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Perfusion CT is widely used in acute ischemic stroke to determine eligibility for acute treatment, by defining an ischemic core and penumbra. In this work, we propose a novel way of building on prior information for the automatic prediction and segmentation of stroke lesions. To this end, we reformulate the task to identify differences from a prior segmentation by extending a three-dimensional Attention Gated Unet with a skip connection allowing only an unchanged prior to bypass most of the network. We show that this technique improves results obtained by a baseline Attention Gated Unet on both the Geneva Stroke Dataset and the ISLES 2018 dataset.
Demetri Psaltis, Christophe Moser, Luisa Lambertini, Roy Sarkis