IVCVNCJul 5, 2023

Direct segmentation of brain white matter tracts in diffusion MRI

arXiv:2307.02223v14 citationsh-index: 44
Originality Highly original
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This work addresses the need for accurate and reliable segmentation of white matter tracts in clinical and research settings, offering improved generalizability over existing methods.

The authors tackled the problem of segmenting brain white matter tracts from diffusion MRI data by proposing a deep learning method that bypasses intermediate computations like tractography, achieving a mean Dice Similarity Coefficient of 0.826 and superior generalizability to undersampled and varied acquisition data.

The brain white matter consists of a set of tracts that connect distinct regions of the brain. Segmentation of these tracts is often needed for clinical and research studies. Diffusion-weighted MRI offers unique contrast to delineate these tracts. However, existing segmentation methods rely on intermediate computations such as tractography or estimation of fiber orientation density. These intermediate computations, in turn, entail complex computations that can result in unnecessary errors. Moreover, these intermediate computations often require dense multi-shell measurements that are unavailable in many clinical and research applications. As a result, current methods suffer from low accuracy and poor generalizability. Here, we propose a new deep learning method that segments these tracts directly from the diffusion MRI data, thereby sidestepping the intermediate computation errors. Our experiments show that this method can achieve segmentation accuracy that is on par with the state of the art methods (mean Dice Similarity Coefficient of 0.826). Compared with the state of the art, our method offers far superior generalizability to undersampled data that are typical of clinical studies and to data obtained with different acquisition protocols. Moreover, we propose a new method for detecting inaccurate segmentations and show that it is more accurate than standard methods that are based on estimation uncertainty quantification. The new methods can serve many critically important clinical and scientific applications that require accurate and reliable non-invasive segmentation of white matter tracts.

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