1. |
- Banerjee, Subhashis, et al.
(author)
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Deep Curriculum Learning for Follow-up MRI Registration in Glioblastoma
- 2023
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In: Medical Imaging 2023. - : SPIE -Society of Photo-Optical Instrumentation Engineers. - 9781510660335 - 9781510660342
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Conference paper (peer-reviewed)abstract
- This paper presents a weakly supervised deep convolutional neural network-based approach to perform voxel-level3D registration between subsequent follow-up MRI scans of the same patient. To handle the large deformation inthe surrounding brain tissues due to the tumor’s mass effect we proposed curriculum learning-based training forthe network. Weak supervision helps the network to concentrate more focus on the tumor region and resectioncavity through a saliency detection network. Qualitative and quantitative experimental results show the proposedregistration network outperformed two popular state-of-the-art methods.
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2. |
- Banerjee, Subhashis, et al.
(author)
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Streamlining neuroradiology workflow with AI for improved cerebrovascular structure monitoring
- 2024
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In: Scientific Reports. - : Nature Publishing Group. - 2045-2322. ; 14:1
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Journal article (peer-reviewed)abstract
- Radiological imaging to examine intracranial blood vessels is critical for preoperative planning and postoperative follow-up. Automated segmentation of cerebrovascular anatomy from Time-Of-Flight Magnetic Resonance Angiography (TOF-MRA) can provide radiologists with a more detailed and precise view of these vessels. This paper introduces a domain generalized artificial intelligence (AI) solution for volumetric monitoring of cerebrovascular structures from multi-center MRAs. Our approach utilizes a multi-task deep convolutional neural network (CNN) with a topology-aware loss function to learn voxel-wise segmentation of the cerebrovascular tree. We use Decorrelation Loss to achieve domain regularization for the encoder network and auxiliary tasks to provide additional regularization and enable the encoder to learn higher-level intermediate representations for improved performance. We compare our method to six state-of-the-art 3D vessel segmentation methods using retrospective TOF-MRA datasets from multiple private and public data sources scanned at six hospitals, with and without vascular pathologies. The proposed model achieved the best scores in all the qualitative performance measures. Furthermore, we have developed an AI-assisted Graphical User Interface (GUI) based on our research to assist radiologists in their daily work and establish a more efficient work process that saves time.
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3. |
- Banerjee, Subhashis, et al.
(author)
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Topology-Aware Learning for Volumetric Cerebrovascular Segmentation
- 2022
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In: 2022 IEEE International Symposium on Biomedical Imaging (IEEE ISBI 2022). - : IEEE. - 9781665429238 ; , s. 1-4
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Conference paper (peer-reviewed)abstract
- This paper presents a topology-aware learning strategy for volumetric segmentation of intracranial cerebrovascular structures. We propose a multi-task deep CNN along with a topology-aware loss function for this purpose. Along with the main task (i.e. segmentation), we train the model to learn two related auxiliary tasks viz. learning the distance transform for the voxels on the surface of the vascular tree and learning the vessel centerline. This provides additional regularization and allows the encoder to learn higher-level intermediate representations to boost the performance of the main task. We compare the proposed method with six state-of-the-art deep learning-based 3D vessel segmentation methods, by using a public Time-Of-Flight Magnetic Resonance Angiography (TOF-MRA) dataset. Experimental results demonstrate that the proposed method has the best performance in this particular context.
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4. |
- Kahraman, Ali Teymur, et al.
