Deep learning for the fully automated segmentation of the inner ear on MRI.

Journal: Scientific reports
Published Date:

Abstract

Segmentation of anatomical structures is valuable in a variety of tasks, including 3D visualization, surgical planning, and quantitative image analysis. Manual segmentation is time-consuming and deals with intra and inter-observer variability. To develop a deep-learning approach for the fully automated segmentation of the inner ear in MRI, a 3D U-net was trained on 944 MRI scans with manually segmented inner ears as reference standard. The model was validated on an independent, multicentric dataset consisting of 177 MRI scans from three different centers. The model was also evaluated on a clinical validation set containing eight MRI scans with severe changes in the morphology of the labyrinth. The 3D U-net model showed precise Dice Similarity Coefficient scores (mean DSC-0.8790) with a high True Positive Rate (91.5%) and low False Discovery Rate and False Negative Rates (14.8% and 8.49% respectively) across images from three different centers. The model proved to perform well with a DSC of 0.8768 on the clinical validation dataset. The proposed auto-segmentation model is equivalent to human readers and is a reliable, consistent, and efficient method for inner ear segmentation, which can be used in a variety of clinical applications such as surgical planning and quantitative image analysis.

Authors

  • Akshayaa Vaidyanathan
    The D-Lab, Department of Precision Medicine, GROW-School for Oncology, Maastricht University, Maastricht, The Netherlands. akshayaa.vaidyanathan@oncoradiomics.com.
  • Marly F J A van der Lubbe
    Department of Otolaryngology and Head and Neck Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
  • Ralph T H Leijenaar
    The D-Lab, Department of Precision Medicine, GROW - School for Oncology and Developmental Biology, Maastricht University, Maastricht, The Netherlands.
  • Marc van Hoof
    Department of Otolaryngology and Head and Neck Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
  • Fadila Zerka
    The D-Lab & The M-Lab, Department of Precision Medicine, GROW - School for Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, The Netherlands.
  • Benjamin Miraglio
    Oncoradiomics, Liège, Belgium.
  • Sergey Primakov
    The D-Lab: Decision Support for Precision Medicine, GROW-School for Oncology and Developmental Biology, Maastricht University Medical Center+, Maastricht.
  • Alida A Postma
    Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, The Netherlands.
  • Tjasse D Bruintjes
    Department of Otorhinolaryngology, Gelre Hospital, Apeldoorn, The Netherlands.
  • Monique A L Bilderbeek
    Department of Radiology, Viecuri Medical Center, Venlo, The Netherlands.
  • Hammer Sebastiaan
    Haga Hospital, Radiology, Els Borst-Eilersplein 275, Den Haag, Zuid-Holland, The Netherlands.
  • Patrick F M Dammeijer
    Department of Otorhinolaryngology, Viecuri Medical Center, Venlo, The Netherlands.
  • Vincent van Rompaey
    Department of Otorhinolaryngology and Head & Neck Surgery, Antwerp University Hospital, Antwerp, Belgium.
  • Henry C Woodruff
    The D-Lab, Department of Precision Medicine, GROW - School for Oncology and Developmental Biology, Maastricht University, Maastricht, The Netherlands.
  • Wim Vos
    FLUIDDA nv, Kontich, Belgium.
  • Seán Walsh
    Department of Radiation Oncology (MAASTRO Clinic), Dr. Tanslaan 12, Maastricht, The Netherlands.
  • Raymond van de Berg
    Department of Otolaryngology and Head and Neck Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
  • Philippe Lambin
    Department of Radiation Oncology (MAASTRO Clinic), Dr. Tanslaan 12, Maastricht, The Netherlands.