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Abstract #2097

Lesion Instance Segmentation in Multiple Sclerosis: Assessing the Efficacy of Statistical Lesion Splitting

Maxence Wynen1,2, Pedro Macias Gordaliza3,4, Anna Stölting2, Pietro Maggi2,5, Meritxell Bach Cuadra3,6, and Benoit Macq1
1ICTeam, UCLouvain, Louvain-la-Neuve, Belgium, 2Louvain Neuroinflammation Imaging Lab (NIL), UCLouvain, Brussels, Belgium, 3Center for Biomedical Imaging (CIBM), University of Lausanne, Lausanne, Switzerland, 4Medical Image Analysis Laboratory, Radiology Department, University of Lausanne, Lausanne, Switzerland, 5Department of Neurology, Saint-Luc University Hospital, Brussels, Belgium, 6Medical Image Analysis Laboratory, Radiology Department, Lausanne University Hospital, Lausanne, Switzerland

Synopsis

Keywords: Analysis/Processing, Segmentation, Instance Segmentation

Motivation: Accurate white matter lesion (WML) counting and delineation are crucial for multiple sclerosis (MS) diagnosis and prognosis. Though being a critical step in clinical research and automated tools relying on lesion-centered patches, no previous work studied post-processing methods to transform voxel-wise segmentations into lesion instance masks in MS.

Goal(s): In this study, we compare the conventional connected components (CC) method to a confluent lesion splitting (CLS) method that was used but never validated.

Approach: CC and CLS's performances are evaluated using three common lesion segmentation tools (LSTs): SPM, SAMSEG, and nnU-Net.

Results: CLS lacks generalization, sacrifices specificity for sensitivity and worsens segmentation quality.

Impact: Our results underscore the need for the development of a novel instance segmentation methodology that accounts for (i) the potential large distance between voxels and the center of the lesions to which they belong and (ii) confluent lesions.

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Keywords