MRI Manufacturer Shift and Adaptation: Increasing the Generalizability of Deep Learning Segmentation for MR Images Acquired with Different Scanners.

Yan, Wenjun; Huang, Lu; Xia, Liming; Gu, Shengjia; Yan, Fuhua; Wang, Yuanyuan; Tao, Qian · Radiol Artif Intell · 2020

retrospective_cohort · Level III

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Abstract

To quantitatively evaluate the generalizability of a deep learning segmentation tool to MRI data from scanners of different MRI manufacturers and to improve the cross-manufacturer performance by using a manufacturer-adaptation strategy. This retrospective study included 150 cine MRI datasets from three MRI manufacturers, acquired between 2017 and 2018 (<i>n</i> = 50 for manufacturer 1, manufacturer 2, and manufacturer 3). Three convolutional neural networks (CNNs) were trained to segment the left ventricle (LV), using datasets exclusively from images from a single manufacturer. A generative adversarial network (GAN) was trained to adapt the input image before segmentation. The LV segmentation performance, end-diastolic volume (EDV), end-systolic volume (ESV), LV mass, and LV ejection fraction (LVEF) were evaluated before and after manufacturer adaptation. Paired Wilcoxon signed rank tests were performed. The segmentation CNNs exhibited a significant performance drop when applied to datasets from different manufacturers (Dice reduced from 89.7% ± 2.3 [standard deviation] to 68.7% ± 10.8, <i>P</i> < .05, from 90.6% ± 2.1 to 59.5% ± 13.3, <i>P</i> < .05, from 89.2% ± 2.3 to 64.1% ± 12.0, <i>P</i> < .05, for manufacturer 1, 2, and 3, respectively). After manufacturer adaptation, the segmentation performance was significantly improved (from 68.7% ± 10.8 to 84.3% ± 6.2, <i>P</i> < .05, from 72.4% ± 10.2 to 85.7% ± 6.5, <i>P</i> < .05, for manufacturer 2 and 3, respectively). Quantitative LV function parameters were also significantly improved. For LVEF, the manufacturer adaptation increased the Pearson correlation from 0.005 to 0.89 for manufacturer 2 and from 0.77 to 0.94 for manufacturer 3. A segmentation CNN well trained on datasets from one MRI manufacturer may not generalize well to datasets from other manufacturers. The proposed manufacturer adaptation can largely improve the generalizability of a deep learning segmentation tool without additional annotation.<i>Supplemental material is available for this article.</i>© RSNA, 2020.