Direkt zum Inhalt

Strotzer, Quirin David ; Winther, Hinrich ; Utpatel, Kirsten ; Scheiter, Alexander ; Fellner, Claudia ; Doppler, Michael Christian ; Ringe, Kristina Imeen ; Raab, Florian ; Haimerl, Michael ; Uller, Wibke ; Stroszczynski, Christian ; Luerken, Lukas ; Verloh, Niklas

Application of A U-Net for Map-Like Segmentation and Classification of Discontinuous Fibrosis Distribution in Gd-EOB-DTPA-Enhanced Liver MRI

Article

Strotzer, Quirin David , Winther, Hinrich, Utpatel, Kirsten, Scheiter, Alexander , Fellner, Claudia, Doppler, Michael Christian, Ringe, Kristina Imeen, Raab, Florian, Haimerl, Michael, Uller, Wibke, Stroszczynski, Christian, Luerken, Lukas and Verloh, Niklas (2022) Application of A U-Net for Map-Like Segmentation and Classification of Discontinuous Fibrosis Distribution in Gd-EOB-DTPA-Enhanced Liver MRI. Diagnostics 12 (8), p. 1938.

DOI to cite this document: 10.5283/epub.52771


Abstract

We aimed to evaluate whether U-shaped convolutional neuronal networks can be used to segment liver parenchyma and indicate the degree of liver fibrosis/cirrhosis at the voxel level using contrast-enhanced magnetic resonance imaging. This retrospective study included 112 examinations with histologically determined liver fibrosis/cirrhosis grade (Ishak score) as the ground truth. The T1-weighted ...

We aimed to evaluate whether U-shaped convolutional neuronal networks can be used to segment liver parenchyma and indicate the degree of liver fibrosis/cirrhosis at the voxel level using contrast-enhanced magnetic resonance imaging. This retrospective study included 112 examinations with histologically determined liver fibrosis/cirrhosis grade (Ishak score) as the ground truth. The T1-weighted volume-interpolated breath-hold examination sequences of native, arterial, late arterial, portal venous, and hepatobiliary phases were semi-automatically segmented and co-registered. The segmentations were assigned the corresponding Ishak score. In a nested cross-validation procedure, five models of a convolutional neural network with U-Net architecture (nnU-Net) were trained, with the dataset being divided into stratified training/validation (n = 89/90) and holdout test datasets (n = 23/22). The trained models precisely segmented the test data (mean dice similarity coefficient = 0.938) and assigned separate fibrosis scores to each voxel, allowing localization-dependent determination of the degree of fibrosis. The per voxel results were evaluated by the histologically determined fibrosis score. The micro-average area under the receiver operating characteristic curve of this seven-class classification problem (Ishak score 0 to 6) was 0.752 for the test data. The topthree-accuracy-score was 0.750. We conclude that determining fibrosis grade or cirrhosis based on multiphase Gd-EOB-DTPA-enhanced liver MRI seems feasible using a 2D U-Net. Prospective studies with localized biopsies are needed to evaluate the reliability of this model in a clinical setting.



Involved Institutions


Details

Item typeArticle
Journal or Publication TitleDiagnostics
PublisherMDPI
Open Access TypeGold (with APC)
Place of PublicationBASEL
Volume12
Number of Issue or Book Chapter8
Page Rangep. 1938
Date11 August 2022
Date of publication26 Sep 2022 13:36
InstitutionsMedicine > Lehrstuhl für Pathologie
Medicine > Lehrstuhl für Röntgendiagnostik
Identification Number
ValueType
10.3390/diagnostics12081938DOI
KeywordsHEPATOBILIARY PHASE; SAMPLING VARIABILITY; SIGNAL INTENSITY; CONTRAST AGENT; REMNANT LIVER; ELASTOGRAPHY; BIOPSY; PREDICTION; VOLUME; liver fibrosis; cirrhosis; segmentation; Artificial Intelligence; U-Net; convolutional neural network
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgYes
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-527719
Item ID52771

Export bibliographical data

Owner only: item control page

nach oben