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arXiv 2103.06168eess.IVcs.CV
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在TOF-MRA中实现脑动脉瘤自动检测:开放数据、弱标签和解剖学知识

Towards automated brain aneurysm detection in TOF-MRA: open data, weak labels, and anatomical knowledge

Center for Biomedical Imaging, CIBM(生物医学成像中心(CIBM))

Tommaso Di Noto, Guillaume Marie, Sebastien Tourbier, Yasser Alemán-Gómez, Oscar Esteban, Guillaume Saliou, Meritxell Bach Cuadra, Patric Hagmann, Jonas Richiardi

摘要:

随着深度学习(DL)的出现,飞行时间磁共振血管造影(TOF-MRA)中的脑动脉瘤检测发生了巨大的改进。然而,监督DL模型的性能在很大程度上依赖于标记样本的数量,这是非常昂贵的获得。在这里,我们提出了一个用于动脉瘤检测的DL模型,它克服了“弱”标签的问题:创建速度快得多的超大注释。我们的弱标签的生成速度是其体素对应物的四倍。此外,我们的模型通过仅关注动脉瘤发生的合理位置来利用先前的解剖学知识。我们首先通过对内部TOF-MRA数据集进行交叉验证来训练和评估我们的模型,该数据集包括284名受试者(170名女性/ 127名健康对照/ 157名患者,198个动脉瘤)。在这个数据集上,我们的最佳模型实现了83%的灵敏度,每例患者的假阳性(FP)率为0.8。为了评估模型的通用性,我们随后参与了一项使用TOF-MRA数据进行动脉瘤检测的挑战(93例患者,20例对照,125例动脉瘤)。在公开挑战中,灵敏度为68%(FP率=2.5),在公开排行榜上排名第4/18。我们发现动脉瘤破裂风险组(p=0.75)、位置(p=0.72)或大小(p=0.15)之间的敏感性无显著差异。数据、代码和模型权重在许可证下发布。我们证明了弱标签和解剖知识可以减轻昂贵的体素注释的必要性。

英文摘要:

Brain aneurysm detection in Time-Of-Flight Magnetic Resonance Angiography (TOF-MRA) has undergone drastic improvements with the advent of Deep Learning (DL). However, performances of supervised DL models heavily rely on the quantity of labeled samples, which are extremely costly to obtain. Here, we present a DL model for aneurysm detection that overcomes the issue with ''weak'' labels: oversized annotations which are considerably faster to create. Our weak labels resulted to be four times faster to generate than their voxel-wise counterparts. In addition, our model leverages prior anatomical knowledge by focusing only on plausible locations for aneurysm occurrence. We frst train and evaluate our model through cross-validation on an in-house TOF-MRA dataset comprising 284 subjects (170 females / 127 healthy controls / 157 patients with 198 aneurysms). On this dataset, our best model achieved a sensitivity of 83%, with False Positive (FP) rate of 0.8 per patient. To assess model generalizability, we then participated in a challenge for aneurysm detection with TOF-MRA data (93 patients, 20 controls, 125 aneurysms). On the public challenge, sensitivity was 68% (FP rate=2.5), ranking 4th/18 on the open leaderboard. We found no signifcant diference in sensitivity between aneurysm risk-of-rupture groups (p=0.75), locations (p=0.72), or sizes (p=0.15). Data, code and model weights are released under permissive licenses. We demonstrate that weak labels and anatomical knowledge can alleviate the necessity for prohibitively expensive voxel-wise annotations.

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