Performance evaluation of automated white matter hyperintensity segmentation algorithms in a multicenter cohort on cognitive impairment and dementia

BackgroundWhite matter hyperintensities (WMH), a biomarker of small vessel disease, are often found in Alzheimer’s disease (AD) and their advanced detection and quantification can be beneficial for research and clinical applications. To investigate WMH in large-scale multicenter studies on cognitive...

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Main Authors: Malo Gaubert, Andrea Dell’Orco, Catharina Lange, Antoine Garnier-Crussard, Isabella Zimmermann, Martin Dyrba, Marco Duering, Gabriel Ziegler, Oliver Peters, Lukas Preis, Josef Priller, Eike Jakob Spruth, Anja Schneider, Klaus Fliessbach, Jens Wiltfang, Björn H. Schott, Franziska Maier, Wenzel Glanz, Katharina Buerger, Daniel Janowitz, Robert Perneczky, Boris-Stephan Rauchmann, Stefan Teipel, Ingo Kilimann, Christoph Laske, Matthias H. Munk, Annika Spottke, Nina Roy, Laura Dobisch, Michael Ewers, Peter Dechent, John Dylan Haynes, Klaus Scheffler, Emrah Düzel, Frank Jessen, Miranka Wirth, for the DELCODE study group, Amthauer Holger, Cetindag Arda Can, Cosma Nicoleta Carmen, Diesing Dominik, Ehrlich Marie, Fenski Frederike, Freiesleben Silka Dawn, Fuentes Manuel, Hauser Dietmar, Hujer Nicole, Incesoy Enise Irem, Kainz Christian, Lange Catharina, Lindner Katja, Megges Herlind, Peters Oliver, Preis Lukas, Altenstein Slawek, Lohse Andrea, Franke Christiana, Priller Josef, Spruth Eike, Villar Munoz Irene, Barkhoff Miriam, Boecker Henning, Brosseron Frederic, Daamen Marcel, Engels Tanja, Faber Jennifer, Fließbach Klaus, Frommann Ingo, Grobe-Einsler Marcus, Hennes Guido, Herrmann Gabi, Jost Lorraine, Kalbhen Pascal, Kimmich Okka, Kobeleva Xenia, Kofler Barbara, McCormick Cornelia, Miebach Lisa, Miklitz Carolin, Müller Anna, Oender Demet, Polcher Alexandra, Purrer Veronika, Röske Sandra, Schneider Christine, Schneider Anja, Spottke Annika, Vogt Ina, Wagner Michael, wolfsgruber Steffen, Yilmaz Sagik, Bartels Claudia, Dechent Peter, Hansen Niels, Hassoun Lina, Hirschel Sina, Nuhn Sabine, Pfahlert Ilona, Rausch Lena, Schott Björn, Timäus Charles, Werner Christine, Wiltfang Jens, Zabel Lioba, Zech Heike, Bader Abdelmajid, Baldermann Juan Carlos, Dölle Britta, Drzezga Alexander, Escher Claus, Ghiasi Nasim Roshan, Hardenacke Katja, Jessen Frank, Lützerath Hannah, Maier Franziska, Marquardt Benjamin, Martikke Anja, Meiberth Dix, Petzler Snjezana, Rostamzadeh Ayda, Sannemann Lena, Schild Ann-Katrin, Sorgalla Susanne, Stockter Simone, Thelen Manuela, Tscheuschler Maike, Uhle Franziska, Zeyen Philip, Bittner Daniel, Cardenas-Blanco Arturo, Dobisch Laura, Düzel Emrah, Grieger-Klose Doreen, Hartmann Deike, Metzger Coraline, Nestor Peter, Ruß Christin, Schulze Franziska, Speck Oliver, Yakupov Renat, Ziegler Gabriel, Brauneis Christine, Bürger Katharina, Catak Cihan, Coloma Andrews Lisa, Dichgans Martin, Dörr Angelika, Ertl-Wagner Birgit, Frimmer Daniela, Huber Brigitte, Janowitz Daniel, Kreuzer Max, Markov Eva, Müller Claudia, Rominger Axel, Schmid (ehemals Spreider) Jennifer, Seegerer Anna, Stephan Julia, Zollver Adelgunde, Burow Lena, de Jonge Sylvia, Falkai Peter, Garcia Angarita Natalie, Görlitz Thomas, Gürsel Selim Üstün, Horvath Ildiko, Kurz Carolin, Meisenzahl-Lechner Eva, Perneczky Robert, Utecht Julia, Dyrba Martin, Janecek-Meyer Heike, Kilimann Ingo, Lappe Chris, Lau Esther, Pfaff Henrike, Raum Heike, Sabik Petr, Schmidt Monika, Schulz Heike, Schwarzenboeck Sarah, Teipel Stefan, Weber Marc-Andre, Buchmann Martina, Heger Tanja, Hinderer Petra, Kuder-Buletta Elke, Laske Christoph, Munk Matthias, Mychajliw Christian, Soekadar Surjo, sulzer Patricia, Trunk Theresia
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1010273/full
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author Malo Gaubert
Malo Gaubert
Andrea Dell’Orco
Andrea Dell’Orco
Catharina Lange
Catharina Lange
Antoine Garnier-Crussard
Antoine Garnier-Crussard
Antoine Garnier-Crussard
Isabella Zimmermann
Martin Dyrba
Marco Duering
Gabriel Ziegler
Oliver Peters
Oliver Peters
Lukas Preis
Josef Priller
Josef Priller
