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Phitidis J, O'Neil AQ, Whiteley WN, Alex B, Wardlaw JM, Bernabeu MO, Hernández MV. Automated neuroradiological support systems for multiple cerebrovascular disease markers - A systematic review and meta-analysis. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2025; 264:108715. [PMID: 40096783 DOI: 10.1016/j.cmpb.2025.108715] [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: 10/25/2024] [Revised: 02/21/2025] [Accepted: 03/06/2025] [Indexed: 03/19/2025]
Abstract
Cerebrovascular diseases (CVD) can lead to stroke and dementia. Stroke is the second leading cause of death world wide and dementia incidence is increasing by the year. There are several markers of CVD that are visible on brain imaging, including: white matter hyperintensities (WMH), acute and chronic ischaemic stroke lesions (ISL), lacunes, enlarged perivascular spaces (PVS), acute and chronic haemorrhagic lesions, and cerebral microbleeds (CMB). Brain atrophy also occurs in CVD. These markers are important for patient management and intervention, since they indicate elevated risk of future stroke and dementia. We systematically reviewed automated systems designed to support radiologists reporting on these CVD imaging findings. We considered commercially available software and research publications which identify at least two CVD markers. In total, we included 29 commercial products and 13 research publications. Two distinct types of commercial support system were available: those which identify acute stroke lesions (haemorrhagic and ischaemic) from computed tomography (CT) scans, mainly for the purpose of patient triage; and those which measure WMH and atrophy regionally and longitudinally. In research, WMH and ISL were the markers most frequently analysed together, from magnetic resonance imaging (MRI) scans; lacunes and PVS were each targeted only twice and CMB only once. For stroke, commercially available systems largely support the emergency setting, whilst research systems consider also follow-up and routine scans. The systems to quantify WMH and atrophy are focused on neurodegenerative disease support, where these CVD markers are also of significance. There are currently no openly validated systems, commercially, or in research, performing a comprehensive joint analysis of all CVD markers (WMH, ISL, lacunes, PVS, haemorrhagic lesions, CMB, and atrophy).
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Affiliation(s)
- Jesse Phitidis
- Centre for Clinical Brain Sciences, University of Edinburgh, 49 Little France Crescent, Edinburgh, EH164SB, United Kingdom; Canon Medical Research Europe, Bonnington Bond, 2 Anderson Place, Edinburgh, EH65NP, United Kingdom.
| | - Alison Q O'Neil
- Canon Medical Research Europe, Bonnington Bond, 2 Anderson Place, Edinburgh, EH65NP, United Kingdom; School of Engineering, University of Edinburgh, Sanderson Building, Edinburgh, EH93FB, United Kingdom
| | - William N Whiteley
- Centre for Clinical Brain Sciences, University of Edinburgh, 49 Little France Crescent, Edinburgh, EH164SB, United Kingdom
| | - Beatrice Alex
- School of Literature, Languages and Culture, University of Edinburgh, 50 George Square, Edinburgh, EH89JY, United Kingdom; Edinburgh Futures Institute, University of Edinburgh, 1 Lauriston Place, Edinburgh, EH39EF, United Kingdom
| | - Joanna M Wardlaw
- Centre for Clinical Brain Sciences, University of Edinburgh, 49 Little France Crescent, Edinburgh, EH164SB, United Kingdom; UK Dementia Research Institute, Centre at The University of Edinburgh, 49 Little France Crescent, Edinburgh, EH164SB, United Kingdom
| | - Miguel O Bernabeu
- Usher Institute, University of Edinburgh, NINE, 9 Little France Road, Edinburgh, EH164UX, United Kingdom
| | - Maria Valdés Hernández
- Centre for Clinical Brain Sciences, University of Edinburgh, 49 Little France Crescent, Edinburgh, EH164SB, United Kingdom; UK Dementia Research Institute, Centre at The University of Edinburgh, 49 Little France Crescent, Edinburgh, EH164SB, United Kingdom
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Delmoral JC, R S Tavares JM. Semantic Segmentation of CT Liver Structures: A Systematic Review of Recent Trends and Bibliometric Analysis : Neural Network-based Methods for Liver Semantic Segmentation. J Med Syst 2024; 48:97. [PMID: 39400739 PMCID: PMC11473507 DOI: 10.1007/s10916-024-02115-6] [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: 05/22/2024] [Accepted: 10/02/2024] [Indexed: 10/15/2024]
Abstract
The use of artificial intelligence (AI) in the segmentation of liver structures in medical images has become a popular research focus in the past half-decade. The performance of AI tools in screening for this task may vary widely and has been tested in the literature in various datasets. However, no scientometric report has provided a systematic overview of this scientific area. This article presents a systematic and bibliometric review of recent advances in neuronal network modeling approaches, mainly of deep learning, to outline the multiple research directions of the field in terms of algorithmic features. Therefore, a detailed systematic review of the most relevant publications addressing fully automatic semantic segmenting liver structures in Computed Tomography (CT) images in terms of algorithm modeling objective, performance benchmark, and model complexity is provided. The review suggests that fully automatic hybrid 2D and 3D networks are the top performers in the semantic segmentation of the liver. In the case of liver tumor and vasculature segmentation, fully automatic generative approaches perform best. However, the reported performance benchmark indicates that there is still much to be improved in segmenting such small structures in high-resolution abdominal CT scans.
