Prediction of white matter hyperintensities evolution one-year post-stroke from a single-point brain MRI and stroke lesions information
Abstract Predicting the evolution of white matter hyperintensities (WMH), a common feature in brain magnetic resonance imaging (MRI) scans of older adults (i.e., whether WMH will grow, remain stable, or shrink with time) is important for personalised therapeutic interventions. However, this task is...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2025-01-01
|
| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-024-83128-6 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841544783538946048 |
|---|---|
| author | Muhammad Febrian Rachmadi Maria del C. Valdés-Hernández Stephen Makin Joanna Wardlaw Henrik Skibbe |
| author_facet | Muhammad Febrian Rachmadi Maria del C. Valdés-Hernández Stephen Makin Joanna Wardlaw Henrik Skibbe |
| author_sort | Muhammad Febrian Rachmadi |
| collection | DOAJ |
| description | Abstract Predicting the evolution of white matter hyperintensities (WMH), a common feature in brain magnetic resonance imaging (MRI) scans of older adults (i.e., whether WMH will grow, remain stable, or shrink with time) is important for personalised therapeutic interventions. However, this task is difficult mainly due to the myriad of vascular risk factors and comorbidities that influence it, and the low specificity and sensitivity of the image intensities and textures alone for predicting WMH evolution. Given the predominantly vascular nature of WMH, in this study, we evaluate the impact of incorporating stroke lesion information to a probabilistic deep learning model to predict the evolution of WMH 1-year after the baseline image acquisition, taken soon after a mild stroke event, using T2-FLAIR brain MRI. The Probabilistic U-Net was chosen for this study due to its capability of simulating and quantifying the uncertainties involved in the prediction of WMH evolution. We propose to use an additional loss called volume loss to train our model, and incorporate stroke lesions information, an influential factor in WMH evolution. Our experiments showed that jointly segmenting the disease evolution map (DEM) of WMH and stroke lesions, improved the accuracy of the DEM representing WMH evolution. The combination of introducing the volume loss and joint segmentation of DEM of WMH and stroke lesions outperformed other model configurations with mean volumetric absolute error of 0.0092 ml (down from 1.7739 ml) and 0.47% improvement on average Dice similarity coefficient in shrinking, growing and stable WMH. |
| format | Article |
| id | doaj-art-dbbbde2ef17a462c81ffb1e600ac3253 |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj-art-dbbbde2ef17a462c81ffb1e600ac32532025-01-12T12:19:31ZengNature PortfolioScientific Reports2045-23222025-01-0115111610.1038/s41598-024-83128-6Prediction of white matter hyperintensities evolution one-year post-stroke from a single-point brain MRI and stroke lesions informationMuhammad Febrian Rachmadi0Maria del C. Valdés-Hernández1Stephen Makin2Joanna Wardlaw3Henrik Skibbe4RIKEN Center for Brain Science, Brain Image Analysis UnitCentre for Clinical Brain Sciences, University of EdinburghCentre for Rural Health, University of AberdeenCentre for Clinical Brain Sciences, University of EdinburghRIKEN Center for Brain Science, Brain Image Analysis UnitAbstract Predicting the evolution of white matter hyperintensities (WMH), a common feature in brain magnetic resonance imaging (MRI) scans of older adults (i.e., whether WMH will grow, remain stable, or shrink with time) is important for personalised therapeutic interventions. However, this task is difficult mainly due to the myriad of vascular risk factors and comorbidities that influence it, and the low specificity and sensitivity of the image intensities and textures alone for predicting WMH evolution. Given the predominantly vascular nature of WMH, in this study, we evaluate the impact of incorporating stroke lesion information to a probabilistic deep learning model to predict the evolution of WMH 1-year after the baseline image acquisition, taken soon after a mild stroke event, using T2-FLAIR brain MRI. The Probabilistic U-Net was chosen for this study due to its capability of simulating and quantifying the uncertainties involved in the prediction of WMH evolution. We propose to use an additional loss called volume loss to train our model, and incorporate stroke lesions information, an influential factor in WMH evolution. Our experiments showed that jointly segmenting the disease evolution map (DEM) of WMH and stroke lesions, improved the accuracy of the DEM representing WMH evolution. The combination of introducing the volume loss and joint segmentation of DEM of WMH and stroke lesions outperformed other model configurations with mean volumetric absolute error of 0.0092 ml (down from 1.7739 ml) and 0.47% improvement on average Dice similarity coefficient in shrinking, growing and stable WMH.https://doi.org/10.1038/s41598-024-83128-6 |
| spellingShingle | Muhammad Febrian Rachmadi Maria del C. Valdés-Hernández Stephen Makin Joanna Wardlaw Henrik Skibbe Prediction of white matter hyperintensities evolution one-year post-stroke from a single-point brain MRI and stroke lesions information Scientific Reports |
| title | Prediction of white matter hyperintensities evolution one-year post-stroke from a single-point brain MRI and stroke lesions information |
| title_full | Prediction of white matter hyperintensities evolution one-year post-stroke from a single-point brain MRI and stroke lesions information |
| title_fullStr | Prediction of white matter hyperintensities evolution one-year post-stroke from a single-point brain MRI and stroke lesions information |
| title_full_unstemmed | Prediction of white matter hyperintensities evolution one-year post-stroke from a single-point brain MRI and stroke lesions information |
| title_short | Prediction of white matter hyperintensities evolution one-year post-stroke from a single-point brain MRI and stroke lesions information |
| title_sort | prediction of white matter hyperintensities evolution one year post stroke from a single point brain mri and stroke lesions information |
| url | https://doi.org/10.1038/s41598-024-83128-6 |
| work_keys_str_mv | AT muhammadfebrianrachmadi predictionofwhitematterhyperintensitiesevolutiononeyearpoststrokefromasinglepointbrainmriandstrokelesionsinformation AT mariadelcvaldeshernandez predictionofwhitematterhyperintensitiesevolutiononeyearpoststrokefromasinglepointbrainmriandstrokelesionsinformation AT stephenmakin predictionofwhitematterhyperintensitiesevolutiononeyearpoststrokefromasinglepointbrainmriandstrokelesionsinformation AT joannawardlaw predictionofwhitematterhyperintensitiesevolutiononeyearpoststrokefromasinglepointbrainmriandstrokelesionsinformation AT henrikskibbe predictionofwhitematterhyperintensitiesevolutiononeyearpoststrokefromasinglepointbrainmriandstrokelesionsinformation |