Josef Priller
Josef Priller
Eike Jakob Spruth
Eike Jakob Spruth
Anja Schneider
Anja Schneider
Klaus Fliessbach
Klaus Fliessbach
Jens Wiltfang
Jens Wiltfang
Jens Wiltfang
Björn H. Schott
Björn H. Schott
Björn H. Schott
Franziska Maier
Wenzel Glanz
Katharina Buerger
Katharina Buerger
Daniel Janowitz
Robert Perneczky
Robert Perneczky
Robert Perneczky
Robert Perneczky
Robert Perneczky
Boris-Stephan Rauchmann
Stefan Teipel
Stefan Teipel
Ingo Kilimann
Ingo Kilimann
Christoph Laske
Christoph Laske
Matthias H. Munk
Matthias H. Munk
Annika Spottke
Annika Spottke
Nina Roy
Laura Dobisch
Michael Ewers
Peter Dechent
John Dylan Haynes
Klaus Scheffler
Emrah Düzel
Emrah Düzel
Frank Jessen
Frank Jessen
Frank Jessen
Miranka Wirth
for the DELCODE study group
Amthauer Holger
Cetindag Arda Can
Cosma Nicoleta Carmen
Diesing Dominik
Ehrlich Marie
Fenski Frederike
Freiesleben Silka Dawn
Fuentes Manuel
Hauser Dietmar
Hujer Nicole
Incesoy Enise Irem
Kainz Christian
Lange Catharina
Lindner Katja
Megges Herlind
Peters Oliver
Preis Lukas
Altenstein Slawek
Lohse Andrea
Franke Christiana
Priller Josef
Spruth Eike
Villar Munoz Irene
Barkhoff Miriam
Boecker Henning
Brosseron Frederic
Daamen Marcel
Engels Tanja
Faber Jennifer
Fließbach Klaus
Frommann Ingo
Grobe-Einsler Marcus
Hennes Guido
Herrmann Gabi
Jost Lorraine
Kalbhen Pascal
Kimmich Okka
Kobeleva Xenia
Kofler Barbara
McCormick Cornelia
Miebach Lisa
Miklitz Carolin
Müller Anna
Oender Demet
Polcher Alexandra
Purrer Veronika
Röske Sandra
Schneider Christine
Schneider Anja
Spottke Annika
Vogt Ina
Wagner Michael
wolfsgruber Steffen
Yilmaz Sagik
Bartels Claudia
Dechent Peter
Hansen Niels
Hassoun Lina
Hirschel Sina
Nuhn Sabine
Pfahlert Ilona
Rausch Lena
Schott Björn
Timäus Charles
Werner Christine
Wiltfang Jens
Zabel Lioba
Zech Heike
Bader Abdelmajid
Baldermann Juan Carlos
Dölle Britta
Drzezga Alexander
Escher Claus
Ghiasi Nasim Roshan
Hardenacke Katja
Jessen Frank
Lützerath Hannah
Maier Franziska
Marquardt Benjamin
Martikke Anja
Meiberth Dix
Petzler Snjezana
Rostamzadeh Ayda
Sannemann Lena
Schild Ann-Katrin
Sorgalla Susanne
Stockter Simone
Thelen Manuela
Tscheuschler Maike
Uhle Franziska
Zeyen Philip
Bittner Daniel
Cardenas-Blanco Arturo
Dobisch Laura
Düzel Emrah
Grieger-Klose Doreen
Hartmann Deike
Metzger Coraline
Nestor Peter
Ruß Christin
Schulze Franziska
Speck Oliver
Wenzel Glanz
Yakupov Renat
Ziegler Gabriel
Brauneis Christine
Bürger Katharina
Catak Cihan
Coloma Andrews Lisa
Dichgans Martin
Dörr Angelika
Ertl-Wagner Birgit
Frimmer Daniela
Huber Brigitte
Janowitz Daniel
Kreuzer Max
Markov Eva
Müller Claudia
Rominger Axel
Schmid (ehemals Spreider) Jennifer
Seegerer Anna
Stephan Julia
Zollver Adelgunde
Burow Lena
de Jonge Sylvia
Falkai Peter
Garcia Angarita Natalie
Görlitz Thomas
Gürsel Selim Üstün
Horvath Ildiko
Kurz Carolin
Meisenzahl-Lechner Eva
Perneczky Robert
Utecht Julia
Dyrba Martin
Janecek-Meyer Heike
Kilimann Ingo
Lappe Chris
Lau Esther
Pfaff Henrike
Raum Heike
Sabik Petr
Schmidt Monika
Schulz Heike
Schwarzenboeck Sarah
Teipel Stefan
Weber Marc-Andre
Buchmann Martina
Heger Tanja
Hinderer Petra
Kuder-Buletta Elke
Laske Christoph
Munk Matthias
Mychajliw Christian
Soekadar Surjo
sulzer Patricia
Trunk Theresia
author_facet Malo Gaubert
Malo Gaubert
Andrea Dell’Orco
Andrea Dell’Orco
Catharina Lange
Catharina Lange
Antoine Garnier-Crussard
Antoine Garnier-Crussard
Antoine Garnier-Crussard
Isabella Zimmermann
Martin Dyrba
Marco Duering
Gabriel Ziegler
Oliver Peters
Oliver Peters
Lukas Preis
Josef Priller
Josef Priller
Josef Priller
Josef Priller
Eike Jakob Spruth
Eike Jakob Spruth
Anja Schneider
Anja Schneider
Klaus Fliessbach
Klaus Fliessbach
Jens Wiltfang
Jens Wiltfang
Jens Wiltfang
Björn H. Schott
Björn H. Schott
Björn H. Schott
Franziska Maier
Wenzel Glanz
Katharina Buerger
Katharina Buerger
Daniel Janowitz
Robert Perneczky
Robert Perneczky
Robert Perneczky
Robert Perneczky
Robert Perneczky
Boris-Stephan Rauchmann
Stefan Teipel
Stefan Teipel
Ingo Kilimann
Ingo Kilimann
Christoph Laske
Christoph Laske
Matthias H. Munk
Matthias H. Munk
Annika Spottke
Annika Spottke
Nina Roy
Laura Dobisch
Michael Ewers
Peter Dechent
John Dylan Haynes
Klaus Scheffler
Emrah Düzel
