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. 2023 May 5;13(9):1640. doi: 10.3390/diagnostics13091640

Table 2.

Summary of different approaches for ICP estimation and MLS quantification.

Ref. ML/DL Algorithm/Method Dataset Size TBI-related Clinical
Assessment
Performance Main Contribution
[77] ML ReliefF feature selection, SVM 17 ICP > 15
vs.
ICP ≤ 15
Acc: 81.79 ± 2.3
Sen: 82.25 ± 1.7
Spec: 81.20 ± 0.04
Textural-based ICP estimation using Histogram analysis, GLRLM, DWPT, Fourier Transform, and DT-CWT
[80] ML SVM 17I ICP > 12
vs.
ICP ≤ 12
Acc: 70.2 ± 4.5
Sen: 65.2 ± 8.6
Spec: 73.7 ± 4.6
Textural-based ICP estimation using Histogram analysis, GLRLM, DWPT, Fourier Transform, DT-CWT as well as hematoma volume, manual MLS
measurement, age, and ISS
[81] ML` SVM 17 ICP > 12
vs.
ICP ≤ 12
Acc: 73.7
Sen: 68.6
Spec: 76.6
Textural-based; improving previous model [80] by adding intracranial air cavities, ventricle size related feature
[83] ML GA-SVM and GA-KNN based
feature
selection,
SVM classification method
59 ICP > 15
vs.
ICP < 15
Acc: 86.5 Textural-based; using anisotropic complex wavelet as textural feature for ICP classification
[82] ML GA-SVM based feature selection,
SVR classification method
59 ICP > 15
vs.
ICP < 15
Acc: 0.94
MAE: 4.25 mmHg
Textural-based; comparing anisotropic complex wavelet transform extracted features vs. DT-CWT extracted features in ICP classification.
[76] Hounsfield units thresholding 20 ICP > 20
vs.
ICP < 20
Acc: 0.67 Morphological-based; brain parenchyma segmentation, ICP estimation based on csfv/icvv ratio
[69] ML Black box model 11 ICP MAE: 4.0 ± 1.8 mmHg Physiological-based; non-invasive prediction of ICP using ABP and FV of major cerebral arteries.
[70] ML SVM 446 ICP Mean ICP error: 6.7 mmHg Physiological-based; noninvasive measurement of ICP using ABP and FV of major cerebral arteries
[71] ML Linear
regression
74 ICP > 20
vs.
ICP ≤ 20
AUC: 0.94 Morphological-based; estimating the probability of increase ICP by measuring MRI-based ONSD
[80] ML Gaussian mixture model 57 ICP > 12
vs.
ICP ≤ 12
Acc: 0.70 Textural-based ICP estimation; using tissue textural features, manual MLS quantification, ISS, and age
[79] ML Information gain ratio, GA feature selection, SVM 57 ICP > 12
vs.
ICP ≤ 12
Acc: 0.70
Sen: 0.65
Spec: 0.73
Textural-based ICP estimation; automated iML detection; using textural features, MLS, and blood amount to
estimate ICP
[87] Bezier curve, GA 81 MLS Acc: 0.95 Symmetry-based; detecting dML at the foramen of Monro level; Low
performance in case of severe TBI
[88] ML H-MLS (Linear Regression based), visual symmetry information 11 MLS - Symmetry-based; tracing dML based on the brain hemorrhage detection
[89] Weighted midline, maximum distance 41 MLS Acc: 0.92 Symmetry-based; estimating MLS based on the maximum distance
between WML and iML close to the
foramen of Monro
[94] ML CT density, spatial filtering, cluster analysis 273 MLS Sen:1
Spec: 0.98
Landmark-based; using spatial filtering, CT density thresholds, and cluster analysis to segment blood and CSF. The symmetry of CSF pixels in the lateral ventricles is used to assess MLS
[90] ML Level-set 170 MLS Acc: 0.68 Landmark-based; automating CT slice selection, rotation, and segmentation
[91] ML Active contour, Logistic regression 48 MSS
vs.
MLS
AUC: 0.71
Acc: 0.79
Landmark-based; volumetric measurement of displaced brain mass was
significantly correlated with GOS on discharge
[44] DL NPL 313, 318 (Qure25k dataset); 491 (CQ500 dataset) as validation set MLS AUC: 0·969
Sen: 0.938
Spec: 0.907
Detecting mass effect which consists of MLS, ventricular effacement,
herniation, or local mass effect
[92] DL RLDN 189 (CQ500 dataset [44] and local resources) MLS F1-score: 0.78 Developing a multi-scale bidirectional FCN based method [95] for midline delineation in severe brain deformation
[93] DL U-Net 45 MLS Acc: 0.94 Deformed right and left hemispheres were automatically segmented. The junction of these two segments was then traced to forms dML.
[43] DL U-Net based FCN 38 MLS < 5 mm
vs.
MLS > 5 mm
Acc: 0.89 MLS estimation at all levels between the lateral ventricles roof and foramen of Monro was performed. The greatest MLS score was considered the final MLS.