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  4. RimNet: A deep 3D multimodal MRI architecture for paramagnetic rim lesion assessment in multiple sclerosis
 
research article

RimNet: A deep 3D multimodal MRI architecture for paramagnetic rim lesion assessment in multiple sclerosis

Barquero, Germán
•
La Rosa, Francesco  
•
Kebiri, Hamza
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September 4, 2020
NeuroImage: Clinical

Objectives In multiple sclerosis (MS), the presence of a paramagnetic rim at the edge of non-gadolinium-enhancing lesions indicates perilesional chronic inflammation. Patients featuring a higher paramagnetic rim lesion burden tend to have more aggressive disease. The objective of this study was to develop and evaluate a convolutional neural network (CNN) architecture (RimNet) for automated detection of paramagnetic rim lesions in MS employing multiple magnetic resonance (MR) imaging contrasts. Materials and methods Imaging data were acquired at 3 Tesla on three different scanners from two different centers, totaling 124 MS patients, and studied retrospectively. Paramagnetic rim lesion detection was independently assessed by two expert raters on T2*-phase images, yielding 462 rim-positive (rim+) and 4857 rim-negative (rim-) lesions. RimNet was designed using 3D patches centered on candidate lesions in 3D-EPI phase and 3D FLAIR as input to two network branches. The interconnection of branches at both the first network blocks and the last fully connected layers favors the extraction of low and high-level multimodal features, respectively. RimNet’s performance was quantitatively evaluated against experts’ evaluation from both lesion-wise and patient-wise perspectives. For the latter, patients were categorized based on a clinically relevant threshold of 4 rim+ lesions per patient. The individual prediction capabilities of the images were also explored and compared (DeLong test) by testing a CNN trained with one image as input (unimodal). Results The unimodal exploration showed the superior performance of 3D-EPI phase and 3D-EPI magnitude images in the rim+/- classification task (AUC = 0.913 and 0.901), compared to the 3D FLAIR (AUC = 0.855, Ps < 0.0001). The proposed multimodal RimNet prototype clearly outperformed the best unimodal approach (AUC = 0.943, P < 0.0001). The sensitivity and specificity achieved by RimNet (70.6% and 94.9%, respectively) are comparable to those of experts at the lesion level. In the patient-wise analysis, RimNet performed with an accuracy of 89.5% and a Dice coefficient (or F1 score) of 83.5%. Conclusions The proposed prototype showed promising performance, supporting the usage of RimNet for speeding up and standardizing the paramagnetic rim lesions analysis in MS.

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Type
research article
DOI
10.1016/j.nicl.2020.102412
Author(s)
Barquero, Germán
La Rosa, Francesco  
Kebiri, Hamza
Lu, Po-Jui
Rahmanzadeh, Reza
Weigel, Matthias
Fartaria, Joao Mario
Kober, Tobias
Théaudin, Marie
Du Pasquier, Renaud
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Date Issued

2020-09-04

Published in
NeuroImage: Clinical
Volume

28

Article Number

102412

Note

This is an open access article under the CC BY license.

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LTS5  
FunderGrant Number

EU funding

765148

RelationURL/DOI

IsSupplementedBy

https://infoscience.epfl.ch/record/303581
Available on Infoscience
September 23, 2020
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/171845
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