A Comprehensive Framework for Automated Segmentation of Perivascular Spaces in Brain MRI with the nnU-Net

Fuente: arXiv
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Autori principali: Pham, William, Jarema, Alexander, Rim, Donggyu, Chen, Zhibin, Khlif, Mohamed S. H., Macefield, Vaughan G., Henderson, Luke A., Brodtmann, Amy
Natura: Preprint
Pubblicazione: 2024
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author Pham, William
Jarema, Alexander
Rim, Donggyu
Chen, Zhibin
Khlif, Mohamed S. H.
Macefield, Vaughan G.
Henderson, Luke A.
Brodtmann, Amy
author_facet Pham, William
Jarema, Alexander
Rim, Donggyu
Chen, Zhibin
Khlif, Mohamed S. H.
Macefield, Vaughan G.
Henderson, Luke A.
Brodtmann, Amy
contents Background: Enlargement of perivascular spaces (PVS) is common in neurodegenerative disorders including cerebral small vessel disease, Alzheimer's disease, and Parkinson's disease. PVS enlargement may indicate impaired clearance pathways and there is a need for reliable PVS detection methods which are currently lacking. Aim: To optimise a widely used deep learning model, the no-new-UNet (nnU-Net), for PVS segmentation. Methods: In 30 healthy participants (mean$\pm$SD age: 50$\pm$18.9 years; 13 females), T1-weighted MRI images were acquired using three different protocols on three MRI scanners (3T Siemens Tim Trio, 3T Philips Achieva, and 7T Siemens Magnetom). PVS were manually segmented across ten axial slices in each participant. Segmentations were completed using a sparse annotation strategy. In total, 11 models were compared using various strategies for image handling, preprocessing and semi-supervised learning with pseudo-labels. Model performance was evaluated using 5-fold cross validation (5FCV). The main performance metric was the Dice Similarity Coefficient (DSC). Results: The voxel-spacing agnostic model (mean$\pm$SD DSC=64.3$\pm$3.3%) outperformed models which resampled images to a common resolution (DSC=40.5-55%). Model performance improved substantially following iterative label cleaning (DSC=85.7$\pm$1.2%). Semi-supervised learning with pseudo-labels (n=12,740) from 18 additional datasets improved the agreement between raw and predicted PVS cluster counts (Lin's concordance correlation coefficient=0.89, 95%CI=0.82-0.94). We extended the model to enable PVS segmentation in the midbrain (DSC=64.3$\pm$6.5%) and hippocampus (DSC=67.8$\pm$5%). Conclusions: Our deep learning models provide a robust and holistic framework for the automated quantification of PVS in brain MRI.
format Preprint
id arxiv_https___arxiv_org_abs_2411_19564
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle A Comprehensive Framework for Automated Segmentation of Perivascular Spaces in Brain MRI with the nnU-Net
Pham, William
Jarema, Alexander
Rim, Donggyu
Chen, Zhibin
Khlif, Mohamed S. H.
Macefield, Vaughan G.
Henderson, Luke A.
Brodtmann, Amy
Image and Video Processing
Computer Vision and Pattern Recognition
Machine Learning
Background: Enlargement of perivascular spaces (PVS) is common in neurodegenerative disorders including cerebral small vessel disease, Alzheimer's disease, and Parkinson's disease. PVS enlargement may indicate impaired clearance pathways and there is a need for reliable PVS detection methods which are currently lacking. Aim: To optimise a widely used deep learning model, the no-new-UNet (nnU-Net), for PVS segmentation. Methods: In 30 healthy participants (mean$\pm$SD age: 50$\pm$18.9 years; 13 females), T1-weighted MRI images were acquired using three different protocols on three MRI scanners (3T Siemens Tim Trio, 3T Philips Achieva, and 7T Siemens Magnetom). PVS were manually segmented across ten axial slices in each participant. Segmentations were completed using a sparse annotation strategy. In total, 11 models were compared using various strategies for image handling, preprocessing and semi-supervised learning with pseudo-labels. Model performance was evaluated using 5-fold cross validation (5FCV). The main performance metric was the Dice Similarity Coefficient (DSC). Results: The voxel-spacing agnostic model (mean$\pm$SD DSC=64.3$\pm$3.3%) outperformed models which resampled images to a common resolution (DSC=40.5-55%). Model performance improved substantially following iterative label cleaning (DSC=85.7$\pm$1.2%). Semi-supervised learning with pseudo-labels (n=12,740) from 18 additional datasets improved the agreement between raw and predicted PVS cluster counts (Lin's concordance correlation coefficient=0.89, 95%CI=0.82-0.94). We extended the model to enable PVS segmentation in the midbrain (DSC=64.3$\pm$6.5%) and hippocampus (DSC=67.8$\pm$5%). Conclusions: Our deep learning models provide a robust and holistic framework for the automated quantification of PVS in brain MRI.
title A Comprehensive Framework for Automated Segmentation of Perivascular Spaces in Brain MRI with the nnU-Net
topic Image and Video Processing
Computer Vision and Pattern Recognition
Machine Learning
url https://arxiv.org/abs/2411.19564