Pseudo kinetics-driven federated diffusion hemodynamic framework for breast tumor segmentation in pre-contrast MRI

By incorporating the colored MRI identification synthesis into the MRI segmentation model with transfer learning AI Y-Net, this study clearly shows the high potential of a multidisciplinary system-level study for diagnoses. This way, such a system can provide integrity of the goal without compromising the quality of each one and saving time consumption. Another alternative to such integration is to be used for enhancement and segmentation that is accurate and robust to the variabilities in scanner and acquisition protocols. System Level Simulator is the deep learning based on Kearse AI deep learning network specified to Y-VGG16 net results of outstanding performance in medical image segmentation. Based on the literature, there are different AI models for the diagnosis system, which are different of what is proposed in this paper. A partial-frozen network is applied to the U-net to compare results between different fine-tuning FT strategies. The network operation is also evaluated depending on the dataset size, showing the importance of the combination of dataset, TL and data augmentation (DA). Transfer learning (TL) helps us for MRI medical image segmentation deep learning with more accurate performances of the TL technique. The system hybrid the Y-Net architecture with Transfer learning to reduce the domain-shift effect in brain MRI segmentation results of the automated deep learning segmentation approach.

Deep-learning-based synthesis of post-contrast T1-weighted MRI for tumour response assessment in neuro-oncology: a multicentre, retrospective cohort study

This paper introduces a fuzzy framework for the simultaneous segmentation and registration of MRI datasets. The framework utilizes prior information which may be available about the class center and class's pixels distribution through the datasets. The algorithm is evaluated using phantom and real medical MRI brain volume. The results show that the algorithm has considerable accuracy for segmentation and affine registration. The algorithm needs a small number of iterations to reach convergence compared with other similar algorithms.

We present the Atlas of Classifiers (AoC)-a conceptually novel framework for brain MRI segmentation. The AoC is a spatial map of voxel-wise multinomial logistic regression (LR) functions learned from the labeled data. Upon convergence, the resulting fixed LR weights, a few for each voxel, represent the training dataset. It can, therefore, be considered as a light-weight learning machine, which despite its low capacity does not underfit the problem. The AoC construction is independent of the actual intensities of the test images, providing the flexibility to train it on the available labeled data and use it for the segmentation of images from different datasets and modalities. In this sense, it does not overfit the training data, as well. The proposed method has been applied to numerous publicly available datasets for the segmentation of brain MRI tissues and is shown to be robust to noise and outreach commonly used methods. Promising results were also obtained for multi-modal, cross-modality MRI segmentation. Finally, we show how AoC trained on brain MRIs of healthy subjects can be exploited for lesion segmentation of multiple sclerosis patients.

Phase contrast computed tomography has emerged as an imaging method, which is able to outperform present day clinical mammography in breast tumor visualization while maintaining an equivalent average dose. To this day, no segmentation technique takes into account the specificity of the phase contrast signal. In this study, the authors propose a new mathematical framework for human-guided breast tumor segmentation. This method has been applied to high-resolution images of excised human organs, each of several gigabytes. The authors present a segmentation procedure based on the viscous watershed transform and demonstrate the efficacy of this method on analyzer based phase contrast images. The segmentation of tumors inside two full human breasts is then shown as an example of this procedure's possible applications. A correct and precise identification of the tumor boundaries was obtained and confirmed by manual contouring performed independently by four experienced radiologists. The authors demonstrate that applying the watershed viscous transform allows them to perform the segmentation of tumors in high-resolution x-ray analyzer based phase contrast breast computed tomography images. Combining the additional information provided by the segmentation procedure with the already high definition of morphological details and tissue boundaries offered by phase contrast imaging techniques, will represent a valuable multistep procedure to be used in future medical diagnostic applications.

For medical diagnosis and therapy planning, the importance of accurate MRI segmentation cannot be overemphasized. Conversely, the inscrutability of deep learning models remains obstacles to their application in therapeutic contexts. In this article, an interpretability artificial intelligence framework is introduced. It combines an MRI segmentation model based on deep learning, visual attribution algorithms and natural language explanations. EXPERIMENT The dataset is consisting of plenty of different types of brain MRI scans, and used to test the architecture. The average of Dice score of our method is 88.7% and 92.3% for segmentation of tumor and categorization of tissues, respectively. Both are pretty epic scores. The insights extracted from both the visual attributions and textual explations improve our understanding of how the model arrives at its decisions, thereby increasing the transparency and interpretability of the model. believe this approach to explainable artificial intelligence can help to close the gap between state-of-the-art performance in MRI segmentation and clinical interpretability, by increasing the transparency of complex models and facilitating their implementation into a clinical workflow. Conclusion Our approach may have implications in the transparent and reliable development of AI-based decision support systems for medical imaging

