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Biomedical subjects

Joachim Hornegger

Publications and source records attributed to Joachim Hornegger.

4 recordsLinked to original sources

Semi-automatic level-set based segmentation and stenosis quantification of the internal carotid artery in 3D CTA data sets.

We present a new level-set based method to segment and quantify stenosed internal carotid arteries (ICAs) in 3D contrast-enhanced computed tomography angiography (CTA). Within these data sets it is a difficult task to evaluate the degree of stenoses deterministically even for the experienced physician because the actual vessel lumen is hardly distinguishable from calcified plaque and there is no sharp border between lumen and arterial wall. According to our knowledge no commercially available software package allows the detection of the boundary between lumen and plaque components. Therefore in the clinical environment physicians have to perform the evaluation manually. This approach suffers from both intra- and inter-observer variability. The limitation of the manual approach requires the development of a semi-automatic method that is able to achieve deterministic segmentation results of the internal carotid artery via level-set techniques. With the new method different kinds of plaques were almost completely excluded from the segmented regions. For an objective evaluation we also studied the method's performance with four different phantom data sets for which the ground truth of the degree of stenosis was known a priori. Finally, we applied the method to 10 ICAs and compared the obtained segmentations with manual measurements of three physicians.

Algorithms↗

Motion compensation in digital subtraction angiography using graphics hardware.

An inherent disadvantage of digital subtraction angiography (DSA) is its sensitivity to patient motion which causes artifacts in the subtraction images. These artifacts could often reduce the diagnostic value of this technique. Automated, fast and accurate motion compensation is therefore required. To cope with this requirement, we first examine a method explicitly designed to detect local motions in DSA. Then, we implement a motion compensation algorithm by means of block matching on modern graphics hardware. Both methods search for maximal local similarity by evaluating a histogram-based measure. In this context, we are the first who have mapped an optimizing search strategy on graphics hardware while paralleling block matching. Moreover, we provide an innovative method for creating histograms on graphics hardware with vertex texturing and frame buffer blending. It turns out that both methods can effectively correct the artifacts in most case, as the hardware implementation of block matching performs much faster: the displacements of two 1024 x 1024 images can be calculated at 3 frames/s with integer precision or 2 frames/s with sub-pixel precision. Preliminary clinical evaluation indicates that the computation with integer precision could already be sufficient.

Angiography↗

Isotropic reconstruction of SPECT data using OSEM3D: correlation with CT.

RATIONALE AND OBJECTIVES: A statistical based iterative single-photon emission-computed tomography (SPECT) reconstruction algorithm (OSEM) modeling the depth-dependent collimator response in three dimensions has recently been introduced (OSEM3D). The aim of this study was to evaluate the axial shape fidelity of OSEM3D in comparison to OSEM, not taking this variable into account (OSEM2D). MATERIALS AND METHODS: SPECT and separate spiral CT were performed in a phantom containing spheres filled with In-111. In-111-pentetreotide-SPECT and separate spiral-CT imaging were also performed in 22 patients with neuroendocrine tumors. Using window settings adapting the transversal size of the SPECT hot spots to that on CT and the 50% isocontour as boundary, the three-dimensional extensions (dx, dy, dz) of the SPECT representation of the structures under study were measured. These variables were also determined for CT. Furthermore, an index of eccentricity was calculated by averaging the ratios between dz and dx and dz and dy (IE). For isotropically imaged spheres, IE is 1. RESULTS: For OSEM2D, IE was significantly different from 1 in the phantom data (P < .05); this was not the case for OSEM3D and CT. This finding was accounted for by a significantly greater dz on the OSEM2D-SPECT images. In the patient data, dz was by approximately 15.5% greater for OSEM2D than for the other two modalities (P < .05). CONCLUSIONS: The use of OSEM3D avoids deformation of hot SPECT lesions in z-direction. This may be of particular importance in SPECT/CT hybrid imaging capitalizing on the exact match of both modalities.

Algorithms↗

Learning based non-rigid multi-modal image registration using Kullback-Leibler divergence.

The need for non-rigid multi-modal registration is becoming increasingly common for many clinical applications. To date, however, existing proposed techniques remain as largely academic research effort with very few methods being validated for clinical product use. It has been suggested by Crum et al. that the context-free nature of these methods is one of the main limitations and that moving towards context-specific methods by incorporating prior knowledge of the underlying registration problem is necessary to achieve registration results that are accurate and robust enough for clinical applications. In this paper, we propose a novel non-rigid multi-modal registration method using a variational formulation that incorporates a prior learned joint intensity distribution. The registration is achieved by simultaneously minimizing the Kullback-Leibler divergence between an observed and a learned joint intensity distribution and maximizing the mutual information between reference and alignment images. We have applied our proposed method on both synthetic and real images with encouraging results.

Algorithms↗