Robust Ensemble of Two Different Multimodal Approaches to Segment 3D Ischemic Stroke Segmentation Using Brain Tumor Representation Among Multiple Center Datasets
AbstractIschemic stroke segmentation at an acute stage is vital in assessing the severity of patients ’ impairment and guiding therapeutic decision-making for reperfusion. Although many deep learning studies have shown attractive performance in medical segmentation, it is difficult to use these models trained on public data with private hospitals’ datasets. Here, we demonstrate an ensemble model that employs two different multimodal approaches for generalization, a more effective way to perform on external datasets. First, after we jointly train a segmentation model on diffusion-weighted imaging (DWI) and apparent diff...
Source: Journal of Digital Imaging - May 1, 2024 Category: Radiology Source Type: research

Automatic Skeleton Segmentation in CT Images Based on U-Net
AbstractBone metastasis, emerging oncological therapies, and osteoporosis represent some of the distinct clinical contexts which can result in morphological alterations in bone structure. The visual assessment of these changes through anatomical images is considered suboptimal, emphasizing the importance of precise skeletal segmentation as a valuable aid for its evaluation. In the present study, a neural network model for automatic skeleton segmentation from bidimensional computerized tomography (CT) slices is proposed. A total of 77 CT images and their semimanual skeleton segmentation from two acquisition protocols (whole...
Source: Journal of Digital Imaging - April 30, 2024 Category: Radiology Source Type: research

Enhancing Nasopharyngeal Carcinoma Survival Prediction: Integrating Pre- and Post-Treatment MRI Radiomics with Clinical Data
This study aimed to develop a prediction model for NPC survival by harnessing both pre- and post-treatment magnetic resonance imaging (MRI) radiomics in conjunction with clinical data, focusing on 3-year progression-free survival (PFS) as the primary outcome. Our comprehensive approach involved retrospective clinical and MRI data collection of 276 eligible NPC patients from three independent hospitals (180 in the training cohort, 46 in the validation cohort, and 50 in the external cohort) who underwent MRI scans twice, once within 2  months prior to treatment and once within 10 months after treatment. From the contrast-e...
Source: Journal of Digital Imaging - April 30, 2024 Category: Radiology Source Type: research

Letter to the Editor Regarding Article “Prior to Initiation of Chemotherapy, Can We Predict Breast Tumor Response? Deep Learning Convolutional Neural Networks Approach Using a Breast MRI Tumor Dataset”
AbstractThe cited article reports on a convolutional neural network trained to predict response to neoadjuvant chemotherapy from pre-treatment breast MRI scans. The proposed algorithm attains impressive performance on the test dataset with a mean Area Under the Receiver-Operating Characteristic curve of 0.98 and a mean accuracy of 88%. In this letter, I raise concerns that the reported results can be explained by inadvertent data leakage between training and test datasets. More precisely, I conjecture that the random split of the full dataset in training and test sets did not occur on a patient level, but rather on the lev...
Source: Journal of Digital Imaging - April 30, 2024 Category: Radiology Source Type: research

Development of a Secure Web-Based Medical Imaging Analysis Platform: The AWESOMME Project
AbstractPrecision medicine research benefits from machine learning in the creation of robust models adapted to the processing of patient data. This applies both to pathology identification in images, i.e., annotation or segmentation, and to computer-aided diagnostic for classification or prediction. It comes with the strong need to exploit and visualize large volumes of images and associated medical data. The work carried out in this paper follows on from a main case study piloted in a cancer center. It proposes an analysis pipeline for patients with osteosarcoma through segmentation, feature extraction and application of ...
Source: Journal of Digital Imaging - April 30, 2024 Category: Radiology Source Type: research

UViT-Seg: An Efficient ViT and U-Net-Based Framework for Accurate Colorectal Polyp Segmentation in Colonoscopy and WCE Images
AbstractColorectal cancer (CRC) stands out as one of the most prevalent global cancers. The accurate localization of colorectal polyps in endoscopy images is pivotal for timely detection and removal, contributing significantly to CRC prevention. The manual analysis of images generated by gastrointestinal screening technologies poses a tedious task for doctors. Therefore, computer vision-assisted cancer detection could serve as an efficient tool for polyp segmentation. Numerous efforts have been dedicated to automating polyp localization, with the majority of studies relying on convolutional neural networks (CNNs) to learn ...
Source: Journal of Digital Imaging - April 26, 2024 Category: Radiology Source Type: research

Super-resolution Deep Learning Reconstruction Cervical Spine 1.5T MRI: Improved Interobserver Agreement in Evaluations of Neuroforaminal Stenosis Compared to Conventional Deep Learning Reconstruction
In conclusion, compared to DLR, SR-DLR improved interobserver agreement in the evaluations of neuroforaminal stenosis using 1.5T cervical spine MRI. (Source: Journal of Digital Imaging)
Source: Journal of Digital Imaging - April 26, 2024 Category: Radiology Source Type: research

