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Stroke risk study based on deep learning-based magnetic resonance imaging carotid plaque automatic segmentation

Ya-Fang Chen1, Zhen-Jie Chen2, You-Yu Lin3

  • 1Department of Neurology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.

Frontiers in Cardiovascular Medicine
|March 13, 2023
PubMed
Summary
This summary is machine-generated.

This study introduces an automated computer system that uses artificial intelligence to identify dangerous plaque buildup in the neck arteries from medical scans. By accurately spotting these plaques, the technology helps doctors better predict stroke risk while avoiding errors caused by human fatigue or subjective interpretation.

Keywords:
MRI carotid plaqueYOLO V3deep learningstroke risktransfer learningDeep LearningAtherosclerosisStroke RiskMedical ImagingSegmentation Algorithm

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Area of Science:

  • Cardiovascular medicine and carotid plaque imaging research
  • Deep learning-based diagnostic informatics

Background:

No prior work had resolved the challenge of applying radiomics to carotid artery plaque using magnetic resonance imaging. Atherosclerosis remains a leading driver of cardiovascular health complications and future clinical events. Clinicians often struggle to classify plaque texture through traditional ultrasonography due to significant differences in observer interpretation. High-resolution magnetic resonance imaging provides better soft tissue contrast compared to computed tomography or ultrasound methods. This modality also offers the advantage of being radiation-free and independent of operator skill levels. That uncertainty drove the development of new computational tools for analyzing these complex medical images. Previous investigations focused primarily on basilar artery structures rather than the carotid region. This gap motivated the current effort to establish an autonomous framework for identifying plaque within neck vessels.

Purpose Of The Study:

The aim of this study is to develop a computer-aided autonomous framework for the automatic segmentation of carotid plaque. Researchers sought to address the lack of information regarding radiomics applications for neck artery imaging. This project addresses the difficulty clinicians face when classifying plaque texture through human visual inspection. The team intended to minimize diagnostic errors stemming from poor image quality and individual observer variability. They aimed to leverage the superior soft tissue contrast provided by magnetic resonance imaging technology. The motivation for this work was to enhance stroke risk assessment through reliable, operator-independent computational tools. Investigators focused on adapting existing pre-trained models to suit the specific requirements of plaque detection. This effort provides a systematic approach to improving the consistency and accuracy of cardiovascular disease diagnosis.

Main Methods:

The review approach involved utilizing pre-trained deep learning models to identify arterial plaque from medical scans. Researchers fine-tuned these architectures by adjusting specific hyperparameters to optimize performance for the target task. The study design focused on automating the segmentation process to improve stroke risk assessment accuracy. Investigators processed magnetic resonance imaging data to extract relevant features for classification. This methodology prioritized the reduction of human error caused by subjective visual interpretation. The team compared the performance of three distinct neural network models to determine their efficacy. Each model underwent rigorous evaluation to ensure consistent results across different imaging conditions. This technical approach bypassed the limitations of traditional manual diagnostic procedures.

Main Results:

The YOLO V3 model achieved the highest performance with an accuracy of 94.81% in identifying plaque. The RCNN architecture followed closely, demonstrating an accuracy of 92.53% during the evaluation phase. MobileNet also showed strong performance, reaching an accuracy of 90.23% for the same diagnostic task. These results indicate that deep learning models effectively classify magnetic resonance imaging data for clinical assessment. The findings show that automated segmentation outperforms manual methods prone to inter-observer variability. The data confirm that fine-tuning pre-trained models yields high precision for detecting carotid plaque. The researchers report that these models successfully handle the complexities of soft tissue contrast in neck vessels. This evidence supports the utility of autonomous frameworks in modern cardiovascular diagnostic workflows.

Conclusions:

The authors propose that their automated framework successfully mitigates diagnostic errors linked to poor image quality. This methodology provides a reliable alternative to manual interpretation that often suffers from subjective bias. The researchers demonstrate that deep learning models achieve high accuracy in identifying plaque features from magnetic resonance data. These findings suggest that artificial intelligence can effectively support clinical decision-making for stroke risk assessment. The study confirms that fine-tuned pre-trained models perform well across different architectural configurations. The team reports that their approach produces acceptable results for classifying complex medical imaging datasets. Future clinical workflows could benefit from the integration of such autonomous segmentation tools. This work establishes a foundation for using advanced computational techniques to improve cardiovascular diagnostic precision.

The researchers propose a deep learning framework using fine-tuned pre-trained models. The YOLO V3 architecture achieved the highest performance with 94.81% accuracy, followed by RCNN at 92.53% and MobileNet at 90.23% for identifying plaque.

The authors utilize pre-trained models, which they fine-tune and adjust with specific hyperparameters to suit the task of carotid plaque segmentation. This approach allows the system to learn complex patterns from magnetic resonance imaging data effectively.

A computer-aided autonomous framework is necessary to overcome the limitations of human visual inspection. This system ensures consistent classification of plaque texture, which is often difficult to interpret due to substantial inter-observer variability in clinical settings.

Magnetic resonance imaging serves as the primary data type, providing superior soft tissue contrast compared to computed tomography. This modality is preferred because it is radiation-free and remains independent of the operator's skill during the scanning process.

The researchers measure the classification accuracy of three distinct models. They report that YOLO V3 reaches 94.81% accuracy, while RCNN and MobileNet reach 92.53% and 90.23% respectively, demonstrating the efficacy of the proposed segmentation approach.

The authors claim that their methodology prevents incorrect diagnoses caused by poor image quality or personal experience. They suggest that this automated system provides a more reliable way to assess stroke risk compared to traditional manual methods.