{"id":18013,"date":"2025-02-10T09:00:41","date_gmt":"2025-02-10T09:00:41","guid":{"rendered":"https:\/\/lamarr-institute.org\/?p=18013"},"modified":"2025-02-11T08:13:05","modified_gmt":"2025-02-11T08:13:05","slug":"ki-traktographie-studie","status":"publish","type":"post","link":"https:\/\/lamarr-institute.org\/de\/news\/ki-traktographie-studie\/","title":{"rendered":"KI-Traktographie verbessert die Bildgebung im Gehirn: Neue Studie"},"content":{"rendered":"\n<p>How can nerve pathways in the brain be visualized to improve the planning of complex surgeries? A research team from the <a href=\"https:\/\/lamarr-institute.org\/\">Lamarr Institute<\/a> and the <a href=\"https:\/\/www.uni-bonn.de\/en\/home?set_language=en\" target=\"_blank\" rel=\"noreferrer noopener\">University of Bonn<\/a>, in collaboration with the <a href=\"https:\/\/www.translationalneuroimaging.de\/\" target=\"_blank\" rel=\"noreferrer noopener\">Translational Neuroimaging Group<\/a> at the Departments of Neuroradiology and Epileptology at the <a href=\"https:\/\/www.ukbonn.de\/patient_innen\/international\/english\/\" target=\"_blank\" rel=\"noreferrer noopener\">University Hospital Bonn (UKB),<\/a> has investigated an AI-powered method that makes these reconstructions more precise. The study, recently published in <em>NeuroImage: Clinical<\/em>, could ultimately help make neurosurgical procedures safer.<\/p>\n\n<h2 class=\"wp-block-heading\">What Is Tractography \u2013 and Why Is It Important?<\/h2>\n\n<p>The brain is a highly complex network of nerve cells interconnected by delicate pathways \u2013 known as nerve fibers or tracts. These connections are essential for movement, speech, thought, and many other functions. To visualize these structures, researchers use tractography, an imaging technique that calculates the course of nerve pathways based on specialized MRI scans. This information is particularly crucial for planning brain surgeries, such as those performed on epilepsy patients undergoing surgical intervention.<\/p>\n\n<p>Current tractography methods rely on mathematical models that infer the location of nerve pathways from MRI data. However, these methods often involve uncertainties, especially when the brain has been altered due to disease or surgery. This is where modern AI methods come into play: By leveraging machine learning, these systems can recognize patterns and generate more accurate reconstructions.<\/p>\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"338\" src=\"https:\/\/lamarr-institute.org\/wp-content\/uploads\/\/20250202_News_Schultz_Brain-1024x338.jpg\" alt=\"The image displays three MRI brain scans from different anatomical perspectives: (a) sagittal, (b) coronal, and (c) axial views. The sagittal view (left) shows a side profile of the brain, including the cerebral cortex and cerebellum. The coronal view (middle) presents a front-facing cross-section, revealing the brain&#039;s internal structures. The axial view (right) provides a horizontal cross-section, illustrating the top-down perspective. The coronal and axial scans show significant structural abnormalities, including a large region of missing brain tissue, suggesting a post-surgical or pathological condition, such as a hemispherotomy or severe brain atrophy.\" class=\"wp-image-17695\" title=\"\" srcset=\"https:\/\/lamarr-institute.org\/wp-content\/uploads\/20250202_News_Schultz_Brain-1024x338.jpg 1024w, https:\/\/lamarr-institute.org\/wp-content\/uploads\/20250202_News_Schultz_Brain-300x99.jpg 300w, https:\/\/lamarr-institute.org\/wp-content\/uploads\/20250202_News_Schultz_Brain-768x253.jpg 768w, https:\/\/lamarr-institute.org\/wp-content\/uploads\/20250202_News_Schultz_Brain-1536x507.jpg 1536w, https:\/\/lamarr-institute.org\/wp-content\/uploads\/20250202_News_Schultz_Brain-2048x675.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Fig. 1. A T1 weighted image of a patient after hemispherotomy. We investigate the ability of learning-based tractography to reconstruct tracts in the preserved hemisphere, despite the strong abnormalities in the affected one, and whether it erroneously reconstructs tracts as intact that have been surgically disconnected. \u00a9 Gr\u00fcn, Bauer, R\u00fcber, Schultz<\/figcaption><\/figure>\n\n<h2 class=\"wp-block-heading\">AI-Powered Tractography Shows Potential \u2013 But Also Challenges<\/h2>\n\n<p>In the study, the researchers tested a widely used AI method called TractSeg, originally trained on healthy brains. The team investigated whether it could also work for epilepsy patients who had undergone a hemispherotomy \u2013 a surgical procedure that disconnects the two hemispheres of the brain.