Evidence map›Paper›PMID 31147354›Full record

ArticleAJNR. American journal of neuroradiology2019

Ensemble of Convolutional Neural Networks Improves Automated Segmentation of Acute Ischemic Lesions Using Multiparametric Diffusion-Weighted MRI.

S Winzeck, S J T Mocking, R Bezerra, M J R J Bouts, E C McIntosh, I Diwan, P Garg, A Chutinet, W T Kimberly, W A Copen and 7 more

Abstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. DDEvENet: Evidence-based ensemble learning for uncertainty-aware brain parcellation using diffusion MRI.Computerized medical imaging and graphics : the official journal of the Computerized Medical Imaging Society · 2025
    Article
  6. Prediction of stroke severity: systematic evaluation of lesion representations.Annals of clinical and translational neurology · 2024
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  7. Review
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  11. Review
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  13. Review
  14. Face mask recognition system using CNN model.Neuroscience informatics · 2022
    Review
  15. Article
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  17. Article
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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

17 authors.

S WinzeckFrom the Department of Radiology (S.W., S.J.T.M., R.B., M.J.R.J.B., E.C.M., I.D., P.G., H.A., A.G.S., O.W.), Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, Massachusetts.ORCID 0000-0001-9170-2750
S J T MockingFrom the Department of Radiology (S.W., S.J.T.M., R.B., M.J.R.J.B., E.C.M., I.D., P.G., H.A., A.G.S., O.W.), Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, Massachusetts.ORCID 0000-0003-0793-1986
R BezerraFrom the Department of Radiology (S.W., S.J.T.M., R.B., M.J.R.J.B., E.C.M., I.D., P.G., H.A., A.G.S., O.W.), Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, Massachusetts.ORCID 0000-0002-2102-7910
M J R J BoutsFrom the Department of Radiology (S.W., S.J.T.M., R.B., M.J.R.J.B., E.C.M., I.D., P.G., H.A., A.G.S., O.W.), Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, Massachusetts.ORCID 0000-0003-2297-7499
E C McIntoshFrom the Department of Radiology (S.W., S.J.T.M., R.B., M.J.R.J.B., E.C.M., I.D., P.G., H.A., A.G.S., O.W.), Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, Massachusetts.ORCID 0000-0002-9614-5161
I DiwanFrom the Department of Radiology (S.W., S.J.T.M., R.B., M.J.R.J.B., E.C.M., I.D., P.G., H.A., A.G.S., O.W.), Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, Massachusetts.ORCID 0000-0002-6802-2869
P GargFrom the Department of Radiology (S.W., S.J.T.M., R.B., M.J.R.J.B., E.C.M., I.D., P.G., H.A., A.G.S., O.W.), Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, Massachusetts.ORCID 0000-0002-6118-4240
A ChutinetDepartments of Neurology (A.C., W.T.K., H.A., A.B.S.).ORCID 0000-0002-9762-5562
W T KimberlyDepartments of Neurology (A.C., W.T.K., H.A., A.B.S.).ORCID 0000-0002-2519-8530
W A CopenRadiology (W.A.C., P.W.S.), Massachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0002-6140-192X
P W SchaeferRadiology (W.A.C., P.W.S.), Massachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0002-4222-6134
H AyFrom the Department of Radiology (S.W., S.J.T.M., R.B., M.J.R.J.B., E.C.M., I.D., P.G., H.A., A.G.S., O.W.), Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, Massachusetts.ORCID 0000-0002-9146-0218
A B SinghalDepartments of Neurology (A.C., W.T.K., H.A., A.B.S.).ORCID 0000-0002-2641-5277
K KamnitsasDepartment of Computing (K.K., B.G.), Imperial College London, London, UK.ORCID 0000-0003-3281-6509
B GlockerDepartment of Computing (K.K., B.G.), Imperial College London, London, UK.ORCID 0000-0002-4897-9356
A G SorensenFrom the Department of Radiology (S.W., S.J.T.M., R.B., M.J.R.J.B., E.C.M., I.D., P.G., H.A., A.G.S., O.W.), Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, Massachusetts.ORCID 0000-0001-7750-8206
O WuFrom the Department of Radiology (S.W., S.J.T.M., R.B., M.J.R.J.B., E.C.M., I.D., P.G., H.A., A.G.S., O.W.), Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, Massachusetts ona@nmr.mgh.harvard.edu.ORCID 0000-0002-5509-9461

