Abstract
Multiple sclerosis is a prevalent inflammatory disease affecting the central nervous system, leading to demyelination. Neuroradiology relies on accurate analysis of white matter lesions for diagnosis and prognosis. Automated methods for segmenting lesions in MRI scans offer crucial benefits of objectivity and efficiency, making them particularly valuable for analyzing large datasets. In contrast, manual delineation of MRI lesions is both time-consuming and prone to subjective bias. To overcome these issues, this paper proposes and develops an automated diagnosis approach using the Detecron-2 architecture. The method utilizes a fully modified Convolutional Neural Network on 3D FLAIR-weighted Magnetic Resonance Images.The approach is trained and validated on a dataset of 3000 images acquired from a Siemens 3Tesla MRI machine at the National Institute of Neurology Mongi Ben Hmida in Tunisia, using technical metrics. Comparisons with recent achievements demonstrate promising results. By addressing challenges in data augmentation and deep learning configurations, the proposed model effectively mitigates issues as overfitting. Notably, it achieves an impressive average detection accuracy of 87%, specificity (= 80,19%), precision (= 80%), sensitivity (= 76,1%) and intersection over Union (= 87,9%) when assessing healthy and pathological images. Additionally, the study recognizes the manual monitoring of multiple sclerosis plaques as a time-consuming and challenging task for clinicians. It highlights the importance of lesion segmentation for quantitative analysis of disease progression. As a second focus, the research aims to develop an automated segmentation to enhance the accuracy and efficiency of lesion identification, addressing the inconsistencies and variations observed among different observers.
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Data availability
The datasets generated during and/or analyzed during the current study are not publicly available due to the exclusive nature of the national institute of neurology Mongi ben Hmida’s proprietary database. WHY DATA ARE NOT PUBLIC but are available from the corresponding author on reasonable request.
References
Kuhlmann T, Moccia M et al (2023) Multiple sclerosis progression: time for a new mechanism-driven framework. Lancet Neurol 22(1):78–88. https://doi.org/10.1016/S1474-4422(22)00289-7
Martins T, Carvalho V, Soares F, Leão C (2023) Physioland: a motivational complement of physical therapy for patients with neurological diseases. Multimed Tools Appl. https://doi.org/10.1007/s11042-023-16051-z
Rodríguez S, Mauricio F et al (2022) The immune response in multiple sclerosis. Annu Rev Pathol 17:121–139. https://doi.org/10.1146/annurev-pathol-052920-040318
Xinda Z, Claire J (2023) Mechanisms of demyelination and remyelination strategies for multiple sclerosis. Int J Mol Sci 24(7):6373. https://doi.org/10.3390/ijms24076373
Boesen S, Blinkenberg M et al (2022) Magnetic resonance imaging criteria at onset to differentiate pediatric multiple sclerosis from acute disseminated encephalomyelitis: a nationwide cohort study. Multiple Scler Relat Disord 62:103738. https://doi.org/10.1016/j.msard.2022.103738
Siger M (2022) Magnetic resonance imaging in primary progressive multiple sclerosis patients. Clin Neuroradiol 32(3):625–641. https://doi.org/10.1007/s00062-022-01144-3
Massimo F, Preziosa P et al (2023) Present and future of the diagnostic work-up of multiple sclerosis: the imaging perspective. J Neurol 270:1286–1299. https://doi.org/10.1007/s00415-022-11488-y
Liang S, Derek B et al (2021) Magnetic resonance imaging sequence identification using a metadata learning approach. Front Neuroinformatics 15:622951. https://doi.org/10.3389/fninf.2021.622951
Berger C, Birkl C et al (2022) Technical note: quantitative optimization of the FLAIR sequence in postmortem magnetic resonance imaging. Forensic Sci Int 341:111494. https://doi.org/10.1016/j.forsciint.2022.111494
Roozpeykar S, Azizian M et al (2022) Contrast-enhanced weighted-T1 and FLAIR sequences in MRI of meningeal lesions. Am J Nucl Med Mol Imaging 12(2):63–70
Zamzam A, Aboukhadrah R et al (2022) Diagnostic value of three-dimensional cube fluid attenuated inversion recovery imaging and its axial MIP reconstruction in multiple sclerosis. Egypt J Radiol Nuclear Med 53(1). https://doi.org/10.1186/s43055-022-00795-z
Eliezer M et al (2022) Iterative denoising accelerated 3D SPACE FLAIR sequence for brain MR imaging at 3T. Diagn Interv Imaging 103(1):13–20. https://doi.org/10.1016/j.diii.2021.09.004
Thakur S, Schindler M et al (2022) Clinically deployed computational assessment of multiple sclerosis lesions. Front Med 9:797586. https://doi.org/10.3389/fmed.2022.797586
Sarica B, Seker D (2022) New MS lesion segmentation with deep residual attention gate U-Net utilizing 2D slices of 3D MR images. Front NeuroSci 16:912000. https://doi.org/10.3389/fnins.2022.912000
Filippi M, Preziosa P, Meani A et al (2022) Performance of the 2017 and 2010 revised McDonald criteria in predicting MS diagnosis after a clinically isolated syndrome: a MAGNIMS study. Neurology 98(1):1–14. https://doi.org/10.1212/WNL.0000000000013016
Sadeghibakhi M, Pourreza H, Mahyar H (2022) Multiple sclerosis lesions segmentation using attention-based CNNs in FLAIR images. IEEE J Transl Eng Health Med 10:1800411. https://doi.org/10.1109/JTEHM.2022.3172025