Emrah Düzel
Frank Jessen
Frank Jessen
Frank Jessen
Miranka Wirth
for the DELCODE study group
Amthauer Holger
Cetindag Arda Can
Cosma Nicoleta Carmen
Diesing Dominik
Ehrlich Marie
Fenski Frederike
Freiesleben Silka Dawn
Fuentes Manuel
Hauser Dietmar
Hujer Nicole
Incesoy Enise Irem
Kainz Christian
Lange Catharina
Lindner Katja
Megges Herlind
Peters Oliver
Preis Lukas
Altenstein Slawek
Lohse Andrea
Franke Christiana
Priller Josef
Spruth Eike
Villar Munoz Irene
Barkhoff Miriam
Boecker Henning
Brosseron Frederic
Daamen Marcel
Engels Tanja
Faber Jennifer
Fließbach Klaus
Frommann Ingo
Grobe-Einsler Marcus
Hennes Guido
Herrmann Gabi
Jost Lorraine
Kalbhen Pascal
Kimmich Okka
Kobeleva Xenia
Kofler Barbara
McCormick Cornelia
Miebach Lisa
Miklitz Carolin
Müller Anna
Oender Demet
Polcher Alexandra
Purrer Veronika
Röske Sandra
Schneider Christine
Schneider Anja
Spottke Annika
Vogt Ina
Wagner Michael
wolfsgruber Steffen
Yilmaz Sagik
Bartels Claudia
Dechent Peter
Hansen Niels
Hassoun Lina
Hirschel Sina
Nuhn Sabine
Pfahlert Ilona
Rausch Lena
Schott Björn
Timäus Charles
Werner Christine
Wiltfang Jens
Zabel Lioba
Zech Heike
Bader Abdelmajid
Baldermann Juan Carlos
Dölle Britta
Drzezga Alexander
Escher Claus
Ghiasi Nasim Roshan
Hardenacke Katja
Jessen Frank
Lützerath Hannah
Maier Franziska
Marquardt Benjamin
Martikke Anja
Meiberth Dix
Petzler Snjezana
Rostamzadeh Ayda
Sannemann Lena
Schild Ann-Katrin
Sorgalla Susanne
Stockter Simone
Thelen Manuela
Tscheuschler Maike
Uhle Franziska
Zeyen Philip
Bittner Daniel
Cardenas-Blanco Arturo
Dobisch Laura
Düzel Emrah
Grieger-Klose Doreen
Hartmann Deike
Metzger Coraline
Nestor Peter
Ruß Christin
Schulze Franziska
Speck Oliver
Wenzel Glanz
Yakupov Renat
Ziegler Gabriel
Brauneis Christine
Bürger Katharina
Catak Cihan
Coloma Andrews Lisa
Dichgans Martin
Dörr Angelika
Ertl-Wagner Birgit
Frimmer Daniela
Huber Brigitte
Janowitz Daniel
Kreuzer Max
Markov Eva
Müller Claudia
Rominger Axel
Schmid (ehemals Spreider) Jennifer
Seegerer Anna
Stephan Julia
Zollver Adelgunde
Burow Lena
de Jonge Sylvia
Falkai Peter
Garcia Angarita Natalie
Görlitz Thomas
Gürsel Selim Üstün
Horvath Ildiko
Kurz Carolin
Meisenzahl-Lechner Eva
Perneczky Robert
Utecht Julia
Dyrba Martin
Janecek-Meyer Heike
Kilimann Ingo
Lappe Chris
Lau Esther
Pfaff Henrike
Raum Heike
Sabik Petr
Schmidt Monika
Schulz Heike
Schwarzenboeck Sarah
Teipel Stefan
Weber Marc-Andre
Buchmann Martina
Heger Tanja
Hinderer Petra
Kuder-Buletta Elke
Laske Christoph
Munk Matthias
Mychajliw Christian
Soekadar Surjo
sulzer Patricia
Trunk Theresia
author_sort Malo Gaubert
collection DOAJ
description BackgroundWhite matter hyperintensities (WMH), a biomarker of small vessel disease, are often found in Alzheimer’s disease (AD) and their advanced detection and quantification can be beneficial for research and clinical applications. To investigate WMH in large-scale multicenter studies on cognitive impairment and AD, appropriate automated WMH segmentation algorithms are required. This study aimed to compare the performance of segmentation tools and provide information on their application in multicenter research.MethodsWe used a pseudo-randomly selected dataset (n = 50) from the DZNE-multicenter observational Longitudinal Cognitive Impairment and Dementia Study (DELCODE) that included 3D fluid-attenuated inversion recovery (FLAIR) images from participants across the cognitive continuum. Performances of top-rated algorithms for automated WMH segmentation [Brain Intensity Abnormality Classification Algorithm (BIANCA), lesion segmentation toolbox (LST), lesion growth algorithm (LGA), LST lesion prediction algorithm (LPA), pgs, and sysu_media] were compared to manual reference segmentation (RS).ResultsAcross tools, segmentation performance was moderate for global WMH volume and number of detected lesions. After retraining on a DELCODE subset, the deep learning algorithm sysu_media showed the highest performances with an average Dice’s coefficient of 0.702 (±0.109 SD) for volume and a mean F1-score of 0.642 (±0.109 SD) for the number of lesions. The intra-class correlation was excellent for all algorithms (>0.9) but BIANCA (0.835). Performance improved with high WMH burden and varied across brain regions.ConclusionTo conclude, the deep learning algorithm, when retrained, performed well in the multicenter context. Nevertheless, the performance was close to traditional methods. We provide methodological recommendations for future studies using automated WMH segmentation to quantify and assess WMH along the continuum of cognitive impairment and AD dementia.
