Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleExtracranial Vascular

Automated Versus Manual In Vivo Segmentation of Carotid Plaque MRI

R. van 't Klooster, O. Naggara, R. Marsico, J.H.C. Reiber, J.-F. Meder, R.J. van der Geest, E. Touzé and C. Oppenheim
American Journal of Neuroradiology September 2012, 33 (8) 1621-1627; DOI: https://doi.org/10.3174/ajnr.A3028
R. van 't Klooster
aFrom the Division of Image Processing, Department of Radiology (R.v.t.K., J.H.C.R., R.J.v.d.G.), Leiden University Medical Center, Leiden, The Netherlands
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
O. Naggara
bUniversité Paris Descartes, INSERM UMR 894, Service d'Imagerie Morphologique et Fonctionnelle (O.N., R.M., J.-F.M., C.O.), Centre Hospitalier Sainte-Anne, Paris, France
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
R. Marsico
bUniversité Paris Descartes, INSERM UMR 894, Service d'Imagerie Morphologique et Fonctionnelle (O.N., R.M., J.-F.M., C.O.), Centre Hospitalier Sainte-Anne, Paris, France
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
J.H.C. Reiber
aFrom the Division of Image Processing, Department of Radiology (R.v.t.K., J.H.C.R., R.J.v.d.G.), Leiden University Medical Center, Leiden, The Netherlands
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
J.-F. Meder
bUniversité Paris Descartes, INSERM UMR 894, Service d'Imagerie Morphologique et Fonctionnelle (O.N., R.M., J.-F.M., C.O.), Centre Hospitalier Sainte-Anne, Paris, France
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
R.J. van der Geest
aFrom the Division of Image Processing, Department of Radiology (R.v.t.K., J.H.C.R., R.J.v.d.G.), Leiden University Medical Center, Leiden, The Netherlands
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
E. Touzé
cUniversité Paris Descartes, INSERM UMR 894, Service de Neurologie Vasculaire (E.T.), Centre Hospitalier Sainte-Anne, Paris, France
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
C. Oppenheim
bUniversité Paris Descartes, INSERM UMR 894, Service d'Imagerie Morphologique et Fonctionnelle (O.N., R.M., J.-F.M., C.O.), Centre Hospitalier Sainte-Anne, Paris, France
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Fig 1.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig 1.

    Three illustrative examples of manual and automated segmentation. A, Lipid core (yellow) corresponds to an area in which the signal intensity dropped on T2WI compared with PDw images. B, Calcifications (orange) correspond to an area of hypointensity on all 4 sequences. C, Recent hemorrhage (blue) corresponds to an area of hyperintensities on T1WI and TOF images. Note that the automated classifier underestimated the hemorrhage area.

  • Fig 2.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig 2.

    Graphs showing scatterplots of the volumes measured with the manual and automated methods for each component. Each dot corresponds to 1 patient.

  • Fig 3.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig 3.

    Bland-Altman graphics showing the differences between volumes obtained by manual and automated segmentation plotted against the mean of the 2 measurements. Volumes per patient are expressed in mm3. The dotted lines indicate the average bias and the dashed lines show the 95% CI (mean bias ± 1.96 SD). For each component, a negative bias indicates that the automated segmentation overestimates the volumes. A positive bias indicates that the automated segmentation underestimates the volumes.

Tables

  • Figures
    • View popup
    Table 1:

    Percentage of agreement and κ statistic of the plaque components per patient (n = 40)

    Plaque ComponentManualAutomatedAgreementκ [95% CI]
    AbsencePresence
    CalcificationAbsence19380.0%0.59 [0.36–0.82]
    Presence513
    HemorrhageAbsence15482.5%0.65 [0.42–0.88]
    Presence318
    Lipid coreAbsence1097.5%0.65 [0.03–1.27]
    Presence138
    • View popup
    Table 2:

    Volume of plaque components

    Plaque ComponentVolume (mm3)
    MeanSDMedianIQRP value*
    Hemorrhage (n = 18)
        Manual1121038621–1990.16
        Automated901045813–124
    Calcification (n = 13)
        Manual20181811–260.5
        Automated151772–23
    Lipid core (n = 38)
        Manual73665133–910.01
        Automated1251498219–196
    Fibrous tissue (n = 40)
        Manual272176229163–3440.27
        Automated237162216122–340
    • Note:—IQR indicates interquartile range; n = number of patients for whom a given component was detected by both methods.

    • ↵* Paired Wilcoxon test.

PreviousNext
Back to top

In this issue

American Journal of Neuroradiology: 33 (8)
American Journal of Neuroradiology
Vol. 33, Issue 8
1 Sep 2012
  • Table of Contents
  • Index by author
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Automated Versus Manual In Vivo Segmentation of Carotid Plaque MRI
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
R. van 't Klooster, O. Naggara, R. Marsico, J.H.C. Reiber, J.-F. Meder, R.J. van der Geest, E. Touzé, C. Oppenheim
Automated Versus Manual In Vivo Segmentation of Carotid Plaque MRI
American Journal of Neuroradiology Sep 2012, 33 (8) 1621-1627; DOI: 10.3174/ajnr.A3028

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
Automated Versus Manual In Vivo Segmentation of Carotid Plaque MRI
R. van 't Klooster, O. Naggara, R. Marsico, J.H.C. Reiber, J.-F. Meder, R.J. van der Geest, E. Touzé, C. Oppenheim
American Journal of Neuroradiology Sep 2012, 33 (8) 1621-1627; DOI: 10.3174/ajnr.A3028
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Abstract
    • ABBREVIATIONS:
    • Materials and Methods
    • Results
    • Discussion
    • Conclusions
    • Acknowledgments
    • Appendix
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Association of Progression of Carotid Artery Wall Volume and Recurrent Transient Ischemic Attack or Stroke: A Magnetic Resonance Imaging Study
  • Crossref
  • Google Scholar

This article has not yet been cited by articles in journals that are participating in Crossref Cited-by Linking.

More in this TOC Section

  • Proximal Vertebral Artery Variants and Embryology
  • High-Risk Plaque Features in Carotid MRI
  • Nonstenotic Carotid Plaques and Stroke Review
Show more Extracranial Vascular

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editor's Choice
  • Fellows' Journal Club
  • Letters to the Editor
  • Video Articles

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

More from AJNR

  • Trainee Corner
  • Imaging Protocols
  • MRI Safety Corner
  • Book Reviews

Multimedia

  • AJNR Podcasts
  • AJNR Scantastics

Resources

  • Turnaround Time
  • Submit a Manuscript
  • Submit a Video Article
  • Submit an eLetter to the Editor/Response
  • Manuscript Submission Guidelines
  • Statistical Tips
  • Fast Publishing of Accepted Manuscripts
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Author Policies
  • Become a Reviewer/Academy of Reviewers
  • News and Updates

About Us

  • About AJNR
  • Editorial Board
  • Editorial Board Alumni
  • Alerts
  • Permissions
  • Not an AJNR Subscriber? Join Now
  • Advertise with Us
  • Librarian Resources
  • Feedback
  • Terms and Conditions
  • AJNR Editorial Board Alumni

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire