Evidence map›Paper›PMID 34120269›Full record

ArticleInternational journal of computer assisted radiology and surgery2021

A self-supervised learning strategy for postoperative brain cavity segmentation simulating resections.

Fernando Pérez-García, Reuben Dorent, Michele Rizzi, Francesco Cardinale, Valerio Frazzini, Vincent Navarro, Caroline Essert, Irène Ollivier, Tom Vercauteren, Rachel Sparks and 2 more

Open access · hybridAbstract read
In one paragraph

Article in International journal of computer assisted radiology and surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

17 citing papers in PubMed, 27 citations in OpenAlex.

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  15. Extent of piriform cortex resection in children with temporal lobe epilepsy.Annals of clinical and translational neurology · 2023
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  16. Brain Lesion Synthesis via Progressive Adversarial Variational Auto-Encoder.Simulation and synthesis in medical imaging : ... International Workshop, SASHIMI ..., held in conjunction with MICCAI ..., proceedings. SASHIMI (Workshop) · 2022
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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

12 authors at 6 institutions in 3 countries.

Fernando Pérez-GarcíaDepartment of Medical Physics and Biomedical Engineering, UCL, London, UK. fernando.perezgarcia.17@ucl.ac.uk.ORCID http://orcid.org/0000-0001-9090-3024
Reuben DorentSchool of Biomedical Engineering & Imaging Sciences, King's College London, London, UK.ORCID http://orcid.org/0000-0002-7530-0644
Michele Rizzi"C. Munari" Epilepsy Surgery Centre ASST GOM Niguarda, Milan, Italy.ORCID http://orcid.org/0000-0002-7936-6536
Francesco Cardinale"C. Munari" Epilepsy Surgery Centre ASST GOM Niguarda, Milan, Italy.ORCID http://orcid.org/0000-0002-5141-9202
Valerio FrazziniParis Brain Institute, ICM, INSERM, CNRS, 75013, Paris, France.ORCID http://orcid.org/0000-0003-1187-3352
Vincent NavarroParis Brain Institute, ICM, INSERM, CNRS, 75013, Paris, France.ORCID http://orcid.org/0000-0003-0077-8114
Caroline EssertICube, Université de Strasbourg, CNRS (UMR 7357), Strasbourg, France.ORCID http://orcid.org/0000-0003-2572-9730
Irène OllivierDepartment of Neurosurgery, Strasbourg University Hospital, Strasbourg, France.
Tom VercauterenSchool of Biomedical Engineering & Imaging Sciences, King's College London, London, UK.ORCID http://orcid.org/0000-0003-1794-0456
Rachel SparksSchool of Biomedical Engineering & Imaging Sciences, King's College London, London, UK.ORCID http://orcid.org/0000-0003-1553-7903
John S DuncanUCL Queen Square Institute of Neurology, London, UK.ORCID http://orcid.org/0000-0002-1373-0681
Sébastien OurselinSchool of Biomedical Engineering & Imaging Sciences, King's College London, London, UK.ORCID http://orcid.org/0000-0002-5694-5340
King's College London · GBCentre National de la Recherche Scientifique · FRAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITNational Hospital for Neurology and Neurosurgery · GBUniversité de Strasbourg · FRUniversity College Hospital · GB

Funding

Engineering and Physical Sciences Research Council NS/A000049/1Royal Academy of Engineering RCSRF1819/7/34Wellcome TrustWellcome Trust 203145Z/16/ZWellcome Trust 203148/Z/16/ZWellcome Trust 218380/Z/19/Z/
6 · The paper itself

Abstract

purposeAccurate segmentation of brain resection cavities (RCs) aids in postoperative analysis and determining follow-up treatment. Convolutional neural networks (CNNs) are the state-of-the-art image segmentation technique, but require large annotated datasets for training. Annotation of 3D medical images is time-consuming, requires highly trained raters and may suffer from high inter-rater variability. Self-supervised learning strategies can leverage unlabeled data for training.

methodsWe developed an algorithm to simulate resections from preoperative magnetic resonance images (MRIs). We performed self-supervised training of a 3D CNN for RC segmentation using our simulation method. We curated EPISURG, a dataset comprising 430 postoperative and 268 preoperative MRIs from 430 refractory epilepsy patients who underwent resective neurosurgery. We fine-tuned our model on three small annotated datasets from different institutions and on the annotated images in EPISURG, comprising 20, 33, 19 and 133 subjects.

resultsThe model trained on data with simulated resections obtained median (interquartile range) Dice score coefficients (DSCs) of 81.7 (16.4), 82.4 (36.4), 74.9 (24.2) and 80.5 (18.7) for each of the four datasets. After fine-tuning, DSCs were 89.2 (13.3), 84.1 (19.8), 80.2 (20.1) and 85.2 (10.8). For comparison, inter-rater agreement between human annotators from our previous study was 84.0 (9.9).

conclusionWe present a self-supervised learning strategy for 3D CNNs using simulated RCs to accurately segment real RCs on postoperative MRI. Our method generalizes well to data from different institutions, pathologies and modalities. Source code, segmentation models and the EPISURG dataset are available at https://github.com/fepegar/resseg-ijcars .

Indexed as

Image Processing, Computer-AssistedNeural Networks, ComputerBrainHumansMagnetic Resonance ImagingSupervised Machine LearningCavity segmentationLesion simulationNeuroimagingResective neurosurgerySelf-supervised learning

Identifiers

PMID34120269
PMCPMC8580910
OpenAlexW3165850692

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.