TY - GEN
T1 - Surface-based texture and morphological analysis detects subtle cortical dysplasia
AU - Besson, Pierre
AU - Bernasconi, Neda
AU - Colliot, Olivier
AU - Evans, Alan
AU - Bernasconi, Andrea
PY - 2008
Y1 - 2008
N2 - Focal cortical dysplasia (FCD), a malformation of cortical development, is an important cause of pharmacoresistant epilepsy. Small FCD lesions are difficult to distinguish from normal cortex and remain often overlooked on radiological MRI inspection. This paper presents a method to detect small FCD lesions on T1-MRI relying on surface-based features that model their textural and morphometric characteristics. The automatic detection was performed by a two step classification. First, a vertex-wise classifier based on a neural-network bagging trained on manual labels. Then, a cluster-wise classification designed to remove false positive clusters. The method was tested on 19 patients with small FCD. At the first classification step, 18/19 (95%) lesions were detected. The second classification step kept 13/19 (68%) lesions and decreased efficiently the amount of false positive. This new approach may assist the presurgical evaluation of patients with intractable epilepsy, especially those with unremarkable MRI findings.
AB - Focal cortical dysplasia (FCD), a malformation of cortical development, is an important cause of pharmacoresistant epilepsy. Small FCD lesions are difficult to distinguish from normal cortex and remain often overlooked on radiological MRI inspection. This paper presents a method to detect small FCD lesions on T1-MRI relying on surface-based features that model their textural and morphometric characteristics. The automatic detection was performed by a two step classification. First, a vertex-wise classifier based on a neural-network bagging trained on manual labels. Then, a cluster-wise classification designed to remove false positive clusters. The method was tested on 19 patients with small FCD. At the first classification step, 18/19 (95%) lesions were detected. The second classification step kept 13/19 (68%) lesions and decreased efficiently the amount of false positive. This new approach may assist the presurgical evaluation of patients with intractable epilepsy, especially those with unremarkable MRI findings.
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U2 - 10.1007/978-3-540-85988-8_77
DO - 10.1007/978-3-540-85988-8_77
M3 - Conference contribution
C2 - 18979801
AN - SCOPUS:79551688878
SN - 354085987X
SN - 9783540859871
T3 - Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
SP - 645
EP - 652
BT - Medical Image Computing and Computer-Assisted Intervention - MICCAI 2008 - 11th International Conference, Proceedings
T2 - 11th International Conference on Medical Image Computing and Computer-Assisted Intervention, MICCAI 2008
Y2 - 6 September 2008 through 10 September 2008
ER -