Computerized liver volumetry has been studied, because the current "gold-standard" manual volumetry is subjective and very time-consuming. Liver volumetry is done in either CT or MRI. A number of researchers have developed computerized liver segmentation in CT, but there are fewer studies on ones for MRI. Our purpose in this study was to develop a general framework for liver segmentation in both CT and MRI. Our scheme consisted of 1) an anisotropic diffusion filter to reduce noise while preserving liver structures, 2) a scale-specific gradient magnitude filter to enhance liver boundaries, 3) a fast-marching algorithm to roughly determine liver boundaries, and 4) a geodesic-active-contour model coupled with a level-set algorithm to refine the initial boundaries. Our CT database contained hepatic CT scans of 18 liver donors obtained under a liver transplant protocol. Our MRI database contains 23 patients with 1.5T MRI scanners. To establish "gold-standard" liver volumes, radiologists manually traced the contour of the liver on each CT or MR slice. We compared our computer volumetry with "gold-standard" manual volumetry. Computer volumetry in CT and MRI reached excellent agreement with manual volumetry (intra-class correlation coefficient = 0.94 and 0.98, respectively). Average user time for computer volumetry in CT and MRI was 0.57 ± 0.06 and 1.0 ± 0.13 min. per case, respectively, whereas those for manual volumetry were 39.4 ± 5.5 and 24.0 ± 4.4 min. per case, respectively, with statistically significant difference (p < .05). Our computerized liver segmentation framework provides an efficient and accurate way of measuring liver volumes in both CT and MRI.

1 - Framework for segmentation, optimization, and recognition of multivariate brain tumors

In brain tumor diagnosis, clinicians integrate their medical knowledge and brain magnetic resonance imaging (MRI) scans to obtain the nature and pathological characteristics of brain tumors and to decide on treatment options. However, manually detecting and segmenting brain tumors in today's brain MRI, where a large number of MRI scans taken for each patient, is tedious and subjected to inter and intra observer detection and segmentation variability. As result a number of methods have been proposed in recent years to fill this gap, but still there is no commonly accepted automated technique by clinicians to be used in clinical floor due to accuracy and robustness issues. In our approach, an automatic brain tumor detection and segmentation framework that consists of techniques from skull stripping to detection and segmentation of brain tumors is proposed with fuzzy Hopfield neural network as its final tumor segmentation technique. Through preprocessing, image fusion and initial tumorous slice classification, the final hybrid intelligent fuzzy Hopfield neural network algorithm based tumor segmentation, and tumor region detection and extraction is achieved. The performance of the proposed framework is evaluated on various MR images including simulated and real, normal and tumorous. Quantitatively the method is validated against available ground truth using commonly used validation metrics. The final segmentation mean and standard deviation result in Jaccard similarity index, Dice similarity score, sensitivity and specificity are 0.8569+/-0.0896, 0.9186+/-0.0638, 0.9480+/-0.0402 and 0.9917+/-0.0387 respectively. Quantitative and qualitative segmentation result indicates the potential of the proposed framework.

BackgroundDynamic contrast-enhanced magnetic resonance imaging (DCE - MRI) has been widely used in the management of breast cancer, and its diagnostic value in breast imaging has been demonstrated. There have only been a few reports regarding the usefulness of pre-contrast imaging. Knowledge about clinically significant findings of preoperative, pre-contrast T1 and T2 MR images will allow more accurate decisions regarding patient treatment and management.ObjectivesThe aim of this study was to evaluate the clinically significant findings of preoperative, pre-contrast T1 and T2 MR images in recently diagnosed breast cancer patients.Patients and MethodsWe analyzed 390 preoperative 3-T MRIs of recently diagnosed breast cancer patients in whom the diagnosis was confirmed by a core needle biopsy.ResultsMRI findings that were correlated with post-core needle-biopsy changes were observed in 27.9% of the pre-contrast T1 and T2 MRIs (n = 109/390). Two of 35 cases that had a subareolar ductal high signal area on the pre-contrast T1 were confirmed by surgery as having nipple-areolar complex involvement.ConclusionA subareolar ductal high signal area on a pre-contrast T1 MRI must be carefully assessed in combination with dynamic, contrast-enhanced images for proper surgical management.

