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

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 und 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), S. 1938.

Veröffentlichungsdatum dieses Volltextes: 26 Sep 2022 13:36
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.52771


Zusammenfassung

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.



Beteiligte Einrichtungen


Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftDiagnostics
Verlag:MDPI
Ort der Veröffentlichung:BASEL
Band:12
Nummer des Zeitschriftenheftes oder des Kapitels:8
Seitenbereich:S. 1938
Datum11 August 2022
InstitutionenMedizin > Lehrstuhl für Pathologie
Medizin > Lehrstuhl für Röntgendiagnostik
Identifikationsnummer
WertTyp
10.3390/diagnostics12081938DOI
Stichwörter / 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-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-527719
Dokumenten-ID52771

Bibliographische Daten exportieren

Nur für Besitzer und Autoren: Kontrollseite des Eintrags

nach oben