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Microstructure-informed deep learning improves thalamic atrophy segmentation and clinical associations in multiple sclerosis and related neuroimmunological diseases - PubMed

4 days ago
  • #deep learning
  • #multiple sclerosis
  • #thalamic atrophy
  • Microstructure-informed deep learning improves thalamic atrophy segmentation in multiple sclerosis (MS) and related neuroimmunological diseases.
  • Thalamic atrophy is a sensitive imaging marker of neurodegeneration in MS and related disorders.
  • Four algorithms (FreeSurfer, FIRST, DBSegment, MindGlide) were benchmarked against ground truth (GT) labels for thalamus segmentation.
  • MindGlide, an MS-trained deep learning model, balanced sensitivity and precision best among tested methods.
  • Quantitative R1 maps provided modest or no improvement in segmentation accuracy when added to MindGlide.
  • MindGlide volumes showed the strongest associations with disability and cognitive scores cross-sectionally.
  • Longitudinally, MindGlide detected the largest effects between thalamic volume change and EDSS worsening.
  • Higher-resolution qMRI and multi-contrast deep learning may further enhance thalamic segmentation in neuroinflammatory diseases.