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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

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✦ 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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