Pennig, L., Shahzad, R., Caldeira, L., Lennartz, S., Thiele, F., Goertz, L., Zopfs, D., Meissner, A-K, Fuertjes, G., Perkuhn, M., Kabbasch, C., Grau, S., Borggrefe, J. and Laukamp, K. R. (2021). Automated Detection and Segmentation of Brain Metastases in Malignant Melanoma: Evaluation of a Dedicated Deep Learning Model. Am. J. Neuroradiol., 42 (4). S. 655 - 663. DENVILLE: AMER SOC NEURORADIOLOGY. ISSN 1936-959X

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Abstract

Deep learning-based automated detection and segmentation of brain metastases in malignant melanoma yield high detection and segmentation accuracy with false-positive findings of <1 per scan. BACKGROUND AND PURPOSE: Malignant melanoma is an aggressive skin cancer in which brain metastases are common. Our aim was to establish and evaluate a deep learning model for fully automated detection and segmentation of brain metastases in patients with malignant melanoma using clinical routine MR imaging. MATERIALS AND METHODS: Sixty-nine patients with melanoma with a total of 135 brain metastases at initial diagnosis and available multiparametric MR imaging datasets (T1-/T2-weighted, T1-weighted gadolinium contrast-enhanced, FLAIR) were included. A previously established deep learning model architecture (3D convolutional neural network; DeepMedic) simultaneously operating on the aforementioned MR images was trained on a cohort of 55 patients with 103 metastases using 5-fold cross-validation. The efficacy of the deep learning model was evaluated using an independent test set consisting of 14 patients with 32 metastases. Manual segmentations of metastases in a voxelwise manner (T1-weighted gadolinium contrast-enhanced imaging) performed by 2 radiologists in consensus served as the ground truth. RESULTS: After training, the deep learning model detected 28 of 32 brain metastases (mean volume, 1.0 [SD, 2.4]?cm(3)) in the test cohort correctly (sensitivity of 88%), while false-positive findings of 0.71 per scan were observed. Compared with the ground truth, automated segmentations achieved a median Dice similarity coefficient of 0.75. CONCLUSIONS: Deep learning?based automated detection and segmentation of brain metastases in malignant melanoma yields high detection and segmentation accuracy with false-positive findings of <1 per scan.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Pennig, L.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Shahzad, R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Caldeira, L.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lennartz, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Thiele, F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Goertz, L.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zopfs, D.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Meissner, A-KUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fuertjes, G.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Perkuhn, M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kabbasch, C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Grau, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Borggrefe, J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Laukamp, K. R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-592052
DOI: 10.3174/ajnr.A6982
Journal or Publication Title: Am. J. Neuroradiol.
Volume: 42
Number: 4
Page Range: S. 655 - 663
Date: 2021
Publisher: AMER SOC NEURORADIOLOGY
Place of Publication: DENVILLE
ISSN: 1936-959X
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
Clinical Neurology; Neuroimaging; Radiology, Nuclear Medicine & Medical ImagingMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/59205

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