(author)
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A Simple End-to-End Computer-Aided Detection Pipeline for Trained Deep Learning Models
- 2024
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In: Engineering of Computer-Based Systems : 8th International Conference, ECBS 2023, Proceedings - 8th International Conference, ECBS 2023, Proceedings. - 0302-9743 .- 1611-3349. - 9783031492518 ; 14390 LNCS, s. 259-262
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Conference paper (peer-reviewed)abstract
- Recently, there has been a significant rise in research and development focused on deep learning (DL) models within healthcare. This trend arises from the availability of extensive medical imaging data and notable advances in graphics processing unit (GPU) computational capabilities. Trained DL models show promise in supporting clinicians with tasks like image segmentation and classification. However, advancement of these models into clinical validation remains limited due to two key factors. Firstly, DL models are trained on off-premises environments by DL experts using Unix-like operating systems (OS). These systems rely on multiple libraries and third-party components, demanding complex installations. Secondly, the absence of a user-friendly graphical interface for model outputs complicates validation by clinicians. Here, we introduce a conceptual Computer-Aided Detection (CAD) pipeline designed to address these two issues and enable non-AI experts, such as clinicians, to use trained DL models offline in Windows OS. The pipeline divides tasks between DL experts and clinicians, where experts handle model development, training, inference mechanisms, Grayscale Softcopy Presentation State (GSPS) objects creation, and containerization for deployment. The clinicians execute a simple script to install necessary software and dependencies. Hence, they can use a universal image viewer to analyze results generated by the models. This paper illustrates the pipeline's effectiveness through a case study on pulmonary embolism detection, showcasing successful deployment on a local workstation by an in-house radiologist. By simplifying model deployment and making it accessible to non-AI experts, this CAD pipeline bridges the gap between technical development and practical application, promising broader healthcare applications.
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5. |
- Kahraman, Ali T., et al.
(author)
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Automated detection, segmentation and measurement of major vessels and the trachea in CT pulmonary angiography
- 2023
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In: Scientific Reports. - : Springer Nature. - 2045-2322. ; 13
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Journal article (peer-reviewed)abstract
- Mediastinal structure measurements are important for the radiologist's review of computed tomography pulmonary angiography (CTPA) examinations. In the reporting process, radiologists make measurements of diameters, volumes, and organ densities for image quality assessment and risk stratification. However, manual measurement of these features is time consuming. Here, we sought to develop a time-saving automated algorithm that can accurately detect, segment and measure mediastinal structures in routine clinical CTPA examinations. In this study, 700 CTPA examinations collected and annotated. Of these, a training set of 180 examinations were used to develop a fully automated deterministic algorithm. On the test set of 520 examinations, two radiologists validated the detection and segmentation performance quantitatively, and ground truth was annotated to validate the measurement performance. External validation was performed in 47 CTPAs from two independent datasets. The system had 86-100% detection and segmentation accuracy in the different tasks. The automatic measurements correlated well to those of the radiologist (Pearson's r 0.68-0.99). Taken together, the fully automated algorithm accurately detected, segmented, and measured mediastinal structures in routine CTPA examinations having an adequate representation of common artifacts and medical conditions.
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6. |
- Kundu, Swagata, et al.
(author)
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3-D Attention-SEV-Net for Segmentation of Post-operative Glioblastoma with Interactive Correction of Over-Segmentation
- 2023
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In: Pattern Recognition and Machine Intelligence, PREMI 2023. - : Springer. - 9783031451690 - 9783031451706 ; , s. 380-387
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Conference paper (peer-reviewed)abstract
- Accurate localization and volumetric quantification of postoperative glioblastoma are of profound importance for clinical applications like post-surgery treatment planning, monitoring of tumor regrowth, and radiotherapy map planning. Manual delineation consumes more time and error prone thus automated 3-D quantification of brain tumors using deep learning algorithms from MRI scans has been used in recent years. The shortcoming with automated segmentation is that it often over-segments or under-segments the tumor regions. An interactive deep-learning tool will enable radiologists to correct the over-segmented and under-segmented voxels. In this paper, we proposed a network named Attention-SEV-Net which outperforms state-of-the-art network architectures. We also developed an interactive graphical user interface, where the initial 3-D segmentation of contrast-enhanced tumor can be interactively corrected to remove falsely detected isolated tumor regions. Attention-SEV-Net is trained with BraTS-2021 training data set and tested on Uppsala University post-operative glioblastoma dataset. The methodology outperformed state-of-the-art networks like U-Net, VNet, Attention U-Net and Residual U-Net. The mean dice score achieved is 0.6682 and the mean Hausdorff distance-95 got is 8.96mm for the Uppsala University dataset.
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7. |
- Kundu, Swagata, et al.
