A symmetric prior knowledge based deep learning model for intracerebral hemorrhage lesion segmentation

Background: Accurate localization and classification of intracerebral hemorrhage (ICH) lesions are of great significance for the treatment and prognosis of patients with ICH. The purpose of this study is to develop a symmetric prior knowledge based deep learning model to segment ICH lesions in compu...

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Main Authors: Mayidili Nijiati, Abudouresuli Tuersun, Yue Zhang, Qing Yuan, Ping Gong, Abudoukeyoumujiang Abulizi, Awanisa Tuoheti, Adili Abulaiti, Xiaoguang Zou
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2022.977427/full
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author Mayidili Nijiati
Abudouresuli Tuersun
Yue Zhang
Qing Yuan
Ping Gong
Abudoukeyoumujiang Abulizi
Awanisa Tuoheti
Adili Abulaiti
Xiaoguang Zou
author_facet Mayidili Nijiati
Abudouresuli Tuersun
Yue Zhang
Qing Yuan
Ping Gong
Abudoukeyoumujiang Abulizi
Awanisa Tuoheti
Adili Abulaiti
Xiaoguang Zou
author_sort Mayidili Nijiati
collection DOAJ
description Background: Accurate localization and classification of intracerebral hemorrhage (ICH) lesions are of great significance for the treatment and prognosis of patients with ICH. The purpose of this study is to develop a symmetric prior knowledge based deep learning model to segment ICH lesions in computed tomography (CT).Methods: A novel symmetric Transformer network (Sym-TransNet) is designed to segment ICH lesions in CT images. A cohort of 1,157 patients diagnosed with ICH is established to train (n = 857), validate (n = 100), and test (n = 200) the Sym-TransNet. A healthy cohort of 200 subjects is added, establishing a test set with balanced positive and negative cases (n = 400), to further evaluate the accuracy, sensitivity, and specificity of the diagnosis of ICH. The segmentation results are obtained after data pre-processing and Sym-TransNet. The DICE coefficient is used to evaluate the similarity between the segmentation results and the segmentation gold standard. Furthermore, some recent deep learning methods are reproduced to compare with Sym-TransNet, and statistical analysis is performed to prove the statistical significance of the proposed method. Ablation experiments are conducted to prove that each component in Sym-TransNet could effectively improve the DICE coefficient of ICH lesions.Results: For the segmentation of ICH lesions, the DICE coefficient of Sym-TransNet is 0.716 ± 0.031 in the test set which contains 200 CT images of ICH. The DICE coefficients of five subtypes of ICH, including intraparenchymal hemorrhage (IPH), intraventricular hemorrhage (IVH), extradural hemorrhage (EDH), subdural hemorrhage (SDH), and subarachnoid hemorrhage (SAH), are 0.784 ± 0.039, 0.680 ± 0.049, 0.359 ± 0.186, 0.534 ± 0.455, and 0.337 ± 0.044, respectively. Statistical results show that the proposed Sym-TransNet can significantly improve the DICE coefficient of ICH lesions in most cases. In addition, the accuracy, sensitivity, and specificity of Sym-TransNet in the diagnosis of ICH in 400 CT images are 91.25%, 98.50%, and 84.00%, respectively.Conclusion: Compared with recent mainstream deep learning methods, the proposed Sym-TransNet can segment and identify different types of lesions from CT images of ICH patients more effectively. Moreover, the Sym-TransNet can diagnose ICH more stably and efficiently, which has clinical application prospects.
