학술논문
A novel 3D multi-path DenseNet for improving automatic segmentation of glioblastoma on pre-operative multi-modal MR images
Document Type
Working Paper
Source
2021 Medical Physics
Subject
Language
Abstract
Convolutional neural networks have achieved excellent results in automatic medical image segmentation. In this study, we proposed a novel 3D multi-path DenseNet for generating the accurate glioblastoma (GBM) tumor contour from four multi-modal pre-operative MR images. We hypothesized that the multi-path architecture could achieve more accurate segmentation than a single-path architecture. 258 GBM patients were included in this study. Each patient had four MR images (T1-weighted, contrast-enhanced T1-weighted, T2-weighted, and FLAIR) and the manually segmented tumor contour. We built a 3D multi-path DenseNet that could be trained to generate the corresponding GBM tumor contour from the four MR images. A 3D single-path DenseNet was also built for comparison. Both DenseNets were based on the encoder-decoder architecture. All four images were concatenated and fed into a single encoder path in the single-path DenseNet, while each input image had its own encoder path in the multi-path DenseNet. The patient cohort was randomly split into a training set of 180 patients, a validation set of 39 patients, and a testing set of 39 patients. Model performance was evaluated using the Dice similarity coefficient (DSC), average surface distance (ASD), and 95% Hausdorff distance (HD95%). Wilcoxon signed-rank tests were conducted to examine the model differences. The single-path DenseNet achieved a DSC of 0.911$\pm$0.060, ASD of 1.3$\pm$0.7 mm, and HD95% of 5.2$\pm$7.1 mm, while the multi-path DenseNet achieved a DSC of 0.922$\pm$0.041, ASD of 1.1$\pm$0.5 mm, and HD95% of 3.9$\pm$3.3 mm. The p-values of all Wilcoxon signed-rank tests were less than 0.05. Both 3D DenseNets generated GBM tumor contours in good agreement with the manually segmented contours from multi-modal MR images. The multi-path DenseNet achieved more accurate tumor segmentation than the single-path DenseNet.
Comment: 15 pages, 6 figures, review in progress
Comment: 15 pages, 6 figures, review in progress