Funding

AtRial Cardiopathy and Antithrombotic Drugs In prevention After cryptogenicstroke (ARCADIA)U01NS095869 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BRODERICK, JOSEPH PAUL, KAMEL, HOOMAN · 2017 to 2022
$22.0M
Specialized Programs of Translational Research in Acute Stroke at the PartnersP50NS051343 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI SCHWAMM, LEE H · 2006 to 2013
$17.5M
Project 4P41EB015896 · NIBIB · MASSACHUSETTS GENERAL HOSPITAL · PI ROSEN, BRUCE R · 2012 to 2018
$9.8M
The NINDS International Stroke Genetics Consortium StudyU01NS069208 · NINDS · UNIVERSITY OF MARYLAND BALTIMORE · PI HOWARD, GEORGE, KITTNER, STEVEN J · 2010 to 2013
$9.4M
MRI DIFFUSION/PERFUSION MISMATCH IN HUMAN ACUTE STROKER01NS038477 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI SORENSEN, A. GREGORY · 1999 to 2008
$6.1M
Evaluation of brain recovery of stroke patients using a novel magnetic resonance compatible hand induced robotic device combined with magnetic resonance imagingR01NS105875 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI TZIKA, A ARIA · 2018 to 2022
$3.4M
MRI-GENetics Interface Exploration_MRI-GENIE_StudyR01NS086905 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI ROST, NATALIA S · 2015 to 2019
$3.3M
Non-invasive brain stimulation for swallowing recovery after a dysphagic strokeR01DC012584 · NIDCD · BETH ISRAEL DEACONESS MEDICAL CENTER · PI KUMAR, SANDEEP · 2013 to 2017
$2.9M
Statins augment small vessel function and improve stroke outcomesR01NS082285 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI ROST, NATALIA S · 2013 to 2017
$2.6M
New England Regional Coordinating Center for the NINDS Stroke Trials NetworkU10NS086729 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI SCHWAMM, LEE H · 2013 to 2017
$2.3M
Normobaric Hyperoxia in Acute Ischemic StrokeR01NS051412 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI SINGHAL, ANEESH B · 2006 to 2010
$2.1M
Quantitative MRI-based metrics for multi-center stroke treatment assessmentR01NS059775 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI WU, ONA · 2008 to 2012
$2.0M
NCRR NIH HHS S10 RR019307NIBIB NIH HHS P41 EB015896NIDCD NIH HHS R01 DC012584NINDS NIH HHS P50 NS051343NINDS NIH HHS R01 NS038477NINDS NIH HHS R01 NS051412NINDS NIH HHS R01 NS059775NINDS NIH HHS R01 NS063925NINDS NIH HHS R01 NS082285NINDS NIH HHS R01 NS086905NINDS NIH HHS R01 NS105875NINDS NIH HHS R21 NS077442NINDS NIH HHS R21 NS085574NINDS NIH HHS U01 NS069208NINDS NIH HHS U01 NS095869NINDS NIH HHS U10 NS086729
6 · The paper itself

Abstract

background and purposeAccurate automated infarct segmentation is needed for acute ischemic stroke studies relying on infarct volumes as an imaging phenotype or biomarker that require large numbers of subjects. This study investigated whether an ensemble of convolutional neural networks trained on multiparametric DWI maps outperforms single networks trained on solo DWI parametric maps. MATERIALS AND

methodsConvolutional neural networks were trained on combinations of DWI, ADC, and low b-value-weighted images from 116 subjects. The performances of the networks (measured by the Dice score, sensitivity, and precision) were compared with one another and with ensembles of 5 networks. To assess the generalizability of the approach, we applied the best-performing model to an independent Evaluation Cohort of 151 subjects. Agreement between manual and automated segmentations for identifying patients with large lesion volumes was calculated across multiple thresholds (21, 31, 51, and 70 cm

resultsAn ensemble of convolutional neural networks trained on DWI, ADC, and low b-value-weighted images produced the most accurate acute infarct segmentation over individual networks (

conclusionsAcute infarcts are more accurately segmented using ensembles of convolutional neural networks trained with multiparametric maps than by using a single model trained with a solo map. Automated lesion segmentation has high agreement with manual techniques for identifying patients with large lesion volumes.

Indexed as

Neural Networks, ComputerAgedBrain IschemiaDiffusion Magnetic Resonance ImagingFemaleHumansImage Interpretation, Computer-AssistedMaleMiddle AgedNeuroimagingStroke

Identifiers

PMID31147354
PMCPMC6715290

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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.