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      A Novel Approach for Fully Automatic Intra-Tumor Segmentation With 3D U-Net Architecture for Gliomas

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          Abstract

          Purpose: Gliomas are the most common primary brain malignancies, with varying degrees of aggressiveness and prognosis. Understanding of tumor biology and intra-tumor heterogeneity is necessary for planning personalized therapy and predicting response to therapy. Accurate tumoral and intra-tumoral segmentation on MRI is the first step toward understanding the tumor biology through computational methods. The purpose of this study was to design a segmentation algorithm and evaluate its performance on pre-treatment brain MRIs obtained from patients with gliomas.

          Materials and Methods: In this study, we have designed a novel 3D U-Net architecture that segments various radiologically identifiable sub-regions like edema, enhancing tumor, and necrosis. Weighted patch extraction scheme from the tumor border regions is proposed to address the problem of class imbalance between tumor and non-tumorous patches. The architecture consists of a contracting path to capture context and the symmetric expanding path that enables precise localization. The Deep Convolutional Neural Network (DCNN) based architecture is trained on 285 patients, validated on 66 patients and tested on 191 patients with Glioma from Brain Tumor Segmentation (BraTS) 2018 challenge dataset. Three dimensional patches are extracted from multi-channel BraTS training dataset to train 3D U-Net architecture. The efficacy of the proposed approach is also tested on an independent dataset of 40 patients with High Grade Glioma from our tertiary cancer center. Segmentation results are assessed in terms of Dice Score, Sensitivity, Specificity, and Hausdorff 95 distance (ITCN intra-tumoral classification network).

          Result: Our proposed architecture achieved Dice scores of 0.88, 0.83, and 0.75 for the whole tumor, tumor core and enhancing tumor, respectively, on BraTS validation dataset and 0.85, 0.77, 0.67 on test dataset. The results were similar on the independent patients' dataset from our hospital, achieving Dice scores of 0.92, 0.90, and 0.81 for the whole tumor, tumor core and enhancing tumor, respectively.

          Conclusion: The results of this study show the potential of patch-based 3D U-Net for the accurate intra-tumor segmentation. From experiments, it is observed that the weighted patch-based segmentation approach gives comparable performance with the pixel-based approach when there is a thin boundary between tumor subparts.

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          Most cited references28

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          The Multimodal Brain Tumor Image Segmentation Benchmark (BRATS).

          In this paper we report the set-up and results of the Multimodal Brain Tumor Image Segmentation Benchmark (BRATS) organized in conjunction with the MICCAI 2012 and 2013 conferences. Twenty state-of-the-art tumor segmentation algorithms were applied to a set of 65 multi-contrast MR scans of low- and high-grade glioma patients-manually annotated by up to four raters-and to 65 comparable scans generated using tumor image simulation software. Quantitative evaluations revealed considerable disagreement between the human raters in segmenting various tumor sub-regions (Dice scores in the range 74%-85%), illustrating the difficulty of this task. We found that different algorithms worked best for different sub-regions (reaching performance comparable to human inter-rater variability), but that no single algorithm ranked in the top for all sub-regions simultaneously. Fusing several good algorithms using a hierarchical majority vote yielded segmentations that consistently ranked above all individual algorithms, indicating remaining opportunities for further methodological improvements. The BRATS image data and manual annotations continue to be publicly available through an online evaluation system as an ongoing benchmarking resource.
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            Brain tumor segmentation with Deep Neural Networks

