UniToBrain dataset: a Brain Perfusion Dataset

The CT perfusion (CTP) is a medical exam for measuring the passage of a bolus of contrast solution through the brain on a pixel-by-pixel basis. The objective is to draw "perfusion maps" (namely cerebral blood volume, cerebral blood flow and time to peak) very rapidly for ischemic lesions, and to be able to distinguish between core and penumubra regions. A precise and quick diagnosis, in a context of ischemic stroke, can determine the fate of the brain tissues and guide the intervention and treatment in emergency conditions. In this work we present UniToBrain dataset, the very first open-source dataset for CTP. It comprises a cohort of more than a hundred of patients, and it is accompanied by patients metadata and ground truth maps obtained with state-of-the-art algorithms. We also propose a novel neural networks-based algorithm, using the European library ECVL and EDDL for the image processing and developing deep learning models respectively. The results obtained by the neural network models match the ground truth and open the road towards potential sub-sampling of the required number of CT maps, which impose heavy radiation doses to the patients.

Neural Network-derived perfusion maps: a Model-free approach to computed tomography perfusion in patients with acute ischemic stroke

Purpose: In this study we investigate whether a Convolutional Neural Network (CNN) can generate clinically relevant parametric maps from CT perfusion data in a clinical setting of patients with acute ischemic stroke. Methods: Training of the CNN was done on a subset of 100 perfusion data, while 15 samples were used as validation. All the data used for the training/validation of the network and to generate ground truth (GT) maps, using a state-of-the-art deconvolution-algorithm, were previously pre-processed using a standard pipeline. Validation was carried out through manual segmentation of infarct core and penumbra on both CNN-derived maps and GT maps. Concordance among segmented lesions was assessed using the Dice and the Pearson correlation coefficients across lesion volumes. Results: Mean Dice scores from two different raters and the GT maps were > 0.70 (good-matching). Inter-rater concordance was also high and strong correlation was found between lesion volumes of CNN maps and GT maps (0.99, 0.98). Conclusion: Our CNN-based approach generated clinically relevant perfusion maps that are comparable to state-of-the-art perfusion analysis methods based on deconvolution of the data. Moreover, the proposed technique requires less information to estimate the ischemic core and thus might allow the development of novel perfusion protocols with lower radiation dose.