isles2024 / README.md
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---
license: cc-by-nc-sa-4.0
pretty_name: ISLES'24 (Ischemic Stroke Lesion Segmentation Challenge 2024)
task_categories:
- image-segmentation
tags:
- medical
- medical-imaging
- stroke
- brain
- ct
- cta
- ct-perfusion
- mri
- dwi
- segmentation
- isles
size_categories:
- n<1K
configs:
- config_name: default
data_files:
- split: train
path: data/train-*
dataset_info:
features:
- name: sub_id
dtype: string
- name: shape
dtype: string
- name: n_slices
dtype: int32
- name: display_slice
dtype: int32
- name: lesion_voxels
dtype: int64
- name: has_lvo
dtype: bool
- name: cow_classes
dtype: int32
- name: ncct
dtype: image
- name: cta
dtype: image
- name: tmax
dtype: image
- name: dwi
dtype: image
- name: adc
dtype: image
- name: lesion_overlay_ncct
dtype: image
- name: lesion_overlay_dwi
dtype: image
splits:
- name: train
num_bytes: 79728529
num_examples: 149
download_size: 79735586
dataset_size: 79728529
---
# ISLES'24 - Ischemic Stroke Lesion Segmentation Challenge 2024
A real-world, **longitudinal, multimodal** acute-stroke dataset: acute admission
CT (NCCT, CTA, 4D CT-perfusion + derived perfusion maps), follow-up MRI
(DWI/ADC), and clinical tabular data, with the **final infarct lesion** as the
segmentation target.
> **This repository mirrors the public TRAINING set only (149 cases).** The
> 98-case ISLES'24 test set is withheld by the organizers for challenge scoring
> on Grand Challenge and is **not** part of any public release.
## Provenance
- **Official source:** Zenodo record **16748089** - *"ISLES'24 - A Real-World
Longitudinal Multimodal Stroke Dataset"*, `train.7z`, CC BY-NC-SA 4.0
(author-provided; not a third-party re-host).
- **Challenge:** https://isles-24.grand-challenge.org/
- **Code / data-loading reference:** https://github.com/ezequieldlrosa/isles24
- This mirror is an **unmodified raw copy** of the released volumes (no
resampling, no intensity changes), with two documented exceptions below.
## Counts & faithfulness notes
- **149 training cases** (`sub-stroke0001` ... `sub-stroke0189`, non-contiguous):
University Hospital Munich (TUM) + University Hospital Zurich.
- The companion paper reports **N=150** for training; the public Zenodo release
ships **149** (one case excluded upstream). This mirror = the 149 released.
- **Dropped duplicate:** the upstream release contains one stray uncompressed
file `sub-stroke0142_ses-02_lesion-msk.nii` (a native-space leftover). Subject
0142 also has the standard co-registered `*_space-ncct_lesion-msk.nii.gz` like
every other case, so this mirror keeps the standard GT and omits the stray.
## Structure (BIDS)
```
<sub>/ sub-stroke0001 ... sub-stroke0189 (149)
ses-01 = acute admission CT
ses-02 = follow-up MRI (2-9 days later)
raw_data/<sub>/ses-01/ # native acquisition space
*_ncct.nii.gz *_cta.nii.gz *_ctp.nii.gz (4D, 55 timepoints)
perfusion-maps/ *_{cbf,cbv,mtt,tmax}.nii.gz
derivatives/<sub>/ # ALL co-registered to NCCT (space-ncct)
ses-01/ *_space-ncct_cta.nii.gz *_space-ncct_ctp.nii.gz (4D)
*_space-ncct_lvo-msk.nii.gz # large-vessel occlusion (CTA), binary
*_space-ncct_cow-msk.nii.gz # Circle-of-Willis anatomy (CTA), multi-class
perfusion-maps/ *_space-ncct_{cbf,cbv,mtt,tmax}.nii.gz
ses-02/ *_space-ncct_dwi.nii.gz *_space-ncct_adc.nii.gz
*_space-ncct_lesion-msk.nii.gz # <-- GROUND TRUTH (final infarct), binary
phenotype/<sub>/ses-*/ *_demographic_baseline.csv *_outcome.csv
```
**Co-registration:** within each subject, the raw NCCT and every
`derivatives/*space-ncct*` volume (CTA, perfusion maps, DWI/ADC, all masks)
share an identical voxel grid (shape, spacing, affine). The raw NCCT itself is
the reference space (hence there is no `space-ncct_ncct`). So a fully aligned
input+label stack = raw `ncct` + the `derivatives` `space-ncct` modalities +
`space-ncct_lesion-msk`.
## Ground truth
| Mask | Space | Type | Role |
|------|-------|------|------|
| `space-ncct_lesion-msk` (ses-02) | NCCT | binary {0,1} | **Gold standard** - final infarct lesion, the challenge target |
| `space-ncct_lvo-msk` (ses-01) | NCCT | binary {0,1} | Auxiliary - large-vessel occlusion (on CTA) |
| `space-ncct_cow-msk` (ses-01) | NCCT | multi-class | Auxiliary - Circle-of-Willis anatomy (on CTA) |
The **gold-standard lesion mask** is derived from the follow-up **DWI**: masks
were auto-generated by **DeepISLES** (the productized ISLES'22 winning ensemble)
and then **quality-controlled / manually corrected and verified by two
neuroradiologists** (>10 years' experience). The neuroradiologist-verified DWI
lesion is the reference standard; it is provided co-registered into NCCT space.
## Cross-dataset overlap (leakage note)
- **No patient reuse** from **ISLES'22** (a different, MRI-only DWI cohort).
ISLES'24 is a new acute-stroke CT cohort. Modality and patients differ.
- There is **center-level** overlap (Munich contributes to both editions) and a
**methodological** dependency (ISLES'24 GT masks are produced by DeepISLES,
which was trained on ISLES'22) - but neither is shared imaging.
- No shared TCIA / BraTS / Medical Segmentation Decathlon lineage. Identifiers
are challenge-internal BIDS `sub-stroke####` IDs only.
## License
**CC BY-NC-SA 4.0** (per the Zenodo deposit). Non-commercial, share-alike,
attribution required.
## Citation
```bibtex
@article{delarosa2024isles24,
title = {ISLES'24: Final Infarct Prediction with Multimodal Imaging and Clinical Data. Where Do We Stand?},
author = {de la Rosa, Ezequiel and Su, Ruisheng and Reyes, Mauricio and Riedel, Eda Otman and Baazaoui, Hakim and Wiest, Roland and Kofler, Florian and Kirschke, Jan S. and Wiestler, Benedikt and Menze, Bjoern},
journal = {arXiv preprint arXiv:2408.10966},
year = {2024}
}
```
Data: Zenodo record 16748089 (de la Rosa et al., 2025). Please also credit the
ISLES'24 challenge organizers and the contributing hospitals (TUM Munich, USZ
Zurich).