(author)
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ASE-Net for Segmentation of Post-operative Glioblastoma and Patient-specific Fine-tuning for Segmentation Refinement of Follow-up MRI Scans
- 2024
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In: SN computer science. - : Springer. - 2661-8907. ; 5:106
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Journal article (peer-reviewed)abstract
- Volumetric quantification of tumors is usually done manually by radiologists requiring precious medical time and suffering from inter-observer variability. An automatic tool for accurate volume quantification of post-operative glioblastoma would reduce the workload of radiologists and improve the quality of follow-up monitoring and patient care. This paper deals with the 3-D segmentation of post-operative glioblastoma using channel squeeze and excitation based attention gated network (ASE-Net). The proposed deep neural network has a 3-D encoder and decoder based architecture with channel squeeze and excitation (CSE) blocks and attention blocks. The CSE block reduces the dependency on space information and put more emphasize on the channel information. The attention block suppresses the feature maps of irrelevant background and helps highlighting the relevant feature maps. The Uppsala university data set used has post-operative follow-up MRI scans for fifteen patients. A patient specific fine-tuning approach is used to improve the segmentation results for each patient. ASE-Net is also cross-validated with BraTS-2021 data set. The mean dice score of five-fold cross validation results with BraTS-2021 data set for enhanced tumor is 0.8244. The proposed network outperforms the competing networks like U-Net, Attention U-Net and Res U-Net. On the Uppsala University glioblastoma data set, the mean Dice score obtained with the proposed network is 0.7084, Hausdorff Distance-95 is 7.14 and the mean volumetric similarity achieved is 0.8579. With fine-tuning the pre-trained network, the mean dice score improved to 0.7368, Hausdorff Distance-95 decreased to 6.10 and volumetric similarity improved to 0.8736. ASE-Net outperforms the competing networks and can be used for volumetric quantification of post-operative glioblastoma from follow-up MRI scans. The network significantly reduces the probability of over segmentation.
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8. |
- Pal, Subhash Chandra, et al.
(author)
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Multi-level Residual Dual Attention Network for Major Cerebral Arteries Segmentation in MRA towards Diagnosis of Cerebrovascular Disorders
- 2024
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In: IEEE Transactions on Nanobioscience. - : IEEE. - 1536-1241 .- 1558-2639. ; 23:1, s. 167-175
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Journal article (peer-reviewed)abstract
- Segmentation of major brain vessels is very important for the diagnosis of cerebrovascular disorders and subsequent surgical planning. Vessel segmentation is an important pre-processing step for a wide range of algorithms for the automatic diagnosis or treatment of several vascular pathologies and as such, it is valuable to have a well-performing vascular segmentation pipeline. In this article, we propose an end-to-end multiscale residual dual attention deep neural network for resilient major brain vessel segmentation. In the proposed network, the encoder and decoder blocks of the U-Net are replaced with the multi-level atrous residual blocks to enhance the learning capability by increasing the receptive field to extract the various semantic coarse- and fine- grained features. Dual attention block is incorporated in the bottleneck to perform effective multiscale information fusion to obtain detailed structure of blood vessels. The methods were evaluated on the publicly available TubeTK data set. The proposed method outperforms the state-of-the-art techniques with dice of 0.79 on the whole-brain prediction. The statistical and visual assessments indicate that proposed network is robust to outliers and maintains higher consistency in vessel continuity than the traditional U-Net and its variations.
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9. |
- Pal, Subhash, et al.
(author)
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Segmentation of Major Cerebral Vessel from MRA images and Evaluation using U-Net Family
- 2022
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In: 2022 IEEE 6th International Conference on Condition Assessment Techniques in Electrical Systems (CATCON). - : Institute of Electrical and Electronics Engineers (IEEE). - 9781665473804 ; , s. 235-238
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Conference paper (peer-reviewed)abstract
- Arterial cerebral vessel assessment is critical for thediagnosis of patients with cerebrovascular disease e.g., hypertension, Intracranial aneurysms, and dementia. Magnetic resonance angiography is a primary imaging technique for diagnosing cerebrovascular diseases. There are many Convolutional neuralnetworks (CNN) based methods for cerebral vessel segmentation but lack to identify the target vessels and understand the arterial tree structure for diagnosis and endovascular surgical planning.In the present study, we generated annotations for major vesselsegmentation and analyzed fully automatic segmentation of major vessels using state-of-the-art U-Net based deep learning models. Computer-aided major cerebral vessel segmentation incorporatedinto clinical practice may help speed up the diagnosis of time-critical vessel anomalies and help find important bio-markers for neurological dysfunction. We validated and compared U-Net based models for volumetric segmentation and predictionof cerebral arteries and it could be done in real-time withoutany image pre-processing.
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