Performance of machine learning algorithms for glioma segmentation of brain MRI: a systematic literature review and meta-analysis

Objectives Different machine learning algorithms (MLAs) for automated segmentation of gliomas have been reported in the literature. Automated segmentation of different tumor characteristics can be of added value for the diagnostic work-up and treatment planning. The purpose of this study was to prov...

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Veröffentlicht in:European radiology 2021-12, Vol.31 (12), p.9638-9653
Hauptverfasser: van Kempen, Evi J., Post, Max, Mannil, Manoj, Witkam, Richard L., ter Laan, Mark, Patel, Ajay, Meijer, Frederick J. A., Henssen, Dylan
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container_end_page 9653
container_issue 12
container_start_page 9638
container_title European radiology
container_volume 31
creator van Kempen, Evi J.
Post, Max
Mannil, Manoj
Witkam, Richard L.
ter Laan, Mark
Patel, Ajay
Meijer, Frederick J. A.
Henssen, Dylan
description Objectives Different machine learning algorithms (MLAs) for automated segmentation of gliomas have been reported in the literature. Automated segmentation of different tumor characteristics can be of added value for the diagnostic work-up and treatment planning. The purpose of this study was to provide an overview and meta-analysis of different MLA methods. Methods A systematic literature review and meta-analysis was performed on the eligible studies describing the segmentation of gliomas. Meta-analysis of the performance was conducted on the reported dice similarity coefficient (DSC) score of both the aggregated results as two subgroups (i.e., high-grade and low-grade gliomas). This study was registered in PROSPERO prior to initiation (CRD42020191033). Results After the literature search ( n = 734), 42 studies were included in the systematic literature review. Ten studies were eligible for inclusion in the meta-analysis. Overall, the MLAs from the included studies showed an overall DSC score of 0.84 (95% CI: 0.82–0.86). In addition, a DSC score of 0.83 (95% CI: 0.80–0.87) and 0.82 (95% CI: 0.78–0.87) was observed for the automated glioma segmentation of the high-grade and low-grade gliomas, respectively. However, heterogeneity was considerably high between included studies, and publication bias was observed. Conclusion MLAs facilitating automated segmentation of gliomas show good accuracy, which is promising for future implementation in neuroradiology. However, before actual implementation, a few hurdles are yet to be overcome. It is crucial that quality guidelines are followed when reporting on MLAs, which includes validation on an external test set. Key Points • MLAs from the included studies showed an overall DSC score of 0.84 (95% CI: 0.82–0.86), indicating a good performance. • MLA performance was comparable when comparing the segmentation results of the high-grade gliomas and the low-grade gliomas. • For future studies using MLAs, it is crucial that quality guidelines are followed when reporting on MLAs, which includes validation on an external test set.
doi_str_mv 10.1007/s00330-021-08035-0
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A. ; Henssen, Dylan</creator><creatorcontrib>van Kempen, Evi J. ; Post, Max ; Mannil, Manoj ; Witkam, Richard L. ; ter Laan, Mark ; Patel, Ajay ; Meijer, Frederick J. A. ; Henssen, Dylan</creatorcontrib><description>Objectives Different machine learning algorithms (MLAs) for automated segmentation of gliomas have been reported in the literature. Automated segmentation of different tumor characteristics can be of added value for the diagnostic work-up and treatment planning. The purpose of this study was to provide an overview and meta-analysis of different MLA methods. Methods A systematic literature review and meta-analysis was performed on the eligible studies describing the segmentation of gliomas. Meta-analysis of the performance was conducted on the reported dice similarity coefficient (DSC) score of both the aggregated results as two subgroups (i.e., high-grade and low-grade gliomas). This study was registered in PROSPERO prior to initiation (CRD42020191033). Results After the literature search ( n = 734), 42 studies were included in the systematic literature review. Ten studies were eligible for inclusion in the meta-analysis. Overall, the MLAs from the included studies showed an overall DSC score of 0.84 (95% CI: 0.82–0.86). In addition, a DSC score of 0.83 (95% CI: 0.80–0.87) and 0.82 (95% CI: 0.78–0.87) was observed for the