Hippocampus segmentation on epilepsy and Alzheimer's disease studies with multiple convolutional neural networks

Background: Hippocampus segmentation on magnetic resonance imaging is of key importance for the diagnosis, treatment decision and investigation of neuropsychiatric disorders. Automatic segmentation is an active research field, with many recent models using deep learning. Most current state-of-the ar...

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Main Authors: Diedre Carmo, Bruna Silva, Clarissa Yasuda, Letícia Rittner, Roberto Lotufo
Format: Article
Language:English
Published: Elsevier 2021-02-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844021003315
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author Diedre Carmo
Bruna Silva
Clarissa Yasuda
Letícia Rittner
Roberto Lotufo
author_facet Diedre Carmo
Bruna Silva
Clarissa Yasuda
Letícia Rittner
Roberto Lotufo
author_sort Diedre Carmo
collection DOAJ
description Background: Hippocampus segmentation on magnetic resonance imaging is of key importance for the diagnosis, treatment decision and investigation of neuropsychiatric disorders. Automatic segmentation is an active research field, with many recent models using deep learning. Most current state-of-the art hippocampus segmentation methods train their methods on healthy or Alzheimer's disease patients from public datasets. This raises the question whether these methods are capable of recognizing the hippocampus on a different domain, that of epilepsy patients with hippocampus resection.New Method: In this paper we present a state-of-the-art, open source, ready-to-use, deep learning based hippocampus segmentation method. It uses an extended 2D multi-orientation approach, with automatic pre-processing and orientation alignment. The methodology was developed and validated using HarP, a public Alzheimer's disease hippocampus segmentation dataset.Results and Comparisons: We test this methodology alongside other recent deep learning methods, in two domains: The HarP test set and an in-house epilepsy dataset, containing hippocampus resections, named HCUnicamp. We show that our method, while trained only in HarP, surpasses others from the literature in both the HarP test set and HCUnicamp in Dice. Additionally, Results from training and testing in HCUnicamp volumes are also reported separately, alongside comparisons between training and testing in epilepsy and Alzheimer's data and vice versa.Conclusion: Although current state-of-the-art methods, including our own, achieve upwards of 0.9 Dice in HarP, all tested methods, including our own, produced false positives in HCUnicamp resection regions, showing that there is still room for improvement for hippocampus segmentation methods when resection is involved.
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spelling doaj.art-8485ec3fd5ef47839d3d0e1553054c6f2022-12-21T20:17:22ZengElsevierHeliyon2405-84402021-02-0172e06226Hippocampus segmentation on epilepsy and Alzheimer's disease studies with multiple convolutional neural networksDiedre Carmo0Bruna Silva1Clarissa Yasuda2Letícia Rittner3Roberto Lotufo4School of Electrical and Computer Engineering, UNICAMP, Campinas, São Paulo, Brazil; Corresponding author.Faculty of Medical Sciences, UNICAMP, Campinas, São Paulo, BrazilFaculty of Medical Sciences, UNICAMP, Campinas, São Paulo, BrazilSchool of Electrical and Computer Engineering, UNICAMP, Campinas, São Paulo, BrazilSchool of Electrical and Computer Engineering, UNICAMP, Campinas, São Paulo, BrazilBackground: Hippocampus segmentation on magnetic resonance imaging is of key importance for the diagnosis, treatment decision and investigation of neuropsychiatric disorders. Automatic segmentation is an active research field, with many recent models using deep learning. Most current state-of-the art hippocampus segmentation methods train their methods on healthy or Alzheimer's disease patients from public datasets. This raises the question whether these methods are capable of recognizing the hippocampus on a different domain, that of epilepsy patients with hippocampus resection.New Method: In this paper we present a state-of-the-art, open source, ready-to-use, deep learning based hippocampus segmentation method. It uses an extended 2D multi-orientation approach, with automatic pre-processing and orientation alignment. The methodology was developed and validated using HarP, a public Alzheimer's disease hippocampus segmentation dataset.Results and Comparisons: We test this methodology alongside other recent deep learning methods, in two domains: The HarP test set and an in-house epilepsy dataset, containing hippocampus resections, named HCUnicamp. We show that our method, while trained only in HarP, surpasses others from the literature in both the HarP test set and HCUnicamp in Dice. Additionally, Results from training and testing in HCUnicamp volumes are also reported separately, alongside comparisons between training and testing in epilepsy and Alzheimer's data and vice versa.Conclusion: Although current state-of-the-art methods, including our own, achieve upwards of 0.9 Dice in HarP, all tested methods, including our own, produced false positives in HCUnicamp resection regions, showing that there is still room for improvement for hippocampus segmentation methods when resection is involved.http://www.sciencedirect.com/science/article/pii/S2405844021003315Deep learningHippocampus segmentationConvolutional neural networksAlzheimer's diseaseEpilepsy
spellingShingle Diedre Carmo
Bruna Silva
Clarissa Yasuda
Letícia Rittner
Roberto Lotufo
Hippocampus segmentation on epilepsy and Alzheimer's disease studies with multiple convolutional neural networks
Heliyon
Deep learning
Hippocampus segmentation
Convolutional neural networks
Alzheimer's disease
Epilepsy
title Hippocampus segmentation on epilepsy and Alzheimer's disease studies with multiple convolutional neural networks
title_full Hippocampus segmentation on epilepsy and Alzheimer's disease studies with multiple convolutional neural networks
title_fullStr Hippocampus segmentation on epilepsy and Alzheimer's disease studies with multiple convolutional neural networks
title_full_unstemmed Hippocampus segmentation on epilepsy and Alzheimer's disease studies with multiple convolutional neural networks
title_short Hippocampus segmentation on epilepsy and Alzheimer's disease studies with multiple convolutional neural networks
title_sort hippocampus segmentation on epilepsy and alzheimer s disease studies with multiple convolutional neural networks
topic Deep learning
Hippocampus segmentation
Convolutional neural networks
Alzheimer's disease
Epilepsy
url http://www.sciencedirect.com/science/article/pii/S2405844021003315
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