Automatic quantification of perivascular spaces in T2-weighted images at 7 T MRI

Perivascular spaces (PVS) are believed to be involved in brain waste disposal. PVS are associated with cerebral small vessel disease. At higher field strengths more PVS can be observed, challenging manual assessment. We developed a method to automatically detect and quantify PVS.A machine learning a...

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Main Authors: J.M. Spijkerman, J.J.M. Zwanenburg, W.H. Bouvy, M.I. Geerlings, G.J. Biessels, J. Hendrikse, P.R. Luijten, H.J. Kuijf
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:Cerebral Circulation - Cognition and Behavior
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666245022001076
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author J.M. Spijkerman
J.J.M. Zwanenburg
W.H. Bouvy
M.I. Geerlings
G.J. Biessels
J. Hendrikse
P.R. Luijten
H.J. Kuijf
author_facet J.M. Spijkerman
J.J.M. Zwanenburg
W.H. Bouvy
M.I. Geerlings
G.J. Biessels
J. Hendrikse
P.R. Luijten
H.J. Kuijf
author_sort J.M. Spijkerman
collection DOAJ
description Perivascular spaces (PVS) are believed to be involved in brain waste disposal. PVS are associated with cerebral small vessel disease. At higher field strengths more PVS can be observed, challenging manual assessment. We developed a method to automatically detect and quantify PVS.A machine learning approach identified PVS in an automatically positioned ROI in the centrum semiovale (CSO), based on -resolution T2-weighted TSE scans. Next, 3D PVS tracking was performed in 50 subjects (mean age 62.9 years (range 27–78), 19 male), and quantitative measures were extracted. Maps of PVS density, length, and tortuosity were created. Manual PVS annotations were available to train and validate the automatic method.Good correlation was found between the automatic and manual PVS count: ICC (absolute/consistency) is 0.64/0.75, and Dice similarity coefficient (DSC) is 0.61. The automatic method counts fewer PVS than the manual count, because it ignores the smallest PVS (length <2 mm). For 20 subjects manual PVS annotations of a second observer were available. Compared with the correlation between the automatic and manual PVS, higher inter-observer ICC was observed (0.85/0.88), but DSC was lower (0.49 in 4 persons). Longer PVS are observed posterior in the CSO compared with anterior in the CSO. Higher PVS tortuosity are observed in the center of the CSO compared with the periphery of the CSO.Our fully automatic method can detect PVS in a 2D slab in the CSO, and extract quantitative PVS parameters by performing 3D tracking. This method enables automated quantitative analysis of PVS.
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spelling doaj.art-44fd2cf3da0c44aea0f0b0a90bd62ae52022-12-22T03:53:55ZengElsevierCerebral Circulation - Cognition and Behavior2666-24502022-01-013100142Automatic quantification of perivascular spaces in T2-weighted images at 7 T MRIJ.M. Spijkerman0J.J.M. Zwanenburg1W.H. Bouvy2M.I. Geerlings3G.J. Biessels4J. Hendrikse5P.R. Luijten6H.J. Kuijf7Department of Radiology, University Medical Center Utrecht, Utrecht, the NetherlandsDepartment of Radiology, University Medical Center Utrecht, Utrecht, the NetherlandsBrain Center Rudolf Magnus, Department of Neurology, University Medical Center Utrecht, Utrecht, the NetherlandsJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the NetherlandsBrain Center Rudolf Magnus, Department of Neurology, University Medical Center Utrecht, Utrecht, the NetherlandsDepartment of Radiology, University Medical Center Utrecht, Utrecht, the NetherlandsDepartment of Radiology, University Medical Center Utrecht, Utrecht, the NetherlandsImage Sciences Institute, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, the Netherlands; Corresponding author.Perivascular spaces (PVS) are believed to be involved in brain waste disposal. PVS are associated with cerebral small vessel disease. At higher field strengths more PVS can be observed, challenging manual assessment. We developed a method to automatically detect and quantify PVS.A machine learning approach identified PVS in an automatically positioned ROI in the centrum semiovale (CSO), based on -resolution T2-weighted TSE scans. Next, 3D PVS tracking was performed in 50 subjects (mean age 62.9 years (range 27–78), 19 male), and quantitative measures were extracted. Maps of PVS density, length, and tortuosity were created. Manual PVS annotations were available to train and validate the automatic method.Good correlation was found between the automatic and manual PVS count: ICC (absolute/consistency) is 0.64/0.75, and Dice similarity coefficient (DSC) is 0.61. The automatic method counts fewer PVS than the manual count, because it ignores the smallest PVS (length <2 mm). For 20 subjects manual PVS annotations of a second observer were available. Compared with the correlation between the automatic and manual PVS, higher inter-observer ICC was observed (0.85/0.88), but DSC was lower (0.49 in 4 persons). Longer PVS are observed posterior in the CSO compared with anterior in the CSO. Higher PVS tortuosity are observed in the center of the CSO compared with the periphery of the CSO.Our fully automatic method can detect PVS in a 2D slab in the CSO, and extract quantitative PVS parameters by performing 3D tracking. This method enables automated quantitative analysis of PVS.http://www.sciencedirect.com/science/article/pii/S2666245022001076Perivascular spacesCentrum semiovaleQuantification7 tesla MRIMachine learning
spellingShingle J.M. Spijkerman
J.J.M. Zwanenburg
W.H. Bouvy
M.I. Geerlings
G.J. Biessels
J. Hendrikse
P.R. Luijten
H.J. Kuijf
Automatic quantification of perivascular spaces in T2-weighted images at 7 T MRI
Cerebral Circulation - Cognition and Behavior
Perivascular spaces
Centrum semiovale
Quantification
7 tesla MRI
Machine learning
title Automatic quantification of perivascular spaces in T2-weighted images at 7 T MRI
title_full Automatic quantification of perivascular spaces in T2-weighted images at 7 T MRI
title_fullStr Automatic quantification of perivascular spaces in T2-weighted images at 7 T MRI
title_full_unstemmed Automatic quantification of perivascular spaces in T2-weighted images at 7 T MRI
title_short Automatic quantification of perivascular spaces in T2-weighted images at 7 T MRI
title_sort automatic quantification of perivascular spaces in t2 weighted images at 7 t mri
topic Perivascular spaces
Centrum semiovale
Quantification
7 tesla MRI
Machine learning
url http://www.sciencedirect.com/science/article/pii/S2666245022001076
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