tissue classes. In both quantitative and qualitative analysis, PLAn significantly outperformed nnU-Net (and other methods) in lesion detection in both cohorts. PLAn's lesion DSC improved by 16% compared to nnU-Net. Limited availability of labeled data makes transfer learning an attractive option, and pre-training a nnUNet model using readily obtained 3T pseudo-labels was shown to boost lesion detection capabilities at 7T.