Krishnan A, Song Z et al (2022) Joint MRI T1 unenhancing and contrast-enhancing multiple sclerosis lesion segmentation with deep learning in OPERA trials. Radiology 302(3):662–673. https://doi.org/10.1148/radiol.211528
Hashemi M, Akhbari M, Jutten C (2022) Delve into multiple sclerosis (MS) lesion exploration: a modified attention U-Net for MS lesion segmentation in Brain MRI. Comput Biol Med 145:105402. https://doi.org/10.1016/j.compbiomed.2022.105402
Ansari S, Javed K et al (2021) Multiple sclerosis lesion segmentation in Brain MRI using Inception Modules embedded in a convolutional neural network. J Healthc Eng 2021:4138137. https://doi.org/10.1155/2021/4138137
McKinley R, Wepfer R et al (2021) Simultaneous lesion and brain segmentation in multiple sclerosis using deep neural networks. Sci Rep 11(1):1087. https://doi.org/10.1038/s41598-020-79925-4
Zhang L, Tano R et al (2023) Learning from multiple annotators for medical image segmentation. Pattern Recognit 138:109400. https://doi.org/10.1016/j.patcog.2023.109400
Valverde S, Mariano C et al (2017) Improving automated multiple sclerosis lesion segmentation with a cascaded 3D convolutional neural network approach. Neuroimage 155:159–168. https://doi.org/10.1016/j.neuroimage.2017.04.034
La Rosa F, Abdulkadir A, Fartaria M et al (2020) Multiple sclerosis cortical and WM lesion segmentation at 3T MRI: a deep learning method based on FLAIR and MP2RAGE. NeuroImage: Clin 27:102335. https://doi.org/10.1016/j.nicl.2020.102335
Manso Jimeno M, Ravi K et al (2022) ArtifactID: identifying artifacts in low-field MRI of the brain using deep learning. Magn Reson Imaging 89:42–48. https://doi.org/10.1016/j.mri.2022.02.002
Motovilova E, Winkler S (2022) Overview of methods for noise and heat reduction in MRI gradient coils. Front Phys 10:907619. https://doi.org/10.3389/fphy.2022.907619
Sahu S, Anand A et al (2023) MRI de-noising using improved unbiased NLM filter. J Ambient Intell Humaniz Comput 14:10077–10088. https://doi.org/10.1007/s12652-021-03681-0
Antonelli M, Reinke A et al (2022) The medical segmentation decathlon. Nat Commun 13:4128. https://doi.org/10.1038/s41467-022-30695-9
Tomassini V, Sinclair A et al (2020) Diagnosis and management of multiple sclerosis: MRI in clinical practice. J Neurol 267(10):2917–2925. https://doi.org/10.1007/s00415-020-09930-0
Freund M, Schiffmann I et al (2022) Understanding Magnetic Resonance Imaging in Multiple Sclerosis (UMIMS): Development and piloting of an online education program about magnetic resonance imaging for people with multiple sclerosis. Front Neurol 13. https://doi.org/10.3389/fneur.2022.856240
Okaz A, Yassin A et al (2023) The role of new MRI modalities in diagnosis of multiple sclerosis. Al-Azhar Int Med J 4(1). https://doi.org/10.58675/2682-339X.1631
Memon K, Yahya N et al (2023) Image pre-processing for differential diagnosis of multiple sclerosis using brain MRI. 2023 2nd International Conference on Vision Towards Emerging Trends in Communication and Networking Technologies (ViTECoN) 1–6. https://doi.org/10.1109/ViTECoN58111.2023.10157177
Mendelsohn Z, Pemberton H et al (2023) Commercial volumetric MRI reporting tools in multiple sclerosis: a systematic review of the evidence. Neuroradiology 65(1):5–24. https://doi.org/10.1007/s00234-022-03074-w
Pozzilli C, Pugliatti M et al (2023) Diagnosis and treatment of progressive multiple sclerosis: a position paper. Eur J Neurol 30(1):9–21. https://doi.org/10.1111/ene.15593
La Rosa F et al (2019) Shallow vs deep learning architectures for white matter lesion segmentation in the early stages of multiple sclerosis. Int MICCAI Brain Lesion Workshop 142–151. https://doi.org/10.1007/978-3-030-11723-8_14
Kats E, Goldberger J, Greenspan H (2019) Soft labeling by distilling anatomical knowledge for improved MS lesion segmentation. Comput Sci. https://doi.org/10.48550/arXiv.1901.09263
Krüger J, Opfer R et al (2020) Fully automated longitudinal segmentation of new or enlarged multiple sclerosis lesions using 3D convolutional neural networks. NeuroImage Clin 28:102445. https://doi.org/10.1016/j.nicl.2020.102445
Rehan Afzal H, Luo S et al (2020) Automatic and robust segmentation of multiple sclerosis lesions with convolutional neural networks. Comput Mater Continua 66(1):977–991. https://doi.org/10.32604/cmc.2020.012448
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All authors contributed to the study correction. Material preparation, data collection, analysis and paper preparation were performed by [Chaima Dachraoui]. The first draft of the manuscript was written by [ChaimaDachraoui] and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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No consent was recommended for this medical research. Personal patient data was not included in the paper. These are anonymous images and well processed protecting the privacy of patients. It is a thesis work in collaboration with the national institute of neurology. We have no direct contact with the patients. The work took place purely in the doctors’ reading room on anonymous acquisitions.
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Dachraoui, C., Mouelhi, A., Mosbeh, A. et al. A machine learning approach for multiple sclerosis diagnosis through Detecron Architecture. Multimed Tools Appl 83, 42837–42859 (2024). https://doi.org/10.1007/s11042-023-17055-5
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DOI: https://doi.org/10.1007/s11042-023-17055-5