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Updated: Jul 23, 2025

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Automated Midline Shift and Intracranial Pressure Estimation based on Brain CT Images
Published on: April 13, 2013
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Intracranial hemorrhage detection in 3D computed tomography images using a bi-directional long short-term memory
Jewel Sengupta1, Robertas Alzbutas1, Przemysław Falkowski-Gilski2
1Kaunas University of Technology, Kaunas, Lithuania.
Frontiers in Neuroscience
|July 20, 2023
Summary
A novel Bi-directional Long Short Term Memory (Bi-LSTM) model with a modified genetic algorithm significantly improves intracranial hemorrhage detection in 3D CT scans, achieving high accuracy and sensitivity.
Area of Science:
- Medical Imaging
- Artificial Intelligence
- Neurology
Background:
- Accurate detection of intracranial hemorrhage (ICH) in 3D Computed Tomography (CT) brain images is crucial but challenged by limited labeled data.
- Existing machine learning models often struggle with the complexity and variability of ICH presentation in medical imaging.
Purpose of the Study:
- To develop and evaluate a novel model for enhanced intracranial hemorrhage detection in 3D CT brain images.
- To address the challenge of scarce labeled data in medical imaging for ICH classification.
Main Methods:
- A new model was implemented, utilizing Otsu's thresholding for region of interest (RoI) segmentation.
- Feature extraction was performed using Tamura features and Gradient Local Ternary Pattern (GLTP) descriptors.
- A modified genetic algorithm with infinite feature selection reduced feature redundancy, followed by classification using a Bi-directional Long Short Term Memory (Bi-LSTM) network.
Main Results:
- The Bi-LSTM based modified genetic algorithm achieved superior performance compared to traditional machine learning models.
- The model demonstrated high sensitivity (99.40%), accuracy (99.80%), and specificity (99.48%) in detecting and classifying ICH subtypes.
Conclusions:
- The proposed Bi-LSTM model integrated with a modified genetic algorithm offers a highly effective solution for intracranial hemorrhage detection.
- This approach significantly overcomes data scarcity issues and outperforms existing methods in classifying various ICH subtypes.

