Towards Automated Brain Aneurysm Detection in TOF-MRA: Open Data, Weak Labels, and Anatomical Knowledge.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_B6A1DE874D8B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Towards Automated Brain Aneurysm Detection in TOF-MRA: Open Data, Weak Labels, and Anatomical Knowledge.
Journal
Neuroinformatics
Author(s)
Di Noto T., Marie G., Tourbier S., Alemán-Gómez Y., Esteban O., Saliou G., Cuadra M.B., Hagmann P., Richiardi J.
ISSN
1559-0089 (Electronic)
ISSN-L
1539-2791
Publication state
Published
Issued date
01/2023
Peer-reviewed
Oui
Volume
21
Number
1
Pages
21-34
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Brain aneurysm detection in Time-Of-Flight Magnetic Resonance Angiography (TOF-MRA) has undergone drastic improvements with the advent of Deep Learning (DL). However, performances of supervised DL models heavily rely on the quantity of labeled samples, which are extremely costly to obtain. Here, we present a DL model for aneurysm detection that overcomes the issue with "weak" labels: oversized annotations which are considerably faster to create. Our weak labels resulted to be four times faster to generate than their voxel-wise counterparts. In addition, our model leverages prior anatomical knowledge by focusing only on plausible locations for aneurysm occurrence. We first train and evaluate our model through cross-validation on an in-house TOF-MRA dataset comprising 284 subjects (170 females / 127 healthy controls / 157 patients with 198 aneurysms). On this dataset, our best model achieved a sensitivity of 83%, with False Positive (FP) rate of 0.8 per patient. To assess model generalizability, we then participated in a challenge for aneurysm detection with TOF-MRA data (93 patients, 20 controls, 125 aneurysms). On the public challenge, sensitivity was 68% (FP rate = 2.5), ranking 4th/18 on the open leaderboard. We found no significant difference in sensitivity between aneurysm risk-of-rupture groups (p = 0.75), locations (p = 0.72), or sizes (p = 0.15). Data, code and model weights are released under permissive licenses. We demonstrate that weak labels and anatomical knowledge can alleviate the necessity for prohibitively expensive voxel-wise annotations.
Keywords
Female, Humans, Intracranial Aneurysm/diagnostic imaging, Intracranial Aneurysm/pathology, Magnetic Resonance Angiography/methods, Sensitivity and Specificity, Aneurysm detection, Deep learning, Domain knowledge, Magnetic resonance angiography, Model robustness, Weak annotation
Pubmed
Web of science
Open Access
Yes
Funding(s)
Swiss National Science Foundation / 185872
Swiss National Science Foundation / 170873
Swiss National Science Foundation / 185897
University of Lausanne
Create date
23/08/2022 11:45
Last modification date
01/03/2023 7:47
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