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ABSTRACT: Purpose
This study aimed to evaluate the accuracy and diagnostic test performance of the U-net-based segmentation method in neuromelanin magnetic resonance imaging (NM-MRI) compared to the established manual segmentation method for Parkinson's disease (PD) diagnosis.Methods
NM-MRI datasets from two different 3T-scanners were used: a "principal dataset" with 122 participants and an "external validation dataset" with 24 participants, including 62 and 12 PD patients, respectively. Two radiologists performed SNpc manual segmentation. Inter-reader precision was determined using Dice coefficients. The U-net was trained with manual segmentation as ground truth and Dice coefficients used to measure accuracy. Training and validation steps were performed on the principal dataset using a 4-fold cross-validation method. We tested the U-net on the external validation dataset. SNpc hyperintense areas were estimated from U-net and manual segmentation masks, replicating a previously validated thresholding method, and their diagnostic test performances for PD determined.Results
For SNpc segmentation, U-net accuracy was comparable to inter-reader precision in the principal dataset (Dice coefficient: U-net, 0.83?±?0.04; inter-reader, 0.83?±?0.04), but lower in external validation dataset (Dice coefficient: U-net, 079?±?0.04; inter-reader, 0.85?±?0.03). Diagnostic test performances for PD were comparable between U-net and manual segmentation methods in both principal (area under the receiver operating characteristic curve: U-net, 0.950; manual, 0.948) and external (U-net, 0.944; manual, 0.931) datasets.Conclusion
U-net segmentation provided relatively high accuracy in the evaluation of the SNpc in NM-MRI and yielded diagnostic performance comparable to that of the established manual method.
SUBMITTER: Le Berre A
PROVIDER: S-EPMC6848644 | biostudies-literature | 2019 Dec
REPOSITORIES: biostudies-literature
Le Berre Alice A Kamagata Koji K Otsuka Yujiro Y Andica Christina C Hatano Taku T Saccenti Laetitia L Ogawa Takashi T Takeshige-Amano Haruka H Wada Akihiko A Suzuki Michimasa M Hagiwara Akifumi A Irie Ryusuke R Hori Masaaki M Oyama Genko G Shimo Yashushi Y Umemura Atsushi A Hattori Nobutaka N Aoki Shigeki S
Neuroradiology 20190810 12
<h4>Purpose</h4>This study aimed to evaluate the accuracy and diagnostic test performance of the U-net-based segmentation method in neuromelanin magnetic resonance imaging (NM-MRI) compared to the established manual segmentation method for Parkinson's disease (PD) diagnosis.<h4>Methods</h4>NM-MRI datasets from two different 3T-scanners were used: a "principal dataset" with 122 participants and an "external validation dataset" with 24 participants, including 62 and 12 PD patients, respectively. T ...[more]