Synthetic Data for Robust Stroke Segmentation

📅 2024-04-02
🏛️ arXiv.org
📈 Citations: 1
Influential: 0
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🤖 AI Summary
Stroke lesion segmentation typically relies on high-resolution images and large-scale annotated datasets, resulting in poor clinical generalizability. Method: We propose the first synthetic-data framework tailored for stroke pathophysiology modeling. Building upon SynthSeg, we introduce a lesion-driven synthetic augmentation strategy that generates multi-sequence MRI data featuring diverse stroke characteristics—including infarction, hemorrhage, and edema. We further design a universal segmentation model that jointly models healthy and pathological tissues without sequence-specific training, implemented via an enhanced nnUNet architecture integrated with SPM-derived anatomical priors and optimized PyTorch execution. Contribution/Results: Our method achieves state-of-the-art performance on in-domain data and significantly outperforms existing approaches on out-of-domain data across multiple clinical centers and scanner types. It substantially reduces dependency on real annotated data while markedly improving clinical robustness and generalizability.

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📝 Abstract
Current deep learning-based approaches to lesion segmentation in neuroimaging often depend on high-resolution images and extensive annotated data, limiting clinical applicability. This paper introduces a novel synthetic data framework tailored for stroke lesion segmentation, expanding the SynthSeg methodology to incorporate lesion-specific augmentations that simulate diverse pathological features. Using a modified nnUNet architecture, our approach trains models with label maps from healthy and stroke datasets, facilitating segmentation across both normal and pathological tissue without reliance on specific sequence-based training. Evaluation across in-domain and out-of-domain (OOD) datasets reveals that our method matches state-of-the-art performance within the training domain and significantly outperforms existing methods on OOD data. By minimizing dependence on large annotated datasets and allowing for cross-sequence applicability, our framework holds potential to improve clinical neuroimaging workflows, particularly in stroke pathology. PyTorch training code and weights are publicly available at https://github.com/liamchalcroft/SynthStroke, along with an SPM toolbox featuring a plug-and-play model at https://github.com/liamchalcroft/SynthStrokeSPM.
Problem

Research questions and friction points this paper is trying to address.

Overcoming reliance on high-resolution images and annotated data for stroke lesion segmentation
Enhancing stroke lesion segmentation with synthetic data and diverse pathological simulations
Improving cross-sequence applicability and clinical neuroimaging workflows in stroke pathology
Innovation

Methods, ideas, or system contributions that make the work stand out.

Synthetic data framework for stroke segmentation
Modified nnUNet with lesion-specific augmentations
Cross-sequence applicability without sequence-based training
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L
Liam F Chalcroft
Wellcome Centre for Human Neuroimaging, University College London
I
Ioannis Pappas
University of Southern Californa
C
Cathy J. Price
Wellcome Centre for Human Neuroimaging, University College London
John Ashburner
John Ashburner
Professor of Imaging Science, Wellcome Centre for Human Neuroimaging, UCL Institute of
NeuroimagingMedical Image ComputingMedical Image AnalysisComputational Anatomy