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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.
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Details
| Item type | Article | ||||
| Journal or Publication Title | Diagnostics | ||||
| Publisher | MDPI | ||||
| Open Access Type | Gold (with APC) | ||||
| Place of Publication | BASEL | ||||
| Volume | 12 | ||||
| Number of Issue or Book Chapter | 8 | ||||
| Page Range | p. 1938 | ||||
| Date | 11 August 2022 | ||||
| Date of publication | 26 Sep 2022 13:36 | ||||
| Institutions | Medicine > Lehrstuhl für Pathologie Medicine > Lehrstuhl für Röntgendiagnostik | ||||
| Identification Number |
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| Keywords | HEPATOBILIARY 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 Classification | 600 Technology > 610 Medical sciences Medicine | ||||
| Status | Published | ||||
| Refereed | Yes, this version has been refereed | ||||
| Created at the University of Regensburg | Yes | ||||
| URN of the UB Regensburg | urn:nbn:de:bvb:355-epub-527719 | ||||
| Item ID | 52771 |
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