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Veena A. Nair

Publications and source records attributed to Veena A. Nair.

4 recordsLinked to original sources

Stroke Lesion Segmentation using Multi-Stage Cross-Scale Attention

Precise characterization of stroke lesions from MRI data has immense value in prognosticating clinical and cognitive outcomes following a stroke. Manual stroke lesion segmentation is time-consuming and requires the expertise of neurologists and neuroradiologists. Often, lesions are grossly characterized for their location and overall extent using bounding boxes without specific delineation of their boundaries. While such characterization provides some clinical value, to develop a precise mechanistic understanding of the impact of lesions on post-stroke vascular contributions to cognitive impairments and dementia (VCID), the stroke lesions need to be fully segmented with accurate boundaries. This work introduces the Multi-Stage Cross-Scale Attention (MSCSA) mechanism, applied to the U-Net family, to improve the mapping between brain structural features and lesions of varying sizes. Using the Anatomical Tracings of Lesions After Stroke (ATLAS) v2.0 dataset, MSCSA outperforms all baseline methods in both Dice and F1 scores on a subset focusing on small lesions, while maintaining competitive performance across the entire dataset. Notably, the ensemble strategy incorporating MSCSA achieves the highest scores for Dice and F1 on both the full dataset and the small lesion subset. These results demonstrate the effectiveness of MSCSA in segmenting small lesions and highlight its robustness across different training schemes for large stroke lesions. Our code is available at: https://github.com/nadluru/StrokeLesSeg.

eess.IV↗

Segmenting Small Stroke Lesions with Novel Labeling Strategies

Deep neural networks have demonstrated exceptional efficacy in stroke lesion segmentation. However, the delineation of small lesions, critical for stroke diagnosis, remains a challenge. In this study, we propose two straightforward yet powerful approaches that can be seamlessly integrated into a variety of networks: Multi-Size Labeling (MSL) and Distance-Based Labeling (DBL), with the aim of enhancing the segmentation accuracy of small lesions. MSL divides lesion masks into various categories based on lesion volume while DBL emphasizes the lesion boundaries. Experimental evaluations on the Anatomical Tracings of Lesions After Stroke (ATLAS) v2.0 dataset showcase that an ensemble of MSL and DBL achieves consistently better or equal performance on recall (3.6% and 3.7%), F1 (2.4% and 1.5%), and Dice scores (1.3% and 0.0%) compared to the top-1 winner of the 2022 MICCAI ATLAS Challenge on both the subset only containing small lesions and the entire dataset, respectively. Notably, on the mini-lesion subset, a single MSL model surpasses the previous best ensemble strategy, with enhancements of 1.0% and 0.3% on F1 and Dice scores, respectively. Our code is available at: https://github.com/nadluru/StrokeLesSeg.

cs.CV↗

Topological Embedding of Human Brain Networks with Applications to Dynamics of Temporal Lobe Epilepsy

We introduce a novel, data-driven topological data analysis (TDA) approach for embedding brain networks into a lower-dimensional space in quantifying the dynamics of temporal lobe epilepsy (TLE) obtained from resting-state functional magnetic resonance imaging (rs-fMRI). This embedding facilitates the orthogonal projection of 0D and 1D topological features, allowing for the visualization and modeling of the dynamics of functional human brain networks in a resting state. We then quantify the topological disparities between networks to determine the coordinates for embedding. This framework enables us to conduct a coherent statistical inference within the embedded space. Our results indicate that brain network topology in TLE patients exhibits increased rigidity in 0D topology but more rapid flections compared to that of normal controls in 1D topology.

q-bio.NC↗

Unified Topological Inference for Brain Networks in Temporal Lobe Epilepsy Using the Wasserstein Distance

Persistent homology offers a powerful tool for extracting hidden topological signals from brain networks. It captures the evolution of topological structures across multiple scales, known as filtrations, thereby revealing topological features that persist over these scales. These features are summarized in persistence diagrams, and their dissimilarity is quantified using the Wasserstein distance. However, the Wasserstein distance does not follow a known distribution, posing challenges for the application of existing parametric statistical models.To tackle this issue, we introduce a unified topological inference framework centered on the Wasserstein distance. Our approach has no explicit model and distributional assumptions. The inference is performed in a completely data driven fashion. We apply this method to resting-state functional magnetic resonance images (rs-fMRI) of temporal lobe epilepsy patients collected from two different sites: the University of Wisconsin-Madison and the Medical College of Wisconsin. Importantly, our topological method is robust to variations due to sex and image acquisition, obviating the need to account for these variables as nuisance covariates. We successfully localize the brain regions that contribute the most to topological differences. A MATLAB package used for all analyses in this study is available at https://github.com/laplcebeltrami/PH-STAT.

q-bio.NC↗