<\/p>\n\n<p>The results showed that TractSeg performed well in many cases but also produced unexpected errors: It reconstructed nerve pathways that should no longer exist due to the surgery \u2013 a phenomenon known as &#8222;hallucination.&#8220; At the same time, some remaining pathways were either incompletely captured or entirely missing from the reconstruction.<\/p>\n\n<h2 class=\"wp-block-heading\">A New Hybrid Approach for More Accurate Reconstructions<\/h2>\n\n<p>To address these issues, the team developed a new hybrid method that combines the advantages of AI with the data fidelity of traditional techniques. This approach ensures that only existing nerve connections are reconstructed. The result: No more hallucinations, better detection of preserved pathways, and overall more accurate reconstructions \u2013 even in healthy brains.<\/p>\n\n<p><a href=\"https:\/\/lamarr-institute.org\/person\/prof-dr-thomas-schultz\/\">Prof. Dr. Thomas Schultz<\/a>, Principal Investigator in the <a href=\"https:\/\/lamarr-institute.org\/research\/life-sciences\/\">Life Sciences at the Lamarr Institute<\/a> and a professor at the <a href=\"https:\/\/www.informatik.uni-bonn.de\/en\/homepage?set_language=en\" target=\"_blank\" rel=\"noreferrer noopener\">Institute for Computer Science<\/a> at the University of Bonn, highlights the significance of this work:<\/p>\n\n<p><em>&#8222;Our study demonstrates both the potential and the limitations of AI-powered tractography in clinical applications. Combining AI with traditional methods offers a promising solution for more precise reconstructions, especially when dealing with patient data affected by pathological changes. Our goal is to further refine these approaches and make them applicable for neurosurgery in the long run.&#8220;<\/em><\/p>\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"346\" src=\"https:\/\/lamarr-institute.org\/wp-content\/uploads\/\/gruen-2025-1024x346.jpg\" alt=\"The image shows fiber tract reconstructions of the inferior longitudinal fasciculus (ILF) in the intact hemisphere of a hemispherotomy patient. The bottom row displays sagittal MRI brain scans with tractography overlays, where the ILF is highlighted in green, blue, and other colors. A red rectangle marks a region of interest. The top row presents zoomed-in views of this region, focusing on the differences between two reconstruction methods. On the left, TractSeg includes streamlines within a lesion, while on the right, the proposed regularized low-rank reconstruction excludes the lesion more accurately. The visualization highlights the tractography differences, with the right-side method maintaining a more precise exclusion of the lesion despite segmenting a larger overall tract volume.\" class=\"wp-image-18010\" title=\"\" srcset=\"https:\/\/lamarr-institute.org\/wp-content\/uploads\/gruen-2025-1024x346.jpg 1024w, https:\/\/lamarr-institute.org\/wp-content\/uploads\/gruen-2025-300x101.jpg 300w, https:\/\/lamarr-institute.org\/wp-content\/uploads\/gruen-2025-768x259.jpg 768w, https:\/\/lamarr-institute.org\/wp-content\/uploads\/gruen-2025-1536x519.jpg 1536w, https:\/\/lamarr-institute.org\/wp-content\/uploads\/gruen-2025-2048x692.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Fig. 2. Reconstructions of the inferior longitudinal fasciculus (ILF) in the intact hemisphere of a hemispherotomy patient. In the close-up views, corresponding to the area within the red rectangle, streamlines have been clipped near the slice to better visualize the fact that TractSeg reconstructs streamlines within a lesion, whereas the proposed regularized low-rank reconstruction more accurately excludes the lesion, despite segmenting an overall larger tract volume. \u00a9 Gr\u00fcn, Bauer, R\u00fcber, Schultz<\/figcaption><\/figure>\n\n<h2 class=\"wp-block-heading\">Funded by a TRA Research Award from the University of Bonn<\/h2>\n\n<p>This publication is the result of a collaboration funded by the <a href=\"https:\/\/www.uni-bonn.de\/en\/news\/121-2023\" target=\"_blank\" rel=\"noreferrer noopener\">Modeling for Life and Health research award<\/a> from the University of Bonn\u2019s Transdisciplinary Research Areas (TRA) <a href=\"https:\/\/www.uni-bonn.de\/en\/research-and-teaching\/research-profile\/transdisciplinary-research-areas\/tra-1-modelling\" target=\"_blank\" rel=\"noreferrer noopener\">Modeling<\/a> and <a href=\"https:\/\/www.uni-bonn.de\/en\/research-and-teaching\/research-profile\/transdisciplinary-research-areas\/tra-3-life-and-health\" target=\"_blank\" rel=\"noreferrer noopener\">Life &amp; Health<\/a>. The project was conducted in partnership with <a href=\"https:\/\/www.translationalneuroimaging.de\/theodor-rueber\" target=\"_blank\" rel=\"noreferrer noopener\">PD Dr. Theodor R\u00fcber<\/a>, Principal Investigator of the Translational Neuroimaging Group and a neurologist at the UKB\u2019s Department of Neuroradiology.