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spelling doaj.art-906b6b5e5c8d4a04a7d1427ab0aab0402023-01-12T05:02:24ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-01-011310.3389/fpsyt.2022.10102731010273Performance evaluation of automated white matter hyperintensity segmentation algorithms in a multicenter cohort on cognitive impairment and dementiaMalo Gaubert0Malo Gaubert1Andrea Dell’Orco2Andrea Dell’Orco3Catharina Lange4Catharina Lange5Antoine Garnier-Crussard6Antoine Garnier-Crussard7Antoine Garnier-Crussard8Isabella Zimmermann9Martin Dyrba10Marco Duering11Gabriel Ziegler12Oliver Peters13Oliver Peters14Lukas Preis15Josef Priller16Josef Priller17Josef Priller18Josef Priller19Eike Jakob Spruth20Eike Jakob Spruth21Anja Schneider22Anja Schneider23Klaus Fliessbach24Klaus Fliessbach25Jens Wiltfang26Jens Wiltfang27Jens Wiltfang28Björn H. Schott29Björn H. Schott30Björn H. Schott31Franziska Maier32Wenzel Glanz33Katharina Buerger34Katharina Buerger35Daniel Janowitz36Robert Perneczky37Robert Perneczky38Robert Perneczky39Robert Perneczky40Robert Perneczky41Boris-Stephan Rauchmann42Stefan Teipel43Stefan Teipel44Ingo Kilimann45Ingo Kilimann46Christoph Laske47Christoph Laske48Matthias H. Munk49Matthias H. Munk50Annika Spottke51Annika Spottke52Nina Roy53Laura Dobisch54Michael Ewers55Peter Dechent56John Dylan Haynes57Klaus Scheffler58Emrah Düzel59Emrah Düzel60Frank Jessen61Frank Jessen62Frank Jessen63Miranka Wirth64for the DELCODE study groupAmthauer HolgerCetindag Arda CanCosma Nicoleta CarmenDiesing DominikEhrlich MarieFenski FrederikeFreiesleben Silka DawnFuentes ManuelHauser DietmarHujer NicoleIncesoy Enise IremKainz ChristianLange CatharinaLindner KatjaMegges HerlindPeters OliverPreis LukasAltenstein SlawekLohse AndreaFranke ChristianaPriller JosefSpruth EikeVillar Munoz IreneBarkhoff MiriamBoecker HenningBrosseron FredericDaamen MarcelEngels TanjaFaber JenniferFließbach KlausFrommann IngoGrobe-Einsler MarcusHennes GuidoHerrmann GabiJost LorraineKalbhen PascalKimmich OkkaKobeleva XeniaKofler BarbaraMcCormick CorneliaMiebach LisaMiklitz CarolinMüller AnnaOender DemetPolcher AlexandraPurrer VeronikaRöske SandraSchneider ChristineSchneider AnjaSpottke AnnikaVogt InaWagner Michaelwolfsgruber SteffenYilmaz SagikBartels ClaudiaDechent PeterHansen NielsHassoun LinaHirschel SinaNuhn SabinePfahlert IlonaRausch LenaSchott BjörnTimäus CharlesWerner ChristineWiltfang JensZabel LiobaZech HeikeBader AbdelmajidBaldermann Juan CarlosDölle BrittaDrzezga AlexanderEscher ClausGhiasi Nasim RoshanHardenacke KatjaJessen FrankLützerath HannahMaier FranziskaMarquardt BenjaminMartikke AnjaMeiberth DixPetzler SnjezanaRostamzadeh AydaSannemann LenaSchild Ann-KatrinSorgalla SusanneStockter SimoneThelen ManuelaTscheuschler MaikeUhle FranziskaZeyen PhilipBittner DanielCardenas-Blanco ArturoDobisch LauraDüzel EmrahGrieger-Klose DoreenHartmann DeikeMetzger CoralineNestor PeterRuß ChristinSchulze FranziskaSpeck OliverWenzel GlanzYakupov RenatZiegler GabrielBrauneis ChristineBürger KatharinaCatak CihanColoma Andrews LisaDichgans MartinDörr AngelikaErtl-Wagner BirgitFrimmer DanielaHuber BrigitteJanowitz DanielKreuzer MaxMarkov EvaMüller ClaudiaRominger AxelSchmid (ehemals Spreider) JenniferSeegerer AnnaStephan JuliaZollver AdelgundeBurow Lenade Jonge SylviaFalkai PeterGarcia Angarita NatalieGörlitz ThomasGürsel Selim ÜstünHorvath IldikoKurz CarolinMeisenzahl-Lechner EvaPerneczky RobertUtecht JuliaDyrba MartinJanecek-Meyer HeikeKilimann IngoLappe ChrisLau EstherPfaff HenrikeRaum HeikeSabik PetrSchmidt MonikaSchulz HeikeSchwarzenboeck SarahTeipel StefanWeber Marc-AndreBuchmann MartinaHeger TanjaHinderer PetraKuder-Buletta ElkeLaske ChristophMunk MatthiasMychajliw ChristianSoekadar Surjosulzer