Strategies to combine 3D vasculature and brain CTA with deep neural networks: Application to LVO

Summary: Automated tools to detect large vessel occlusion (LVO) in acute ischemic stroke patients using brain computed tomography angiography (CTA) have been shown to reduce the time for treatment, leading to better clinical outcomes. There is a lot of information in a single CTA and deep learning m...

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Main Authors: Uma M. Lal-Trehan Estrada, Arnau Oliver, Sunil A. Sheth, Xavier Lladó, Luca Giancardo
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:iScience
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2589004224001020
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author Uma M. Lal-Trehan Estrada
Arnau Oliver
Sunil A. Sheth
Xavier Lladó
Luca Giancardo
author_facet Uma M. Lal-Trehan Estrada
Arnau Oliver
Sunil A. Sheth
Xavier Lladó
Luca Giancardo
author_sort Uma M. Lal-Trehan Estrada
collection DOAJ
description Summary: Automated tools to detect large vessel occlusion (LVO) in acute ischemic stroke patients using brain computed tomography angiography (CTA) have been shown to reduce the time for treatment, leading to better clinical outcomes. There is a lot of information in a single CTA and deep learning models do not have an obvious way of being conditioned on areas most relevant for LVO detection, i.e., the vasculature structure. In this work, we compare and contrast strategies to make convolutional neural networks focus on the vasculature without discarding context information of the brain parenchyma and propose an attention-inspired strategy to encourage this. We use brain CTAs from which we obtain 3D vasculature images. Then, we compare ways of combining the vasculature and the CTA images using a general-purpose network trained to detect LVO. The results show that the proposed strategies allow to improve LVO detection and could potentially help to learn other cerebrovascular-related tasks.
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spelling doaj.art-3d83791a1a544e39b8d373163e845b092024-01-26T05:34:23ZengElsevieriScience2589-00422024-02-01272108881Strategies to combine 3D vasculature and brain CTA with deep neural networks: Application to LVOUma M. Lal-Trehan Estrada0Arnau Oliver1Sunil A. Sheth2Xavier Lladó3Luca Giancardo4Research institute of Computer Vision and Robotics, University of Girona, Girona, SpainResearch institute of Computer Vision and Robotics, University of Girona, Girona, SpainMcGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, USAResearch institute of Computer Vision and Robotics, University of Girona, Girona, SpainCenter for Precision Health, McWilliams School of Biomedical Informatics, University of Texas Health Science Center at Houston, Houston, TX, USA; Corresponding authorSummary: Automated tools to detect large vessel occlusion (LVO) in acute ischemic stroke patients using brain computed tomography angiography (CTA) have been shown to reduce the time for treatment, leading to better clinical outcomes. There is a lot of information in a single CTA and deep learning models do not have an obvious way of being conditioned on areas most relevant for LVO detection, i.e., the vasculature structure. In this work, we compare and contrast strategies to make convolutional neural networks focus on the vasculature without discarding context information of the brain parenchyma and propose an attention-inspired strategy to encourage this. We use brain CTAs from which we obtain 3D vasculature images. Then, we compare ways of combining the vasculature and the CTA images using a general-purpose network trained to detect LVO. The results show that the proposed strategies allow to improve LVO detection and could potentially help to learn other cerebrovascular-related tasks.http://www.sciencedirect.com/science/article/pii/S2589004224001020Medical imagingNeuroanatomyNeural networksMachine learning
spellingShingle Uma M. Lal-Trehan Estrada
Arnau Oliver
Sunil A. Sheth
Xavier Lladó
Luca Giancardo
Strategies to combine 3D vasculature and brain CTA with deep neural networks: Application to LVO
iScience
Medical imaging
Neuroanatomy
Neural networks
Machine learning
title Strategies to combine 3D vasculature and brain CTA with deep neural networks: Application to LVO
title_full Strategies to combine 3D vasculature and brain CTA with deep neural networks: Application to LVO
title_fullStr Strategies to combine 3D vasculature and brain CTA with deep neural networks: Application to LVO
title_full_unstemmed Strategies to combine 3D vasculature and brain CTA with deep neural networks: Application to LVO
title_short Strategies to combine 3D vasculature and brain CTA with deep neural networks: Application to LVO
title_sort strategies to combine 3d vasculature and brain cta with deep neural networks application to lvo
topic Medical imaging
Neuroanatomy
Neural networks
Machine learning
url http://www.sciencedirect.com/science/article/pii/S2589004224001020
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AT sunilasheth strategiestocombine3dvasculatureandbrainctawithdeepneuralnetworksapplicationtolvo
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