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Advanced Automated Model for Robust Bone Marrow Segmentation in Whole-body MRI.

Fabian Bauer1, Jessica Kächele2, Juliane Bernhard3

  • 1Division of Radiology, German Cancer Research Center (DKFZ), 69120 Heidelberg, Germany (F.B., M.G., H.P.S., S.D.); Division of Musculoskeletal Imaging and Intervention, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114 (F.B.).

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Summary
This summary is machine-generated.

An advanced automated bone marrow segmentation model for whole-body MRI in monoclonal plasma cell disorders (MPCD) shows reliable performance. This AI model accurately segments bone marrow spaces, even with severe pathologies across multiple centers.

Keywords:
Deep LearningMagnetic Resonance ImagingMultiple MyelomaSegmentation

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Area of Science:

  • Radiology and Medical Imaging
  • Artificial Intelligence in Medicine
  • Oncology

Background:

  • Monoclonal plasma cell disorders (MPCD) require accurate assessment of bone marrow involvement.
  • Whole-body MRI (WB-MRI) is a key imaging modality for MPCD.
  • Automated segmentation of bone marrow spaces (BMS) can improve efficiency and consistency.

Purpose of the Study:

  • To develop an advanced automated BMS segmentation model using nnU-Net for WB-MRI in MPCD.
  • To validate the model's performance on multicenter datasets with diverse pathologies.
  • To compare the advanced model against a previously established basic segmentation model.

Main Methods:

  • Utilized a cohort of 210 WB-MRIs from 207 MPCD patients across 8 centers.
  • Trained an nnU-Net algorithm on 186 T1-weighted WB-MRIs.
  • Tested the model on independent datasets, including cases with extensive tumor load and varying image quality.

Main Results:

  • Achieved high mean Dice scores for BMS segmentation: 0.89±0.13 (test set I) and 0.88±0.11 (test set II).
  • Demonstrated significantly improved performance compared to a prior basic model (p<0.05).
  • Accurately segmented bone marrow affected by pathologies, artifacts, and low imaging quality.

Conclusions:

  • The advanced automated model provides reliable segmentation of BMS on multicenter WB-MRI data.
  • The model is robust even in the presence of severe myeloma-related pathologies and imaging heterogeneity.
  • This technology holds promise for improved quantitative analysis in MPCD management.