PatriciaTrunk TheresiaGerman Center for Neurodegenerative Diseases, Dresden, GermanyDepartment of Neuroradiology, Rennes University Hospital (CHU), Rennes, FranceGerman Center for Neurodegenerative Diseases, Dresden, GermanyDepartment of Neuroradiology, Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, GermanyGerman Center for Neurodegenerative Diseases, Dresden, GermanyDepartment of Nuclear Medicine, Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, GermanyClinical and Research Memory Center of Lyon, Lyon Institute for Elderly, Hospices Civils de Lyon, Lyon, FranceNormandie Univ, UNICAEN, INSERM, U1237, PhIND “Physiopathology and Imaging of Neurological Disorders,” Institut Blood and Brain @ Caen-Normandie, Caen, FranceNeuroscience Research Centre of Lyon, INSERM 1048, CNRS 5292, Lyon, FranceGerman Center for Neurodegenerative Diseases, Dresden, GermanyGerman Center for Neurodegenerative Diseases, Rostock, GermanyDepartment of Biomedical Engineering, Medical Image Analysis Center (MIAC) and qbig, University of Basel, Basel, Switzerland0German Center for Neurodegenerative Diseases, Magdeburg, Germany1German Center for Neurodegenerative Diseases, Berlin, Germany2Department of Psychiatry, Charité – Universitätsmedizin Berlin, Berlin, Germany2Department of Psychiatry, Charité – Universitätsmedizin Berlin, Berlin, Germany1German Center for Neurodegenerative Diseases, Berlin, Germany3Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Berlin, Germany4Centre for Clinical Brain Sciences, University of Edinburgh and UK Dementia Research Institute (DRI), Edinburgh, United Kingdom5Department of Psychiatry and Psychotherapy, School of Medicine, Technical University of Munich, Munich, Germany1German Center for Neurodegenerative Diseases, Berlin, Germany3Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Berlin, Germany6German Center for Neurodegenerative Diseases, Bonn, Germany7Department of Neurodegenerative Disease and Geriatric Psychiatry, University of Bonn Medical Center, Bonn, Germany6German Center for Neurodegenerative Diseases, Bonn, Germany7Department of Neurodegenerative Disease and Geriatric Psychiatry, University of Bonn Medical Center, Bonn, Germany8German Center for Neurodegenerative Diseases, Göttingen, Germany9Department of Psychiatry and Psychotherapy, University Medical Center Göttingen, University of Göttingen, Göttingen, Germany0Department of Medical Sciences, Neurosciences and Signaling Group, Institute of Biomedicine (iBiMED), University of Aveiro, Aveiro, Portugal8German Center for Neurodegenerative Diseases, Göttingen, Germany9Department of Psychiatry and Psychotherapy, University Medical Center Göttingen, University of Göttingen, Göttingen, Germany1Leibniz Institute for Neurobiology, Magdeburg, Germany2Department of Psychiatry, Medical Faculty, University of Cologne, Cologne, Germany0German Center for Neurodegenerative Diseases, Magdeburg, Germany3German Center for Neurodegenerative Diseases, Munich, Germany4Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilian University of Munich (LMU), Munich, Germany4Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilian University of Munich (LMU), Munich, Germany3German Center for Neurodegenerative Diseases, Munich, Germany4Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilian University of Munich (LMU), Munich, Germany5Munich Cluster for Systems Neurology (SyNergy) Munich, Munich, Germany6Ageing Epidemiology Research Unit (AGE), School of Public Health, Imperial College London, London, United Kingdom7Sheffield Institute for Translational Neuroscience (SITraN), University of Sheffield, Sheffield, United Kingdom4Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilian University of Munich (LMU), Munich, GermanyGerman Center for Neurodegenerative Diseases, Rostock, Germany8Department of Psychosomatic Medicine, Rostock University Medical Center, Rostock, GermanyGerman Center for Neurodegenerative Diseases, Rostock, Germany8Department of Psychosomatic Medicine, Rostock University Medical Center, Rostock, Germany9German Center for Neurodegenerative Diseases, Tübingen, Germany0Department of Psychiatry and