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Taskaya F, Amini A, Swiatek VM, Al-Hamid S, Reiser J, Rashidi A, Stein KP, Sandalcioglu IE, Neyazi B. Age-Dependent Changes of the Sylvian Fissure Configuration. World Neurosurg 2025; 196:123825. [PMID: 40015675 DOI: 10.1016/j.wneu.2025.123825] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2025] [Revised: 02/15/2025] [Accepted: 02/17/2025] [Indexed: 03/01/2025]
Abstract
OBJECTIVE To investigate age-related morphological changes of the Sylvian fissure (SF) and their implications for neurosurgical procedures. METHODS A cohort of 150 individuals across the age groups 10-20, 40-50, and 80-90 years was analyzed using Brainlab software for 3-dimensional visualization and volumetric analysis of the SF and various brain regions. We compared SF volumes between age groups and investigated dynamic changes in SF configuration over time. Correlation analyses were performed to identify how atrophy in specific brain regions affects the SF volume and configuration. RESULTS Atrophy was evident in all measured regions of the brain. The frontoparietal lobe underwent the strongest atrophy, while the occipital lobe showed the least. Each age group exhibited a consistent distribution of lobe volumes, although a marginal decrease in frontoparietal lobe proportion was observed in the groups of higher age. The annual atrophy rate in the frontoparietal and temporal lobes was steady. Additionally, ventricular expansion, which may influence white matter atrophy patterns, correlated with age. A consistent increase in SF volume in relation to the intracranial volume was observed across all age groups, with a notable increase in SF volume in older patients. This expansion, especially at the anterior-superior point, might be influenced by gravity, cerebral elasticity, and lobe torque. CONCLUSIONS Our investigation highlights the significance of age-dependent changes in SF volume and configuration due to brain atrophy throughout life. These changes, influenced by physical factors, underscore the need for tailored surgical approaches. Additionally, brain pathologies affecting volume could significantly alter SF configuration.
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Affiliation(s)
- Firat Taskaya
- Department of Neurosurgery, Otto-von-Guericke University, Magdeburg, Saxony-Anhalt, Germany
| | - Amir Amini
- Department of Neurosurgery, Otto-von-Guericke University, Magdeburg, Saxony-Anhalt, Germany
| | - Vanessa M Swiatek
- Department of Neurosurgery, Otto-von-Guericke University, Magdeburg, Saxony-Anhalt, Germany
| | - Sifian Al-Hamid
- Department of Neurosurgery, Otto-von-Guericke University, Magdeburg, Saxony-Anhalt, Germany
| | - Julius Reiser
- Department of Neurosurgery, Otto-von-Guericke University, Magdeburg, Saxony-Anhalt, Germany
| | - Ali Rashidi
- Department of Neurosurgery, Otto-von-Guericke University, Magdeburg, Saxony-Anhalt, Germany
| | - Klaus-Peter Stein
- Department of Neurosurgery, Otto-von-Guericke University, Magdeburg, Saxony-Anhalt, Germany
| | - I Erol Sandalcioglu
- Department of Neurosurgery, Otto-von-Guericke University, Magdeburg, Saxony-Anhalt, Germany
| | - Belal Neyazi
- Department of Neurosurgery, Otto-von-Guericke University, Magdeburg, Saxony-Anhalt, Germany.
