Evidence map›Paper›PMID 31190607›Full record

Trial reportMultiple sclerosis (Houndmills, Basingstoke, England)2020

Brain and lesion segmentation in multiple sclerosis using fully convolutional neural networks: A large-scale study.

Refaat E Gabr, Ivan Coronado, Melvin Robinson, Sheeba J Sujit, Sushmita Datta, Xiaojun Sun, William J Allen, Fred D Lublin, Jerry S Wolinsky, Ponnada A Narayana

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Multiple sclerosis (Houndmills, Basingstoke, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 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

39 citing papers in PubMed, 2 syntheses or guidelines 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.

Refaat E GabrDepartment of Diagnostic and Interventional Imaging, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA.
Ivan CoronadoDepartment of Diagnostic and Interventional Imaging, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA.
Melvin RobinsonDepartment of Electrical Engineering, The University of Texas at Tyler, Houston, TX, USA.
Sheeba J SujitDepartment of Diagnostic and Interventional Imaging, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA.
Sushmita DattaDepartment of Diagnostic and Interventional Imaging, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA.
Xiaojun SunDepartment of Diagnostic and Interventional Imaging, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA.
William J AllenTexas Advanced Computing Center, The University of Texas at Austin, Austin, TX, USA.
Fred D LublinMount Sinai Medical Center, New York, NY, USA.
Jerry S WolinskyDepartment of Neurology, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA.ORCID 0000-0002-8197-2762
Ponnada A NarayanaDepartment of Diagnostic and Interventional Imaging, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA.

Funding

Convalescent Plasma to Limit Coronavirus Associated ComplicationsUL1TR003167 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI KARP, DANIEL D, MCPHERSON, DAVID D · 2019 to 2023
$45.3M
Predicting contrast enhancement in multiple sclerosis with real time texture analysisR56NS105857 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI NARAYANA, PONNADA A · 2018 to 2018
$536k
NCATS NIH HHS UL1 TR003167NINDS NIH HHS R56 NS105857
6 · The paper itself

Abstract

objectiveTo investigate the performance of deep learning (DL) based on fully convolutional neural network (FCNN) in segmenting brain tissues in a large cohort of multiple sclerosis (MS) patients.

methodsWe developed a FCNN model to segment brain tissues, including T2-hyperintense MS lesions. The training, validation, and testing of FCNN were based on ~1000 magnetic resonance imaging (MRI) datasets acquired on relapsing-remitting MS patients, as a part of a phase 3 randomized clinical trial. Multimodal MRI data (dual-echo, FLAIR, and T1-weighted images) served as input to the network. Expert validated segmentation was used as the target for training the FCNN. We cross-validated our results using the leave-one-center-out approach.

resultsWe observed a high average (95% confidence limits) Dice similarity coefficient for all the segmented tissues: 0.95 (0.92-0.98) for white matter, 0.96 (0.93-0.98) for gray matter, 0.99 (0.98-0.99) for cerebrospinal fluid, and 0.82 (0.63-1.0) for T2 lesions. High correlations between the DL segmented tissue volumes and ground truth were observed (

conclusionThe results from this large-scale study suggest that deep FCNN can automatically segment MS brain tissues, including lesions, with high accuracy.

Indexed as

Multiple SclerosisWhite MatterBrainHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingNeural Networks, Computerartificial intelligenceDeep learningtissue classificationwhite matter lesions

Identifiers

PMID31190607
PMCPMC6908772

What OpenQuestion holds

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Registered trials

None linked

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.