Jeroen de Bresser

Bo Li, Jeroen de Bresser, Wiro Niessen et al.

Lacunes of presumed vascular origin, also referred to as lacunar infarcts, are important to assess cerebral small vessel disease and cognitive diseases such as dementia. However, visual rating of lacunes from imaging data is challenging, time-consuming, and rater-dependent, owing to their small size, sparsity, and mimics. Whereas recent developments in automatic algorithms have shown to make the detection of lacunes faster while preserving sensitivity, they also showed a large number of false positives, which makes them impractical for use in clinical practice or large-scale studies. Here, we develop a novel framework that, in addition to lacune detection, outputs a categorical burden score. This score could provide a more practical estimate of lacune presence that simplifies and effectively accelerates the imaging assessment of lacunes. We hypothesize that the combination of detection and the categorical score makes the procedure less sensitive to noisy labels.

Chinmay Rao, Matthias van Osch, Nicola Pezzotti et al.

Since multiple MRI contrasts of the same anatomy contain redundant information, one contrast can guide the reconstruction of an undersampled subsequent contrast. To this end, several end-to-end learning-based guided reconstruction methods have been proposed. However, a key challenge is the requirement of large paired training datasets comprising raw data and aligned reference images. We propose a modular two-stage approach that does not require any k-space training data, relying solely on image-domain datasets, a large part of which can be unpaired. Additionally, our approach provides an explanatory framework for the multi-contrast problem based on the shared and non-shared generative factors underlying two given contrasts. A content/style model of two-contrast image data is learned from a largely unpaired image-domain dataset and is subsequently applied as a plug-and-play operator in iterative reconstruction. The disentanglement of content and style allows explicit representation of contrast-independent and contrast-specific factors. Consequently, incorporating prior information into the reconstruction reduces to a simple replacement of the aliased content of the reconstruction iterate with high-quality content derived from the reference scan. Combining this component with a data consistency step and introducing a general corrective process for the content yields an iterative scheme. We name this novel approach PnP-CoSMo. Various aspects like interpretability and convergence are explored via simulations. Furthermore, its practicality is demonstrated on the public NYU fastMRI DICOM dataset, showing improved generalizability compared to end-to-end methods, and on two in-house multi-coil raw datasets, offering up to 32.6\% more acceleration over learning-based non-guided reconstruction for a given SSIM.

Hugo J. Kuijf, J. Matthijs Biesbroek, Jeroen de Bresser et al.

Quantification of cerebral white matter hyperintensities (WMH) of presumed vascular origin is of key importance in many neurological research studies. Currently, measurements are often still obtained from manual segmentations on brain MR images, which is a laborious procedure. Automatic WMH segmentation methods exist, but a standardized comparison of the performance of such methods is lacking. We organized a scientific challenge, in which developers could evaluate their method on a standardized multi-center/-scanner image dataset, giving an objective comparison: the WMH Segmentation Challenge (https://wmh.isi.uu.nl/). Sixty T1+FLAIR images from three MR scanners were released with manual WMH segmentations for training. A test set of 110 images from five MR scanners was used for evaluation. Segmentation methods had to be containerized and submitted to the challenge organizers. Five evaluation metrics were used to rank the methods: (1) Dice similarity coefficient, (2) modified Hausdorff distance (95th percentile), (3) absolute log-transformed volume difference, (4) sensitivity for detecting individual lesions, and (5) F1-score for individual lesions. Additionally, methods were ranked on their inter-scanner robustness. Twenty participants submitted their method for evaluation. This paper provides a detailed analysis of the results. In brief, there is a cluster of four methods that rank significantly better than the other methods, with one clear winner. The inter-scanner robustness ranking shows that not all methods generalize to unseen scanners. The challenge remains open for future submissions and provides a public platform for method evaluation.