            In this paper, we present a fully automatic brain tumor segmentation method based on Deep Neural Networks (DNNs). The proposed networks are tailored to glioblastomas (both low and high grade) pictured in MR images. By their very nature, these tumors can appear anywhere in the brain and have almost any kind of shape, size, and contrast. These reasons motivate our exploration of a machine learning solution that exploits a flexible, high capacity DNN while being extremely efficient. Here, we give a description of different model choices that we've found to be necessary for obtaining competitive performance. We explore in particular different architectures based on Convolutional Neural Networks (CNN), i.e. DNNs specifically adapted to image data. We present a novel CNN architecture which differs from those traditionally used in computer vision. Our CNN exploits both local features as well as more global contextual features simultaneously. Also, different from most traditional uses of CNNs, our networks use a final layer that is a convolutional implementation of a fully connected layer which allows a 40 fold speed up. We also describe a 2-phase training procedure that allows us to tackle difficulties related to the imbalance of tumor labels. Finally, we explore a cascade architecture in which the output of a basic CNN is treated as an additional source of information for a subsequent CNN. Results reported on the 2013 BRATS test data-set reveal that our architecture improves over the currently published state-of-the-art while being over 30 times faster.
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              Advancing The Cancer Genome Atlas glioma MRI collections with expert segmentation labels and radiomic features

              Gliomas belong to a group of central nervous system tumors, and consist of various sub-regions. Gold standard labeling of these sub-regions in radiographic imaging is essential for both clinical and computational studies, including radiomic and radiogenomic analyses. Towards this end, we release segmentation labels and radiomic features for all pre-operative multimodal magnetic resonance imaging (MRI) (n=243) of the multi-institutional glioma collections of The Cancer Genome Atlas (TCGA), publicly available in The Cancer Imaging Archive (TCIA). Pre-operative scans were identified in both glioblastoma (TCGA-GBM, n=135) and low-grade-glioma (TCGA-LGG, n=108) collections via radiological assessment. The glioma sub-region labels were produced by an automated state-of-the-art method and manually revised by an expert board-certified neuroradiologist. An extensive panel of radiomic features was extracted based on the manually-revised labels. This set of labels and features should enable i) direct utilization of the TCGA/TCIA glioma collections towards repeatable, reproducible and comparative quantitative studies leading to new predictive, prognostic, and diagnostic assessments, as well as ii) performance evaluation of computer-aided segmentation methods, and comparison to our state-of-the-art method.
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                Author and article information

                Contributors
                Journal
                Front Comput Neurosci
                Front Comput Neurosci
                Front. Comput. Neurosci.
                Frontiers in Computational Neuroscience
                Frontiers Media S.A.
                1662-5188
                18 February 2020
                2020
                : 14
                : 10
                Affiliations
                [1] 1Department of Electronics and Telecommunication Engineering, Shri Guru Gobind Singhji Institute of Engineering and Technology , Nanded, India
                [2] 2Department of Pathology, Tata Memorial Centre, Tata Memorial Hospital , Mumbai, India
                [3] 3Department of Medical Oncology, Tata Memorial Centre, Tata Memorial Hospital , Mumbai, India
                [4] 4Department of Radiodiagnosis and Imaging, Tata Memorial Centre, Tata Memorial Hospital , Mumbai, India
                [5] 5Department of Neurosurgery Services, Tata Memorial Centre, Tata Memorial Hospital , Mumbai, India
                Author notes

                Edited by: Spyridon Bakas, University of Pennsylvania, United States

                Reviewed by: Madhura Ingalhalikar, Symbiosis International University, India; Ashirbani Saha, St. Michael's Hospital, Canada

                *Correspondence: Abhishek Mahajan drabhishek.mahajan@ 123456yahoo.in
                Article
                10.3389/fncom.2020.00010
                7041417
                32132913
                8b344a65-01b7-4fcf-a113-7ff05c40267c
                Copyright © 2020 Baid, Talbar, Rane, Gupta, Thakur, Moiyadi, Sable, Akolkar and Mahajan.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 31 August 2019
                : 27 January 2020
                Page count
                Figures: 7, Tables: 2, Equations: 3, References: 40, Pages: 11, Words: 6858
                Funding
                Funded by: Ministry of Electronics and Information technology 10.13039/501100008628
                Categories
                Neuroscience
                Original Research

                Neurosciences
                glioma,intra-tumor segmentation,convolutional neural network,deep learning,3d u-net
                Neurosciences
                glioma, intra-tumor segmentation, convolutional neural network, deep learning, 3d u-net

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