AI-based Medical e-Diagnosis for Fast and Automatic Ventricular Volume Measurement in the Patients with Normal Pressure Hydrocephalus
This provides a fast and accurate tool for clinicians to assess ventricular volume in NPH patients, though it is incremental as it applies existing machine learning methods to a specific medical imaging task.
The researchers tackled the problem of automating ventricular volume measurement in normal pressure hydrocephalus patients using CT and MRI images, achieving high accuracy with Dice similarity coefficients of 0.95 for CT and 0.94 for MRI, and processing times of 3.4 and 1.9 seconds respectively.
Based on CT and MRI images acquired from normal pressure hydrocephalus (NPH) patients, using machine learning methods, we aim to establish a multi-modal and high-performance automatic ventricle segmentation method to achieve efficient and accurate automatic measurement of the ventricular volume. First, we extract the brain CT and MRI images of 143 definite NPH patients. Second, we manually label the ventricular volume (VV) and intracranial volume (ICV). Then, we use machine learning method to extract features and establish automatic ventricle segmentation model. Finally, we verify the reliability of the model and achieved automatic measurement of VV and ICV. In CT images, the Dice similarity coefficient (DSC), Intraclass Correlation Coefficient (ICC), Pearson correlation, and Bland-Altman analysis of the automatic and manual segmentation result of the VV were 0.95, 0.99, 0.99, and 4.2$\pm$2.6 respectively. The results of ICV were 0.96, 0.99, 0.99, and 6.0$\pm$3.8 respectively. The whole process takes 3.4$\pm$0.3 seconds. In MRI images, the DSC, ICC, Pearson correlation, and Bland-Altman analysis of the automatic and manual segmentation result of the VV were 0.94, 0.99, 0.99, and 2.0$\pm$0.6 respectively. The results of ICV were 0.93, 0.99, 0.99, and 7.9$\pm$3.8 respectively. The whole process took 1.9$\pm$0.1 seconds. We have established a multi-modal and high-performance automatic ventricle segmentation method to achieve efficient and accurate automatic measurement of the ventricular volume of NPH patients. This can help clinicians quickly and accurately understand the situation of NPH patient's ventricles.