Evidence map›Paper›PMID 30872986›Full record

ArticleFrontiers in neuroscience2019

A U-Net Deep Learning Framework for High Performance Vessel Segmentation in Patients With Cerebrovascular Disease.

Michelle Livne, Jana Rieger, Orhun Utku Aydin, Abdel Aziz Taha, Ela Marie Akay, Tabea Kossen, Jan Sobesky, John D Kelleher, Kristian Hildebrand, Dietmar Frey and 1 more

Abstract read
In one paragraph

Article in Frontiers in neuroscience, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing 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

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

  1. Pooled it
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  6. TriSAM: Tri-Plane SAM for Zero-Shot Cortical Blood Vessel Segmentation in VEM Images.IEEE journal of biomedical and health informatics · 2025
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  16. Patient-specific cerebral 3D vessel model reconstruction using deep learning.Medical & biological engineering & computing · 2024
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15 more citing papers are in PubMed but not listed here.

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

11 authors.

Michelle LivnePredictive Modelling in Medicine Research Group, Department of Neurosurgery, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Jana RiegerPredictive Modelling in Medicine Research Group, Department of Neurosurgery, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Orhun Utku AydinPredictive Modelling in Medicine Research Group, Department of Neurosurgery, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Abdel Aziz TahaResearch Studios Data Science, Research Studios Austria, Salzburg, Austria.
Ela Marie AkayPredictive Modelling in Medicine Research Group, Department of Neurosurgery, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Tabea KossenPredictive Modelling in Medicine Research Group, Department of Neurosurgery, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Jan SobeskyCentre for Stroke Research Berlin, Charité - Universitätsmedizin Berlin, Berlin, Germany.
John D KelleherInformation, Communication and Entertainment Institute (ICE), Dublin Institute of Technology, Dublin, Ireland.
Kristian HildebrandDepartment VI Computer Science and Media, Beuth University of Applied Sciences, Berlin, Germany.
Dietmar FreyPredictive Modelling in Medicine Research Group, Department of Neurosurgery, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Vince I MadaiPredictive Modelling in Medicine Research Group, Department of Neurosurgery, Charité - Universitätsmedizin Berlin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Brain vessel status is a promising biomarker for better prevention and treatment in cerebrovascular disease. However, classic rule-based vessel segmentation algorithms need to be hand-crafted and are insufficiently validated. A specialized deep learning method-the U-net-is a promising alternative. Using labeled data from 66 patients with cerebrovascular disease, the U-net framework was optimized and evaluated with three metrics: Dice coefficient, 95% Hausdorff distance (95HD) and average Hausdorff distance (AVD). The model performance was compared with the traditional segmentation method of graph-cuts. Training and reconstruction was performed using 2D patches. A full and a reduced architecture with less parameters were trained. We performed both quantitative and qualitative analyses. The U-net models yielded high performance for both the full and the reduced architecture: A Dice value of ~0.88, a 95HD of ~47 voxels and an AVD of ~0.4 voxels. The visual analysis revealed excellent performance in large vessels and sufficient performance in small vessels. Pathologies like cortical laminar necrosis and a rete mirabile led to limited segmentation performance in few patients. The U-net outperfomed the traditional graph-cuts method (Dice ~0.76, 95HD ~59, AVD ~1.97). Our work highly encourages the development of clinically applicable segmentation tools based on deep learning. Future works should focus on improved segmentation of small vessels and methodologies to deal with specific pathologies.

Indexed as

cerebrovascular diseasedeep learningmedical imagingsegmentationU-net

Identifiers

PMID30872986
PMCPMC6403177

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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.