RESUMEN
Magnetic resonance imaging (MRI) of the brain has benefited from deep learning (DL) to alleviate the burden on radiologists and MR technologists, and improve throughput. The easy accessibility of DL tools has resulted in a rapid increase of DL models and subsequent peer-reviewed publications. However, the rate of deployment in clinical settings is low. Therefore, this review attempts to bring together the ideas from data collection to deployment in the clinic, building on the guidelines and principles that accreditation agencies have espoused. We introduce the need for and the role of DL to deliver accessible MRI. This is followed by a brief review of DL examples in the context of neuropathologies. Based on these studies and others, we collate the prerequisites to develop and deploy DL models for brain MRI. We then delve into the guiding principles to develop good machine learning practices in the context of neuroimaging, with a focus on explainability. A checklist based on the United States Food and Drug Administration's good machine learning practices is provided as a summary of these guidelines. Finally, we review the current challenges and future opportunities in DL for brain MRI.
Asunto(s)
Aprendizaje Profundo , Imagen por Resonancia Magnética , Encéfalo/diagnóstico por imagen , Neuroimagen , Espectroscopía de Resonancia MagnéticaRESUMEN
Presently, magnetic resonance imaging (MRI) magnets must deliver excellent magnetic field (B0 ) uniformity to achieve optimum image quality. Long magnets can satisfy the homogeneity requirements but require considerable superconducting material. These designs result in large, heavy, and costly systems that aggravate as field strength increases. Furthermore, the tight temperature tolerance of niobium titanium magnets adds instability to the system and requires operation at liquid helium temperature. These issues are crucial factors in the disparity of MR density and field strength use across the globe. Low-income settings show reduced access to MRI, especially to high field strengths. This article summarizes the proposed modifications to MRI superconducting magnet design and their impact on accessibility, including compact, reduced liquid helium, and specialty systems. Reducing the amount of superconductor inevitably entails shrinking the magnet size, resulting in higher field inhomogeneity. This work also reviews the state-of-the-art imaging and reconstruction methods to overcome this issue. Finally, we summarize the current and future challenges and opportunities in the design of accessible MRI.
RESUMEN
Low-field MR scanners are more accessible in resource-constrained settings where skilled personnel are scarce. Images acquired in such scenarios are prone to artifacts such as wrap-around and Gibbs ringing. Such artifacts negatively affect the diagnostic quality and may be confused with pathology or reduce the region of interest visibility. As a first step solution, ArtifactID identifies wrap-around and Gibbs ringing in low-field brain MRI. We utilized two datasets: 179 T1-weighted pathological brain images from a 0.36 T scanner and 581 publicly available T1-weighted brain images. Individual binary classification models were trained to identify through-plane wrap-around, in-plane wrap-around, and Gibbs ringing. Visual explanations obtained via the GradCAM method helped develop trust in the wrap-around model. The mean precision and recall metrics across the four implemented models were 97.6% and 92.83% respectively. Agreement analysis of the models and the radiologists' labels returned Cohen's kappa values of 0.768 ± 0.062, 1.00 ± 0.000, 0.89 ± 0.085, and 0.878 ± 0.103 for the through-plane wrap-around, in-plane wrap-around, and Gibbs ringing models, respectively.