An Automatic Detection Method Of Cerebral Aneurysms In Time-Of-Flight Magnetic Resonance Angiography Images Based On Attention 3D U-Net

Background:Subarachnoid hemorrhage caused by ruptured cerebral aneurysm often leads to fatal consequences.However,if the aneurysm can be found and treated during asymptomatic periods,the probability of rupture can be greatly reduced.At present,time-of-flight magnetic resonance angiography is one of the most commonly used non-invasive screening techniques for cerebral aneurysm,and the application of deep learning technology in aneurysm detection can effectively improve the screening effect of aneurysm.Existing studies have found that three-dimensional features play an important role in aneurysm detection,but they require a large amount of training data and have problems such as a high false positive rate. Methods:This paper proposed a novel method for aneurysm detection.First,a fully automatic cerebral artery segmentation algorithm without training data was used to extract the volume of interest,and then the 3D U-Net was improved by the 3D SENet module to establish an aneurysm detection model.Eventually a set of fully automated,end-to-end aneurysm detection methods have been formed. Results:A total of 231 magnetic resonance angiography image data were used in this study,among which 132 were training sets,34 were internal test sets and 65 were external test sets.The presented method obtained 97.89% sensitivity in the five-fold cross-validation and obtained 91.0% sensitivity with 2.48 false positives/case in the detection of the external test sets. Conclusions:Compared with the results of our previous studies and other studies,the method in this paper achieves a very competitive sensitivity with less training data and maintains a low false positive rate.As the only method currently using 3D U-Net for aneurysm detection,it proves the feasibility and superior performance of this network in aneurysm detection,and also explores the potential of the channel attention mechanism in this task.