automated glioma segmentation of the high-grade and low-grade gliomas, respectively. However, heterogeneity was considerably high between included studies, and publication bias was observed. Conclusion MLAs facilitating automated segmentation of gliomas show good accuracy, which is promising for future implementation in neuroradiology. However, before actual implementation, a few hurdles are yet to be overcome. It is crucial that quality guidelines are followed when reporting on MLAs, which includes validation on an external test set. Key Points • MLAs from the included studies showed an overall DSC score of 0.84 (95% CI: 0.82–0.86), indicating a good performance. • MLA performance was comparable when comparing the segmentation results of the high-grade gliomas and the low-grade gliomas. • For future studies using MLAs, it is crucial that quality guidelines are followed when reporting on MLAs, which includes validation on an external test set.</description><identifier>ISSN: 0938-7994</identifier><identifier>ISSN: 1432-1084</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-021-08035-0</identifier><identifier>PMID: 34019128</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Algorithms ; Automation ; Brain - diagnostic imaging ; Brain Neoplasms - diagnostic imaging ; Brain tumors ; Diagnostic Radiology ; Glioma ; Glioma - diagnostic imaging ; Guidelines ; Heterogeneity ; Humans ; Image processing ; Image segmentation ; Imaging ; Imaging Informatics and Artificial Intelligence ; Internal Medicine ; Interventional Radiology ; Learning algorithms ; Literature reviews ; Machine Learning ; Magnetic Resonance Imaging ; Medicine ; Medicine &amp; Public Health ; Meta-analysis ; Neuroimaging ; Neuroradiology ; Radiology ; Subgroups ; Systematic review ; Test sets ; Ultrasound</subject><ispartof>European radiology, 2021-12, Vol.31 (12), p.9638-9653</ispartof><rights>The Author(s) 2021</rights><rights>2021. The Author(s).</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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Meta-analysis of the performance was conducted on the reported dice similarity coefficient (DSC) score of both the aggregated results as two subgroups (i.e., high-grade and low-grade gliomas). This study was registered in PROSPERO prior to initiation (CRD42020191033). Results After the literature search ( n = 734), 42 studies were included in the systematic literature review. Ten studies were eligible for inclusion in the meta-analysis. Overall, the MLAs from the included studies showed an overall DSC score of 0.84 (95% CI: 0.82–0.86). In addition, a DSC score of 0.83 (95% CI: 0.80–0.87) and 0.82 (95% CI: 0.78–0.87) was observed for the automated glioma segmentation of the high-grade and low-grade gliomas, respectively. However, heterogeneity was considerably high between included studies, and publication bias was observed. Conclusion MLAs facilitating automated segmentation of gliomas show good accuracy, which is promising for future implementation in neuroradiology. However, before actual implementation, a few hurdles are yet to be overcome. It is crucial that quality guidelines are followed when reporting on MLAs, which includes validation on an external test set. Key Points • MLAs from the included studies showed an overall DSC score of 0.84 (95% CI: 0.82–0.86), indicating a good performance. • MLA performance was comparable when comparing the segmentation results of the high-grade gliomas and the low-grade gliomas. • For future studies using MLAs, it is crucial that quality guidelines are followed when reporting on MLAs, which includes validation on an external test set.</description><subject>Algorithms</subject><subject>Automation</subject><subject>Brain - diagnostic imaging</subject><subject>Brain Neoplasms - diagnostic imaging</subject><subject>Brain tumors</subject><subject>Diagnostic Radiology</subject><subject>Glioma</subject><subject>Glioma - diagnostic imaging</subject><subject>Guidelines</subject><subject>Heterogeneity</subject><subject>Humans</subject><subject>Image processing</subject><subject>Image segmentation</subject><subject>Imaging</subject><subject>Imaging Informatics and Artificial Intelligence</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Learning algorithms</subject><subject>Literature reviews</subject><subject>Machine Learning</subject><subject>Magnetic Resonance Imaging</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Meta-analysis</subject><subject>Neuroimaging</subject><subject>Neuroradiology</subject><subject>Radiology</subject><subject>Subgroups</subject><subject>Systematic