Evidence map›Paper›PMID 27282863›Full record

ArticleAJNR. American journal of neuroradiology2016

Improved Automatic Detection of New T2 Lesions in Multiple Sclerosis Using Deformation Fields.

M Cabezas, J F Corral, A Oliver, Y Díez, M Tintoré, C Auger, X Montalban, X Lladó, D Pareto, À Rovira

Abstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

M CabezasFrom the Section of Neuroradiology, Department of Radiology (M.C., J.F.C., C.A., D.P., À.R.) mariano.cabezas@vhir.org mcabezas@eia.udg.edu.ORCID http://orcid.org/0000-0002-4417-1704
J F CorralFrom the Section of Neuroradiology, Department of Radiology (M.C., J.F.C., C.A., D.P., À.R.).
A OliverVisió per Computador i Robòtica group (M.C., A.O., Y.D., X.L.), University of Girona, Girona, Spain.ORCID http://orcid.org/0000-0002-0115-0647
Y DíezVisió per Computador i Robòtica group (M.C., A.O., Y.D., X.L.), University of Girona, Girona, Spain.ORCID http://orcid.org/0000-0003-4521-9113
M TintoréCentre d'Esclerosi Múltiple de Catalunya, Department of Neurology/Neuroimmunology (M.T., X.M.), Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Autonomous University of Barcelona, Barcelona, Spain.ORCID http://orcid.org/0000-0001-9999-5359
C AugerFrom the Section of Neuroradiology, Department of Radiology (M.C., J.F.C., C.A., D.P., À.R.).ORCID http://orcid.org/0000-0001-9846-4767
X MontalbanCentre d'Esclerosi Múltiple de Catalunya, Department of Neurology/Neuroimmunology (M.T., X.M.), Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Autonomous University of Barcelona, Barcelona, Spain.ORCID http://orcid.org/0000-0002-0098-9918
X LladóVisió per Computador i Robòtica group (M.C., A.O., Y.D., X.L.), University of Girona, Girona, Spain.ORCID http://orcid.org/0000-0003-2777-3479
D ParetoFrom the Section of Neuroradiology, Department of Radiology (M.C., J.F.C., C.A., D.P., À.R.).ORCID http://orcid.org/0000-0001-7356-3769
À RoviraFrom the Section of Neuroradiology, Department of Radiology (M.C., J.F.C., C.A., D.P., À.R.).ORCID http://orcid.org/0000-0002-2132-6750

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeDetection of disease activity, defined as new/enlarging T2 lesions on brain MR imaging, has been proposed as a biomarker in MS. However, detection of new/enlarging T2 lesions can be hindered by several factors that can be overcome with image subtraction. The purpose of this study was to improve automated detection of new T2 lesions and reduce user interaction to eliminate inter- and intraobserver variability. MATERIALS AND

methodsMultiparametric brain MR imaging was performed at 2 time points in 36 patients with new T2 lesions. Images were registered by using an affine transformation and the Demons algorithm to obtain a deformation field. After affine registration, images were subtracted and a threshold was applied to obtain a lesion mask, which was then refined by using the deformation field, intensity, and local information. This pipeline was compared with only applying a threshold, and with a state-of-the-art approach relying only on image intensities. To assess improvements, we compared the results of the different pipelines with the expert visual detection.

resultsThe multichannel pipeline based on the deformation field obtained a detection Dice similarity coefficient close to 0.70, with a false-positive detection of 17.8% and a true-positive detection of 70.9%. A statistically significant correlation (

conclusionsThe deformation field-based approach proposed in this study for detecting new/enlarging T2 lesions resulted in significantly fewer false-positives while maintaining most true-positives and showed a good correlation with visual detection annotations. This approach could reduce user interaction and inter- and intraobserver variability.

Identifiers

PMID27282863
PMCPMC7960461

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.