<\/p>\n\n<p>The University of Bonn\u2019s <a href=\"https:\/\/www.uni-bonn.de\/en\/research-and-teaching\/research-profile\/transdisciplinary-research-areas\/\" target=\"_blank\" rel=\"noreferrer noopener\">Transdisciplinary Research Areas (TRA)<\/a> serve as innovation and exploration hubs in research and education, enabling scholars to collaborate across disciplines and faculties, as well as with external partners, to tackle key scientific, technological, and societal challenges. This first joint publication illustrates how the exchange between AI research and neuroscience can help advance medical procedures \u2013 offering direct benefits for patients.<\/p>\n\n<p>Additionally, the project was supported by the <a href=\"https:\/\/trainee.cs.uni-bonn.de\/\" target=\"_blank\" rel=\"noreferrer noopener\">BNTrAinee<\/a> program at the University of Bonn and the <a href=\"https:\/\/www.medfak.uni-bonn.de\/en\/research\/research-funding\/neuro-acsis\/neuro-acsis?set_language=en\" target=\"_blank\" rel=\"noreferrer noopener\">Neuro-aCSis<\/a> Bonn Neuroscience Clinician Scientist Program.<\/p>\n\n<h3 class=\"wp-block-heading\">Publication<\/h3>\n\n<p>Gr\u00fcn, Bauer, R\u00fcber, Schultz: Deep Learning Based Tractography With TractSeg in Patients With Hemispherotomy: Evaluation and Refinement, NeuroImage: Clinical. <a href=\"https:\/\/doi.org\/10.1016\/j.nicl.2025.103738\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/doi.org\/10.1016\/j.nicl.2025.103738<\/a> \u00a0\u00a0<\/p>\n<div class=\"select-persons\">\n<div class=\"select-persons-grid column-2\">\n\n\n    \t   \n\t          \n        \n\t\t<div class=\"team-item\">\n\t\t<a href=\"https:\/\/lamarr-institute.org\/de\/person\/prof-dr-thomas-schultz\/\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" class=\"wp-post-image\" src=\"https:\/\/lamarr-institute.org\/wp-content\/uploads\/lamarr-institute-person-Schultz-Thomas-scaled-e1663922506873.jpg\" alt=\"- Lamarr Institute for Machine Learning (ML) and Artificial Intelligence (AI)\" title=\"\">\n\t\t\t\t\t<\/a>\n\t\t<h3>\n\t\t\t<span>Prof. Dr.<\/span>\t\t\tThomas Schultz\t\t<\/h3>\n\t\t<span class=\"team-addinfo\">Principal Investigator<\/span>\n\t\t<span class=\"team-addinfo\">Life Sciences &#038; Health<\/span>\t\t<a href=\"https:\/\/lamarr-institute.org\/de\/person\/prof-dr-thomas-schultz\/\">zum Profil<\/a>\n\t\t<\/div>\n        \n    \n\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>KI verbessert Bildgebung im Gehirn<br \/>\nNeue Studie von Bonner Forschenden optimiert Traktographie f\u00fcr chirurgische Eingriffe.<\/p>\n","protected":false},"author":16,"featured_media":17706,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[174,175],"tags":[],"class_list":["post-18013","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pressemitteilungen","category-wissenschaft"],"acf":[],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/lamarr-institute.org\/de\/wp-json\/wp\/v2\/posts\/18013","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lamarr-institute.org\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lamarr-institute.org\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lamarr-institute.org\/de\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/lamarr-institute.org\/de\/wp-json\/wp\/v2\/comments?post=18013"}],"version-history":[{"count":0,"href":"https:\/\/lamarr-institute.org\/de\/wp-json\/wp\/v2\/posts\/18013\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/lamarr-institute.org\/de\/wp-json\/wp\/v2\/media\/17706"}],"wp:attachment":[{"href":"https:\/\/lamarr-institute.org\/de\/wp-json\/wp\/v2\/media?parent=18013"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lamarr-institute.org\/de\/wp-json\/wp\/v2\/categories?post=18013"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lamarr-institute.org\/de\/wp-json\/wp\/v2\/tags?post=18013"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}