1. Deep learning biomarker of chronometric and biological ischemic stroke lesion age from unenhanced CT
- Author
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Adam Marcus, Grant Mair, Liang Chen, Charles Hallett, Claudia Ghezzou Cuervas-Mons, Dylan Roi, Daniel Rueckert, and Paul Bentley
- Subjects
Computer applications to medicine. Medical informatics ,R858-859.7 - Abstract
Abstract Estimating progression of acute ischemic brain lesions – or biological lesion age - holds huge practical importance for hyperacute stroke management. The current best method for determining lesion age from non-contrast computerised tomography (NCCT), measures Relative Intensity (RI), termed Net Water Uptake (NWU). We optimised lesion age estimation from NCCT using a convolutional neural network – radiomics (CNN-R) model trained upon chronometric lesion age (Onset Time to Scan: OTS), while validating against chronometric and biological lesion age in external datasets (N = 1945). Coefficients of determination (R2) for OTS prediction, using CNN-R, and RI models were 0.58 and 0.32 respectively; while CNN-R estimated OTS showed stronger associations with ischemic core:penumbra ratio, than RI and chronometric, OTS (ρ2 = 0.37, 0.19, 0.11); and with early lesion expansion (regression coefficients >2x for CNN-R versus others) (all comparisons: p
- Published
- 2024
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