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Quantification of lung ventilation defects on hyperpolarized MRI: The Multi-Ethnic Study of Atherosclerosis (MESA) COPD study
Journal article   Peer reviewed

Quantification of lung ventilation defects on hyperpolarized MRI: The Multi-Ethnic Study of Atherosclerosis (MESA) COPD study

Xuzhe Zhang, Elsa D. Angelini, Fateme S. Haghpanah, Andrew F. Laine, Yanping Sun, Grant T. Hiura, Stephen M. Dashnaw, Martin R. Prince, Eric A. Hoffman, Bharath Ambale-Venkatesh, …
Magnetic resonance imaging, Vol.92, pp.140-149
10/01/2022
DOI: 10.1016/j.mri.2022.06.016
PMCID: PMC9957614
PMID: 35777684

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Abstract

Purpose: To develop an end-to-end deep learning (DL) framework to segment ventilation defects on pulmonary hyperpolarized MRI. Materials and methods: The Multi-Ethnic Study of Atherosclerosis Chronic Obstructive Pulmonary Disease (COPD) study is a nested longitudinal case-control study in older smokers. Between February 2016 and July 2017, 56 participants (age, mean +/- SD, 74 +/- 8 years; 34 men) underwent same breath-hold proton (1H) and helium (3He) MRI, which were annotated for non-ventilated, hypo-ventilated, and normal-ventilated lungs. In this retrospective DL study, 820 1H and 3He slices from 42/56 (75%) participants were randomly selected for training, with the remaining 14/56 (25%) for test. Full lung masks were segmented using a traditional U-Net on 1H MRI and were imported into a cascaded U-Net, which were used to segment ventilation defects on 3He MRI. Models were trained with conventional data augmentation (DA) and generative adversarial networks (GAN)-DA. Results: Conventional-DA improved 1H and 3He MRI segmentation over the non-DA model (P = 0.007 to 0.03) but GAN-DA did not yield further improvement. The cascaded U-Net improved non-ventilated lung segmentation (P < 0.005). Dice similarity coefficients (DSC) between manually and DL-segmented full lung, non-ventilated, hypo-ventilated, and normal-ventilated regions were 0.965 +/- 0.010, 0.840 +/- 0.057, 0.715 +/- 0.175, and 0.883 +/- 0.060, respectively. We observed no statistically significant difference in DCSs between participants with and without COPD (P = 0.41, 0.06, and 0.18 for non-ventilated, hypo-ventilated, and normal-ventilated regions, respectively).
Life Sciences & Biomedicine Radiology, Nuclear Medicine & Medical Imaging Science & Technology

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