The segmentation of brain tumor MRI images is one of the most challenging tasks because of the variability and complexity associated with tumor tissues. This study introduces PoSAM-ULTRA, an improved segmentation framework designed to enhance the accuracy and robustness of brain tumor segmentation. PoSAM-ULTRA employs the Polar-Bear Foraging Optimisation (PBFO) algorithm for hyperparameter tuning and utilizes an improved Segment Anything Model as its backbone. The framework is based on a ResNet-34 encoder modified to accept a four-channel input (RGB + prior information). Multi-scale feature extraction is performed via DownBlocks, while discriminative feature learning is enhanced using the Convolutional Block Attention Module (CBAM). Attention Gates are incorporated to ensure effective skip connections, and a multistage decoder is used for robust upsampling and feature integration. The model was evaluated on a dataset from the Integrative Genomic Analysis of Diffuse Lower Grade Gliomas (LGG) and compared with UNet, UNet++, and nnUNet. The proposed PoSAM-ULTRA model outperformed the baseline models, achieving superior performance with a Dice score of 91.4%, IoU of 88.9%, Accuracy of 99.8%, Precision of 95.2%, and Recall of 93.3%. The obtained results demonstrate the robustness and reliability of PoSAM-ULTRA in handling the complexity of brain tumor MRI segmentation, highlighting its effectiveness for challenging medical image segmentation tasks.

MDCC-Net: Multiscale double-channel convolution U-Net framework for colorectal tumor segmentation

Deep learning models have obtained state-of-the-art results for medical image analysis. However, CNNs require a massive amount of labelled data to achieve a high performance. Moreover, many supervised learning approaches assume that the training/source dataset and test/target dataset follow the same probability distribution. Nevertheless, this assumption is hardly satisfied in real-world data and when the models are tested on an unseen domain there is a significant performance degradation. In this work, we present an unsupervised Cross-Modality Adversarial Domain Adaptation (C-MADA) framework for medical image segmentation. C-MADA implements an image-level and feature-level adaptation method in a two-step sequential manner. First, images from the source domain are translated to the target domain through an unpaired image-to-image adversarial translation with cycle-consistency loss. Then, a U-Net network is trained with the mapped source domain images and target domain images in an adversarial manner to learn domain-invariant feature representations and produce segmentations for the target domain. Furthermore, to improve the network’s segmentation performance, information about the shape, texture, and contour of the predicted segmentation is included during the adversarial training. C-MADA is tested on the task of brain MRI segmentation from the crossMoDa Grand Challenge and is ranked within the top 15 submissions of the challenge.

A brain tumor segmentation framework based on outlier detection

597 Background: Automated breast tumor identification and segmentation in magnetic resonance imaging (MRI) is a difficult and crucial area of study in breast cancer research. Artificial intelligence (AI) models are increasingly being developed for automated localization of lesions in imaging studies to facilitate quantitative assessment of features for improved diagnostic, prognostic and predictive performance. Such models have had success in detecting breast cancers in mammography, ultrasound and CT, but few have achieved three-dimensional (3D) volumetric tumor segmentation from breast MRI. The purpose of this study was to apply two state-of-the-art AI – specifically, deep learning (DL) - algorithms to 3D MRI breast cancer data and identify the higher performing algorithm for precise segmentation of breast tumors. Methods: We evaluated pre-treatment, T1 post-gadolinium contrast enhanced breast MRI from 222 patients with known breast cancers (n = 262). Images were split into training (n = 142), validation (n = 36), and hold-out test (n = 44) datasets. Two DL algorithms, U-Net and VAE-UNet, were trained to classify tumors on the training dataset across 1000 epochs. The output for each is a precise localization and segmentation of each tumor at the pixel level from every MRI image. We evaluated the performance of each algorithm using 5-fold cross-validation and testing on the validation and test sets. We calculated a dice accuracy score for each model as the performance comparison metric. Results: The highest dice accuracy score achieved on the validation dataset by generic U-Net was 83.38%, with an average across 1000 epochs of 62.41%. The highest dice accuracy achieved on the validation dataset by VAE-UNet was 82.62%, with an average across epochs of 61.28%. On our test dataset, the highest dice accuracy score achieved by U-Net was 93.09%, with an average across epochs of 66.31%, and the highest accuracy score for VAE-UNet was 90.98%, with average across epochs of 50.47%. Although U-Net appeared to perform slightly better than VAE-Unet for most cases, there were distinct cases where VAE-UNet outperformed U-Net (dice score up to 59% better than U-Net). Subsequent analysis indicated that VAE-UNet preferentially outperforms U-Net for tumors with low sphericity (p = 0.001). Conclusions: Our results suggest that U-Net is well suited for segmenting breast tumors from breast MRI in most cases, but that VAE-UNet outperforms U-Net when the tumor shapes are less spherical. Our findings could inform the choice of DL algorithms in research and clinical endeavors that rely on accurate breast cancer tumor segmentation. In particular, these two tools could be configured to facilitate tumor assessment from breast MRI in the clinical setting for: breast cancer screening in high-risk patient populations, pre-surgical planning, and monitoring of treatment response.