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Abstract #2984

Dual Feature Based Receiver Operating Characteristic Analysis for Assessment of Acute Ischemic Stroke

Venkata Veerendranadh Chebrolu1, Suresh E. Joel1, Dattesh D. Shanbhag2, Ananda Narasimha Murthy2, Vivek Vaidya2, Patrice Hervo3, Marc-Antoine Labeyrie4, Catherine Oppenheim4, 5, Rakesh Mullick2

1Medical Image Analysis Lab, GE Global Research, Bangalore , Karnataka, India; 2Medical Image Analysis Lab, GE Global Research, Bangalore, Karnataka, India; 3GE Healthcare, Buc, France; 4Departments of Radiology and Neurology, Centre Hospitalier, Sainte-Anne, Paris, France; 5Universit Paris Descartes , Paris, France

The classification of cerebral regions into normal and infarcted tissues based on Diffusion weighted imaging (DWI) characteristics plays a critical role in MRI based stroke patient management. The use of both DWI images and Apparent Diffusion Coefficient (ADC) maps may achieve better classification accuracy than using ADC or DWI alone. In this work, we presented a dual feature (ADC and DWI) based Receiver Operating Characteristic analysis and proposed a novel acute ischemic infarct classification criteria. Results demonstrate better agreement with ground-truth using dual features (specificity-98%; sensitivity-60%) as compared to ADC alone based infarct segmentation (specificity-96%; sensitivity-53%) in 65 subjects.

Keywords

accuracy achieve achieved acquisition acute additionally agreement alone anisotropy anterior apparent apply artifacts assessment atlas audience automated axial baron better binary bland cerebral cerebrum channel characteristic characteristics checking circulation classification classified classifier classifiers clinically close coefficient cohort coil combined concomitant coronal criteria critical cumulative curves decrease delineated delineation determine diffusion dimensional dimensions done dual ellipses encoding ensure errors event feature features field final generate generated global gradient ground head hence histogram histograms hours identify included individual infarct intensities intensity intercept linear linearity management manifest manifesting manual manually maps marked marking mask matrix might morphological motion needed neurology normalized novel onset operating operation optimal overlap patient patients percentile physicists plays plots prone propose psychiatry quantitative radiologist radiologists radiology radius ready receiver remove repletion rest robustness role scanner segmentation segmented senior sensitivity shine simultaneously slice slope specificity stroke subject subjects target threshold tissue tissues tool trace truth unit view visual volume white workstation