Evidence map›Paper›PMID 36914715›Full record

ArticleScientific reports2023

Multi-arm U-Net with dense input and skip connectivity for T2 lesion segmentation in clinical trials of multiple sclerosis.

Anitha Priya Krishnan, Zhuang Song, David Clayton, Xiaoming Jia, Alex de Crespigny, Richard A D Carano

Full text readMulticenter Study
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Assessing the role of volumetric brain information in multiple sclerosis progression.Computational and structural biotechnology journal · 2025
    Article
  5. Article
  6. Article
  7. LST-AI: a Deep Learning Ensemble for Accurate MS Lesion Segmentation.medRxiv : the preprint server for health sciences · 2024
    Article
  8. Article
  9. A Novel Convolutional Neural Network for Automated Multiple Sclerosis Brain Lesion Segmentation.Journal of neuroimaging : official journal of the American Society of Neuroimaging
    Review
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.

Anitha Priya KrishnanData Analytics and Imaging, Pharma Personalized Healthcare, Genentech Inc., 600 E Grand Ave., South San Francisco, CA, 94080, USA. krishnan.anithapriya@gene.com.
Zhuang SongData Analytics and Imaging, Pharma Personalized Healthcare, Genentech Inc., 600 E Grand Ave., South San Francisco, CA, 94080, USA.
David ClaytonClinical Imaging Group, gRED, Genentech Inc., South San Francisco, CA, USA.
Xiaoming JiaTranslational Medicine OMNI - Biomarker Development, Genentech Inc., South San Francisco, CA, USA.
Alex de CrespignyClinical Imaging Group, gRED, Genentech Inc., South San Francisco, CA, USA.
Richard A D CaranoData Analytics and Imaging, Pharma Personalized Healthcare, Genentech Inc., 600 E Grand Ave., South San Francisco, CA, 94080, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

T2 lesion quantification plays a crucial role in monitoring disease progression and evaluating treatment response in multiple sclerosis (MS). We developed a 3D, multi-arm U-Net for T2 lesion segmentation, which was trained on a large, multicenter clinical trial dataset of relapsing MS. We investigated its generalization to other relapsing and primary progressive MS clinical trial datasets, and to an external dataset from the MICCAI 2016 MS lesion segmentation challenge. Additionally, we assessed the model's ability to reproduce the separation of T2 lesion volumes between treatment and control arms; and the association of baseline T2 lesion volumes with clinical disability scores compared with manual lesion annotations. The trained model achieved a mean dice coefficient of ≥ 0.66 and a lesion detection sensitivity of ≥ 0.72 across the internal test datasets. On the external test dataset, the model achieved a mean dice coefficient of 0.62, which is comparable to 0.59 from the best model in the challenge, and a lesion detection sensitivity of 0.68. Lesion detection performance was reduced for smaller lesions (≤ 30 μL, 3-10 voxels). The model successfully maintained the separation of the longitudinal changes in T2 lesion volumes between the treatment and control arms. Such tools could facilitate semi-automated MS lesion quantification; and reduce rater burden in clinical trials.

Indexed as

Biological PhenomenaMultiple SclerosisDisease ProgressionGeneralization, PsychologicalHumansMagnetic Resonance ImagingRecurrence

Identifiers

PMID36914715
PMCPMC10011580

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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.