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Deep learning of electrical stimulation mapping-driven DWI tractography to improve preoperative evaluation of pediatric epilepsy surgery
Min-Hee Lee1,2, Nolan O'Hara2,3, Csaba Juhasz1,2,3,4, Eishi Asano1,3,4, and Jeong-Won Jeong1,2,3,4
1Pediatrics, Wayne State University School of Medicine, Detroit, MI, United States, 2Translational Imaging Laboratory, Children's Hospital of Michigan, Detroit, MI, United States, 3Translational Neuroscience Program, Wayne State University School of Medicine, Detroit, MI, United States, 4Neurology, Wayne State University School of Medicine, Detroit, MI, United States
DCNN-tract-classification achieved an accuracy of 98% to non-invasively detect eloquent areas within the spatial resolution of ESM (1cm). Kalman filter analysis found that preservation of detected areas provided no postoperative deficits at an accuracy of 92%.
Figure 2. Examples of DCNN-determined tract classes, Ci=1-14, spatially well-matched with ESM-determined eloquent areas. Whole brain tractography data in validation set were classified by the proposed DCNN tract classification and the cortical terminals of the resulting Ci (i.e., streamline tracts presented by red-green-blue color coding) were compared with their ground truth, ESM-determined eloquent areas (ESM electrodes marked by red spheres).
Figure 1. Schematic architecture of the deep convolutional neural network (DCNN), where each colored square represents a specific network layer.