Sharifian P, Karimian A, Arabi H. A dual-stage framework for segmentation of the brain anatomical regions with high accuracy.
MAGMA (NEW YORK, N.Y.) 2025;
38:299-315. [PMID:
40042762 DOI:
10.1007/s10334-025-01233-7]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/02/2024] [Revised: 01/17/2025] [Accepted: 01/31/2025] [Indexed: 03/19/2025]
Abstract
OBJECTIVE
This study presents a novel deep learning-based framework for precise brain MR region segmentation, aiming to identify the location and the shape details of different anatomical structures within the brain.
MATERIALS AND METHODS
The approach uses a two-stage 3D segmentation technique on a dataset of adult subjects, including cognitively normal participants and individuals with cognitive decline. Stage 1 employs a 3D U-Net to segment 13 brain regions, achieving a mean DSC of 0.904 ± 0.060 and a mean HD95 of 1.52 ± 1.53 mm (a mean DSC of 0.885 ± 0.065 and a mean HD95 of 1.57 ± 1.35 mm for smaller parts). For challenging regions like hippocampus, thalamus, cerebrospinal fluid, amygdala, basal ganglia, and corpus callosum, Stage 2 with SegResNet refines segmentation, improving mean DSC to 0.921 ± 0.048 and HD95 to 1.17 ± 0.69 mm.
RESULTS
Statistical analysis reveals significant improvements (p-value < 0.001) for these regions, with DSC increases ranging from 1.3 to 3.2% and HD95 reductions of 0.06-0.33 mm. Comparisons with recent studies highlight the superior performance of the performed method.
DISCUSSION
The inclusion of a second stage for refining the segmentation of smaller regions demonstrates substantial improvements, establishing the framework's potential for precise and reliable brain region segmentation across diverse cognitive groups.
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