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Biomedical subjects

Mahnaz Maddah

Publications and source records attributed to Mahnaz Maddah.

7 recordsLinked to original sources

Machine learning-driven spleen imaging and genomics uncover a splenic connection to coronary artery disease.

Despite advances in managing traditional risk factors, coronary artery disease (CAD) remains the leading cause of mortality. Circulating hematopoietic cells influence risk for CAD separately from traditional risk factors, but the role of a key regulating organ, the spleen, is unknown. The understudied spleen is a representation of the hematopoietic system optimally suited for unbiased radiologic investigations toward mechanistic insights. Here, we leveraged deep learning to extract 107 splenic radiomic features from abdominal magnetic resonance imaging (MRI) scans of 42,059 UK Biobank participants and of 2745 Mass General Brigham Biobank (MGBB) participants. Of these, 10 features from UK Biobank were associated with CAD. Genome-wide association analysis of CAD-associated features identified 219 loci, including 9p21. Variants at 9p21, the strongest yet mechanistically elusive CAD locus, were associated with splenic features such as run-length nonuniformity, reflecting heterogeneity of continuous texture regions. Research MRI findings were consistent internally, but external clinical validation highlighted challenges in translating analyses of abdominal MRI scans to routine clinical practice because of variability in imaging protocols and greater clinical heterogeneity among patients. Our study, combining deep learning with genomics, presents a framework to uncover potential splenic involvement in CAD and emphasizes translational gaps between research and clinical radiomics.

Humans↗

Automated atlas-based clustering of white matter fiber tracts from DTMRI.

A new framework is presented for clustering fiber tracts into anatomically known bundles. This work is motivated by medical applications in which variation analysis of known bundles of fiber tracts in the human brain is desired. To include the anatomical knowledge in the clustering, we invoke an atlas of fiber tracts, labeled by the number of bundles of interest. In this work, we construct such an atlas and use it to cluster all fiber tracts in the white matter. To build the atlas, we start with a set of labeled ROIs specified by an expert and extract the fiber tracts initiating from each ROI. Affine registration is used to project the extracted fiber tracts of each subject to the atlas, whereas their B-spline representation is used to efficiently compare them to the fiber tracts in the atlas and assign cluster labels. Expert visual inspection of the result confirms that the proposed method is very promising and efficient in clustering of the known bundles of fiber tracts.

Algorithms↗

3-D quantification and visualization of vascular structures from confocal microscopic images using skeletonization and voxel-coding.

This paper presents an image processing approach for information extraction from three-dimensional (3-D) images of vasculature. It extracts quantitative information such as skeleton, length, diameter, and vessel-to-tissue ratio for different vessels as well as their branches. Furthermore, it generates 3-D visualization of vessels based on desired anatomical characteristics such as vessel diameter or 3-D connectivity. Steps of the proposed approach are: (1) pre-processing, (2) distance mappings, (3) branch labeling, (4) quantification, and (5) visualization. We have tested and evaluated the proposed algorithms using simulated images of multi-branch vessels and real confocal microscopic images of the vessels in rat brains. Experimental results illustrate performance of the methods and usefulness of the results for medical image analysis applications.

Animals↗

Three-dimensional analysis of complex branching vessels in confocal microscopy images.

The characteristic of confocal microscopy (CM) vascular data is that it contains many tiny vessels with branching and complex structure. In this work, an automated method for quantitative analysis and reconstruction of cerebral vessels from CM images is presented in which the extracted centerline of the vessels plays the key role. To assess the efficiency and accuracy of different centerline extraction methods, a comparison among three fully automated approaches is given. The centerline extraction methods studied in this work are a snake model, a path planning approach, and a distance transform-based method. To evaluate the accuracy of the quantitative parameters of vessels such as length and diameter, we apply the method to synthetic data. These results indicate that the snake model and the path planning method are more accurate in extracting the quantitative parameters. The efficiency of the approach in clinical applications is then confirmed by applying the method to real CM images. All three methods investigated in this work are accurate enough to correctly distinguish between normal and stroke brain data, while the snake model is the fastest for clinical applications. In addition, three-dimensional visualization, reconstruction, and characterization of CM vascular images of rat brains are presented.

Brain↗

Diffusion tensor magnetic resonance imaging in multiple sclerosis.

Multiple sclerosis (MS), a demyelinating disease, occurs principally in the white matter (WM) of the central nervous system. Conventional magnetic resonance imaging (MRI) is sensitive to some, but not all, brain changes associated with MS. Diffusion-weighted imaging (DWI) provides information about water diffusion in tissue and diffusion tensor MRI (DT-MRI) about fiber direction, allowing for the identification of WM abnormalities that are not apparent on conventional MRI images. These techniques can quantitatively characterize the local microstructure of tissues. MS-associated disease processes lead to regions characterized by an increased amount of water diffusion and a decrease in the anisotropy of diffusion direction. These changes have been found to produce different patterns in MS patients presenting different courses of the disease. Changes in water diffusion may allow examination of the type, appearance, enhancement, and location of lesions not readily visible by other means. Ongoing studies of MS are integrating conventional MRI and DT-MRI measures with connectivity-based regional assessment, aiming to provide a better understanding of the nature and the location of WM lesions. This integration and the development of novel image-processing and visualization techniques may improve the understanding of WM architecture and its disruption in MS. This article presents a brief history of DWI, its basic principles and applications in the study of MS, a review of the properties and applications of DT-MRI, and their use in the study of MS. In addition, this article illustrates the methodology for the analysis of DT-MRI in ongoing studies of MS.

Anisotropy↗

Efficient center-line extraction for quantification of vessels in confocal microscopy images.

In this paper we present a novel method for the three-dimensional (3-D) centerline extraction of elongated objects such as vessels. This method combines the basic ideas in distance transform-based, thinning, and path planning methods to extract thin and connected centerlines. This efficient approach needs no user interaction or any prior knowledge of the object shape. We used the path planning approach, which has exclusively been used in the virtual endoscopy or robotics, to obtain the medial curve of the objects. To make our approach fully automated, a distance transform mapping is used to identify the end points of the object branches. The initial paths are also constructed on the surface of the object, traversing the same distance map. Then a thinning algorithm centralizes the paths. The proposed approach is especially efficient for centerline extraction of the complex branching structures. The method has been applied on the confocal microscopy images of rat brains and the results confirm its efficiency in extracting the medial curve of vessels, essential for the computation of quantitative parameters.

Algorithms↗

Snake modeling and distance transform approach to vascular centerline extraction and quantification.

A new method for fully automated centerline extraction and quantification of microvascular structures in confocal microscopy (CM) images is presented. Our method uses the idea of active contour models as well as path planning and distance transforms for the three-dimensional centerline extraction of elongated objects such as vessels. The proposed approach is especially efficient for centerline extraction of complex branching structures. The method performance is validated in several CM images of both normal and stroked rat brains as well as simulated objects. The results confirm the efficiency of the proposed method in extracting the medial curve of vessels, which is essential for the computation of quantitative parameters.

Algorithms↗