Ischemic stroke lesion detection, characterization and classification in CT images with optimal features selection

R Kanchana1, R Menaka1

  • 1School of Electronics Engineering, Vellore Institute of Technology, Chennai, India.

Insights

This study introduces a novel algorithm for detecting ischemic stroke lesions in CT scans. The method achieves high accuracy in classifying normal and abnormal brain regions, aiding in diagnosis.

Area of Science:

  • Medical Imaging
  • Artificial Intelligence
  • Neurology

Background:

  • Ischemic stroke is a leading cause of death and disability.
  • Computed tomography (CT) is crucial for rapid diagnosis and treatment planning.
  • Accurate segmentation and classification of ischemic lesions are vital.

Purpose of the Study:

  • To develop a novel histogram bin-based algorithm for segmenting ischemic stroke lesions in CT images.
  • To identify optimal feature groups for classifying normal and abnormal brain regions.
  • To improve the accuracy of ischemic stroke detection using machine learning classifiers.

Main Methods:

  • Image pre-processing and segmentation of ischemic lesions.
  • Extraction of texture features including first-order, gray level run length matrix, gray level co-occurrence matrix, and Hu's moments.
  • Feature ranking, grouping, and selection for optimal classification.
  • Classification using logistic regression, support vector machine, random forest, and neural network classifiers.

Main Results:

  • The proposed algorithm effectively segments and classifies ischemic stroke lesions.
  • Optimal feature group FG12 achieved high classification accuracies: 88.77% (LR), 97.86% (SVMC), 99.79% (RFC), and 99.79% (NNC).
  • Results were validated using fourfold cross-validation, demonstrating robustness.

Conclusions:

  • The developed histogram bin-based algorithm with optimal feature group selection is effective for ischemic stroke detection.
  • Machine learning classifiers, particularly Random Forest and Neural Network, show high performance in classifying stroke lesions.
  • This approach offers a promising tool for enhancing the diagnostic accuracy of ischemic stroke from CT images.