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Fig 1.

A schematic diagram of the deep learning-based WMH segmentation algorithm.

The deep learning-based WMH segmentation algorithm is consisting of two independent processes. First, brain extraction is conducted with two rigid transformation and in-house brain extraction algorithm using 3D U-Net. Second, in-house convolutional neural networks segment WMH from the preprocessed brain parenchyma image.

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Fig 1 Expand

Fig 2.

Three pairs of a pre-processed FLAIR image and a mask of segmented WMH with total WMH volume of each case in different Fazekas categories (a-c) (WMH volume: a, 4.11 mL; b, 20.59 mL; c, 47.69 mL, the ratio of WMH volume / total white matter volume: a, 1.09%; b, 5.18%; c, 9.94%). The last pair is the images of a subcortical vascular dementia patient (c). FLAIR, fluid-attenuated inversion recovery.

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Fig 2 Expand

Fig 3.

Flow diagram showing the selection process of patients and their Fazekas scale.

FLAIR, fluid-attenuated inversion recovery; MRI, magnetic resonance imaging.

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Fig 3 Expand

Table 1.

Characteristics of patients based on the Fazekas scale.

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Table 1 Expand

Fig 4.

WMH volume (a) and WMH volume ratio (b) for Fazekas categories.

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Table 2.

Diagnostic performance of WMH volume for differentiating Fazekas scale with its cut-off values.

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Table 2 Expand