1. Supervised segmentation framework for evaluation of diffusion tensor imaging indices in skeletal muscle
- Author
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Melissa T. Hooijmans, Vincent L. Aengevaeren, Aart J. Nederveen, Jithsa R. Monte, Augustin C. Ogier, David Bendahan, Laura Secondulfo, Gustav J. Strijkers, Graduate School, ACS - Diabetes & metabolism, Amsterdam Neuroscience - Brain Imaging, Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam Movement Sciences, Radiology and Nuclear Medicine, Amsterdam Neuroscience, Biomedical Engineering and Physics, ACS - Atherosclerosis & ischemic syndromes, ACS - Heart failure & arrhythmias, AMS - Sports, Department of Biomedical Engineering and Physics, Academic Medical Center, University of Amsterdam [Amsterdam] (UvA), Images et Modèles (I&M), Laboratoire d'Informatique et Systèmes (LIS), Aix Marseille Université (AMU)-Université de Toulon (UTLN)-Centre National de la Recherche Scientifique (CNRS)-Aix Marseille Université (AMU)-Université de Toulon (UTLN)-Centre National de la Recherche Scientifique (CNRS), Centre de résonance magnétique biologique et médicale (CRMBM), Aix Marseille Université (AMU)-Assistance Publique - Hôpitaux de Marseille (APHM)-Centre National de la Recherche Scientifique (CNRS), Department of Radiology and Nuclear Medicine [Amsterdam], VU University Medical Center [Amsterdam], Radboud University Medical Centre [Nijmegen, The Netherlands], Academic Medical Center - Academisch Medisch Centrum [Amsterdam] (AMC), and Radboud University Medical Center [Nijmegen]
- Subjects
Male ,Time Factors ,applications ,muscle ,Vascular damage Radboud Institute for Health Sciences [Radboudumc 16] ,diffusion tensor imaging (DTI) ,030218 nuclear medicine & medical imaging ,Correlation ,Automation ,03 medical and health sciences ,0302 clinical medicine ,post‐acquisition processing ,Fractional anisotropy ,Image Processing, Computer-Assisted ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Segmentation ,Muscle, Skeletal ,Spectroscopy ,Mathematics ,musculoskeletal ,quantitation ,business.industry ,Skeletal muscle ,Pattern recognition ,Regression analysis ,Middle Aged ,Editor's Pick ,Regression ,Diffusion Tensor Imaging ,Muscle disease ,medicine.anatomical_structure ,methods and engineering ,Linear Models ,Molecular Medicine ,[SDV.IB]Life Sciences [q-bio]/Bioengineering ,Artificial intelligence ,business ,Algorithms ,030217 neurology & neurosurgery ,post-acquisition processing ,Diffusion MRI - Abstract
Diffusion tensor imaging (DTI) is becoming a relevant diagnostic tool to understand muscle disease and map muscle recovery processes following physical activity or after injury. Segmenting all the individual leg muscles, necessary for quantification, is still a time‐consuming manual process. The purpose of this study was to evaluate the impact of a supervised semi‐automatic segmentation pipeline on the quantification of DTI indices in individual upper leg muscles. Longitudinally acquired MRI datasets (baseline, post‐marathon and follow‐up) of the upper legs of 11 subjects were used in this study. MR datasets consisted of a DTI and Dixon acquisition. Semi‐automatic segmentations for the upper leg muscles were performed using a transversal propagation approach developed by Ogier et al on the out‐of‐phase Dixon images at baseline. These segmentations were longitudinally propagated for the post‐marathon and follow‐up time points. Manual segmentations were performed on the water image of the Dixon for each of the time points. Dice similarity coefficients (DSCs) were calculated to compare the manual and semi‐automatic segmentations. Bland‐Altman and regression analyses were performed, to evaluate the impact of the two segmentation methods on mean diffusivity (MD), fractional anisotropy (FA) and the third eigenvalue (λ 3). The average DSC for all analyzed muscles over all time points was 0.92 ± 0.01, ranging between 0.48 and 0.99. Bland‐Altman analysis showed that the 95% limits of agreement for MD, FA and λ 3 ranged between 0.5% and 3.0% for the transversal propagation and between 0.7% and 3.0% for the longitudinal propagations. Similarly, regression analysis showed good correlation for MD, FA and λ 3 (r = 0.99, p < 60; 0.0001). In conclusion, the supervised semi‐automatic segmentation framework successfully quantified DTI indices in the upper‐leg muscles compared with manual segmentation while only requiring manual input of 30% of the slices, resulting in a threefold reduction in segmentation time., The performance of a semi‐automatic segmentation framework was compared to manual segmentation for quantification of DTI indices in individual upper leg muscles in a longitudinal study set‐up. The main advantage is a 3‐fold reduction in segmentation time at baseline and 10‐fold reduction for 3 time points. The average DSC value for all analyzed muscles over all time points was 0.92 ± 0.01. Regression analysis and Bland‐Altman analysis showed that the agreement and correlation was good for MD,FA and higher for λ 3.
- Published
- 2021
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