Convolutional Neural Networks to Detect Vestibular Schwannomas on Single MRI Slices: A Feasibility Study

In this study. we aimed to detect vestibular schwannomas (VSs) in individual magnetic resonance imaging (MRI) slices by using a 2D-CNN. A pretrained CNN (ResNet-34) was retrained and internally validated using contrast-enhanced T1-weighted (T1c) MRI slices from one institution. In a second step, the...

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Main Authors: Carole Koechli, Erwin Vu, Philipp Sager, Lukas Näf, Tim Fischer, Paul M. Putora, Felix Ehret, Christoph Fürweger, Christina Schröder, Robert Förster, Daniel R. Zwahlen, Alexander Muacevic, Paul Windisch
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/9/2069
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author Carole Koechli
Erwin Vu
Philipp Sager
Lukas Näf
Tim Fischer
Paul M. Putora
Felix Ehret
Christoph Fürweger
Christina Schröder
Robert Förster
Daniel R. Zwahlen
Alexander Muacevic
Paul Windisch
author_facet Carole Koechli
Erwin Vu
Philipp Sager
Lukas Näf
Tim Fischer
Paul M. Putora
Felix Ehret
Christoph Fürweger
Christina Schröder
Robert Förster
Daniel R. Zwahlen
Alexander Muacevic
Paul Windisch
author_sort Carole Koechli
collection DOAJ
description In this study. we aimed to detect vestibular schwannomas (VSs) in individual magnetic resonance imaging (MRI) slices by using a 2D-CNN. A pretrained CNN (ResNet-34) was retrained and internally validated using contrast-enhanced T1-weighted (T1c) MRI slices from one institution. In a second step, the model was externally validated using T1c- and T1-weighted (T1) slices from a different institution. As a substitute, bisected slices were used with and without tumors originating from whole transversal slices that contained part of the unilateral VS. The model predictions were assessed based on the categorical accuracy and confusion matrices. A total of 539, 94, and 74 patients were included for training, internal validation, and external T1c validation, respectively. This resulted in an accuracy of 0.949 (95% CI 0.935–0.963) for the internal validation and 0.912 (95% CI 0.866–0.958) for the external T1c validation. We suggest that 2D-CNNs might be a promising alternative to 2.5-/3D-CNNs for certain tasks thanks to the decreased demand for computational power and the fact that there is no need for segmentations. However, further research is needed on the difference between 2D-CNNs and more complex architectures.
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spelling doaj.art-cac6677fcd654134aed4adbe5e68dbe62023-11-23T07:54:24ZengMDPI AGCancers2072-66942022-04-01149206910.3390/cancers14092069Convolutional Neural Networks to Detect Vestibular Schwannomas on Single MRI Slices: A Feasibility StudyCarole Koechli0Erwin Vu1Philipp Sager2Lukas Näf3Tim Fischer4Paul M. Putora5Felix Ehret6Christoph Fürweger7Christina Schröder8Robert Förster9Daniel R. Zwahlen10Alexander Muacevic11Paul Windisch12Department of Radiation Oncology, Kantonsspital Winterthur, 8401 Winterthur, SwitzerlandDepartment of Radiation Oncology, Kantonsspital St. Gallen, 9007 St. Gallen, SwitzerlandDepartment of Radiation Oncology, Kantonsspital Winterthur, 8401 Winterthur, SwitzerlandDepartment of Radiology, Kantonsspital St. Gallen, 9007 St. Gallen, SwitzerlandDepartment of Radiology, Kantonsspital St. Gallen, 9007 St. Gallen, SwitzerlandDepartment of Radiation Oncology, Kantonsspital St. Gallen, 9007 St. Gallen, SwitzerlandBerlin Institute of Health at Charité—Universitätsmedizin Berlin, 10117 Berlin, GermanyEuropean Radiosurgery Center, 81377 Munich, GermanyDepartment of Radiation Oncology, Kantonsspital Winterthur, 8401 Winterthur, SwitzerlandDepartment of Radiation Oncology, Kantonsspital Winterthur, 8401 Winterthur, SwitzerlandDepartment of Radiation Oncology, Kantonsspital Winterthur, 8401 Winterthur, SwitzerlandEuropean Radiosurgery Center, 81377 Munich, GermanyDepartment of Radiation Oncology, Kantonsspital Winterthur, 8401 Winterthur, SwitzerlandIn this study. we aimed to detect vestibular schwannomas (VSs) in individual magnetic resonance imaging (MRI) slices by using a 2D-CNN. A pretrained CNN (ResNet-34) was retrained and internally validated using contrast-enhanced T1-weighted (T1c) MRI slices from one institution. In a second step, the model was externally validated using T1c- and T1-weighted (T1) slices from a different institution. As a substitute, bisected slices were used with and without tumors originating from whole transversal slices that contained part of the unilateral VS. The model predictions were assessed based on the categorical accuracy and confusion matrices. A total of 539, 94, and 74 patients were included for training, internal validation, and external T1c validation, respectively. This resulted in an accuracy of 0.949 (95% CI 0.935–0.963) for the internal validation and 0.912 (95% CI 0.866–0.958) for the external T1c validation. We suggest that 2D-CNNs might be a promising alternative to 2.5-/3D-CNNs for certain tasks thanks to the decreased demand for computational power and the fact that there is no need for segmentations. However, further research is needed on the difference between 2D-CNNs and more complex architectures.https://www.mdpi.com/2072-6694/14/9/2069artificial intelligencedeep learningmachine learningvestibularschwannomaneuro-oncology
spellingShingle Carole Koechli
Erwin Vu
Philipp Sager
Lukas Näf
Tim Fischer
Paul M. Putora
Felix Ehret
Christoph Fürweger
Christina Schröder
Robert Förster
Daniel R. Zwahlen
Alexander Muacevic
Paul Windisch
Convolutional Neural Networks to Detect Vestibular Schwannomas on Single MRI Slices: A Feasibility Study
Cancers
artificial intelligence
deep learning
machine learning
vestibular
schwannoma
neuro-oncology
title Convolutional Neural Networks to Detect Vestibular Schwannomas on Single MRI Slices: A Feasibility Study
title_full Convolutional Neural Networks to Detect Vestibular Schwannomas on Single MRI Slices: A Feasibility Study
title_fullStr Convolutional Neural Networks to Detect Vestibular Schwannomas on Single MRI Slices: A Feasibility Study
title_full_unstemmed Convolutional Neural Networks to Detect Vestibular Schwannomas on Single MRI Slices: A Feasibility Study
title_short Convolutional Neural Networks to Detect Vestibular Schwannomas on Single MRI Slices: A Feasibility Study
title_sort convolutional neural networks to detect vestibular schwannomas on single mri slices a feasibility study
topic artificial intelligence
deep learning
machine learning
vestibular
schwannoma
neuro-oncology
url https://www.mdpi.com/2072-6694/14/9/2069
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