Evidence map›Paper›PMID 33527307›Full record

ArticleNeuroinformatics2021

Improved Segmentation of the Intracranial and Ventricular Volumes in Populations with Cerebrovascular Lesions and Atrophy Using 3D CNNs.

Emmanuel E Ntiri, Melissa F Holmes, Parisa M Forooshani, Joel Ramirez, Fuqiang Gao, Miracle Ozzoude, Sabrina Adamo, Christopher J M Scott, Dar Dowlatshahi, Jane M Lawrence-Dewar and 11 more

Abstract read
PubMed Publisher
In one paragraph

Article in Neuroinformatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

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

  1. Pooled it
  2. segcsvdHuman brain mapping · 2026
    Article
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  7. Examining the association between sleep apnea and total hippocampal volumes in cognitive impairment.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  8. segcsvdHuman brain mapping · 2024
    Article
  9. Article
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  12. Article
  13. Amyloid-PET of the white matter: Relationship to free water, fiber integrity, and cognition in patients with dementia and small vessel disease.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2023
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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

21 authors.

Emmanuel E NtiriHurvitz Brain Sciences Program, Sunnybrook Research Institute, University of Toronto, Toronto, Canada.
Melissa F HolmesHurvitz Brain Sciences Program, Sunnybrook Research Institute, University of Toronto, Toronto, Canada.
Parisa M ForooshaniHurvitz Brain Sciences Program, Sunnybrook Research Institute, University of Toronto, Toronto, Canada.
Joel RamirezHurvitz Brain Sciences Program, Sunnybrook Research Institute, University of Toronto, Toronto, Canada.
Fuqiang GaoHurvitz Brain Sciences Program, Sunnybrook Research Institute, University of Toronto, Toronto, Canada.
Miracle OzzoudeHurvitz Brain Sciences Program, Sunnybrook Research Institute, University of Toronto, Toronto, Canada.
Sabrina AdamoHurvitz Brain Sciences Program, Sunnybrook Research Institute, University of Toronto, Toronto, Canada.
Christopher J M ScottHurvitz Brain Sciences Program, Sunnybrook Research Institute, University of Toronto, Toronto, Canada.
Dar DowlatshahiDepartment of Medicine, The Ottawa Hospital, Faculty of Medicine, University of Ottawa, Ottawa, Canada.
Jane M Lawrence-DewarThunder Bay Regional Health Research Institute, Thunder Bay, Canada.
Donna KwanDepartment of Psychology, Faculty of Health, York University, Toronto, Canada.
Anthony E LangThe Edmond J. Safra Program in Parkinson's Disease and Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital, Toronto, Canada.
Sean SymonsDepartment of Medical Imaging, University of Toronto, Toronto, Canada.
Robert BarthaDepartment of Medical Biophysics, Schulich School of Medicine and Dentistry, Robarts Research Institute, University of Western Ontario, London, Canada.
Stephen StrotherDepartment of Medical Biophysics, University of Toronto, Toronto, Canada.
Jean-Claude TardifMontreal Heart Institute, Université de Montreal, Montreal, Canada.
Mario MasellisHurvitz Brain Sciences Program, Sunnybrook Research Institute, University of Toronto, Toronto, Canada.
Richard H SwartzHurvitz Brain Sciences Program, Sunnybrook Research Institute, University of Toronto, Toronto, Canada.
Alan MoodyHurvitz Brain Sciences Program, Sunnybrook Research Institute, University of Toronto, Toronto, Canada.
Sandra E BlackHurvitz Brain Sciences Program, Sunnybrook Research Institute, University of Toronto, Toronto, Canada.
Maged GoubranHurvitz Brain Sciences Program, Sunnybrook Research Institute, University of Toronto, Toronto, Canada. maged.goubran@utoronto.ca.ORCID 0000-0001-5880-0818

Funding

CIHR 159910CIHR MOP 13129
6 · The paper itself

Abstract

Successful segmentation of the total intracranial vault (ICV) and ventricles is of critical importance when studying neurodegeneration through neuroimaging. We present iCVMapper and VentMapper, robust algorithms that use a convolutional neural network (CNN) to segment the ICV and ventricles from both single and multi-contrast MRI data. Our models were trained on a large dataset from two multi-site studies (N = 528 subjects for ICV, N = 501 for ventricular segmentation) consisting of older adults with varying degrees of cerebrovascular lesions and atrophy, which pose significant challenges for most segmentation approaches. The models were tested on 238 participants, including subjects with vascular cognitive impairment and high white matter hyperintensity burden. Two of the three test sets came from studies not used in the training dataset. We assessed our algorithms relative to four state-of-the-art ICV extraction methods (MONSTR, BET, Deep Extraction, FreeSurfer, DeepMedic), as well as two ventricular segmentation tools (FreeSurfer, DeepMedic). Our multi-contrast models outperformed other methods across many of the evaluation metrics, with average Dice coefficients of 0.98 and 0.96 for ICV and ventricular segmentation respectively. Both models were also the most time efficient, segmenting the structures in orders of magnitude faster than some of the other available methods. Our networks showed an increased accuracy with the use of a conditional random field (CRF) as a post-processing step. We further validated both segmentation models, highlighting their robustness to images with lower resolution and signal-to-noise ratio, compared to tested techniques. The pipeline and models are available at: https://icvmapp3r.readthedocs.io and https://ventmapp3r.readthedocs.io to enable further investigation of the roles of ICV and ventricles in relation to normal aging and neurodegeneration in large multi-site studies.

Indexed as

Image Processing, Computer-AssistedNeural Networks, ComputerAgedAtrophyCerebral VentriclesHumansMagnetic Resonance ImagingNeuroimagingBrain atrophyDeep learningImage segmentationTotal intracranial volumeVascular lesionsVentricles

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.