A Semi-Supervised Learning Framework for Classifying Colorectal Neoplasia Based on the NICE Classification
In this study, we aim to develop a SimCLR-based semi-supervised learning framework to classify colorectal neoplasia based on the NICE classification. First, the proposed framework was trained under self-supervised learning using a large unlabelled dataset; subsequently, it was fine-tuned on a limited labelled dataset based on the NICE classification. The model was evaluated on an independent dataset and compared with models based on supervised transfer learning and endoscopists using accuracy, Matthew ’s correlation coefficient (MCC), and Cohen’s kappa. Finally, Grad-CAM and t-SNE were applied to visualize the models...
Source: Journal of Digital Imaging - April 23, 2024 Category: Radiology Source Type: research

Exploring Radiomics Features Based on H & amp;E Images as Potential Biomarkers for Evaluating Muscle Atrophy: A Preliminary Study
This study provides important biomarkers for accurate diagnosis of muscle atrophy. (Source: Journal of Digital Imaging)
Source: Journal of Digital Imaging - April 23, 2024 Category: Radiology Source Type: research

TriConvUNeXt: A Pure CNN-Based Lightweight Symmetrical Network for Biomedical Image Segmentation
AbstractBiomedical image segmentation is essential in clinical practices, offering critical insights for accurate diagnosis and strategic treatment approaches. Nowadays, self-attention-based networks have achieved competitive performance in both natural language processing and computer vision, but the computational cost has reduced their popularity in practical applications. The recent study of Convolutional Neural Network (CNN) explores linear functions within modified CNN layer demonstrating pure CNN-based networks can still achieve competitive results against Vision Transformer (ViT) in biomedical image segmentation, wi...
Source: Journal of Digital Imaging - April 23, 2024 Category: Radiology Source Type: research

Correlation Aware Relevance-Based Semantic Index for Clinical Big Data Repository
AbstractIn this paper, we focus on indexing mechanisms for unstructured clinical big integrated data repository systems. Clinical data is unstructured and heterogeneous, which comes in different files and formats. Accessing data efficiently and effectively are critical challenges. Traditional indexing mechanisms are difficult to apply on unstructured data, especially by identifying correlation information between clinical data elements. In this research work, we developed a correlation-aware relevance-based index that retrieves clinical data by fetching most relevant cases efficiently. In our previous work, we designed a m...
Source: Journal of Digital Imaging - April 23, 2024 Category: Radiology Source Type: research

An Intuitionistic Fuzzy C-Means and Local Information-Based DCT Filtering for Fast Brain MRI Segmentation
AbstractStructural and photometric anomalies in the brain magnetic resonance images (MRIs) affect the segmentation performance. Moreover, a sudden change in intensity between two boundaries of the brain tissues makes it prone to data uncertainty, resulting in the misclassification of the pixels lying near the cluster boundaries. The discrete cosine transform (DCT) domain-based filtering is an effective way to deal with structural and photometric anomalies, while the intuitionistic fuzzy C-means (IFCM) clustering can handle the uncertainty using the intuitionistic fuzzy set (IFS) theory. In this background, we propose two n...
Source: Journal of Digital Imaging - April 22, 2024 Category: Radiology Source Type: research

Real-Time Optimal Synthetic Inversion Recovery Image Selection (RT-OSIRIS) for Deep Brain Stimulation Targeting
AbstractDeep brain stimulation (DBS) is a method of electrical neuromodulation used to treat a variety of neuropsychiatric conditions including essential tremor, Parkinson ’s disease, epilepsy, and obsessive–compulsive disorder. The procedure requires precise placement of electrodes such that the electrical contacts lie within or in close proximity to specific target nuclei and tracts located deep within the brain. DBS electrode trajectory planning has become incr easingly dependent on direct targeting with the need for precise visualization of targets. MRI is the primary tool for direct visualization, and this has led...
Source: Journal of Digital Imaging - April 19, 2024 Category: Radiology Source Type: research

Multimodality Fusion Strategies in Eye Disease Diagnosis
In conclusion, this study substantiates late f usion as the optimal strategy for eye disease diagnosis compared to early and joint fusion, showcasing its superiority in leveraging multimodal information. (Source: Journal of Digital Imaging)
Source: Journal of Digital Imaging - April 19, 2024 Category: Radiology Source Type: research

Left Ventricular Segmentation, Warping, and Myocardial Registration for Automated Strain Measurement
AbstractThe left ventricular global longitudinal strain (LVGLS) is a crucial prognostic indicator. However, inconsistencies in measurements due to the speckle tracking algorithm and manual adjustments have hindered its standardization and democratization. To solve this issue, we proposed a fully automated strain measurement by artificial intelligence-assisted LV segmentation contours. The LV segmentation model was trained from echocardiograms of 368 adults (11,125 frames). We compared the registration-like effects of dynamic time warping (DTW) with speckle tracking on a synthetic echocardiographic dataset in experiment-1. ...
Source: Journal of Digital Imaging - April 19, 2024 Category: Radiology Source Type: research