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Dautkulova A, Aider OA, Teulière C, Coste J, Chaix R, Ouachik O, Pereira B, Lemaire JJ. Automated segmentation of deep brain structures from Inversion-Recovery MRI. Comput Med Imaging Graph 2025; 120:102488. [PMID: 39787737 DOI: 10.1016/j.compmedimag.2024.102488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2024] [Revised: 09/05/2024] [Accepted: 12/30/2024] [Indexed: 01/12/2025]
Abstract
Methods for the automated segmentation of brain structures are a major subject of medical research. The small structures of the deep brain have received scant attention, notably for lack of manual delineations by medical experts. In this study, we assessed an automated segmentation of a novel clinical dataset containing White Matter Attenuated Inversion-Recovery (WAIR) MRI images and five manually segmented structures (substantia nigra (SN), subthalamic nucleus (STN), red nucleus (RN), mammillary body (MB) and mammillothalamic fascicle (MT-fa)) in 53 patients with severe Parkinson's disease. T1 and DTI images were additionally used. We also assessed the reorientation of DTI diffusion vectors with reference to the ACPC line. A state-of-the-art nnU-Net method was trained and tested on subsets of 38 and 15 image datasets respectively. We used Dice similarity coefficient (DSC), 95% Hausdorff distance (95HD), and volumetric similarity (VS) as metrics to evaluate network efficiency in reproducing manual contouring. Random-effects models statistically compared values according to structures, accounting for between- and within-participant variability. Results show that WAIR significantly outperformed T1 for DSC (0.739 ± 0.073), 95HD (1.739 ± 0.398), and VS (0.892 ± 0.044). The DSC values for automated segmentation of MB, RN, SN, STN, and MT-fa decreased in that order, in line with the increasing complexity observed in manual segmentation. Based on training results, the reorientation of DTI vectors improved the automated segmentation.
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Affiliation(s)
- Aigerim Dautkulova
- Université Clermont Auvergne, Clermont Auvergne INP, CNRS, Institut Pascal, F-63000 Clermont-Ferrand, France.
| | - Omar Ait Aider
- Université Clermont Auvergne, Clermont Auvergne INP, CNRS, Institut Pascal, F-63000 Clermont-Ferrand, France
| | - Céline Teulière
- Université Clermont Auvergne, Clermont Auvergne INP, CNRS, Institut Pascal, F-63000 Clermont-Ferrand, France
| | - Jérôme Coste
- Université Clermont Auvergne, Clermont Auvergne INP, CNRS, Institut Pascal, F-63000 Clermont-Ferrand, France; Université Clermont Auvergne, CNRS, CHU Clermont-Ferrand, Clermont Auvergne INP, Institut Pascal, F-63000 Clermont-Ferrand, France
| | - Rémi Chaix
- Université Clermont Auvergne, Clermont Auvergne INP, CNRS, Institut Pascal, F-63000 Clermont-Ferrand, France; Université Clermont Auvergne, CNRS, CHU Clermont-Ferrand, Clermont Auvergne INP, Institut Pascal, F-63000 Clermont-Ferrand, France
| | - Omar Ouachik
- Université Clermont Auvergne, Clermont Auvergne INP, CNRS, Institut Pascal, F-63000 Clermont-Ferrand, France
| | - Bruno Pereira
- Direction de la Recherche et de l'Innovation, CHU Clermont-Ferrand, F-63000 Clermont-Ferrand, France
| | - Jean-Jacques Lemaire
- Université Clermont Auvergne, Clermont Auvergne INP, CNRS, Institut Pascal, F-63000 Clermont-Ferrand, France; Université Clermont Auvergne, CNRS, CHU Clermont-Ferrand, Clermont Auvergne INP, Institut Pascal, F-63000 Clermont-Ferrand, France
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Lemaire JJ, Chaix R, Dautkulova A, Sontheimer A, Coste J, Marques AR, Wohrer A, Chassain C, Ouachikh O, Ait-Aider O, Fontaine D. An MRI Deep Brain Adult Template With An Advanced Atlas-Based Tool For Diffusion Tensor Imaging Analysis. Sci Data 2024; 11:1189. [PMID: 39487161 PMCID: PMC11530659 DOI: 10.1038/s41597-024-04053-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2024] [Accepted: 10/25/2024] [Indexed: 11/04/2024] Open
Abstract
Understanding the architecture of the human deep brain is especially challenging because of the complex organization of the nuclei and fascicles that support most sensorimotor and behaviour controls. There are scant dedicated tools to explore and analyse this region. Here we took a transdisciplinary approach to build a new deep-brain MRI architecture atlas drawing on advanced clinical experience of MRI-based deep brain mapping. This new tool comprises a young-male-adult MRI template spatially normalized to the ICBM152, containing T1, inversion-recovery, and diffusion MRI datasets (in vivo acquisition), and an MRI atlas of 118 labelled deep brain structures. It is open-source and gives users high resolution image datasets to describe nuclear-based and axonal architecture, combining pioneering and recent knowledge. It is a useful addition to current 3D atlases and clinical tools.
