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Deep convolutional neural networks with multiplane consensus labeling for lung function quantification using UTE proton MRI
Journal article   Peer reviewed

Deep convolutional neural networks with multiplane consensus labeling for lung function quantification using UTE proton MRI

Wei Zha, Sean B. Fain, Mark L. Schiebler, Michael D. Evans, Scott K. Nagle and Fang Liu
Journal of magnetic resonance imaging, Vol.50(4), pp.1169-1181
10/2019
DOI: 10.1002/jmri.26734
PMCID: PMC7039686
PMID: 30945385
url
https://www.ncbi.nlm.nih.gov/pmc/articles/7039686View
Open Access

Abstract

Background Ultrashort echo time (UTE) proton MRI has gained popularity for assessing lung structure and function in pulmonary imaging; however, the development of rapid biomarker extraction and regional quantification has lagged behind due to labor‐intensive lung segmentation. Purpose To evaluate a deep learning (DL) approach for automated lung segmentation to extract image‐based biomarkers from functional lung imaging using 3D radial UTE oxygen‐enhanced (OE) MRI. Study Type Retrospective study aimed to evaluate a technical development. Population Forty‐five human subjects, including 16 healthy volunteers, 5 asthma, and 24 patients with cystic fibrosis. Field Strength/Sequence 1.5T MRI, 3D radial UTE (TE = 0.08 msec) sequence. Assessment Two 3D radial UTE volumes were acquired sequentially under normoxic (21% O2) and hyperoxic (100% O2) conditions. Automated segmentation of the lungs using 2D convolutional encoder‐decoder based DL method, and the subsequent functional quantification via adaptive K‐means were compared with the results obtained from the reference method, supervised region growing. Statistical Tests Relative to the reference method, the performance of DL on volumetric quantification was assessed using Dice coefficient with 95% confidence interval (CI) for accuracy, two‐sided Wilcoxon signed‐rank test for computation time, and Bland–Altman analysis on the functional measure derived from the OE images. Results The DL method produced strong agreement with supervised region growing for the right (Dice: 0.97; 95% CI = [0.96, 0.97]; P < 0.001) and left lungs (Dice: 0.96; 95% CI = [0.96, 0.97]; P < 0.001). The DL method averaged 46 seconds to generate the automatic segmentations in contrast to 1.93 hours using the reference method (P < 0.001). Bland–Altman analysis showed nonsignificant intermethod differences of volumetric (P ≥ 0.12) and functional measurements (P ≥ 0.34) in the left and right lungs. Data Conclusion DL provides rapid, automated, and robust lung segmentation for quantification of regional lung function using UTE proton MRI. Level of Evidence: 2 Technical Efficacy: Stage 1 J. Magn. Reson. Imaging 2019;50:1169–1181.
asthma cystic fibrosis deep learning hyperoxia lung magnetic resonance imaging

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