Deep learning for the fully automated segmentation of the inner ear on MRI

Abstract Segmentation of anatomical structures is valuable in a variety of tasks, including 3D visualization, surgical planning, and quantitative image analysis. Manual segmentation is time-consuming and deals with intra and inter-observer variability. To develop a deep-learning approach for the ful...

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Main Authors: Akshayaa Vaidyanathan, Marly F. J. A. van der Lubbe, Ralph T. H. Leijenaar, Marc van Hoof, Fadila Zerka, Benjamin Miraglio, Sergey Primakov, Alida A. Postma, Tjasse D. Bruintjes, Monique A. L. Bilderbeek, Hammer Sebastiaan, Patrick F. M. Dammeijer, Vincent van Rompaey, Henry C. Woodruff, Wim Vos, Seán Walsh, Raymond van de Berg, Philippe Lambin
Format: Article
Language:English
Published: Nature Portfolio 2021-02-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-82289-y
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author Akshayaa Vaidyanathan
Marly F. J. A. van der Lubbe
Ralph T. H. Leijenaar
Marc van Hoof
Fadila Zerka
Benjamin Miraglio
Sergey Primakov
Alida A. Postma
Tjasse D. Bruintjes
Monique A. L. Bilderbeek
Hammer Sebastiaan
Patrick F. M. Dammeijer
Vincent van Rompaey
Henry C. Woodruff
Wim Vos
Seán Walsh
Raymond van de Berg
Philippe Lambin
author_facet Akshayaa Vaidyanathan
Marly F. J. A. van der Lubbe
Ralph T. H. Leijenaar
Marc van Hoof
Fadila Zerka
Benjamin Miraglio
Sergey Primakov
Alida A. Postma
Tjasse D. Bruintjes
Monique A. L. Bilderbeek
Hammer Sebastiaan
Patrick F. M. Dammeijer
Vincent van Rompaey
Henry C. Woodruff
Wim Vos
Seán Walsh
Raymond van de Berg
Philippe Lambin
author_sort Akshayaa Vaidyanathan
collection DOAJ
description Abstract Segmentation of anatomical structures is valuable in a variety of tasks, including 3D visualization, surgical planning, and quantitative image analysis. Manual segmentation is time-consuming and deals with intra and inter-observer variability. To develop a deep-learning approach for the fully automated segmentation of the inner ear in MRI, a 3D U-net was trained on 944 MRI scans with manually segmented inner ears as reference standard. The model was validated on an independent, multicentric dataset consisting of 177 MRI scans from three different centers. The model was also evaluated on a clinical validation set containing eight MRI scans with severe changes in the morphology of the labyrinth. The 3D U-net model showed precise Dice Similarity Coefficient scores (mean DSC-0.8790) with a high True Positive Rate (91.5%) and low False Discovery Rate and False Negative Rates (14.8% and 8.49% respectively) across images from three different centers. The model proved to perform well with a DSC of 0.8768 on the clinical validation dataset. The proposed auto-segmentation model is equivalent to human readers and is a reliable, consistent, and efficient method for inner ear segmentation, which can be used in a variety of clinical applications such as surgical planning and quantitative image analysis.
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spelling doaj.art-35634f516ba54b2385d7644464b85a802022-12-21T20:35:16ZengNature PortfolioScientific Reports2045-23222021-02-0111111410.1038/s41598-021-82289-yDeep learning for the fully automated segmentation of the inner ear on MRIAkshayaa Vaidyanathan0Marly F. J. A. van der Lubbe1Ralph T. H. Leijenaar2Marc van Hoof3Fadila Zerka4Benjamin Miraglio5Sergey Primakov6Alida A. Postma7Tjasse D. Bruintjes8Monique A. L. Bilderbeek9Hammer Sebastiaan10Patrick F. M. Dammeijer11Vincent van Rompaey12Henry C. Woodruff13Wim Vos14Seán Walsh15Raymond van de Berg16Philippe Lambin17The D-Lab, Department of Precision Medicine, GROW-School for Oncology, Maastricht UniversityDepartment of Otolaryngology and Head and Neck Surgery, Maastricht University Medical CenterOncoradiomics SADepartment of Otolaryngology and Head and Neck Surgery, Maastricht University Medical CenterOncoradiomics SAOncoradiomics SAThe D-Lab, Department of Precision Medicine, GROW-School for Oncology, Maastricht UniversityDepartment of Radiology and Nuclear Medicine, Maastricht University Medical CenterDepartment of Otorhinolaryngology, Gelre HospitalDepartment of Radiology, Viecuri Medical CenterHaga Hospital, RadiologyDepartment of Otorhinolaryngology, Viecuri Medical CenterDepartment of Otorhinolaryngology and Head & Neck Surgery, Antwerp University HospitalThe D-Lab, Department of Precision Medicine, GROW-School for Oncology, Maastricht UniversityOncoradiomics SAOncoradiomics SADepartment of Otolaryngology and Head and Neck Surgery, Maastricht University Medical CenterThe D-Lab, Department of Precision Medicine, GROW-School for Oncology, Maastricht UniversityAbstract Segmentation of anatomical structures is valuable in a variety of tasks, including 3D visualization, surgical planning, and quantitative image analysis. Manual segmentation is time-consuming and deals with intra and inter-observer variability. To develop a deep-learning approach for the fully automated segmentation of the inner ear in MRI, a 3D U-net was trained on 944 MRI scans with manually segmented inner ears as reference standard. The model was validated on an independent, multicentric dataset consisting of 177 MRI scans from three different centers. The model was also evaluated on a clinical validation set containing eight MRI scans with severe changes in the morphology of the labyrinth. The 3D U-net model showed precise Dice Similarity Coefficient scores (mean DSC-0.8790) with a high True Positive Rate (91.5%) and low False Discovery Rate and False Negative Rates (14.8% and 8.49% respectively) across images from three different centers. The model proved to perform well with a DSC of 0.8768 on the clinical validation dataset. The proposed auto-segmentation model is equivalent to human readers and is a reliable, consistent, and efficient method for inner ear segmentation, which can be used in a variety of clinical applications such as surgical planning and quantitative image analysis.https://doi.org/10.1038/s41598-021-82289-y
spellingShingle Akshayaa Vaidyanathan
Marly F. J. A. van der Lubbe
Ralph T. H. Leijenaar
Marc van Hoof
Fadila Zerka
Benjamin Miraglio
Sergey Primakov
Alida A. Postma
Tjasse D. Bruintjes
Monique A. L. Bilderbeek
Hammer Sebastiaan
Patrick F. M. Dammeijer
Vincent van Rompaey
Henry C. Woodruff
Wim Vos
Seán Walsh
Raymond van de Berg
Philippe Lambin
Deep learning for the fully automated segmentation of the inner ear on MRI
Scientific Reports
title Deep learning for the fully automated segmentation of the inner ear on MRI
title_full Deep learning for the fully automated segmentation of the inner ear on MRI
title_fullStr Deep learning for the fully automated segmentation of the inner ear on MRI
title_full_unstemmed Deep learning for the fully automated segmentation of the inner ear on MRI
title_short Deep learning for the fully automated segmentation of the inner ear on MRI
title_sort deep learning for the fully automated segmentation of the inner ear on mri
url https://doi.org/10.1038/s41598-021-82289-y
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