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S&M4422 Research paper https://doi.org/10.18494/SAM6126 Published: April 14, 2026 Acute Ischemic Stroke Infarcts in Noncontrast Computed Tomography Images Detected through Window-optimized Deep Learning Models [PDF] Te-Chang Wu, Xiang-Ming Fu, and Tsai-Rong Chang (Received December 17, 2025; Accepted March 24, 2026) Keywords: acute ischemic stroke, noncontrast computed tomography, infarct core, deep learning, U-Net, CT window setting, lesion-level evaluation
This paper presents a deep-learning framework for the automated segmentation of acute ischemic stroke lesions on noncontrast computed tomography (NCCT). To improve the extraction of subtle low-contrast infarct features, a window-setting optimization (WSO) module was integrated into a 2D U-Net architecture. The framework was developed and evaluated using 386 cases selected from a public acute ischemic stroke dataset, with paired diffusion-weighted magnetic resonance imaging used as the reference for lesion annotation. The WSO module learned adaptive combinations of three clinically relevant CT window settings using 1 × 1 convolutions, adding only six trainable parameters. In addition, pixel-, lesion-, slice-, and patient-level evaluation schemes were adopted to provide a practical assessment of segmentation performance. Experimental results on the independent test set showed that the proposed model achieved a Dice score of 0.661, a balanced accuracy of 0.784, a sensitivity of 0.570, and a precision of 0.788. The WSO module also improved performance across multiple encoder-decoder backbones. At the lesion level, the model achieved an F1-score of 0.758 and a precision of 0.90 for moderate-to-large infarcts. These results demonstrate that the proposed framework can effectively enhance infarct segmentation on standard NCCT images without hardware modification.
Corresponding author: Tsai-Rong Chang![]() ![]() This work is licensed under a Creative Commons Attribution 4.0 International License. Cite this article Te-Chang Wu, Xiang-Ming Fu, and Tsai-Rong Chang, Acute Ischemic Stroke Infarcts in Noncontrast Computed Tomography Images Detected through Window-optimized Deep Learning Models, Sens. Mater., Vol. 38, No. 4, 2026, p. 2053-2067. |