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Robust Deep Learning for Stroke Detection in Clinical Neuroimaging

Chalcroft, Liam Ford; (2026) Robust Deep Learning for Stroke Detection in Clinical Neuroimaging. Doctoral thesis (Ph.D), UCL (University College London). Green open access

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Abstract

This thesis develops robust automated segmentation of stroke lesions in clinical neuroimaging, addressing the diversity of human MRI and CT data in contrasts, resolutions, and artefacts. The work connects architectural advances, data-centric training, and physics-guided synthesis to deliver reliable lesion maps for downstream clinical decision-making. Chapter 1: I introduce the clinical and imaging background for stroke, outline evaluation metrics for lesion segmentation, and frame the domain-shift challenges that motivate the subsequent methods. Chapter 2: I present a segmentation model that uses a convolutional variant of the transformer to achieve a larger receptive field than standard convolutional neural networks (CNNs). The enhanced shape awareness and inductive biases yield more robust feature learning and generalisation to out-of-distribution clinical scanners. Chapter 3: I explore hypernetworks—networks that generate the weights of another network—to adapt dynamically to imaging protocols. Conditioning on discrete domains (e.g., CT vs. MRI) or continuous MRI sequence parameters specialises the model on-the-fly, enabling broad coverage of clinical imaging conditions without retraining. Chapter 4: I refine stroke-focused synthetic data generation. Improved tissue priors, a lesion-pasting strategy for heterogeneous stroke appearances, and domain adaptation methods expand the anatomical and contrast diversity encountered during training, strengthening robustness to unseen domains. Chapter 5: I incorporate quantitative MRI (qMRI) parameter estimation to enforce physical plausibility in synthetic image generation. By simulating images from qMRI-driven intensity priors and forward models of MRI signal formation, I produce realistic synthetic data that support domain-agnostic augmentation. Collectively, these architectural innovations (Ch. 2, 3), synthetic training pipelines (Ch. 4), and qMRI-based augmentation strategies (Ch. 5) deliver more dependable stroke lesion segmentation across heterogeneous clinical imaging settings.

Type: Thesis (Doctoral)
Qualification: Ph.D
Title: Robust Deep Learning for Stroke Detection in Clinical Neuroimaging
Open access status: An open access version is available from UCL Discovery
Language: English
Additional information: Copyright © The Author 2026. Original content in this thesis is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Licence (https://creativecommons.org/licenses/by-nc/4.0/deed.en). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Computer Science
URI: https://discovery.ucl.ac.uk/id/eprint/10220048
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