Prediction of futile recanalisation after endovascular treatment in acute ischaemic stroke: development and validation of a hybrid machine learning model.

BACKGROUND: Identification of futile recanalisation following endovascular therapy (EVT) in patients with acute ischaemic stroke is both crucial and challenging. Here, we present a novel risk stratification system based on hybrid machine learning method for predicting futile recanalisation. METHODS: Hybrid machine learning models were developed to address six clinical scenarios within the EVT and perioperative management workflow. These models were trained on a prospective database using hybrid feature selection technique to predict futile recanalisation following EVT. The optimal model was validated and compared with existing models and scoring systems in a multicentre prospective cohort to develop a hybrid machine learning-based risk stratification system for futile recanalisation prediction. RESULTS: Using a hybrid feature selection approach, we trained and tested multiple classifiers on two independent patient cohorts (n=1122) to develop a hybrid machine learning-based prediction model. The model demonstrated superior discriminative ability compared with other models and scoring systems (area under the curve=0.80, 95% CI 0.73 to 0.87) and was transformed into a web application (RESCUE-FR Index) that provides a risk stratification system for individual prediction (accessible online at fr-index.biomind.cn/RESCUE-FR/). CONCLUSIONS: The proposed hybrid machine learning approach could be used as an individualised risk prediction model to facilitate adherence to clinical practice guidelines and shared decision-making for optimal candidate selection and prognosis assessment in patients undergoing EVT.

Optimal Superpixel Kernel-Based Kernel Low-Rank and Sparsity Representation for Brain Tumour Segmentation.

Given the need for quantitative measurement and 3D visualisation of brain tumours, more and more attention has been paid to the automatic segmentation of tumour regions from brain tumour magnetic resonance (MR) images. In view of the uneven grey distribution of MR images and the fuzzy boundaries of brain tumours, a representation model based on the joint constraints of kernel low-rank and sparsity (KLRR-SR) is proposed to mine the characteristics and structural prior knowledge of brain tumour image in the spectral kernel space. In addition, the optimal kernel based on superpixel uniform regions and multikernel learning (MKL) is constructed to improve the accuracy of the pairwise similarity measurement of pixels in the kernel space. By introducing the optimal kernel into KLRR-SR, the coefficient matrix can be solved, which allows brain tumour segmentation results to conform with the spatial information of the image. The experimental results demonstrate that the segmentation accuracy of the proposed method is superior to several existing methods under different indicators and that the sparsity constraint for the coefficient matrix in the kernel space, which is integrated into the kernel low-rank model, has certain effects in preserving the local structure and details of brain tumours.

Brain Lesion Segmentation Based on Joint Constraints of Low-Rank Representation and Sparse Representation.

The segmentation of brain lesions from a brain magnetic resonance (MR) image is of great significance for the clinical diagnosis and follow-up treatment. An automatic segmentation method for brain lesions is proposed based on the low-rank representation (LRR) and the sparse representation (SR) theory. The proposed method decomposes the brain image into the background part composed of brain tissue and the brain lesion part. Considering that each pixel in the brain tissue can be represented by the background dictionary, a low-rank representation that incorporates sparsity-inducing regularization term is adopted to model the part. Then, the linearized alternating direction method with adaptive penalty (LADMAP) was selected to solve the model, and the brain lesions can be obtained by the response of the residual matrix. The presented model not only reflects the global structure of the image but also preserves the local information of the pixels, thus improving the representation accuracy. The experimental results on the data of brain tumor patients and multiple sclerosis patients revealed that the proposed method is superior to several existing methods in terms of segmentation accuracy while realizing the segmentation automatically.

An automatic glioma grading method based on multi-feature extraction and fusion.

BACKGROUND: An accurate assessment of tumor malignancy grade in the preoperative situation is important for clinical management. However, the manual grading of gliomas from MRIs is both a tiresome and time consuming task for radiologists. Thus, it is a priority to design an automatic and effective computer-aided diagnosis (CAD) tool to assist radiologists in grading gliomas. OBJECTIVE: To design an automatic computer-aided diagnosis for grading gliomas using multi-sequence magnetic resonance imaging. METHODS: The proposed method consists of two steps: (1) the features of high and low grade gliomas are extracted from multi-sequence magnetic resonance images, and (2) then, a KNN classifier is trained to grade the gliomas. In the feature extraction step, the intensity, volume, and local binary patterns (LBP) of the gliomas are extracted, and PCA is used to reduce the data dimension. RESULTS: The proposed "Intensity-Volume-LBP-PCA-KNN" method is validated on the MICCAI 2015 BraTS challenge dataset, and an average grade accuracy of 87.59% is obtained. CONCLUSIONS: The proposed method is an effective method for automatically grading gliomas and can be applied to real situations.

Brain Tumor Segmentation Using Deep Belief Networks and Pathological Knowledge.

In this paper, we propose an automatic brain tumor segmentation method based on Deep Belief Networks (DBNs) and pathological knowledge. The proposed method is targeted against gliomas (both low and high grade) obtained in multi-sequence magnetic resonance images (MRIs). Firstly, a novel deep architecture is proposed to combine the multi-sequences intensities feature extraction with classification to get the classification probabilities of each voxel. Then, graph cut based optimization is executed on the classification probabilities to strengthen the spatial relationships of voxels. At last, pathological knowledge of gliomas is applied to remove some false positives. Our method was validated in the Brain Tumor Segmentation Challenge 2012 and 2013 databases (BRATS 2012, 2013). The performance of segmentation results demonstrates our proposal providing a competitive solution with stateof- the-art methods.

Multigrid Nonlocal Gaussian Mixture Model for Segmentation of Brain Tissues in Magnetic Resonance Images.

We propose a novel segmentation method based on regional and nonlocal information to overcome the impact of image intensity inhomogeneities and noise in human brain magnetic resonance images. With the consideration of the spatial distribution of different tissues in brain images, our method does not need preestimation or precorrection procedures for intensity inhomogeneities and noise. A nonlocal information based Gaussian mixture model (NGMM) is proposed to reduce the effect of noise. To reduce the effect of intensity inhomogeneity, the multigrid nonlocal Gaussian mixture model (MNGMM) is proposed to segment brain MR images in each nonoverlapping multigrid generated by using a new multigrid generation method. Therefore the proposed model can simultaneously overcome the impact of noise and intensity inhomogeneity and automatically classify 2D and 3D MR data into tissues of white matter, gray matter, and cerebral spinal fluid. To maintain the statistical reliability and spatial continuity of the segmentation, a fusion strategy is adopted to integrate the clustering results from different grid. The experiments on synthetic and clinical brain MR images demonstrate the superior performance of the proposed model comparing with several state-of-the-art algorithms.

An improved variational level set method for MR image segmentation and bias field correction.

In this paper, we propose an improved variational level set approach to correct the bias and to segment the magnetic resonance (MR) images with inhomogeneous intensity. First, we use a Gaussian distribution with bias field as a local region descriptor in two-phase level set formulation for segmentation and bias field correction of the images with inhomogeneous intensities. By using the information of the local variance in this descriptor, our method is able to obtain accurate segmentation results. Furthermore, we extend this method to three-phase level set formulation for brain MR image segmentation and bias field correction. By using this three-phase level set function to replace the four-phase level set function, we can reduce the number of convolution operations in each iteration and improve the efficiency. Compared with other approaches, this algorithm demonstrates a superior performance.