Vladimir Juras

Olgica Zaric, Carmen Leser, Vladimir Juras et al.

Introduction: In sodium (23Na) magnetic resonance imaging (MRI), partial volume effects (PVE) are one of the most common causes of errors in the in vivo quantification of tissue sodium concentration (TSC). Advanced image reconstruction algorithms, such as compressed sensing (CS), have the potential to reduce PVE. Therefore, we investigated the feasibility of using CS-based methods to improve image quality and TSC quantification accuracy in patients with breast cancer. Subjects and methods: In this study, three healthy participants and 12 female participants with breast cancer were examined on a 7T MRI scanner. 23Na-MRI images were reconstructed using weighted total variation (wTV), directional total variation (dTV), anatomically guided total variation (AG-TV) and adaptive combine (ADC) methods. The consistency of tumor volume delineations based on sodium data was assessed using the Dice score, and TSC quantification was performed for various image reconstruction methods. Pearsons correlation coefficients were calculated to assess the relationships between wTV, dTV, AG-TV, and ADC values. Results: All methods provided breast MRI images with well-preserved sodium signal and tissue structures. The mean Dice scores for wTV, dTV, and AG-TV were 65%, 72%, and 75%, respectively. Average TSC values in breast tumors were 61.0, 72.0, 73.0, and 88.0 mmol/L for wTV, dTV, AG-TV, and ADC, respectively. A strong negative correlation was observed between wTV and dTV (r = -0.78, 95% CI [-0.94, -0.31], p = 0.0076) and a strong positive correlation between dTV and AG-TV (r = 0.71, 95% CI [0.16, 0.92], p = 0.0207) was found. Conclusion: The results of this study showed that differences in tumor appearance and TSC estimations may depend on the type of image reconstruction and the parameters used. This is most likely due to differences in their ability to reduce PVE.

Arjun D. Desai, Francesco Caliva, Claudia Iriondo et al.

Purpose: To organize a knee MRI segmentation challenge for characterizing the semantic and clinical efficacy of automatic segmentation methods relevant for monitoring osteoarthritis progression. Methods: A dataset partition consisting of 3D knee MRI from 88 subjects at two timepoints with ground-truth articular (femoral, tibial, patellar) cartilage and meniscus segmentations was standardized. Challenge submissions and a majority-vote ensemble were evaluated using Dice score, average symmetric surface distance, volumetric overlap error, and coefficient of variation on a hold-out test set. Similarities in network segmentations were evaluated using pairwise Dice correlations. Articular cartilage thickness was computed per-scan and longitudinally. Correlation between thickness error and segmentation metrics was measured using Pearson's coefficient. Two empirical upper bounds for ensemble performance were computed using combinations of model outputs that consolidated true positives and true negatives. Results: Six teams (T1-T6) submitted entries for the challenge. No significant differences were observed across all segmentation metrics for all tissues (p=1.0) among the four top-performing networks (T2, T3, T4, T6). Dice correlations between network pairs were high (>0.85). Per-scan thickness errors were negligible among T1-T4 (p=0.99) and longitudinal changes showed minimal bias (<0.03mm). Low correlations (<0.41) were observed between segmentation metrics and thickness error. The majority-vote ensemble was comparable to top performing networks (p=1.0). Empirical upper bound performances were similar for both combinations (p=1.0). Conclusion: Diverse networks learned to segment the knee similarly where high segmentation accuracy did not correlate to cartilage thickness accuracy. Voting ensembles did not outperform individual networks but may help regularize individual models.