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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleAdult Brain
Open Access

Fast and Robust Unsupervised Identification of MS Lesion Change Using the Statistical Detection of Changes Algorithm

T.D. Nguyen, S. Zhang, A. Gupta, Y. Zhao, S.A. Gauthier and Y. Wang
American Journal of Neuroradiology May 2018, 39 (5) 830-833; DOI: https://doi.org/10.3174/ajnr.A5594
T.D. Nguyen
aFrom the Department of Radiology (T.D.N., S.Z., A.G., Y.W.)
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S. Zhang
aFrom the Department of Radiology (T.D.N., S.Z., A.G., Y.W.)
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A. Gupta
aFrom the Department of Radiology (T.D.N., S.Z., A.G., Y.W.)
bFeil Family Brain and Mind Research Institute (A.G., S.A.G.)
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Y. Zhao
cDepartments of Healthcare Policy and Research (Y.Z.)
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S.A. Gauthier
bFeil Family Brain and Mind Research Institute (A.G., S.A.G.)
dNeurology (S.A.G.), Weill Cornell Medicine, New York, New York.
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Y. Wang
aFrom the Department of Radiology (T.D.N., S.Z., A.G., Y.W.)
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    Fig 1.

    Schematic of the proposed SDC lesion-change detection algorithm on the T2-weighted FLAIR subtraction image. One unchanged lesion (yellow arrow) and 1 new lesion (red arrow) are correctly identified by the SDC. The algorithm automatically generates red ROIs, which encompass the detected areas of change on the second FLAIR image to help the human reader quickly identify lesion changes.

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    Fig 2.

    Comparison of lesion changes identified by the LPA and SDC (indicated by the red ROIs generated by the algorithms and superimposed on the T2 source FLAIR images). Each column shows images acquired at a different time points. The LPA identifies more false-positives (yellow arrows) yet misses a new small lesion (red arrow). The SDC correctly classifies positive lesion changes in concordance with the human expert.

Tables

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  • Summary of diagnostic accuracy of the SDC and LPA algorithms for detecting positive lesion change (lesion growth) between 2 FLAIR images with side-by-side image review by a human reader as the reference standard

    Predicted Lesion StatusTrue Lesion Status by a Human Reader
    ChangeNo Change
    By SDC
        Change83261
        No change2824
    By LPA
        Change521454
        No change34524
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American Journal of Neuroradiology: 39 (5)
American Journal of Neuroradiology
Vol. 39, Issue 5
1 May 2018
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Cite this article
T.D. Nguyen, S. Zhang, A. Gupta, Y. Zhao, S.A. Gauthier, Y. Wang
Fast and Robust Unsupervised Identification of MS Lesion Change Using the Statistical Detection of Changes Algorithm
American Journal of Neuroradiology May 2018, 39 (5) 830-833; DOI: 10.3174/ajnr.A5594

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Fast and Robust Unsupervised Identification of MS Lesion Change Using the Statistical Detection of Changes Algorithm
T.D. Nguyen, S. Zhang, A. Gupta, Y. Zhao, S.A. Gauthier, Y. Wang
American Journal of Neuroradiology May 2018, 39 (5) 830-833; DOI: 10.3174/ajnr.A5594
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