Automated Segmentation of Trigeminal Nerve and Cerebrovasculature in MR-Angiography Images by Deep Learning

Trigeminal neuralgia caused by paroxysmal and severe pain in the distribution of the trigeminal nerve is a rare chronic pain disorder. It is generally accepted that compression of the trigeminal root entry zone by vascular structures is the major cause of primary trigeminal neuralgia, and vascular d...

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Main Authors: Jinghui Lin, Lei Mou, Qifeng Yan, Shaodong Ma, Xingyu Yue, Shengjun Zhou, Zhiqing Lin, Jiong Zhang, Jiang Liu, Yitian Zhao
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-12-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2021.744967/full
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author Jinghui Lin
Lei Mou
Lei Mou
Qifeng Yan
Shaodong Ma
Xingyu Yue
Shengjun Zhou
Zhiqing Lin
Jiong Zhang
Jiang Liu
Yitian Zhao
Yitian Zhao
author_facet Jinghui Lin
Lei Mou
Lei Mou
Qifeng Yan
Shaodong Ma
Xingyu Yue
Shengjun Zhou
Zhiqing Lin
Jiong Zhang
Jiang Liu
Yitian Zhao
Yitian Zhao
author_sort Jinghui Lin
collection DOAJ
description Trigeminal neuralgia caused by paroxysmal and severe pain in the distribution of the trigeminal nerve is a rare chronic pain disorder. It is generally accepted that compression of the trigeminal root entry zone by vascular structures is the major cause of primary trigeminal neuralgia, and vascular decompression is the prior choice in neurosurgical treatment. Therefore, accurate preoperative modeling/segmentation/visualization of trigeminal nerve and its surrounding cerebrovascular is important to surgical planning. In this paper, we propose an automated method to segment trigeminal nerve and its surrounding cerebrovascular in the root entry zone, and to further reconstruct and visual these anatomical structures in three-dimensional (3D) Magnetic Resonance Angiography (MRA). The proposed method contains a two-stage neural network. Firstly, a preliminary confidence map of different anatomical structures is produced by a coarse segmentation stage. Secondly, a refinement segmentation stage is proposed to refine and optimize the coarse segmentation map. To model the spatial and morphological relationship between trigeminal nerve and cerebrovascular structures, the proposed network detects the trigeminal nerve, cerebrovasculature, and brainstem simultaneously. The method has been evaluated on a dataset including 50 MRA volumes, and the experimental results show the state-of-the-art performance of the proposed method with an average Dice similarity coefficient, Hausdorff distance, and average surface distance error of 0.8645, 0.2414, and 0.4296 on multi-tissue segmentation, respectively.
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spelling doaj.art-4378e537fa934e4796ef97d5c57ae73c2022-12-21T21:33:12ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2021-12-011510.3389/fnins.2021.744967744967Automated Segmentation of Trigeminal Nerve and Cerebrovasculature in MR-Angiography Images by Deep LearningJinghui Lin0Lei Mou1Lei Mou2Qifeng Yan3Shaodong Ma4Xingyu Yue5Shengjun Zhou6Zhiqing Lin7Jiong Zhang8Jiang Liu9Yitian Zhao10Yitian Zhao11Department of Neurosurgery, Ningbo First Hospital, Ningbo, ChinaCixi Institute of Biomedical Engineering, Ningbo Institute of Materials Technology and Engineering, Chinese Academy of Sciences, Ningbo, ChinaUniversity of Chinese Academy of Sciences, Beijing, ChinaCixi Institute of Biomedical Engineering, Ningbo Institute of Materials Technology and Engineering, Chinese Academy of Sciences, Ningbo, ChinaCixi Institute of Biomedical Engineering, Ningbo Institute of Materials Technology and Engineering, Chinese Academy of Sciences, Ningbo, ChinaCixi Institute of Biomedical Engineering, Ningbo Institute of Materials Technology and Engineering, Chinese Academy of Sciences, Ningbo, ChinaDepartment of Neurosurgery, Ningbo First Hospital, Ningbo, ChinaDepartment of Neurosurgery, Ningbo First Hospital, Ningbo, ChinaCixi Institute of Biomedical Engineering, Ningbo Institute of Materials Technology and Engineering, Chinese Academy of Sciences, Ningbo, ChinaDepartment of Computer Science and Engineering, Southern University of Science and Technology, Shenzhen, ChinaThe Affiliated People's Hospital of Ningbo University, Ningbo, ChinaCixi Institute of Biomedical Engineering, Ningbo Institute of Materials Technology and Engineering, Chinese Academy of Sciences, Ningbo, ChinaTrigeminal neuralgia caused by paroxysmal and severe pain in the distribution of the trigeminal nerve is a rare chronic pain disorder. It is generally accepted that compression of the trigeminal root entry zone by vascular structures is the major cause of primary trigeminal neuralgia, and vascular decompression is the prior choice in neurosurgical treatment. Therefore, accurate preoperative modeling/segmentation/visualization of trigeminal nerve and its surrounding cerebrovascular is important to surgical planning. In this paper, we propose an automated method to segment trigeminal nerve and its surrounding cerebrovascular in the root entry zone, and to further reconstruct and visual these anatomical structures in three-dimensional (3D) Magnetic Resonance Angiography (MRA). The proposed method contains a two-stage neural network. Firstly, a preliminary confidence map of different anatomical structures is produced by a coarse segmentation stage. Secondly, a refinement segmentation stage is proposed to refine and optimize the coarse segmentation map. To model the spatial and morphological relationship between trigeminal nerve and cerebrovascular structures, the proposed network detects the trigeminal nerve, cerebrovasculature, and brainstem simultaneously. The method has been evaluated on a dataset including 50 MRA volumes, and the experimental results show the state-of-the-art performance of the proposed method with an average Dice similarity coefficient, Hausdorff distance, and average surface distance error of 0.8645, 0.2414, and 0.4296 on multi-tissue segmentation, respectively.https://www.frontiersin.org/articles/10.3389/fnins.2021.744967/fulltrigeminal nervecerebrovascularsegmentationMRAdeep learningcoarse-to-fine
spellingShingle Jinghui Lin
Lei Mou
Lei Mou
Qifeng Yan
Shaodong Ma
Xingyu Yue
Shengjun Zhou
Zhiqing Lin
Jiong Zhang
Jiang Liu
Yitian Zhao
Yitian Zhao
Automated Segmentation of Trigeminal Nerve and Cerebrovasculature in MR-Angiography Images by Deep Learning
Frontiers in Neuroscience
trigeminal nerve
cerebrovascular
segmentation
MRA
deep learning
coarse-to-fine
title Automated Segmentation of Trigeminal Nerve and Cerebrovasculature in MR-Angiography Images by Deep Learning
title_full Automated Segmentation of Trigeminal Nerve and Cerebrovasculature in MR-Angiography Images by Deep Learning
title_fullStr Automated Segmentation of Trigeminal Nerve and Cerebrovasculature in MR-Angiography Images by Deep Learning
title_full_unstemmed Automated Segmentation of Trigeminal Nerve and Cerebrovasculature in MR-Angiography Images by Deep Learning
title_short Automated Segmentation of Trigeminal Nerve and Cerebrovasculature in MR-Angiography Images by Deep Learning
title_sort automated segmentation of trigeminal nerve and cerebrovasculature in mr angiography images by deep learning
topic trigeminal nerve
cerebrovascular
segmentation
MRA
deep learning
coarse-to-fine
url https://www.frontiersin.org/articles/10.3389/fnins.2021.744967/full
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