Cited by 205Brain Tumor Detection and ClassificationMedical Image Segmentation TechniquesMeningioma and schwannoma management

Fully automated detection and segmentation of meningiomas using deep learning on routine multiparametric MRI

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Laukamp, Kai Roman, Thiele, Frank, Shakirin, Georgy, Zopfs, David, Faymonville, Andrea, Timmer, Marco, Maintz, David, Perkuhn, Michael +1 more·2019·European Radiology

Abstract

OBJECTIVES: Magnetic resonance imaging (MRI) is the method of choice for imaging meningiomas. Volumetric assessment of meningiomas is highly relevant for therapy planning and monitoring. We used a multiparametric deep-learning model (DLM) on routine MRI data including images from diverse referring institutions to investigate DLM performance in automated detection and segmentation of meningiomas in comparison to manual segmentations. METHODS: We included 56 of 136 consecutive preoperative MRI datasets [T1/T2-weighted, T1-weighted contrast-enhanced (T1CE), FLAIR] of meningiomas that were treated surgically at the University Hospital Cologne and graded histologically as tumour grade I (n = 38) or grade II (n = 18). The DLM was trained on an independent dataset of 249 glioma cases and segmented different tumour classes as defined in the brain tumour image segmentation benchmark (BRATS benchmark). The DLM was based on the DeepMedic architecture. Results were compared to manual segmentations by two radiologists in a consensus reading in FLAIR and T1CE. RESULTS: The DLM detected meningiomas in 55 of 56 cases. Further, automated segmentations correlated strongly with manual segmentations: average Dice coefficients were 0.81 ± 0.10 (range, 0.46-0.93) for the total tumour volume (union of tumour volume in FLAIR and T1CE) and 0.78 ± 0.19 (range, 0.27-0.95) for contrast-enhancing tumour volume in T1CE. CONCLUSIONS: The DLM yielded accurate automated detection and segmentation of meningioma tissue despite diverse scanner data and thereby may improve and facilitate therapy planning as well as monitoring of this highly frequent tumour entity. KEY POINTS: • Deep learning allows for accurate meningioma detection and segmentation • Deep learning helps clinicians to assess patients with meningiomas • Meningioma monitoring and treatment planning can be improved.

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Authors
Laukamp, K. R., Thiele, F., Shakirin, G., Zopfs, D., Faymonville, A., Timmer, M., Maintz, D., Perkuhn, M., & Borggrefe, J.
Affiliations
University Hospital Cologne (DE)
Corresponding author
Borggrefe, Jan
Venue
European Radiology
Published
2018-06-25
Volume
29
Issue
1
Pages
124-132
ISSN
  • 0938-7994 (ISSN-L)
  • 1432-1084
OpenAlex
W2810024032
Cited by
205
References
46
Citations by year
2026: 15 · 2025: 14 · 2024: 23 · 2023: 26 · 2022: 43 · 2021: 36 · 2020: 23 · 2019: 20 · 2018: 3 · 2017: 1
FWCI
9.20
Type
journal article
Language
en
Open access
Locations
  • European Radiology (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Kölner Universitäts PublikationsServer (Universität zu Köln) (publishedVersion)
Topics
  • Life Sciences › Neuroscience › Neurology › Brain Tumor Detection and Classification
  • Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Medical Image Segmentation Techniques
  • Health Sciences › Medicine › Epidemiology › Meningioma and schwannoma management
Keywords
meningioma, automated tumor detection, tumor segmentation, multiparametric MRI, deep learning, volumetric assessment, meningioma grading, treatment planning, cancer monitoring, DeepMedic
MeSH terms
Deep Learning, Aged, Female, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Male, Meningeal Neoplasms, Meningioma, Middle Aged

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