arXiv Computer Vision

Deep Learning Segmentation of Diffusion-Weighted MRI Acute Ischaemic Stroke: A Pragmatic Evaluation Across Three Datasets

The study evaluated a pragmatic deep‑learning approach for segmenting acute ischemic stroke lesions on diffusion‑weighted MRI. Using a self‑configured nnU‑Net trained on 1,744 cases and tested on 436, the baseline model achieved a median Dice similarity coefficient of 0.84, outperforming the DeepISLES ensemble, especially for smaller infarcts. The approach required minimal preprocessing and fast inference, suggesting it could streamline clinical stroke imaging workflows.

arXiv Computer Vision
Sep 18

Ischemic Stroke Segmentation and Net Water Uptake Quantification on Multicenter Non-Contrast CT Using Supervised Target-Domain Adaptation

This study presents a domain-aware deep learning framework based on nnU-Net for segmenting ischemic stroke lesions on non‑contrast CT scans and quantifying net water uptake (NWU). Trained on data from Hamburg and the Acute Ischemic Stroke Dataset, the model was fine‑tuned on small target‑domain subsets from Boston and ISLES, achieving median Dice scores of 0.68 and 0.56 for lesions ≥30 mL, and an NWU mean absolute error of 1.37 percentage points on the Boston cohort. The results demonstrate that target‑domain adaptation can enable accurate NCCT‑only infarct segmentation and low‑error NWU estimation across heterogeneous multicenter datasets.

By Linus Britt, Maximilian Nielsen, Susan Klapproth, Andre Kemmling, Michael H. Lev, Gabriel Broocks, Rene Werner, Thilo Sentker
arXiv AI
Oct 9

Bi-temporal Image-driven Acute Stroke Evolution Analysis

The paper introduces a bi‑temporal framework that links admission computed tomography perfusion (CTP) data with follow‑up diffusion‑weighted MRI (DWI) outcomes in acute ischemic stroke. By extracting statistical, radiomic, and deep‑learning features from CTP and classifying tissue into six outcome‑aware regions, the authors demonstrate that CTP signatures can distinguish salvaged versus infarcted penumbra and identify non‑hypoperfused tissue that later infarcts. Cross‑dataset validation on the ISLES'24 dataset confirms consistent feature‑space separations, suggesting that admission CTP contains richer outcome information than traditional core‑penumbra delineation.

By Md Sazidur Rahman, Kjersti Engan, Kathinka D{\ae}hli Kurz, Mahdieh Khanmohammadi
arXiv AI
Jul 7

EPRA U-Net: An Efficient Pyramid Residual Attention Framework for Accurate Infarct Segmentation in Diffusion-Weighted MRI

arXiv:2607. 03568v1 Announce Type: cross Abstract: Objective: Accurate identification of acute ischemic infarcts on diffusion-weighted magnetic resonance imaging (DWI) is a critical prerequisite for reliable lesion quantification and effective clinical decision support in the management of cerebrovascular events.

By Hasan Ulutas, Muhammet Emin Sahin, Mustafa Fatih Erkoc, Esra Yuce, Turker Tuncer, Sengul Dogan, Serkan Kiranyaz
arXiv AI
Jun 9

Comparative evaluation of training strategies using partially labelled datasets for segmentation of white matter hyperintensities and stroke lesions in FLAIR MRI

arXiv:2601. 20503v2 Announce Type: replace-cross Abstract: White matter hyperintensities (WMH) and ischaemic stroke lesions (ISL) are key imaging biomarkers of cerebral small vessel disease (SVD) detectable on magnetic resonance imaging (MRI).

By Jesse Phitidis, Alison Q. Smithard, William N. Whiteley, Joanna M. Wardlaw, Miguel O. Bernabeu, Maria Vald\'es Hern\'andez
arXiv Machine Learning
Jun 16

Lesion-DDPM: Lesion-Enhanced 3D Diffusion for MS MRI Synthesis

arXiv:2606. 15457v1 Announce Type: cross Abstract: 3D FLAIR MRI is widely recommended as one of the standard MRI sequences for brain imaging in multiple sclerosis (MS), but publicly available MS datasets remain relatively small and vary across scanners, acquisition protocols, and lesion patterns.

By Weidong Zhang, Yongchan Jung, Shafayat Mowla Anik, Furen Xiao, Vasudevan Janarthanan, Enkhzaya Chuluunbaatar, Byeong Kil Lee, Jeeho Ryoo