An Automatic Segmentation of T2-FLAIR Multiple Sclerosis Lesions
Résumé
Multiple sclerosis diagnosis and patient follow-up can be helped by an evaluation of the lesion load in
MRI sequences. A lot of automatic methods to segment these lesions are available in the literature.
The MICCAI workshop Multiple Sclerosis (MS) lesion segmentation Challenge 08 allows to test and
compare these algorithms. This paper presents a method designed to detect hyperintense signal area on
T2-FLAIR sequence and its results on the Challenge test data. The proposed algorithm uses only three
conventional MRI sequences: T1, T2 and T2-FLAIR. First, images are cropped, spatially unbiased and
skull-stripped. A segmentation of the brain into its different compartments is performed on the T1 and
the T2 sequences. From these segmentations, a threshold for the T2-FLAIR sequence is automatically
computed. Then postprocessing operations select the most plausible lesions in the obtained hyperintense
signals. Average global result on the test data (80/100) is close to the inter-expert variability (90/100).
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