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Affiliation(s)
- Jessica C Delmoral
- Instituto de Ciência e Inovação em Engenharia Mecânica e Engenharia Industrial, Faculdade de Engenharia, Universidade do Porto, Rua Dr. Roberto Frias, s/n, 4200-465, Porto, Portugal
| | - João Manuel R S Tavares
- Instituto de Ciência e Inovação em Engenharia Mecânica e Engenharia Industrial, Departamento de Engenharia Mecânica, Faculdade de Engenharia, Universidade do Porto, Rua Dr. Roberto Frias, s/n, 4200-465, Porto, Portugal.
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Han B, Moran C, Yang J, Lee Y, Cao Z, Liang G. Multi-Scale Self-Supervised Consistency Training for Trustworthy Medical Imaging Classification. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2024; 2024:1-6. [PMID: 40039642 DOI: 10.1109/embc53108.2024.10782322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/06/2025]
Abstract
Modern neural network models have demonstrated exceptional classification capabilities comparable to human performance in various medical diagnosis tasks. However, their practical application in real-world medical scenarios is hindered by an issue known as miscalibration, where these sophisticated tools inaccurately estimate their own prediction confidence, compromising their trustworthiness. To address this challenge, we propose a novel neural network calibration framework that utilizes multi-scale input images and integrates self-supervised consistency enforcement during training. Our experimental results demonstrate the significant enhancement of neural network calibration, concomitant with improvements in model classification performance. Furthermore, the proposed method exhibits the capacity to cultivate more robust feature spaces. Importantly, our approach is a general-purpose solution that is applicable to any imaging modalities. The proposed method can also be combined with other neural network calibration techniques to achieve further performance refinement. This research contributes a valuable tool for augmenting the reliability and trustworthiness of neural network models in diverse medical contexts.
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Ma J, Yuan G, Guo C, Gang X, Zheng M. SW-UNet: a U-Net fusing sliding window transformer block with CNN for segmentation of lung nodules. Front Med (Lausanne) 2023; 10:1273441. [PMID: 37841008 PMCID: PMC10569032 DOI: 10.3389/fmed.2023.1273441] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2023] [Accepted: 09/12/2023] [Indexed: 10/17/2023] Open
Abstract
Medical images are information carriers that visually reflect and record the anatomical structure of the human body, and play an important role in clinical diagnosis, teaching and research, etc. Modern medicine has become increasingly inseparable from the intelligent processing of medical images. In recent years, there have been more and more attempts to apply deep learning theory to medical image segmentation tasks, and it is imperative to explore a simple and efficient deep learning algorithm for medical image segmentation. In this paper, we investigate the segmentation of lung nodule images. We address the above-mentioned problems of medical image segmentation algorithms and conduct research on medical image fusion algorithms based on a hybrid channel-space attention mechanism and medical image segmentation algorithms with a hybrid architecture of Convolutional Neural Networks (CNN) and Visual Transformer. To the problem that medical image segmentation algorithms are difficult to capture long-range feature dependencies, this paper proposes a medical image segmentation model SW-UNet based on a hybrid CNN and Vision Transformer (ViT) framework. Self-attention mechanism and sliding window design of Visual Transformer are used to capture global feature associations and break the perceptual field limitation of convolutional operations due to inductive bias. At the same time, a widened self-attentive vector is used to streamline the number of modules and compress the model size so as to fit the characteristics of a small amount of medical data, which makes the model easy to be overfitted. Experiments on the LUNA16 lung nodule image dataset validate the algorithm and show that the proposed network can achieve efficient medical image segmentation on a lightweight scale. In addition, to validate the migratability of the model, we performed additional validation on other tumor datasets with desirable results. Our research addresses the crucial need for improved medical image segmentation algorithms. By introducing the SW-UNet model, which combines CNN and ViT, we successfully capture long-range feature dependencies and break the perceptual field limitations of traditional convolutional operations. This approach not only enhances the efficiency of medical image segmentation but also maintains model scalability and adaptability to small medical datasets. The positive outcomes on various tumor datasets emphasize the potential migratability and broad applicability of our proposed model in the field of medical image analysis.
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Affiliation(s)
- Jiajun Ma
- Shenhua Hollysys Information Technology Co., Ltd., Beijing, China
| | - Gang Yuan
- The First Affiliated Hospital of Dalian Medical University, Dalian, China
| | - Chenhua Guo
- School of Software, North University of China, Taiyuan, China
| | | | - Minting Zheng
- The First Affiliated Hospital of Dalian Medical University, Dalian, China
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