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Automated detection of cerebral microbleeds on MR images using knowledge distillation framework

Title: Automated detection of cerebral microbleeds on MR images using knowledge distillation framework
Authors: Sundaresan, V; Arthofer, C; Zamboni, G; Murchison, AG; Dineen, RA; Rothwell, PM; Auer, DP; Wang, C; Miller, KL; Tendler, BC; Alfaro-Almagro, F; Sotiropoulos, SN; Sprigg, N; Griffanti, L; Jenkinson, M
Publisher Information: Frontiers Media
Publication Year: 2025
Collection: Oxford University Research Archive (ORA)
Description: Introduction: Cerebral microbleeds (CMBs) are associated with white matter damage, and various neurodegenerative and cerebrovascular diseases. CMBs occur as small, circular hypointense lesions on T2*-weighted gradient recalled echo (GRE) and susceptibility-weighted imaging (SWI) images, and hyperintense on quantitative susceptibility mapping (QSM) images due to their paramagnetic nature. Accurate automated detection of CMBs would help to determine quantitative imaging biomarkers (e.g., CMB count) on large datasets. In this work, we propose a fully automated, deep learning-based, 3-step algorithm, using structural and anatomical properties of CMBs from any single input image modality (e.g., GRE/SWI/QSM) for their accurate detections. Methods: In our method, the first step consists of an initial candidate detection step that detects CMBs with high sensitivity. In the second step, candidate discrimination step is performed using a knowledge distillation framework, with a multi-tasking teacher network that guides the student network to classify CMB and non-CMB instances in an offline manner. Finally, a morphological clean-up step further reduces false positives using anatomical constraints. We used four datasets consisting of different modalities specified above, acquired using various protocols and with a variety of pathological and demographic characteristics. Results: On cross-validation within datasets, our method achieved a cluster-wise true positive rate (TPR) of over 90% with an average of 80 % with different modalities. The python implementation of the proposed method is openly available.
Document Type: article in journal/newspaper
Language: English
Relation: https://doi.org/10.3389/fninf.2023.1204186
DOI: 10.3389/fninf.2023.1204186
Availability: https://doi.org/10.3389/fninf.2023.1204186; https://ora.ox.ac.uk/objects/uuid:07053d31-5d90-4aed-9198-657e186b3463
Rights: info:eu-repo/semantics/openAccess ; CC Attribution (CC BY)
Accession Number: edsbas.5226F76B
Database: BASE