The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.
Brain Tumor Segmentation Using an Ensemble of 3D U-Nets and Overall Survival Prediction Using Radiomic Features
Open accessAbstract
Accurate segmentation of different sub-regions of gliomas such as peritumoral edema, necrotic core, enhancing, and non-enhancing tumor core from multimodal MRI scans has important clinical relevance in diagnosis, prognosis and treatment of brain tumors. However, due to the highly heterogeneous appearance and shape of these tumors, segmentation of the sub-regions is challenging. Recent developments using deep learning models has proved its effectiveness in various semantic and medical image segmentation tasks, many of which are based on the U-Net network structure with symmetric encoding and decoding paths for end-to-end segmentation due to its high efficiency and good performance. In brain tumor segmentation, the 3D nature of multimodal MRI poses challenges such as memory and computation limitations and class imbalance when directly adopting the U-Net structure. In this study we aim to develop a deep learning model using a 3D U-Net with adaptations in the training and testing strategies, network structures, and model parameters for brain tumor segmentation. Furthermore, instead of picking one best model, an ensemble of multiple models trained with different hyper-parameters are used to reduce random errors from each model and yield improved performance. Preliminary results demonstrate the effectiveness of this method and achieved the 9th place in the very competitive 2018 Multimodal Brain Tumor Segmentation (BraTS) challenge. In addition, to emphasize the clinical value of the developed segmentation method, a linear model based on the radiomics features extracted from segmentation and other clinical features are developed to predict patient overall survival. Evaluation of these innovations shows high prediction accuracy in both low-grade glioma and glioblastoma patients, which achieved the 1st place in the 2018 BraTS challenge.
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Cites
U-Net: Convolutional Networks for Biomedical Image Segmentation
Ronneberger, O., Fischer, P., & Brox, T. (2015) · Lecture notes in computer science · doi:10.1007/978-3-319-24574-4_28 · Cited by 99,404
The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary
Louis, D. N., Perry, A., Reifenberger, G., von Deimling, A., Figarella-Branger, D., Cavenee, W. K., Ohgaki, H., Wiestler, O. D., Kleihues, P., & Ellison, D. W. (2016) · Acta Neuropathologica · doi:10.1007/s00401-016-1545-1 · Cited by 15,657
Radiomics: Images Are More than Pictures, They Are Data
Gillies, R. J., Kinahan, P. E., & Hricak, H. (2016) · Radiology · doi:10.1148/radiol.2015151169 · Cited by 8,421
3D U-Net: Learning Dense Volumetric Segmentation from Sparse Annotation
Çiçek, Ö., Abdulkadir, A., Lienkamp, S. S., Brox, T., & Ronneberger, O. (2016) · Lecture Notes in Computer Science · doi:10.1007/978-3-319-46723-8_49 · Cited by 7,945
The multimodal brain tumor image segmentation benchmark (BRATS)
Menze, B. H., Jakab, A., Bauer, S., Kalpathy-Cramer, J., Farahani, K., Kirby, J., Burren, Y., Porz, N., Slotboom, J., Wiest, R., et al. (2015) · IEEE Transactions on Medical Imaging · doi:10.1109/tmi.2014.2377694 · Cited by 6,781
Self-citationN4ITK: Improved N3 Bias Correction
Tustison, N. J., Avants, B. B., Cook, P. A., Zheng, Y., Egan, A., Yushkevich, P. A., & Gee, J. C. (2010) · IEEE Transactions on Medical Imaging · doi:10.1109/tmi.2010.2046908 · Cited by 6,073
Self-citationEfficient multi-scale 3D CNN with fully connected CRF for accurate brain lesion segmentation
Kamnitsas, K., Ledig, C., Newcombe, V. F. J., Simpson, J. P., Kane, A. D., Menon, D. K., Rueckert, D., & Glocker, B. (2017) · Medical Image Analysis · doi:10.1016/j.media.2016.10.004 · Cited by 3,498 · cited 1×
“Similar to classification networks, one common DCNN method for segmentation is to use the extracted small patches to predict the class for the center voxel and slide these patches to cover the entire volume; to improve the classification accuracy of the center voxel, multi-scale patches with different…”
MethodBrain tumor segmentation with Deep Neural Networks
Havaei, M., Davy, A., Warde-Farley, D., Biard, A., Courville, A., Bengio, Y., Pal, C., Jodoin, P.-M., & Larochelle, H. (2017) · Medical Image Analysis · doi:10.1016/j.media.2016.05.004 · Cited by 3,278
Bakas, S., Akbari, H., Sotiras, A., Bilello, M., Rozycki, M., Kirby, J. S., Freymann, J. B., Farahani, K., & Davatzikos, C. (2017) · Scientific Data · doi:10.1038/sdata.2017.117 · Cited by 3,049
Radiomics: the process and the challenges
Kumar, V., Gu, Y., Basu, S., Berglund, A., Eschrich, S. A., Schabath, M. B., Forster, K., Aerts, H. J. W. L., Dekker, A., Fenstermacher, D., et al. (2012) · Magnetic Resonance Imaging · doi:10.1016/j.mri.2012.06.010 · Cited by 2,258 · cited 1×
“…segmentation of the tumor region has shown advantages in image-based tumor phenotyping over traditionally used clinical measures such as largest anterior-posterior, transverse, and inferior-superior tumor dimensions on a subjectively-chosen slice (Kumar et al., 2012; Gillies et al., 2016).”
Method
Cited by
Brain tumor detection and classification using machine learning: a comprehensive survey
Amin, J., Sharif, M., Haldorai, A., Yasmin, M., & Nayak, R. S. (2022) · Complex & Intelligent Systems · doi:10.1007/s40747-021-00563-y · Cited by 503
Bouget, D., Eijgelaar, R. S., Pedersen, A., Kommers, I., Ardon, H., Barkhof, F., Bello, L., Berger, M. S., Nibali, M. C., Furtner, J., et al. (2021) · Cancers · doi:10.3390/cancers13184674 · Cited by 19
Metadata
- Authors
- Feng, X., Tustison, N. J., Patel, S. H., & Meyer, C. H.
- Venue
- Frontiers in Computational Neuroscience
- Publisher
- Frontiers Media SA
- Published
- 2020-04-08
- Volume
- 14
- Pages
- 25-25
- ISSN
- 1662-5188 (ISSN-L)
- OpenAlex
- W2903554604
- Cited by
- 267
- References
- 27
- FWCI
- 12.53
- Type
- journal article
- Language
- en
- Open access
- gold
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- Feng, X., Tustison, N. J., Patel, S. H., & Meyer, C. H. (2020). Brain Tumor Segmentation Using an Ensemble of 3D U-Nets and Overall Survival Prediction Using Radiomic Features. Frontiers in Computational Neuroscience. https://doi.org/10.3389/fncom.2020.00025
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