## Abstract ## Purpose To develop and implement a method for identification and quantification of gadolinium (Gd) enhancements with minimal human intervention. ## Materials and Methods Dual fast spin echo (FSE), fluid attenuation inversion recovery (FLAIR), and pre‐ and postcontrast T1‐weighted
Automatic segmentation of gadolinium-enhanced multiple sclerosis lesions
✍ Scribed by Barry J. Bedell; Ponnada A. Narayana
- Publisher
- John Wiley and Sons
- Year
- 1998
- Tongue
- English
- Weight
- 735 KB
- Volume
- 39
- Category
- Article
- ISSN
- 0740-3194
No coin nor oath required. For personal study only.
✦ Synopsis
Abstract
Automatic detection and quantitation of contrast‐enhanced lesions on MRI is expected to be useful in characterizing the disease state in multiple sclerosis (MS). The enhancing structures such as cerebral vasculature and regions with no blood‐brain barrier complicate automated analysis of lesion enhancement. A pulse sequence that incorporates both stationary and marching saturation bands and gradient dephasing is described for suppressing the enhancements within the cerebral vasculature. A postprocessing technique based on automatic image segmentation is implemented for eliminating enhancing structures such as choroid plexus. All MS lesions larger than 5 mm^3^ have been successfully identified. The automated analysis produced no false‐positives or false‐negative lesions above this volume in 13 patients with MS who were evaluated using the acquisition and evaluation techniques described.
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