Two-step deep neural network for segmentation of deep white matter hyperintensities in migraineurs.

Abstract:

BACKGROUND AND OBJECTIVE:Patients with migraine show an increased presence of white matter hyperintensities (WMHs), especially deep WMHs. Segmentation of small, deep WMHs is a critical issue in managing migraine care. Here, we aim to develop a novel approach to segmenting deep WMHs using deep neural networks based on the U-Net. METHODS:148 non-elderly subjects with migraine were recruited for this study. Our model consists of two networks: the first identifies potential deep WMH candidates, and the second reduces the false positives within the candidates. The first network for initial segmentation includes four down-sampling layers and four up-sampling layers to sort the candidates. The second network for false positive reduction uses a smaller field-of-view and depth than the first network to increase utilization of local information. RESULTS:Our proposed model segments deep WMHs with a high true positive rate of 0.88, a low false discovery rate of 0.13, and F1 score of 0.88 tested with ten-fold cross-validation. Our model was automatic and performed better than existing models based on conventional machine learning. CONCLUSION:We developed a novel segmentation framework tailored for deep WMHs using U-Net. Our algorithm is open-access to promote future research in quantifying deep WMHs and might contribute to the effective management of WMHs in migraineurs.

authors

Hong J,Park BY,Lee MJ,Chung CS,Cha J,Park H

doi

10.1016/j.cmpb.2019.105065

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

105065

eissn

0169-2607

issn

1872-7565

pii

S0169-2607(19)30585-1

journal_volume

183

pub_type

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