1. FAst Segmentation Through SURface Fairing (FASTSURF): A novel semi-automatic hippocampus segmentation method
- Author
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Jan C. de Munck, Hugo Vrenken, Michiel B. de Ruiter, F. Bartel, Marcel van Herk, José Belderbos, Joost Hulshof, VU University medical center, Radiology and nuclear medicine, Amsterdam Neuroscience - Brain Imaging, and Mathematics
- Subjects
Jaccard index ,Computer science ,Cancer Treatment ,Pathology and Laboratory Medicine ,Alzheimer's Disease ,Hippocampus ,Diagnostic Radiology ,0302 clinical medicine ,Medicine and Health Sciences ,Segmentation ,Cognitive Impairment ,Numerical Analysis ,Multidisciplinary ,medicine.diagnostic_test ,Manchester Cancer Research Centre ,Cognitive Neurology ,Radiology and Imaging ,05 social sciences ,Brain ,Neurodegenerative Diseases ,Magnetic Resonance Imaging ,Data Acquisition ,Neurology ,Oncology ,Physical Sciences ,SDG 1 - No Poverty ,Medicine ,Anatomy ,Algorithms ,Interpolation ,Research Article ,Clinical Oncology ,Computer and Information Sciences ,Imaging Techniques ,Cognitive Neuroscience ,Science ,Radiation Therapy ,Research and Analysis Methods ,050105 experimental psychology ,03 medical and health sciences ,Signs and Symptoms ,Diagnostic Medicine ,Mental Health and Psychiatry ,medicine ,Humans ,0501 psychology and cognitive sciences ,Hippocampus segmentation ,Atrophy rate ,business.industry ,ResearchInstitutes_Networks_Beacons/mcrc ,Biology and Life Sciences ,Magnetic resonance imaging ,Pattern recognition ,Models, Theoretical ,Data set ,Cognitive Science ,Dementia ,Semi automatic ,Artificial intelligence ,Atrophy ,Clinical Medicine ,business ,030217 neurology & neurosurgery ,Mathematics ,Neuroscience - Abstract
OBJECTIVE: The objective is to present a proof-of-concept of a semi-automatic method to reduce hippocampus segmentation time on magnetic resonance images (MRI).MATERIALS AND METHODS: FAst Segmentation Through SURface Fairing (FASTSURF) is based on a surface fairing technique which reconstructs the hippocampus from sparse delineations. To validate FASTSURF, simulations were performed in which sparse delineations extracted from full manual segmentations served as input. On three different datasets with different diagnostic groups, FASTSURF hippocampi were compared to the original segmentations using Jaccard overlap indices and percentage volume differences (PVD). In one data set for which back-to-back scans were available, unbiased estimates of overlap and PVD were obtained. Using longitudinal scans, we compared hippocampal atrophy rates measured by manual, FASTSURF and two automatic segmentations (FreeSurfer and FSL-FIRST).RESULTS: With only seven input contours, FASTSURF yielded mean Jaccard indices ranging from 72(±4.3)% to 83(±2.6)% and PVDs ranging from 0.02(±2.40)% to 3.2(±3.40)% across the three datasets. Slightly poorer results were obtained for the unbiased analysis, but the performance was still considerably better than both tested automatic methods with only five contours.CONCLUSIONS: FASTSURF segmentations have high accuracy and require only a fraction of the delineation effort of fully manual segmentation. Atrophy rate quantification based on completely manual segmentation is well reproduced by FASTSURF. Therefore, FASTSURF is a promising tool to be implemented in clinical workflow, provided a future prospective validation confirms our findings.
- Published
- 2019
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