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A novel segmentation framework dedicated to the follow‐up of fat infiltration in individual muscles of patients with neuromuscular disorders

Lookup NU author(s): Dr Linda HeskampORCiD


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Purpose: To propose a novel segmentation framework that is dedicated to the follow-up of fat infiltration in individual muscles of patients with neuromuscular disorders.Methods: We designed a semi-automatic segmentation pipeline of individual leg muscles in MR images based on automatic propagation through nonlinear registrations of initial delineation in a minimal number of MR slices. This approach has been validated for the segmentation of individual muscles from MRI data sets, acquired over a 10-month period, from thighs and legs in 10 patients with muscular dystrophy. The robustness of the framework was evaluated using conventional metrics related to muscle volume and clinical metrics related to fat infiltration.Results: High accuracy of the semi-automatic segmentation (mean Dice similarity coefficient higher than 0.89) was reported. The provided method has excellent reliability regarding the reproducibility of the fat fraction estimation, with an average intraclass correlation coefficient score of 0.99. Furthermore, the present segmentation framework was determined to be more reliable than the intra-expert performance, which had an average intraclass correlation coefficient of 0.93.Conclusion: The proposed framework of segmentation can successfully provide an effective and reliable tool for accurate follow-up of any MRI biomarkers in neuromuscular disorders. This method could assist the quantitative assessment of muscular changes occurring in such diseases.

Publication metadata

Author(s): Ogier AC, Heskamp L, Michel CP, Fouré A, Bellemare M, Le Troter A, Heerschap A, Bendahan D

Publication type: Article

Publication status: Published

Journal: Magnetic Resonance in Medicine

Year: 2020

Volume: 83

Issue: 5

Pages: 1825-1836

Print publication date: 01/05/2020

Online publication date: 02/11/2019

Acceptance date: 17/09/2019

ISSN (print): 0740-3194

ISSN (electronic): 1522-2594

Publisher: Wiley


DOI: 10.1002/mrm.28030

PubMed id: 31677312


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