Improving the diagnosis of acute ischemic stroke on non-contrast CT using deep learning: a multicenter study

被引:0
作者
Weidao Chen
Jiangfen Wu
Ren Wei
Shuang Wu
Chen Xia
Dawei Wang
Daliang Liu
Longmei Zheng
Tianyu Zou
Ruijiang Li
Xianrong Qi
Xiaotong Zhang
机构
[1] Zhejiang University,Interdisciplinary Institute of Neuroscience and Technology, College of Biomedical Engineering and Instrument Science
[2] Peking University,Academy for Advanced Interdisciplinary Studies
[3] Infervision Institute of Research,Medical Imaging Center
[4] Liaocheng People’s Hospital,Department of Radiation Oncology
[5] Ankang Central Hospital,School of Pharmaceutical Sciences
[6] Weihai Municipal Hospital,Beijing Key Laboratory of Molecular Pharmaceutics and New Drug Delivery System, School of Pharmaceutical Sciences
[7] Stanford University School of Medicine,College of Electrical Engineering
[8] Peking University,MOE Frontier Science Center for Brain Science & Brain
[9] Peking University,machine Integration
[10] Zhejiang University,undefined
[11] Zhejiang University,undefined
来源
Insights into Imaging | / 13卷
关键词
Deep learning; Non-contrast computed tomography; Early ischemic changes; Alberta Stroke Program Early Computed Tomography Score; Multi-reader and multi-center study; Acute ischemic stroke;
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学科分类号
摘要
The model simultaneously segments infarcts and estimates ASPECTS by using baseline CT.A mirror-assembly module plus dual-path DCNN model improved the segmentation efficiency.We evaluated the model in a multi-reader and multicenter (MRMC) setting.
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[11]  
Nentwich LM(2015)Stent-retriever thrombectomy after intravenous t-PA vs. t-PA alone in Stroke N Engl J Med 372 2285-2295
[12]  
Hirano T(2005)Importance of early ischemic computed tomography changes using ASPECTS in NINDS rtPA Stroke study Stroke 36 2110-2115
[13]  
Sasaki M(2006)Extent of early ischemic changes on computed tomography (CT) before thrombolysis prognostic value of the Alberta Stroke program early CT score in ECASS II Stroke 37 973-978
[14]  
Tomura N(2012)Interobserver reliability of baseline noncontrast CT Alberta Stroke program early CT score for intra-arterial stroke treatment selection AJNR Am J Neuroradiol 33 1046-1049
[15]  
Von Kummer R(2006)Using the baseline CT scan to select acute stroke patients for IV-IA therapy AJNR Am J Neuroradiol 27 1612-1616
[16]  
Allen KL(2014)Serial Alberta Stroke program early CT score from baseline to 24 hours in solitaire flow restoration with the intention for thrombectomy study: a novel surrogate end point for revascularization in acute Stroke Stroke 45 723-727
[17]  
Holle R(2008)Accuracy of the Alberta Stroke Program Early CT Score during the first 3 hours of middle cerebral artery stroke: comparison of noncontrast CT, CT angiography source images, and CT perfusion AJNR Am J Neuroradiol 29 931-936
[18]  
Wardlaw JM(2015)American Heart Association/American Stroke Association focused update of the 2013 guidelines for the early management of patients with acute ischemic stroke regarding endovascular treatment: a guideline for healthcare professionals from the American Heart Association/American Stroke Association Stroke 46 3020-3035
[19]  
Sandercock P(2006)ASPECT scoring to estimate > 1/3 middle cerebral artery territory infarction Can J Neurol Sci 33 200-204
[20]  
Cohen G(2013)Interobserver agreement of ASPECT score distribution for noncontrast CT, CT angiography, and CT perfusion in acute Stroke Stroke 44 234-236