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Affiliation(s)
- Jean-Jacques Lemaire
- Université Clermont Auvergne, Clermont Auvergne INP, CHU Clermont-Ferrand, CNRS, Institut Pascal, F-63000, Clermont-Ferrand, France.
| | - Rémi Chaix
- Université Clermont Auvergne, Clermont Auvergne INP, CHU Clermont-Ferrand, CNRS, Institut Pascal, F-63000, Clermont-Ferrand, France
| | - Aigerim Dautkulova
- Université Clermont Auvergne, Clermont Auvergne INP, CNRS, Institut Pascal, F-63000, Clermont-Ferrand, France
| | - Anna Sontheimer
- Université Clermont Auvergne, Clermont Auvergne INP, CHU Clermont-Ferrand, CNRS, Institut Pascal, F-63000, Clermont-Ferrand, France
| | - Jérôme Coste
- Université Clermont Auvergne, Clermont Auvergne INP, CHU Clermont-Ferrand, CNRS, Institut Pascal, F-63000, Clermont-Ferrand, France
| | - Ana-Raquel Marques
- Université Clermont Auvergne, Clermont Auvergne INP, CHU Clermont-Ferrand, CNRS, Institut Pascal, F-63000, Clermont-Ferrand, France
| | - Adrien Wohrer
- Université Clermont Auvergne, Clermont Auvergne INP, CHU Clermont-Ferrand, CNRS, Institut Pascal, F-63000, Clermont-Ferrand, France
| | - Carine Chassain
- Université Clermont Auvergne, Clermont Auvergne INP, CHU Clermont-Ferrand, CNRS, Institut Pascal, F-63000, Clermont-Ferrand, France
| | - Omar Ouachikh
- Université Clermont Auvergne, Clermont Auvergne INP, CNRS, Institut Pascal, F-63000, Clermont-Ferrand, France
| | - Omar Ait-Aider
- Université Clermont Auvergne, Clermont Auvergne INP, CNRS, Institut Pascal, F-63000, Clermont-Ferrand, France
| | - Denys Fontaine
- Université Nice Côte d'Azur, CHU de Nice, F-06103, Nice, Cedex 2, France
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Baxter JSH, Jannin P. Combining simple interactivity and machine learning: a separable deep learning approach to subthalamic nucleus localization and segmentation in MRI for deep brain stimulation surgical planning. J Med Imaging (Bellingham) 2022; 9:045001. [PMID: 35836671 DOI: 10.1117/1.jmi.9.4.045001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Accepted: 06/16/2022] [Indexed: 11/14/2022] Open
Abstract
Purpose: Deep brain stimulation (DBS) is an interventional treatment for some neurological and neurodegenerative diseases. For example, in Parkinson's disease, DBS electrodes are positioned at particular locations within the basal ganglia to alleviate the patient's motor symptoms. These interventions depend greatly on a preoperative planning stage in which potential targets and electrode trajectories are identified in a preoperative MRI. Due to the small size and low contrast of targets such as the subthalamic nucleus (STN), their segmentation is a difficult task. Machine learning provides a potential avenue for development, but it has difficulty in segmenting such small structures in volumetric images due to additional problems such as segmentation class imbalance. Approach: We present a two-stage separable learning workflow for STN segmentation consisting of a localization step that detects the STN and crops the image to a small region and a segmentation step that delineates the structure within that region. The goal of this decoupling is to improve accuracy and efficiency and to provide an intermediate representation that can be easily corrected by a clinical user. This correction capability was then studied through a human-computer interaction experiment with seven novice participants and one expert neurosurgeon. Results: Our two-step segmentation significantly outperforms the comparative registration-based method currently used in clinic and approaches the fundamental limit on variability due to the image resolution. In addition, the human-computer interaction experiment shows that the additional interaction mechanism allowed by separating STN segmentation into two steps significantly improves the users' ability to correct errors and further improves performance. Conclusions: Our method shows that separable learning not only is feasible for fully automatic STN segmentation but also leads to improved interactivity that can ease its translation into clinical use.
