Hippocampus segmentation plays a key role in diagnosing various brain disorders such as Alzheimer's disease, epilepsy, multiple sclerosis, cancer, depression and others. Nowadays, segmentation is still mainly performed manually by specialists. Segmentation done by experts is considered to be a gold-standard when evaluating automated methods, buts it is a time consuming and arduos task, requiring specialized personnel. In recent years, efforts have been made to achieve reliable automated segmentation. For years the best performing authomatic methods were multi atlas based with around 80-85 Dice coefficient and very time consuming, but machine learning methods are recently rising with promising time and accuracy performance. A method for volumetric hippocampus segmentation is presented, based on the consensus of tri-planar U-Net inspired fully convolutional networks (FCNNs), with some modifications, including residual connections, VGG weight transfers, batch normalization and a patch extraction technique employing data from neighbor patches. A study on the impact of our modifications to the classical U-Net architecture was performed. Our method achieves cutting edge performance in our dataset, with around 96 volumetric Dice accuracy in our test data. In a public validation dataset, HARP, we achieve 87.48 DICE. GPU execution time is in the order of seconds per volume, and source code is publicly available. Also, masks are shown to be similar to other recent state-of-the-art hippocampus segmentation methods in a third dataset, without manual annotations.
@cite_10: Quantitative analysis of brain tumors is critical for clinical decision making. While manual segmentation is tedious, time consuming and subjective, this task is at the same time very challenging to solve for automatic segmentation methods. In this paper we present our most recent effort on developing a robust segmentation algorithm in the form of a convolutional neural network. Our network architecture was inspired by the popular U-Net and has been carefully modified to maximize brain tumor segmentation performance. We use a dice loss function to cope with class imbalances and use extensive data augmentation to successfully prevent overfitting. Our method beats the current state of the art on BraTS 2015, is one of the leading methods on the BraTS 2017 validation set (dice scores of 0.896, 0.797 and 0.732 for whole tumor, tumor core and enhancing tumor, respectively) and achieves very good Dice scores on the test set (0.858 for whole, 0.775 for core and 0.647 for enhancing tumor). We furthermore take part in the survival prediction subchallenge by training an ensemble of a random forest regressor and multilayer perceptrons on shape features describing the tumor subregions. Our approach achieves 52.6 accuracy, a Spearman correlation coefficient of 0.496 and a mean square error of 209607 on the test set.
( wachinger2018deepnat ), named DeepNat, is a whole brain segmentation method that achieves a segmentation of all structures of the brain with around 90 Although not a hippocampus segmentation work, @cite_10 inspired our consensus strategy that involves the use of multiple FCNNs performing segmentation over different MRI orientations, merged into a single final volume. While his method uses another network to produce the final consensus, in our post processing we simply add the activation heatmap of each FCNN, apply a pre-defined threshold, and perform 3D labeling to eliminate all but the two bigger connected components, which is shown to improve performance significantly.