review</subject><subject>Test sets</subject><subject>Ultrasound</subject><issn>0938-7994</issn><issn>1432-1084</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kU9v1DAUxC0EotvCF-CALHHhEniOk9jhgFRVFCoVgRCcrRfnJesqsYudFO2Rb46XLeXPgZMP85vxPA1jTwS8EADqZQKQEgooRQEaZF3APbYRlSwLAbq6zzbQSl2otq2O2HFKVwDQiko9ZEeyAtGKUm_Y948UhxBn9JZ4GPiMdus88YkweudHjtMYolu2c-KZ4-Pkwow80TiTX3Bxwe9tXUTn-ftPF694FndpoTlrlk9uoYjLGolHunH0jaPv-UwLFuhx2iWXHrEHA06JHt--J-zL-ZvPZ--Kyw9vL85OLwtbqWopmp4stlDj0IlSAg6qlqqztex7K6HvZI_NoAhLCySxVdD3qi-HQTe6abRU8oS9PuRer91Mvc31I07mOroZ484EdOZvxbutGcON0bVuNdQ54PltQAxfV0qLmV2yNE3oKazJlLUUpVCy0hl99g96FdaYD95TbaMFNGLfqDxQNoaUIg13ZQSY_cLmsLDJC5ufCxvIpqd_nnFn-TVpBuQBSFnyI8Xff_8n9gf7nbTI</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>van Kempen, Evi J.</creator><creator>Post, Max</creator><creator>Mannil, Manoj</creator><creator>Witkam, Richard L.</creator><creator>ter Laan, Mark</creator><creator>Patel, Ajay</creator><creator>Meijer, Frederick J. 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A.</au><au>Henssen, Dylan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Performance of machine learning algorithms for glioma segmentation of brain MRI: a systematic literature review and meta-analysis</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2021-12-01</date><risdate>2021</risdate><volume>31</volume><issue>12</issue><spage>9638</spage><epage>9653</epage><pages>9638-9653</pages><issn>0938-7994</issn><issn>1432-1084</issn><eissn>1432-1084</eissn><abstract>Objectives Different machine learning algorithms (MLAs) for automated segmentation of gliomas have been reported in the literature. Automated segmentation of different tumor characteristics can be of added value for the diagnostic work-up and treatment planning. The purpose of this study was to provide an overview and meta-analysis of different MLA methods. Methods A systematic literature review and meta-analysis was performed on the eligible studies describing the segmentation of gliomas. Meta-analysis of the performance was conducted on the reported dice similarity coefficient (DSC) score of both the aggregated results as two subgroups (i.e., high-grade and low-grade gliomas). This study was registered in PROSPERO prior to initiation (CRD42020191033). Results After the literature search ( n = 734), 42 studies were included in the systematic literature review. Ten studies were eligible for inclusion in the meta-analysis. Overall, the MLAs from the included studies showed an overall DSC score of 0.84 (95% CI: 0.82–0.86). In addition, a DSC score of 0.83 (95% CI: 0.80–0.87) and 0.82 (95% CI: 0.78–0.87) was observed for the automated glioma segmentation of the high-grade and low-grade gliomas, respectively. However, heterogeneity was considerably high between included studies, and publication bias was observed. Conclusion MLAs facilitating automated segmentation of gliomas show good accuracy, which is promising for future implementation in neuroradiology. However, before actual implementation, a few hurdles are yet to be overcome. It is crucial that quality guidelines are followed when reporting on MLAs, which includes validation on an external test set. Key Points • MLAs from the included studies showed an overall DSC score of 0.84 (95% CI: 0.82–0.86), indicating a good performance. • MLA performance was comparable when comparing the segmentation results of the high-grade gliomas and the low-grade gliomas. • For future studies using MLAs, it is crucial that quality guidelines are followed when reporting on MLAs, which includes validation on an external test set.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>34019128</pmid><doi>10.1007/s00330-021-08035-0</doi><tpages>16</tpages><orcidid>https://orcid.org/0000-0002-3915-3034</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Algorithms
Automation
Brain - diagnostic imaging
Brain Neoplasms - diagnostic imaging
Brain tumors
Diagnostic Radiology
Glioma
Glioma - diagnostic imaging
Guidelines
Heterogeneity
Humans
Image processing
Image segmentation
Imaging
Imaging Informatics and Artificial Intelligence
Internal Medicine
Interventional Radiology
Learning algorithms
Literature reviews
Machine Learning
Magnetic Resonance Imaging
Medicine
Medicine & Public Health
Meta-analysis
Neuroimaging
Neuroradiology
Radiology
Subgroups
Systematic review
Test sets
Ultrasound
title Performance of machine learning algorithms for glioma segmentation of brain MRI: a systematic literature review and meta-analysis
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