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Affiliation(s)
- John S H Baxter
- Université de Rennes 1, Laboratoire Traitement du Signal et de l'Image (INSERM UMR 1099), Rennes, France
| | - Pierre Jannin
- Université de Rennes 1, Laboratoire Traitement du Signal et de l'Image (INSERM UMR 1099), Rennes, France
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Mazzucchi E, La Rocca G, Hiepe P, Pignotti F, Galieri G, Policicchio D, Boccaletti R, Rinaldi P, Gaudino S, Ius T, Sabatino G. Intraoperative integration of multimodal imaging to improve neuronavigation: a technical note. World Neurosurg 2022; 164:330-340. [PMID: 35667553 DOI: 10.1016/j.wneu.2022.05.133] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Accepted: 05/31/2022] [Indexed: 10/18/2022]
Abstract
BACKGROUND Brain shift may cause significant error in neuronavigation leading the surgeon to possible mistakes. Intraoperative MRI is the most reliable technique in brain tumor surgery. Unfortunately, it is highly expensive and time consuming and, at the moment, it is available only in few neurosurgical centers. METHODS In this case series the surgical workflow for brain tumor surgery is described where neuronavigation of pre-operative MRI, intraoperative CT scan and US as well as rigid and elastic image fusion between preoperative MRI and intraoperative US and CT, respectively, was applied to four brain tumor patients in order to compensate for surgical induced brain shift by using a commercially available software (Elements Image Fusion 4.0 with Virtual iMRI Cranial; Brainlab AG). RESULTS Three exemplificative cases demonstrated successful integration of different components of the described intraoperative surgical workflow. The data indicates that intraoperative navigation update is feasible by applying intraoperative 3D US and CT scanning as well as rigid and elastic image fusion applied depending on the degree of observed brain shift. CONCLUSIONS Integration of multiple intraoperative imaging techniques combined with rigid and elastic image fusion of preoperative MRI may reduce the risk of incorrect neuronavigation during brain tumor resection. Further studies are needed to confirm the present findings in a larger population.
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Affiliation(s)
- Edoardo Mazzucchi
- Unit of Neurosurgery, Mater Olbia Hospital, Olbia, Italy; Institute of Neurosurgery, IRCCS Fondazione Policlinico Universitario Agostino Gemelli, Catholic University, Rome, Italy.
| | - Giuseppe La Rocca
- Unit of Neurosurgery, Mater Olbia Hospital, Olbia, Italy; Institute of Neurosurgery, IRCCS Fondazione Policlinico Universitario Agostino Gemelli, Catholic University, Rome, Italy
| | | | - Fabrizio Pignotti
- Unit of Neurosurgery, Mater Olbia Hospital, Olbia, Italy; Institute of Neurosurgery, IRCCS Fondazione Policlinico Universitario Agostino Gemelli, Catholic University, Rome, Italy
| | - Gianluca Galieri
- Unit of Neurosurgery, Mater Olbia Hospital, Olbia, Italy; Institute of Neurosurgery, IRCCS Fondazione Policlinico Universitario Agostino Gemelli, Catholic University, Rome, Italy
| | | | | | | | - Simona Gaudino
- Institute of Radiology, IRCCS Fondazione Policlinico Universitario Agostino Gemelli, Catholic University, Rome, Italy
| | - Tamara Ius
- Neurosurgery Unit, Department of Neurosciences, Santa Maria della Misericordia University Hospital, Udine, Italy
| | - Giovanni Sabatino
- Unit of Neurosurgery, Mater Olbia Hospital, Olbia, Italy; Institute of Neurosurgery, IRCCS Fondazione Policlinico Universitario Agostino Gemelli, Catholic University, Rome, Italy
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Bao D, Liu Z, Geng Y, Li L, Xu H, Zhang Y, Hu L, Zhao X, Zhao Y, Luo D. Baseline MRI-based radiomics model assisted predicting disease progression in nasopharyngeal carcinoma patients with complete response after treatment. Cancer Imaging 2022; 22:10. [PMID: 35090572 PMCID: PMC8800208 DOI: 10.1186/s40644-022-00448-4] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Accepted: 12/31/2021] [Indexed: 12/04/2022] Open
Abstract
