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A fully automatic radiomics pipeline for postoperative facial nerve function prediction of vestibular schwannoma

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机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Neurosurg, Beijing, Peoples R China [2]Beijing Univ Sci & Technol, Sch Informat Engn, Beijing, Peoples R China
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关键词: Vestibular schwannoma Radiomics Deep learning Transformer Magnetic resonance imaging

摘要:
Vestibular schwannoma (VS) is the most prevalent intracranial schwannoma. Surgery is one of the options for the treatment of VS, with the preservation of facial nerve (FN) function being the primary objective. Therefore, postoperative FN function prediction is essential. However, achieving automation for such a method remains a challenge. In this study, we proposed a fully automatic deep learning approach based on multi-sequence magnetic resonance imaging (MRI) to predict FN function after surgery in VS patients. We first developed a segmentation network 2.5D Trans-UNet, which combined Transformer and U-Net to optimize contour segmentation for radiomic feature extraction. Next, we built a deep learning network based on the integration of 1D Convolutional Neural Network (1DCNN) and Gated Recurrent Unit (GRU) to predict postoperative FN function using the extracted features. We trained and tested the 2.5D Trans-UNet segmentation network on public and private datasets, achieving accuracies of 89.51% and 90.66%, respectively, confirming the model's strong performance. Then Feature extraction and selection were performed on the private dataset's segmentation results using 2.5D Trans-UNet. The selected features were used to train the 1DCNN-GRU network for classification. The results showed that our proposed fully automatic radiomics pipeline outperformed the traditional radiomics pipeline on the test set, achieving an accuracy of 88.64%, demonstrating its effectiveness in predicting the postoperative FN function in VS patients. Our proposed automatic method has the potential to become a valuable decision-making tool in neurosurgery, assisting neurosurgeons in making more informed decisions regarding surgical interventions and improving the treatment of VS patients.

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出版当年[2025]版:
大类 | 4 区 医学
小类 | 4 区 神经科学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 神经科学
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出版当年[2023]版:
Q2 NEUROSCIENCES
最新[2023]版:
Q2 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

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第一作者机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Neurosurg, Beijing, Peoples R China
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