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arXiv 2005.05135eess.IVcs.CVcs.LGq-bio.QM

A Contrast-Adaptive Method for Simultaneous Whole-Brain and Lesion Segmentation in Multiple Sclerosis

Technical University of Denmark(丹麦技术大学);Copenhagen University Hospital Hvidovre(哥本哈根大学医院维兹奥勒医院);Medical Image Analysis Center (MIAC AG)(医学图像分析中心(MIAC AG));Technical University of Munich(慕尼黑工业大学);Copenhagen University Hospital Bispebjerg(哥本哈根大学医院比斯佩比约医院);University of Copenhagen(哥本哈根大学);Massachusetts General Hospital(麻省总医院);Harvard Medical School(哈佛医学院)

Stefano Cerri, Oula Puonti, Dominik S. Meier, Jens Wuerfel, Mark Mühlau, Hartwig R. Siebner, Koen Van Leemput

英文摘要:

Here we present a method for the simultaneous segmentation of white matter lesions and normal-appearing neuroanatomical structures from multi-contrast brain MRI scans of multiple sclerosis patients. The method integrates a novel model for white matter lesions into a previously validated generative model for whole-brain segmentation. By using separate models for the shape of anatomical structures and their appearance in MRI, the algorithm can adapt to data acquired with different scanners and imaging protocols without retraining. We validate the method using four disparate datasets, showing robust performance in white matter lesion segmentation while simultaneously segmenting dozens of other brain structures. We further demonstrate that the contrast-adaptive method can also be safely applied to MRI scans of healthy controls, and replicate previously documented atrophy patterns in deep gray matter structures in MS. The algorithm is publicly available as part of the open-source neuroimaging package FreeSurfer.

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