Automated Subdural Hematoma Segmentation for Traumatic Brain Injured (TBI) Patients

摘要

Traumatic brain injury is a serious public health problem in the U.S. contributing to a large portion of permanent disability. However, its early management and treatment could limit the impact of the injury, save lives and reduce the burden of cost for patients as well as healthcare systems. Subdural hematoma is one of the most common types of TBI, which its visual detection and quantitative evaluation are time consuming and prone to error. In this study, we propose a fully automated machine learning based approach for 3D segmentation of convexity subdural hematomas. Textural, statistical and geometrical features of sample points from intracranial region are extracted based on head Computed Tomography (CT) images. Then, a tree bagger classifier is implemented to classify each pixel as hematoma or no-hematoma. Our method yields sensitivity, specificity and area under the receiver operating curve (AUC) of 85.02%, 73.74% and 0.87 respectively.