Background Accurate pretreatment prediction for disease progression of nasopharyngeal carcinoma is key to intensify therapeutic strategies to high-risk individuals. Our aim was to evaluate the value of baseline MRI-based radiomics machine-learning models in predicting the disease progression in nasopharyngeal carcinoma patients who achieved complete response after treatment. Methods In this retrospective study, 171 patients with pathologically confirmed nasopharyngeal carcinoma were included. Using hold-out cross validation scheme (7:3), relevant radiomic features were selected with the least absolute shrinkage and selection operator method based on baseline T2-weighted fat suppression and contrast-enhanced T1-weighted images in the training cohort. After Pearson’s correlation analysis of selected radiomic features, multivariate logistic regression analysis was applied to radiomic features and clinical characteristics selection. Logistic regression analysis and support vector machine classifier were utilized to build the predictive model respectively. The predictive accuracy of the model was evaluated by ROC analysis along with sensitivity, specificity and AUC calculated in the validation cohort. Results A prediction model using logistic regression analysis comprising 4 radiomics features (HGLZE_T2H, HGLZE_T1, LDLGLE_T1, and GLNU_T1) and 5 clinical features (histology, T stage, N stage, smoking history, and age) showed the best performance with an AUC of 0.75 in the training cohort (95% CI: 0.66–0.83) and 0.77 in the validation cohort (95% CI: 0.64–0.90). The nine independent impact factors were entered into the nomogram. The calibration curves for probability of 3-year disease progression showed good agreement. The features of this prediction model showed satisfactory clinical utility with decision curve analysis. Conclusions A radiomics model derived from pretreatment MR showed good performance for predicting disease progression in nasopharyngeal carcinoma and may help to improve clinical decision making. Supplementary Information The online version contains supplementary material available at 10.1186/s40644-022-00448-4.
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Wang J, Lv Y, Wang J, Ma F, Du Y, Fan X, Wang M, Ke J. Fully automated segmentation in temporal bone CT with neural network: a preliminary assessment study. BMC Med Imaging 2021; 21:166. [PMID: 34753454 PMCID: PMC8576911 DOI: 10.1186/s12880-021-00698-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Accepted: 10/26/2021] [Indexed: 01/17/2023] Open
Abstract
BACKGROUND Segmentation of important structures in temporal bone CT is the basis of image-guided otologic surgery. Manual segmentation of temporal bone CT is time- consuming and laborious. We assessed the feasibility and generalization ability of a proposed deep learning model for automated segmentation of critical structures in temporal bone CT scans. METHODS Thirty-nine temporal bone CT volumes including 58 ears were divided into normal (n = 20) and abnormal groups (n = 38). Ossicular chain disruption (n = 10), facial nerve covering vestibular window (n = 10), and Mondini dysplasia (n = 18) were included in abnormal group. All facial nerves, auditory ossicles, and labyrinths of the normal group were manually segmented. For the abnormal group, aberrant structures were manually segmented. Temporal bone CT data were imported into the network in unmarked form. The Dice coefficient (DC) and average symmetric surface distance (ASSD) were used to evaluate the accuracy of automatic segmentation. RESULTS In the normal group, the mean values of DC and ASSD were respectively 0.703, and 0.250 mm for the facial nerve; 0.910, and 0.081 mm for the labyrinth; and 0.855, and 0.107 mm for the ossicles. In the abnormal group, the mean values of DC and ASSD were respectively 0.506, and 1.049 mm for the malformed facial nerve; 0.775, and 0.298 mm for the deformed labyrinth; and 0.698, and 1.385 mm for the aberrant ossicles. CONCLUSIONS The proposed model has good generalization ability, which highlights the promise of this approach for otologist education, disease diagnosis, and preoperative planning for image-guided otology surgery.
