Evidence map›Paper›PMID 34599377›Full record

ArticleNeuroradiology2022

A deep learning algorithm for white matter hyperintensity lesion detection and segmentation.

Yajing Zhang, Yunyun Duan, Xiaoyang Wang, Zhizheng Zhuo, Sven Haller, Frederik Barkhof, Yaou Liu

Abstract read
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In one paragraph

Article in Neuroradiology, 2022. 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
2.7field-weighted citation impact, top 9% 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, 26 citations in OpenAlex.

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  7. Cerebral small vessel disease lesion segmentation methods: A systematic review.Cerebral circulation - cognition and behavior · 2025
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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

7 authors at 4 institutions in 3 countries.

Yajing Zhang *MR Clinical Science, Philips Healthcare, 258 Zhongyuan Rd, Suzhou, SIP, China.ORCID http://orcid.org/0000-0003-4034-0686
Yunyun Duan *Department of Radiology, Beijing Tiantan Hospital, Fengtai District, Capital Medical University, No. 119 the West Southern 4th Ring Road, Beijing, 100070, China.ORCID http://orcid.org/0000-0002-8753-0260
Xiaoyang WangMR Clinical Science, Philips Healthcare, 258 Zhongyuan Rd, Suzhou, SIP, China.ORCID http://orcid.org/0000-0003-4213-0762
Zhizheng ZhuoDepartment of Radiology, Beijing Tiantan Hospital, Fengtai District, Capital Medical University, No. 119 the West Southern 4th Ring Road, Beijing, 100070, China.ORCID http://orcid.org/0000-0002-6635-8705
Sven HallerDepartment of Imaging and Medical Informatics, University of Geneva, Geneva, Switzerland.ORCID http://orcid.org/0000-0001-7433-0203
Frederik BarkhofDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0003-3543-3706
Yaou LiuDepartment of Radiology, Beijing Tiantan Hospital, Fengtai District, Capital Medical University, No. 119 the West Southern 4th Ring Road, Beijing, 100070, China. liuyaou@bjtth.org.ORCID http://orcid.org/0000-0002-9930-0331
Capital Medical University · CNPhilips (China) · CNQueen Mary University of London · GBUniversity of Geneva · CH

Funding

Beijing Nova Program xx2013045National Natural Science Foundation of China 81571631National Natural Science Foundation of China 81870958Natural Science Foundation of Beijing Municipality 7133244
6 · The paper itself

Abstract

purposeWhite matter hyperintensity (WMHI) lesions on MR images are an important indication of various types of brain diseases that involve inflammation and blood vessel abnormalities. Automated quantification of the WMHI can be valuable for the clinical management of patients, but existing automated software is often developed for a single type of disease and may not be applicable for clinical scans with thick slices and different scanning protocols. The purpose of the study is to develop and validate an algorithm for automatic quantification of white matter hyperintensity suitable for heterogeneous MRI data with different disease types.

methodsWe developed and evaluated "DeepWML", a deep learning method for fully automated white matter lesion (WML) segmentation of multicentre FLAIR images. We used MRI from 507 patients, including three distinct white matter diseases, obtained in 9 centres, with a wide range of scanners and acquisition protocols. The automated delineation tool was evaluated through quantitative parameters of Dice similarity, sensitivity and precision compared to manual delineation (gold standard).

resultsThe overall median Dice similarity coefficient was 0.78 (range 0.64 ~ 0.86) across the three disease types and multiple centres. The median sensitivity and precision were 0.84 (range 0.67 ~ 0.94) and 0.81 (range 0.64 ~ 0.92), respectively. The tool's performance increased with larger lesion volumes.

conclusionDeepWML was successfully applied to a wide spectrum of MRI data in the three white matter disease types, which has the potential to improve the practical workflow of white matter lesion delineation.

Indexed as

Deep LearningLeukoaraiosisLeukoencephalopathiesWhite MatterAlgorithmsBrainHumansMagnetic Resonance ImagingAutomated detection and segmentationFLAIRMulticentreMultiple sclerosisWhite matter hyperintensity

Identifiers

PMID34599377
OpenAlexW3204966257

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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.