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spelling doaj.art-3fe77fd0050249a9b366c569f93ca30e2022-12-22T03:43:52ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2022-11-011310.3389/fphys.2022.977427977427A symmetric prior knowledge based deep learning model for intracerebral hemorrhage lesion segmentationMayidili Nijiati0Abudouresuli Tuersun1Yue Zhang2Qing Yuan3Ping Gong4Abudoukeyoumujiang Abulizi5Awanisa Tuoheti6Adili Abulaiti7Xiaoguang Zou8Department of Radiology, The First People’s Hospital of Kashi Prefecture, Kashi, ChinaDepartment of Radiology, The First People’s Hospital of Kashi Prefecture, Kashi, ChinaDeepwise AI Lab, Beijing, ChinaDepartment of Radiology, The First People’s Hospital of Kashi Prefecture, Kashi, ChinaDeepwise AI Lab, Beijing, ChinaDepartment of Radiology, The First People’s Hospital of Kashi Prefecture, Kashi, ChinaDepartment of Radiology, The First People’s Hospital of Kashi Prefecture, Kashi, ChinaDepartment of Radiology, The First People’s Hospital of Kashi Prefecture, Kashi, ChinaClinical Medical Research Center, The First People’s Hospital of Kashi Prefecture, Kashi, ChinaBackground: Accurate localization and classification of intracerebral hemorrhage (ICH) lesions are of great significance for the treatment and prognosis of patients with ICH. The purpose of this study is to develop a symmetric prior knowledge based deep learning model to segment ICH lesions in computed tomography (CT).Methods: A novel symmetric Transformer network (Sym-TransNet) is designed to segment ICH lesions in CT images. A cohort of 1,157 patients diagnosed with ICH is established to train (n = 857), validate (n = 100), and test (n = 200) the Sym-TransNet. A healthy cohort of 200 subjects is added, establishing a test set with balanced positive and negative cases (n = 400), to further evaluate the accuracy, sensitivity, and specificity of the diagnosis of ICH. The segmentation results are obtained after data pre-processing and Sym-TransNet. The DICE coefficient is used to evaluate the similarity between the segmentation results and the segmentation gold standard. Furthermore, some recent deep learning methods are reproduced to compare with Sym-TransNet, and statistical analysis is performed to prove the statistical significance of the proposed method. Ablation experiments are conducted to prove that each component in Sym-TransNet could effectively improve the DICE coefficient of ICH lesions.Results: For the segmentation of ICH lesions, the DICE coefficient of Sym-TransNet is 0.716 ± 0.031 in the test set which contains 200 CT images of ICH. The DICE coefficients of five subtypes of ICH, including intraparenchymal hemorrhage (IPH), intraventricular hemorrhage (IVH), extradural hemorrhage (EDH), subdural hemorrhage (SDH), and subarachnoid hemorrhage (SAH), are 0.784 ± 0.039, 0.680 ± 0.049, 0.359 ± 0.186, 0.534 ± 0.455, and 0.337 ± 0.044, respectively. Statistical results show that the proposed Sym-TransNet can significantly improve the DICE coefficient of ICH lesions in most cases. In addition, the accuracy, sensitivity, and specificity of Sym-TransNet in the diagnosis of ICH in 400 CT images are 91.25%, 98.50%, and 84.00%, respectively.Conclusion: Compared with recent mainstream deep learning methods, the proposed Sym-TransNet can segment and identify different types of lesions from CT images of ICH patients more effectively. Moreover, the Sym-TransNet can diagnose ICH more stably and efficiently, which has clinical application prospects.https://www.frontiersin.org/articles/10.3389/fphys.2022.977427/fullintracerebral hemorrhagelesion segmentationdeep learningsymmetric knowledgetransformer
spellingShingle Mayidili Nijiati
Abudouresuli Tuersun
Yue Zhang
Qing Yuan
Ping Gong
Abudoukeyoumujiang Abulizi
Awanisa Tuoheti
Adili Abulaiti
Xiaoguang Zou
A symmetric prior knowledge based deep learning model for intracerebral hemorrhage lesion segmentation
Frontiers in Physiology
intracerebral hemorrhage
lesion segmentation
deep learning
symmetric knowledge
transformer
title A symmetric prior knowledge based deep learning model for intracerebral hemorrhage lesion segmentation
title_full A symmetric prior knowledge based deep learning model for intracerebral hemorrhage lesion segmentation
title_fullStr A symmetric prior knowledge based deep learning model for intracerebral hemorrhage lesion segmentation
title_full_unstemmed A symmetric prior knowledge based deep learning model for intracerebral hemorrhage lesion segmentation
title_short A symmetric prior knowledge based deep learning model for intracerebral hemorrhage lesion segmentation
title_sort symmetric prior knowledge based deep learning model for intracerebral hemorrhage lesion segmentation
topic intracerebral hemorrhage
lesion segmentation
deep learning
symmetric knowledge
transformer
url https://www.frontiersin.org/articles/10.3389/fphys.2022.977427/full
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