Psychotherapy, University of Tübingen, Tübingen, Germany9German Center for Neurodegenerative Diseases, Tübingen, Germany0Department of Psychiatry and Psychotherapy, University of Tübingen, Tübingen, Germany6German Center for Neurodegenerative Diseases, Bonn, Germany1Department of Neurology, University of Bonn, Bonn, Germany6German Center for Neurodegenerative Diseases, Bonn, Germany0German Center for Neurodegenerative Diseases, Magdeburg, Germany3German Center for Neurodegenerative Diseases, Munich, Germany2MR-Research in Neurosciences, Department of Cognitive Neurology, Georg-August-University of Göttingen, Göttingen, Germany3Bernstein Center for Computational Neuroscience, Charité – Universitätsmedizin, Berlin, Germany4Department for Biomedical Magnetic Resonance, University of Tübingen, Tübingen, Germany0German Center for Neurodegenerative Diseases, Magdeburg, Germany5Institute of Cognitive Neurology and Dementia Research (IKND), Otto-von-Guericke University, Magdeburg, Germany6German Center for Neurodegenerative Diseases, Bonn, Germany2Department of Psychiatry, Medical Faculty, University of Cologne, Cologne, Germany6Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), University of Cologne, Köln, GermanyGerman Center for Neurodegenerative Diseases, Dresden, GermanyBackgroundWhite matter hyperintensities (WMH), a biomarker of small vessel disease, are often found in Alzheimer’s disease (AD) and their advanced detection and quantification can be beneficial for research and clinical applications. To investigate WMH in large-scale multicenter studies on cognitive impairment and AD, appropriate automated WMH segmentation algorithms are required. This study aimed to compare the performance of segmentation tools and provide information on their application in multicenter research.MethodsWe used a pseudo-randomly selected dataset (n = 50) from the DZNE-multicenter observational Longitudinal Cognitive Impairment and Dementia Study (DELCODE) that included 3D fluid-attenuated inversion recovery (FLAIR) images from participants across the cognitive continuum. Performances of top-rated algorithms for automated WMH segmentation [Brain Intensity Abnormality Classification Algorithm (BIANCA), lesion segmentation toolbox (LST), lesion growth algorithm (LGA), LST lesion prediction algorithm (LPA), pgs, and sysu_media] were compared to manual reference segmentation (RS).ResultsAcross tools, segmentation performance was moderate for global WMH volume and number of detected lesions. After retraining on a DELCODE subset, the deep learning algorithm sysu_media showed the highest performances with an average Dice’s coefficient of 0.702 (±0.109 SD) for volume and a mean F1-score of 0.642 (±0.109 SD) for the number of lesions. The intra-class correlation was excellent for all algorithms (>0.9) but BIANCA (0.835). Performance improved with high WMH burden and varied across brain regions.ConclusionTo conclude, the deep learning algorithm, when retrained, performed well in the multicenter context. Nevertheless, the performance was close to traditional methods. We provide methodological recommendations for future studies using automated WMH segmentation to quantify and assess WMH along the continuum of cognitive impairment and AD dementia.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1010273/fullwhite matter hyperintensities segmentationevaluationFLAIRdeep learningagingAlzheimer’s disease
spellingShingle Malo Gaubert
Malo Gaubert
Andrea Dell’Orco
Andrea Dell’Orco
Catharina Lange
Catharina Lange
Antoine Garnier-Crussard
Antoine Garnier-Crussard
Antoine Garnier-Crussard
Isabella Zimmermann
Martin Dyrba
Marco Duering
Gabriel Ziegler
Oliver Peters
Oliver Peters
Lukas Preis
Josef Priller
Josef Priller
Josef Priller
Josef Priller
Eike Jakob Spruth
Eike Jakob Spruth
Anja Schneider
Anja Schneider
Klaus Fliessbach
Klaus Fliessbach
Jens Wiltfang
Jens Wiltfang
Jens Wiltfang
Björn H. Schott
Björn H. Schott
Björn H. Schott
Franziska Maier
Wenzel Glanz
Katharina Buerger
Katharina Buerger
Daniel Janowitz
Robert Perneczky
Robert Perneczky
Robert Perneczky
Robert Perneczky
Robert Perneczky
Boris-Stephan Rauchmann
