Evidence map›Paper›PMID 35204321›Full record

ArticleDiagnostics (Basel, Switzerland)2022

Lesion Volume Quantification Using Two Convolutional Neural Networks in MRIs of Multiple Sclerosis Patients.

Marcela de Oliveira, Marina Piacenti-Silva, Fernando Coronetti Gomes da Rocha, Jorge Manuel Santos, Jaime Dos Santos Cardoso, Paulo Noronha Lisboa-Filho

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

2 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
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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

6 authors at 3 institutions in 2 countries.

Marcela de OliveiraDepartment of Physics, School of Sciences, São Paulo State University (UNESP), Bauru 17033-3600, SP, Brazil.
Marina Piacenti-SilvaDepartment of Physics, School of Sciences, São Paulo State University (UNESP), Bauru 17033-3600, SP, Brazil.ORCID 0000-0001-7096-3652
Fernando Coronetti Gomes da RochaDepartment of Neurology, Psychology and Psychiatry, Medical School, São Paulo State University, Botucatu 18618-687, SP, Brazil.
Jorge Manuel SantosDepartment of Mathematics of School of Engineering, Polytechnic of Porto (ISEP), 4249-015 Porto, Portugal.
Jaime Dos Santos CardosoInstitute for Systems and Computer Engineering, Technology and Science (INESC TEC) and Faculty of Engineering, University of Porto, 4200-465 Porto, Portugal.ORCID 0000-0002-3760-2473
Paulo Noronha Lisboa-FilhoDepartment of Physics, School of Sciences, São Paulo State University (UNESP), Bauru 17033-3600, SP, Brazil.ORCID 0000-0002-7734-4069
Universidade Estadual Paulista (Unesp) · BRPolytechnic Institute of Porto · PTUniversidade do Porto · PT

Funding

Fundação de Amparo a Pesquisa do Estado de São Paulo - FAPESP 2017/20032-5Fundação de Amparo a Pesquisa do Estado de São Paulo - FAPESP 2019/16362-5
6 · The paper itself

Abstract

backgroundMultiple sclerosis (MS) is a neurologic disease of the central nervous system which affects almost three million people worldwide. MS is characterized by a demyelination process that leads to brain lesions, allowing these affected areas to be visualized with magnetic resonance imaging (MRI). Deep learning techniques, especially computational algorithms based on convolutional neural networks (CNNs), have become a frequently used algorithm that performs feature self-learning and enables segmentation of structures in the image useful for quantitative analysis of MRIs, including quantitative analysis of MS. To obtain quantitative information about lesion volume, it is important to perform proper image preprocessing and accurate segmentation. Therefore, we propose a method for volumetric quantification of lesions on MRIs of MS patients using automatic segmentation of the brain and lesions by two CNNs.

methodsWe used CNNs at two different moments: the first to perform brain extraction, and the second for lesion segmentation. This study includes four independent MRI datasets: one for training the brain segmentation models, two for training the lesion segmentation model, and one for testing.

resultsThe proposed brain detection architecture using binary cross-entropy as the loss function achieved a 0.9786 Dice coefficient, 0.9969 accuracy, 0.9851 precision, 0.9851 sensitivity, and 0.9985 specificity. In the second proposed framework for brain lesion segmentation, we obtained a 0.8893 Dice coefficient, 0.9996 accuracy, 0.9376 precision, 0.8609 sensitivity, and 0.9999 specificity. After quantifying the lesion volume of all patients from the test group using our proposed method, we obtained a mean value of 17,582 mm

conclusionsWe concluded that the proposed algorithm achieved accurate lesion detection and segmentation with reproducibility corresponding to state-of-the-art software tools and manual segmentation. We believe that this quantification method can add value to treatment monitoring and routine clinical evaluation of MS patients.

Indexed as

brain extractionlesion volume quantificationmachine learningMRImultiple sclerosis

Identifiers

PMID35204321
PMCPMC8870921
OpenAlexW4205882540

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.