Evidence map›Paper›PMID 34704337›Full record

ArticleHuman brain mapping2022

White matter hyperintensities segmentation using an ensemble of neural networks.

Xinxin Li, Yu Zhao, Jiyang Jiang, Jian Cheng, Wanlin Zhu, Zhenzhou Wu, Jing Jing, Zhe Zhang, Wei Wen, Perminder S Sachdev and 3 more

Open access · goldAbstract readTwin Study
In one paragraph

Article in Human brain mapping, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 11% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  9. Article
  10. Cerebral small vessel disease lesion segmentation methods: A systematic review.Cerebral circulation - cognition and behavior · 2025
    Review
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  12. LST-AI: a Deep Learning Ensemble for Accurate MS Lesion Segmentation.medRxiv : the preprint server for health sciences · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Article
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  18. Article
  19. Ensemble learningFrontiers in neuroscience · 2022
    Article
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

13 authors at 5 institutions in 2 countries.

Xinxin LiKey Laboratory of Biomechanics and Mechanobiology, Ministry of Education, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University, Beijing, China.
Yu ZhaoKey Laboratory of Biomechanics and Mechanobiology, Ministry of Education, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University, Beijing, China.
Jiyang JiangCentre for Healthy Brain Ageing (CHeBA), School of Psychiatry, UNSW, Sydney, New South Wales, Australia.
Jian ChengBeijing Advanced Innovation Center for Big Data-Based Precision Medicin, School of Computer Science and Engineering, Beihang University, Beijing, China.
Wanlin ZhuNeuroimaging Center of Excellence, China National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijng, China.
Zhenzhou WuBioMind Technology AI Center, China National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Beijng, China.
Jing JingNeuroimaging Center of Excellence, China National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijng, China.
Zhe ZhangNeuroimaging Center of Excellence, China National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijng, China.
Wei WenCentre for Healthy Brain Ageing (CHeBA), School of Psychiatry, UNSW, Sydney, New South Wales, Australia.
Perminder S SachdevCentre for Healthy Brain Ageing (CHeBA), School of Psychiatry, UNSW, Sydney, New South Wales, Australia.ORCID 0000-0002-9595-3220
Yongjun WangNeuroimaging Center of Excellence, China National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijng, China.
Tao LiuKey Laboratory of Biomechanics and Mechanobiology, Ministry of Education, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University, Beijing, China.ORCID 0000-0002-7783-3073
Zixiao LiNeuroimaging Center of Excellence, China National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijng, China.
Capital Medical University · CNUNSW Sydney · AUBeijing Advanced Sciences and Innovation Center · CNBeijing Tian Tan Hospital · CNBeihang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

White matter hyperintensities (WMHs) represent the most common neuroimaging marker of cerebral small vessel disease (CSVD). The volume and location of WMHs are important clinical measures. We present a pipeline using deep fully convolutional network and ensemble models, combining U-Net, SE-Net, and multi-scale features, to automatically segment WMHs and estimate their volumes and locations. We evaluated our method in two datasets: a clinical routine dataset comprising 60 patients (selected from Chinese National Stroke Registry, CNSR) and a research dataset composed of 60 patients (selected from MICCAI WMH Challenge, MWC). The performance of our pipeline was compared with four freely available methods: LGA, LPA, UBO detector, and U-Net, in terms of a variety of metrics. Additionally, to access the model generalization ability, another research dataset comprising 40 patients (from Older Australian Twins Study and Sydney Memory and Aging Study, OSM), was selected and tested. The pipeline achieved the best performance in both research dataset and the clinical routine dataset with DSC being significantly higher than other methods (p < .001), reaching .833 and .783, respectively. The results of model generalization ability showed that the model trained on the research dataset (DSC = 0.736) performed higher than that trained on the clinical dataset (DSC = 0.622). Our method outperformed widely used pipelines in WMHs segmentation. This system could generate both image and text outputs for whole brain, lobar and anatomical automatic labeling WMHs. Additionally, software and models of our method are made publicly available at https://www.nitrc.org/projects/what_v1.

Indexed as

Neural Networks, ComputerAgedDatasets as TopicHumansLeukoaraiosisMagnetic Resonance ImagingNeuroimagingCNNensemble modelssegmentationwhite matter hyperintensities

Identifiers

PMID34704337
PMCPMC8764480
OpenAlexW3210592531

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.