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Affiliation(s)
- Jiang Wang
- Department of Otorhinolaryngology-Head and Neck Surgery, Peking University Third Hospital, Peking University, NO. 49 North Garden Road, Haidian District, Beijing, 100191, China
| | - Yi Lv
- School of Mechanical Engineering and Automation, Beihang University, Beijing, China
| | - Junchen Wang
- School of Mechanical Engineering and Automation, Beihang University, Beijing, China
| | - Furong Ma
- Department of Otorhinolaryngology-Head and Neck Surgery, Peking University Third Hospital, Peking University, NO. 49 North Garden Road, Haidian District, Beijing, 100191, China
| | - Yali Du
- Department of Otorhinolaryngology-Head and Neck Surgery, Peking University Third Hospital, Peking University, NO. 49 North Garden Road, Haidian District, Beijing, 100191, China
| | - Xin Fan
- Department of Otorhinolaryngology-Head and Neck Surgery, Peking University Third Hospital, Peking University, NO. 49 North Garden Road, Haidian District, Beijing, 100191, China
| | - Menglin Wang
- Department of Otorhinolaryngology-Head and Neck Surgery, Peking University Third Hospital, Peking University, NO. 49 North Garden Road, Haidian District, Beijing, 100191, China
| | - Jia Ke
- Department of Otorhinolaryngology-Head and Neck Surgery, Peking University Third Hospital, Peking University, NO. 49 North Garden Road, Haidian District, Beijing, 100191, China.
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Coenen VA, Sajonz BE, Reinacher PC, Kaller CP, Urbach H, Reisert M. A detailed analysis of anatomical plausibility of crossed and uncrossed streamline rendition of the dentato-rubro-thalamic tract (DRT(T)) in a commercial stereotactic planning system. Acta Neurochir (Wien) 2021; 163:2809-2824. [PMID: 34181083 PMCID: PMC8437929 DOI: 10.1007/s00701-021-04890-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Accepted: 05/20/2021] [Indexed: 12/12/2022]
Abstract
Background An increasing number of neurosurgeons use display of the dentato-rubro-thalamic tract (DRT) based on diffusion weighted imaging (dMRI) as basis for their routine planning of stimulation or lesioning approaches in stereotactic tremor surgery. An evaluation of the anatomical validity of the display of the DRT with respect to modern stereotactic planning systems and across different tracking environments has not been performed. Methods Distinct dMRI and anatomical magnetic resonance imaging (MRI) data of high and low quality from 9 subjects were used. Six subjects had repeated MRI scans and therefore entered the analysis twice. Standardized DICOM structure templates for volume of interest definition were applied in native space for all investigations. For tracking BrainLab Elements (BrainLab, Munich, Germany), two tensor deterministic tracking (FT2), MRtrix IFOD2 (https://www.mrtrix.org), and a global tracking (GT) approach were used to compare the display of the uncrossed (DRTu) and crossed (DRTx) fiber structure after transformation into MNI space. The resulting streamlines were investigated for congruence, reproducibility, anatomical validity, and penetration of anatomical way point structures. Results In general, the DRTu can be depicted with good quality (as judged by waypoints). FT2 (surgical) and GT (neuroscientific) show high congruence. While GT shows partly reproducible results for DRTx, the crossed pathway cannot be reliably reconstructed with the other (iFOD2 and FT2) algorithms. Conclusion Since a direct anatomical comparison is difficult in the individual subjects, we chose a comparison with two research tracking environments as the best possible “ground truth.” FT2 is useful especially because of its manual editing possibilities of cutting erroneous fibers on the single subject level. An uncertainty of 2 mm as mean displacement of DRTu is expectable and should be respected when using this approach for surgical planning. Tractographic renditions of the DRTx on the single subject level seem to be still illusive.
