Optimizing Coil Selection for Cerebral Aneurysm Treatment Using PyRadiomics and Machine Learning Models.

Journal: Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference
PMID:

Abstract

This study presents an innovative method to increase the accuracy of coil selection for treating cerebral aneurysms, leveraging advanced image analysis and machine learning models. We examined 273 cases of saccular cerebral aneurysms treated at The Jikei University School of Medicine. The focus was on using comprehensive feature extraction from 3D medical images to predict the optimal size and length of the initial coil for endovascular coil embolization. Five machine learning regression models were developed and assessed using a 5-fold cross-validation technique. The models demonstrated high accuracy in predicting coil dimensions, with notable improvements observed when incorporating radiological texture features alongside morphological data. The research highlights the potential of integrating advanced image analysis techniques with machine learning to refine treatment strategies in cerebrovascular interventions, reduce the subjectivity in manual image analysis and improve clinical outcomes.

Authors

  • Toshiki Koshiba
  • Soichiro Fujimura
  • Genki Kudo
  • Kohei Takeshita
  • Masahiro Kazama
  • Haruki Kanebayashi
  • Kostadin Karagiozov
  • Niken P Martono
  • Hiroyuki Takao
  • Makoto Yamamoto
  • Yuichi Murayama
  • Toshihiro Ishibashi
  • Hayato Ohwada