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
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.
By Atle Bj{\o}rnerud, Till Schellhorn, Thor H. Skatt{\o}r, Terje Nome, Jon Andr\'e Ottesen, Anne Hege Aamodt, Bradley J MacIntosh
arXiv:2608. 19769v1 Announce Type: cross Abstract: Fast and accurate segmentation of Acute Ischemic Stroke (AIS) lesions is essential for stroke prognosis and treatment planning.
By Maunil Shah, Vaanathi Sundaresan
The study investigates how image‑domain Poisson perturbations affect the classification of ischemic core/penumbra in non‑contrast CT slices. Using a CPAISD cohort, the authors compared direct ResNet‑18 classification with a denoising‑then‑classifying pipeline and found that denoising generally reduced performance. A prospective experiment with joint denoising‑classification models showed no statistically significant advantage over direct noisy classification, indicating limited robustness to Poisson noise.
By Rhea Ghosal, Ronok Ghosal, Eileen Lou
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
X‑LMC is a spatiotemporal deep‑learning framework that automatically scores leptomeningeal collateral (LMC) status from time‑resolved biplane digital subtraction angiography (DSA). It uses a DINOv2 backbone to encode spatial frames, a token‑level cross‑view attention module to fuse orthogonal projections, and a recurrent network to model contrast bolus dynamics. On a multicenter dataset of 134 M1‑segment occlusion patients, X‑LMC achieved a Quadratic Weighted Kappa of 0.398 and a macro‑F1 of 0.711, outperforming static and other spatiotemporal baselines and matching clinical inter‑rater agreement.
SADL is a size‑adaptive decision layer that improves chronic stroke lesion segmentation on T1‑weighted MRI by combining an eleven‑member nnU‑Net ensemble with adaptive thresholding and pruning. The ensemble incorporates dice + top‑K loss, heavy augmentation, per‑lesion volume re‑weighting, stochastic weight averaging, and a cohort‑balanced sampling block with a residual‑encoder backbone. On a 91‑case holdout, SADL achieves Dice 0.7322, lesion‑F1 0.7461, and PR‑AUC 0.8430, with a statistically significant gain in lesion‑F1 (p=0.024) especially for small lesions.
By Marek Wodzinski, Gniewosz Drwiega, Wojciech Szymanski
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:2603. 05693v2 Announce Type: replace-cross Abstract: Accurate longitudinal analysis of brain MRI is often hindered by evolving lesions, which bias automated neuroimaging pipelines.
By Zahra Karimaghaloo, Dumitru Fetco, Haz-Edine Assemlal, Hassan Rivaz, Douglas L. Arnold
CATCH is a conditional 3D diffusion model operating in an invertible Haar-wavelet domain designed to inpaint masked regions in T1‑weighted brain MRI with plausible, tumor‑free tissue while preserving observed anatomy. The model’s denoiser uses noisy target coefficients, voided‑image coefficients, and a signed mask, guided by tumor‑excluded wavelet reconstruction and a hole‑focused loss, and hard compositing ensures observed voxels remain unchanged. Experiments on BraTS data show that a weighted mixture of tumor‑derived, irregular‑blob, and ellipsoidal masks yields the best performance, achieving higher SSIM, PSNR, and lower MSE compared to fixed or random augmentation baselines.
By Simon Winther Albertsen, Hjalte Bjoernstrup, Said Djafar Said, Mostafa Mehdipour Ghazi
arXiv:2610.08983v1 Announce Type: new
Abstract: Generative inpainting of brain MRI volumes is essential for synthesizing healthy tissue in pathological regions, improving the accuracy and reliability...
By Arnela Hadzic, Franz Thaler, Simon Johannes Joham, Martin Urschler
arXiv:2608.23882v1 Announce Type: cross
Abstract: Segmenting ischemic stroke lesions on T1-weighted (T1w) MRI acquired across different scanners and protocols without intensity standardization is dif...
By Dexter Wen Jie Teo, Kumaradevan Punithakumar