Stefan Teipel
Stefan Teipel
Ingo Kilimann
Ingo Kilimann
Christoph Laske
Christoph Laske
Matthias H. Munk
Matthias H. Munk
Annika Spottke
Annika Spottke
Nina Roy
Laura Dobisch
Michael Ewers
Peter Dechent
John Dylan Haynes
Klaus Scheffler
Emrah Düzel
Emrah Düzel
Frank Jessen
Frank Jessen
Frank Jessen
Miranka Wirth
for the DELCODE study group
Amthauer Holger
Cetindag Arda Can
Cosma Nicoleta Carmen
Diesing Dominik
Ehrlich Marie
Fenski Frederike
Freiesleben Silka Dawn
Fuentes Manuel
Hauser Dietmar
Hujer Nicole
Incesoy Enise Irem
Kainz Christian
Lange Catharina
Lindner Katja
Megges Herlind
Peters Oliver
Preis Lukas
Altenstein Slawek
Lohse Andrea
Franke Christiana
Priller Josef
Spruth Eike
Villar Munoz Irene
Barkhoff Miriam
Boecker Henning
Brosseron Frederic
Daamen Marcel
Engels Tanja
Faber Jennifer
Fließbach Klaus
Frommann Ingo
Grobe-Einsler Marcus
Hennes Guido
Herrmann Gabi
Jost Lorraine
Kalbhen Pascal
Kimmich Okka
Kobeleva Xenia
Kofler Barbara
McCormick Cornelia
Miebach Lisa
Miklitz Carolin
Müller Anna
Oender Demet
Polcher Alexandra
Purrer Veronika
Röske Sandra
Schneider Christine
Schneider Anja
Spottke Annika
Vogt Ina
Wagner Michael
wolfsgruber Steffen
Yilmaz Sagik
Bartels Claudia
Dechent Peter
Hansen Niels
Hassoun Lina
Hirschel Sina
Nuhn Sabine
Pfahlert Ilona
Rausch Lena
Schott Björn
Timäus Charles
Werner Christine
Wiltfang Jens
Zabel Lioba
Zech Heike
Bader Abdelmajid
Baldermann Juan Carlos
Dölle Britta
Drzezga Alexander
Escher Claus
Ghiasi Nasim Roshan
Hardenacke Katja
Jessen Frank
Lützerath Hannah
Maier Franziska
Marquardt Benjamin
Martikke Anja
Meiberth Dix
Petzler Snjezana
Rostamzadeh Ayda
Sannemann Lena
Schild Ann-Katrin
Sorgalla Susanne
Stockter Simone
Thelen Manuela
Tscheuschler Maike
Uhle Franziska
Zeyen Philip
Bittner Daniel
Cardenas-Blanco Arturo
Dobisch Laura
Düzel Emrah
Grieger-Klose Doreen
Hartmann Deike
Metzger Coraline
Nestor Peter
Ruß Christin
Schulze Franziska
Speck Oliver
Wenzel Glanz
Yakupov Renat
Ziegler Gabriel
Brauneis Christine
Bürger Katharina
Catak Cihan
Coloma Andrews Lisa
Dichgans Martin
Dörr Angelika
Ertl-Wagner Birgit
Frimmer Daniela
Huber Brigitte
Janowitz Daniel
Kreuzer Max
Markov Eva
Müller Claudia
Rominger Axel
Schmid (ehemals Spreider) Jennifer
Seegerer Anna
Stephan Julia
Zollver Adelgunde
Burow Lena
de Jonge Sylvia
Falkai Peter
Garcia Angarita Natalie
Görlitz Thomas
Gürsel Selim Üstün
Horvath Ildiko
Kurz Carolin
Meisenzahl-Lechner Eva
Perneczky Robert
Utecht Julia
Dyrba Martin
Janecek-Meyer Heike
Kilimann Ingo
Lappe Chris
Lau Esther
Pfaff Henrike
Raum Heike
Sabik Petr
Schmidt Monika
Schulz Heike
Schwarzenboeck Sarah
Teipel Stefan
Weber Marc-Andre
Buchmann Martina
Heger Tanja
Hinderer Petra
Kuder-Buletta Elke
Laske Christoph
Munk Matthias
Mychajliw Christian
Soekadar Surjo
sulzer Patricia
Trunk Theresia
Performance evaluation of automated white matter hyperintensity segmentation algorithms in a multicenter cohort on cognitive impairment and dementia
Frontiers in Psychiatry
white matter hyperintensities segmentation
evaluation
FLAIR
deep learning
aging
Alzheimer’s disease
title Performance evaluation of automated white matter hyperintensity segmentation algorithms in a multicenter cohort on cognitive impairment and dementia
title_full Performance evaluation of automated white matter hyperintensity segmentation algorithms in a multicenter cohort on cognitive impairment and dementia
title_fullStr Performance evaluation of automated white matter hyperintensity segmentation algorithms in a multicenter cohort on cognitive impairment and dementia
title_full_unstemmed Performance evaluation of automated white matter hyperintensity segmentation algorithms in a multicenter cohort on cognitive impairment and dementia
title_short Performance evaluation of automated white matter hyperintensity segmentation algorithms in a multicenter cohort on cognitive impairment and dementia
title_sort performance evaluation of automated white matter hyperintensity segmentation algorithms in a multicenter cohort on cognitive impairment and dementia
topic white matter hyperintensities segmentation
evaluation
FLAIR
deep learning
aging
Alzheimer’s disease
