arXiv:2410.04460eess.IVcs.CV2024-10被引 1

用U-net模型预测脑脊液分布,仅需前两小时MRI数据即可达到高精度。

U-net based prediction of cerebrospinal fluid distribution and ventricular reflux grading

  • 基于U-net的监督学习模型,预测注射后24小时脑内信号峰值分布。
  • 仅用前两小时数据训练的模型,性能接近使用全部时间数据的模型。
  • 结果与放射科医生评估的脑室反流等级一致,适合临床辅助诊断。

先前研究表明,脑脊液(CSF)在大脑废物清除中起关键作用,其流动模式改变与中枢神经系统多种疾病相关。本研究探讨深度学习预测经鞘内注射钆基对比剂(示踪剂)在人脑中的分布潜力。采用注射前后多时间点的T1加权磁共振成像(MRI)扫描数据,提出一种基于U-net的监督学习模型,用于预测注射后24小时的像素级信号增强峰值。模型在训练中纳入不同示踪剂分布阶段的数据,包括注射前基线扫描。结果显示,仅使用注射后前两小时的影像数据进行训练,其示踪剂流动预测性能可媲美使用更晚阶段数据的模型。与神经放射科医生评估的脑室反流分级相比,预测结果具有良好一致性。这些发现表明,基于深度学习的脑脊液流动预测方法值得更多关注,通过减少MRI扫描次数,在不降低临床分析质量的前提下,可提升效率、改善患者体验并降低医疗成本。

原文摘要 · Abstract (English)

Previous work indicates evidence that cerebrospinal fluid (CSF) plays a crucial role in brain waste clearance processes, and that altered flow patterns are associated with various diseases of the central nervous system. In this study, we investigate the potential of deep learning to predict the distribution in human brain of a gadolinium-based CSF contrast agent (tracer) administered intrathecal. For this, T1-weighted magnetic resonance imaging (MRI) scans taken at multiple time points before and after injection were utilized. We propose a U-net-based supervised learning model to predict pixel-wise signal increase at its peak after 24 hours. Performance is evaluated based on different tracer distribution stages provided during training, including predictions from baseline scans taken before injection. Our findings show that training with imaging data from only the first two hours post-injection yields tracer flow predictions comparable to models trained with additional later-stage scans. Validation against ventricular reflux gradings from neuroradiologists confirmed alignment with expert evaluations. These results demonstrate that deep learning-based methods for CSF flow prediction deserve more attention, as minimizing MR imaging without compromising clinical analysis could enhance efficiency, improve patient well-being, and lower healthcare costs.

脑脊液深度学习MRI分析U-net

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