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Affiliation(s)
- Volker A Coenen
- Department of Stereotactic and Functional Neurosurgery, Medical Center of Freiburg University, Breisacher Strasse 64, 79106, Freiburg i.Br, Germany.
- Medical Faculty of Freiburg University, Freiburg, Germany.
- Center for Deep Brain Stimulation, Medical Center of Freiburg University, Freiburg, Germany.
| | - Bastian E Sajonz
- Department of Stereotactic and Functional Neurosurgery, Medical Center of Freiburg University, Breisacher Strasse 64, 79106, Freiburg i.Br, Germany
- Medical Faculty of Freiburg University, Freiburg, Germany
| | - Peter C Reinacher
- Department of Stereotactic and Functional Neurosurgery, Medical Center of Freiburg University, Breisacher Strasse 64, 79106, Freiburg i.Br, Germany
- Medical Faculty of Freiburg University, Freiburg, Germany
- Fraunhofer Institute for Laser Technology, Aachen, Germany
| | - Christoph P Kaller
- Medical Faculty of Freiburg University, Freiburg, Germany
- Department of Neuroradiology, Freiburg University Medical Center, Freiburg, Germany
| | - Horst Urbach
- Medical Faculty of Freiburg University, Freiburg, Germany
- Department of Neuroradiology, Freiburg University Medical Center, Freiburg, Germany
| | - M Reisert
- Department of Stereotactic and Functional Neurosurgery, Medical Center of Freiburg University, Breisacher Strasse 64, 79106, Freiburg i.Br, Germany
- Medical Faculty of Freiburg University, Freiburg, Germany
- Department of Radiology - Medical Physics, Freiburg University, Freiburg, Germany
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Li Y, Zhou D, Liu TT, Shen XZ. Application of deep learning in image recognition and diagnosis of gastric cancer. Artif Intell Gastrointest Endosc 2021; 2:12-24. [DOI: 10.37126/aige.v2.i2.12] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 03/30/2021] [Accepted: 04/20/2021] [Indexed: 02/06/2023] Open
Abstract
In recent years, artificial intelligence has been extensively applied in the diagnosis of gastric cancer based on medical imaging. In particular, using deep learning as one of the mainstream approaches in image processing has made remarkable progress. In this paper, we also provide a comprehensive literature survey using four electronic databases, PubMed, EMBASE, Web of Science, and Cochrane. The literature search is performed until November 2020. This article provides a summary of the existing algorithm of image recognition, reviews the available datasets used in gastric cancer diagnosis and the current trends in applications of deep learning theory in image recognition of gastric cancer. covers the theory of deep learning on endoscopic image recognition. We further evaluate the advantages and disadvantages of the current algorithms and summarize the characteristics of the existing image datasets, then combined with the latest progress in deep learning theory, and propose suggestions on the applications of optimization algorithms. Based on the existing research and application, the label, quantity, size, resolutions, and other aspects of the image dataset are also discussed. The future developments of this field are analyzed from two perspectives including algorithm optimization and data support, aiming to improve the diagnosis accuracy and reduce the risk of misdiagnosis.
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Affiliation(s)
- Yu Li
- Department of Gastroenterology and Hepatology, Zhongshan Hospital Affiliated to Fudan University, Shanghai 200032, China
| | - Da Zhou
- Department of Gastroenterology and Hepatology, Zhongshan Hospital Affiliated to Fudan University, Shanghai 200032, China
| | - Tao-Tao Liu
- Department of Gastroenterology and Hepatology, Zhongshan Hospital Affiliated to Fudan University, Shanghai 200032, China
| | - Xi-Zhong Shen
- Department of Gastroenterology and Hepatology, Zhongshan Hospital Affiliated to Fudan University, Shanghai 200032, China
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