fidopt Interactive view

Breast-MRI-NACT-Pilot

Fat-suppressed pre-contrast T1 MR of a breast with a tumour, before neoadjuvant chemotherapy (fixed) and after its first cycle (moving) (Breast-MRI-NACT-Pilot, UCSF).

10 test pairsbreastsame patientfixed MR, moving MRaligned once by the benchmark
Read before comparing (8)
  • Truth. The breast tissue mask is the provider's analysis of each visit: the pre-contrast image above 60% of the 95th percentile inside a box an operator drew around the enhancing tumour. It keeps the fibroglandular tissue, not the outline of the breast, and no one drew or checked its boundary: graded automatic. Exclusion regions the operator drew are cut out (UCSF-BR-08 at both visits, UCSF-BR-23 at MRI 2).
  • Threshold. Each visit's threshold comes from its own box: when the tumour fades it drops and the mask grows (UCSF-BR-50: 137 ml at MRI 1, 345 ml at MRI 2). Over the test pairs the mask changes by -35% to +152% between visits, and it takes in noise in the pectoral muscle and along the skin (UCSF-BR-49 holds 45 ml). No registration reaches a Dice of 1.
  • Tumour. The provider's tumour mask, the tissue in the box that enhances by 70% or more on the early phase, is shown (dice_tumour) and never ranked. After one cycle its volume is a median 0.54 of the first visit's, and treatment lowers enhancement as well as size, so its overlap mostly measures the response.
  • Visits. MRI 2, after the first of four cycles of adriamycin-cytoxan and 12 to 70 days after MRI 1 (median 29), is the moving visit: the later visit where tumour and breast have changed least. MRI 3 and MRI 4 are not used.
  • Images. The pre-contrast phase of each visit's DCE series, the one the mask thresholds, whose contrast does not depend on enhancement. One breast a series, sagittal, 0.70 to 0.78 mm in the slice (0.35 mm on UCSF-BR-23's MRI 1) and 2.0 to 2.3 mm between slices, 1.5 T GE Signa, one site.
  • Alignment. Each visit is in its own scanner frame, the patient prone in the coil; as delivered, the tumour centres of the first 13 pairs built were 8 to 38 mm apart. The moving header carries one elastix translation from the intensities, no annotation used; no voxel is resampled.
  • Baseline. With no registration the ten test pairs start at a mean tissue Dice of 0.51 (0.21 to 0.79), lowest on UCSF-BR-20, where the breast lies differently in the coil, then UCSF-BR-49 (0.24) and UCSF-BR-50 (0.31). The tumour Dice starts at 0.00 to 0.66.
  • Masks. Some of the provider's SEG frames sit half a pixel off their image; prepare.py puts each frame on its image's pixels, where the mask is the image above one value.
AccuracySmoothnessCost
#MethodDiceChangeHD95 mmSDlogJFolds %Time sRAM GBGPU GBImages
11–2ConvexAdam (MIND)GPUapp0.656 ±0.139+0.14714.24 ±6.480.0890.4092.31.6
21–2DemonsCPUapp0.642 ±0.124+0.13313.48 ±6.360.0980.1450.8
No registration0.509 ±0.14416.71 ±7.480.0000.00

The order averages each method's ranks on Dice, HD95 mm, SDlogJ, so the first one is not always the best in every column. ± is the 95% interval of the mean over the 10 pairs. Two neighbours are tied when a paired Wilcoxon test on the shared pairs does not find the upper one better on Dice (5%): the places a method could hold are then shown under its own. The best value of each column is in colour. Click a row to see its images, a column title to sort by it. Time and memory measured on Laptop.

Dice: how much the organ contours overlap, 1 is perfect. HD95: distance between the contours' surfaces. SDlogJ: how irregular the deformation is, 0 is perfectly smooth. Folds: share of the image where the deformation folds over itself.

Pair by pair

Click a score to look at that result: the fixed image, and over it the moving image after registration, with the annotations. Underlined scores have their image; for the others you see the pair without the result. A green cell gained against no registration on that pair, a red one lost.

About the data

The first test case of Breast-MRI-NACT-Pilot
The first test caseClick to look at every case.
Test pairs
10 test pairs drawn with seed 2026 among the 46 patients outside the first three development pairs, and 10 development pairs in all; the test pairs lie among the 39 outside development. The pool is the 49 of the 64 patients whose MRI 2 the provider analysed.
Truth
contours by a program tumour by a program the provider's breast tissue mask on each visit: the pre-contrast image above a threshold set from the operator's box around the tumour, which keeps the fibroglandular tissue
Licence
CC BY 3.0
10 pairs for tuning, never tested

UCSF-BR-01, UCSF-BR-03, UCSF-BR-04, UCSF-BR-53, UCSF-BR-22, UCSF-BR-62, UCSF-BR-21, UCSF-BR-47, UCSF-BR-40, UCSF-BR-57