url https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1010273/full
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AT brauneischristine performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT burgerkatharina performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT catakcihan performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT colomaandrewslisa performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT dichgansmartin performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT dorrangelika performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT ertlwagnerbirgit performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT frimmerdaniela performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT huberbrigitte performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT janowitzdaniel performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT kreuzermax performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT markoveva performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT mullerclaudia performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT romingeraxel performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT schmidehemalsspreiderjennifer performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT seegereranna performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT stephanjulia performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT zollveradelgunde performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT burowlena performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT dejongesylvia performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT falkaipeter performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT garciaangaritanatalie performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT gorlitzthomas performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT gurselselimustun performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT horvathildiko performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT kurzcarolin performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT meisenzahllechnereva performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT perneczkyrobert performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT utechtjulia performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT dyrbamartin performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT janecekmeyerheike performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT kilimanningo performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT lappechris performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT lauesther performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT pfaffhenrike performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT raumheike performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT sabikpetr performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT schmidtmonika performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT schulzheike performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT schwarzenboecksarah performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT teipelstefan performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT webermarcandre performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT buchmannmartina performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT hegertanja performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT hindererpetra performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT kuderbulettaelke performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT laskechristoph performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT munkmatthias performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT mychajliwchristian performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT soekadarsurjo performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT sulzerpatricia performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia
AT trunktheresia performanceevaluationofautomatedwhitematterhyperintensitysegmentationalgorithmsinamulticentercohortoncognitiveimpairmentanddementia