Evidence map›Paper›PMID 39266642›Full record

ArticleScientific reports2024

Consensus of algorithms for lesion segmentation in brain MRI studies of multiple sclerosis.

Alessandro Pasquale De Rosa, Marco Benedetto, Stefano Tagliaferri, Francesco Bardozzo, Alessandro D'Ambrosio, Alvino Bisecco, Antonio Gallo, Mario Cirillo, Roberto Tagliaferri, Fabrizio Esposito

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Spinal cord imaging in multiple sclerosis: A vital component we can no longer overlook.Multiple sclerosis (Houndmills, Basingstoke, England) · 2026
    Pooled it
  2. Article
  3. Article
  4. Article
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  6. Article
  7. Article
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  9. Article
  10. Multiple sclerosis: 2024 update.Free neuropathology · 2025
    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

10 authors.

Alessandro Pasquale De RosaDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Piazza Luigi Miraglia, 2, 80138, Naples, Italy.
Marco BenedettoKelyon S.r.l., Via Benedetto Brin, 59 C5/C6, 80142, Naples, Italy.
Stefano TagliaferriKelyon S.r.l., Via Benedetto Brin, 59 C5/C6, 80142, Naples, Italy.
Francesco BardozzoNeuRoNe Lab, DISA-MIS, University of Salerno, 84084, Fisciano, Italy.
Alessandro D'AmbrosioDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Piazza Luigi Miraglia, 2, 80138, Naples, Italy.
Alvino BiseccoDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Piazza Luigi Miraglia, 2, 80138, Naples, Italy.
Antonio GalloDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Piazza Luigi Miraglia, 2, 80138, Naples, Italy.
Mario CirilloDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Piazza Luigi Miraglia, 2, 80138, Naples, Italy.
Roberto TagliaferriNeuRoNe Lab, DISA-MIS, University of Salerno, 84084, Fisciano, Italy.
Fabrizio EspositoDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Piazza Luigi Miraglia, 2, 80138, Naples, Italy. fabrizio.esposito@unicampania.it.

Funding

Ministero dell'Università e della Ricerca PE0000006
6 · The paper itself

Abstract

Segmentation of multiple sclerosis (MS) lesions on brain MRI scans is crucial for diagnosis, disease and treatment monitoring but is a time-consuming task. Despite several automated algorithms have been proposed, there is still no consensus on the most effective method. Here, we applied a consensus-based framework to improve lesion segmentation on T1-weighted and FLAIR scans. The framework is designed to combine publicly available state-of-the-art deep learning models, by running multiple segmentation tasks before merging the outputs of each algorithm. To assess the effectiveness of the approach, we applied it to MRI datasets from two different centers, including a private and a public dataset, with 131 and 30 MS patients respectively, with manually segmented lesion masks available. No further training was performed for any of the included algorithms. Overlap and detection scores were improved, with Dice increasing by 4-8% and precision by 3-4% respectively for the private and public dataset. High agreement was obtained between estimated and true lesion load (ρ = 0.92 and ρ = 0.97) and count (ρ = 0.83 and ρ = 0.94). Overall, this framework ensures accurate and reliable results, exploiting complementary features and overcoming some of the limitations of individual algorithms.

Indexed as

AlgorithmsBrainMagnetic Resonance ImagingMultiple SclerosisAdultConsensusDeep LearningFemaleHumansImage Interpretation, Computer-AssistedImage Processing, Computer-AssistedMaleMiddle AgedConsensusLabel fusionLesion segmentationMachine learningMRIMultiple sclerosis

Identifiers

PMID39266642
PMCPMC11393062

What OpenQuestion holds

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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.