Evidence map›Paper›PMID 33937840›Full record

ArticleRadiology. Artificial intelligence2020

Improved Segmentation and Detection Sensitivity of Diffusion-weighted Stroke Lesions with Synthetically Enhanced Deep Learning.

Christian Federau, Soren Christensen, Nino Scherrer, Johanna M Ospel, Victor Schulze-Zachau, Noemi Schmidt, Hanns-Christian Breit, Julian Maclaren, Maarten Lansberg, Sebastian Kozerke

Open access · greenAbstract read
In one paragraph

Article in Radiology. Artificial intelligence, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.3field-weighted citation impact, top 10% of its field
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

12 citing papers in PubMed, 27 citations in OpenAlex.

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  12. Editorial: Machine Learning in Neuroimaging.Frontiers in neurology · 2021
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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 at 1 institution in 1 country.

Christian FederauInstitute for Biomedical Engineering, ETH Zürich und University of Zürich, Gloriastrasse 35, 8092 Zürich, Switzerland (C.F., N. Scherrer, S.K.); Stanford Stroke Center, Department of Neurology, Stanford University, Stanford, Calif (S.C., J.M., M.L.); and Division of Diagnostic and Interventional Neuroradiology, Department of Radiology, University Hospital Basel, Basel, Switzerland (J.O., V.S.Z., N. Schmidt, H.C.B.).ORCID 0000-0002-3803-6602
Soren ChristensenInstitute for Biomedical Engineering, ETH Zürich und University of Zürich, Gloriastrasse 35, 8092 Zürich, Switzerland (C.F., N. Scherrer, S.K.); Stanford Stroke Center, Department of Neurology, Stanford University, Stanford, Calif (S.C., J.M., M.L.); and Division of Diagnostic and Interventional Neuroradiology, Department of Radiology, University Hospital Basel, Basel, Switzerland (J.O., V.S.Z., N. Schmidt, H.C.B.).ORCID 0000-0003-1242-3724
Nino ScherrerInstitute for Biomedical Engineering, ETH Zürich und University of Zürich, Gloriastrasse 35, 8092 Zürich, Switzerland (C.F., N. Scherrer, S.K.); Stanford Stroke Center, Department of Neurology, Stanford University, Stanford, Calif (S.C., J.M., M.L.); and Division of Diagnostic and Interventional Neuroradiology, Department of Radiology, University Hospital Basel, Basel, Switzerland (J.O., V.S.Z., N. Schmidt, H.C.B.).ORCID 0000-0001-5976-4257
Johanna M OspelInstitute for Biomedical Engineering, ETH Zürich und University of Zürich, Gloriastrasse 35, 8092 Zürich, Switzerland (C.F., N. Scherrer, S.K.); Stanford Stroke Center, Department of Neurology, Stanford University, Stanford, Calif (S.C., J.M., M.L.); and Division of Diagnostic and Interventional Neuroradiology, Department of Radiology, University Hospital Basel, Basel, Switzerland (J.O., V.S.Z., N. Schmidt, H.C.B.).ORCID 0000-0003-0029-6764
Victor Schulze-ZachauInstitute for Biomedical Engineering, ETH Zürich und University of Zürich, Gloriastrasse 35, 8092 Zürich, Switzerland (C.F., N. Scherrer, S.K.); Stanford Stroke Center, Department of Neurology, Stanford University, Stanford, Calif (S.C., J.M., M.L.); and Division of Diagnostic and Interventional Neuroradiology, Department of Radiology, University Hospital Basel, Basel, Switzerland (J.O., V.S.Z., N. Schmidt, H.C.B.).ORCID 0000-0003-0945-8379
Noemi SchmidtInstitute for Biomedical Engineering, ETH Zürich und University of Zürich, Gloriastrasse 35, 8092 Zürich, Switzerland (C.F., N. Scherrer, S.K.); Stanford Stroke Center, Department of Neurology, Stanford University, Stanford, Calif (S.C., J.M., M.L.); and Division of Diagnostic and Interventional Neuroradiology, Department of Radiology, University Hospital Basel, Basel, Switzerland (J.O., V.S.Z., N. Schmidt, H.C.B.).
Hanns-Christian BreitInstitute for Biomedical Engineering, ETH Zürich und University of Zürich, Gloriastrasse 35, 8092 Zürich, Switzerland (C.F., N. Scherrer, S.K.); Stanford Stroke Center, Department of Neurology, Stanford University, Stanford, Calif (S.C., J.M., M.L.); and Division of Diagnostic and Interventional Neuroradiology, Department of Radiology, University Hospital Basel, Basel, Switzerland (J.O., V.S.Z., N. Schmidt, H.C.B.).ORCID 0000-0003-3612-1341
Julian MaclarenInstitute for Biomedical Engineering, ETH Zürich und University of Zürich, Gloriastrasse 35, 8092 Zürich, Switzerland (C.F., N. Scherrer, S.K.); Stanford Stroke Center, Department of Neurology, Stanford University, Stanford, Calif (S.C., J.M., M.L.); and Division of Diagnostic and Interventional Neuroradiology, Department of Radiology, University Hospital Basel, Basel, Switzerland (J.O., V.S.Z., N. Schmidt, H.C.B.).ORCID 0000-0001-7073-2926
Maarten LansbergInstitute for Biomedical Engineering, ETH Zürich und University of Zürich, Gloriastrasse 35, 8092 Zürich, Switzerland (C.F., N. Scherrer, S.K.); Stanford Stroke Center, Department of Neurology, Stanford University, Stanford, Calif (S.C., J.M., M.L.); and Division of Diagnostic and Interventional Neuroradiology, Department of Radiology, University Hospital Basel, Basel, Switzerland (J.O., V.S.Z., N. Schmidt, H.C.B.).ORCID 0000-0002-3545-6927
Sebastian KozerkeInstitute for Biomedical Engineering, ETH Zürich und University of Zürich, Gloriastrasse 35, 8092 Zürich, Switzerland (C.F., N. Scherrer, S.K.); Stanford Stroke Center, Department of Neurology, Stanford University, Stanford, Calif (S.C., J.M., M.L.); and Division of Diagnostic and Interventional Neuroradiology, Department of Radiology, University Hospital Basel, Basel, Switzerland (J.O., V.S.Z., N. Schmidt, H.C.B.).ORCID 0000-0003-3725-8884
University of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the segmentation and detection performance of a deep learning model trained on a database of human-labeled clinical stroke lesions on diffusion-weighted (DW) images to a model trained on the same database enhanced with synthetic stroke lesions. MATERIALS AND

methodsIn this institutional review board-approved study, a stroke database of 962 cases (mean patient age ± standard deviation, 65 years ± 17; 255 male patients; 449 scans with DW positive stroke lesions) and a normal database of 2027 patients (mean age, 38 years ± 24; 1088 female patients) were used. Brain volumes with synthetic stroke lesions on DW images were produced by warping the relative signal increase of real strokes to normal brain volumes. A generic three-dimensional (3D) U-Net was trained on four different databases to generate four different models:

resultsThe performance of the 3D U-Net model trained on the CS40DB (mean Dice score, 0.72) was better than models trained on the CS2DB (Dice score, 0.70;

conclusionDeep learning training for segmentation and detection of stroke lesions on DW images was significantly improved by enhancing the training set with synthetic lesions.

Identifiers

PMID33937840
PMCPMC8082335
OpenAlexW3084554129

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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.