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Biomedical subjects

Stephen M Pizer

Publications and source records attributed to Stephen M Pizer.

7 recordsLinked to original sources

Comparison of human and automatic segmentations of kidneys from CT images.

PURPOSE: A controlled observer study was conducted to compare a method for automatic image segmentation with conventional user-guided segmentation of right and left kidneys from planning computerized tomographic (CT) images. METHODS AND MATERIALS: Deformable shape models called m-reps were used to automatically segment right and left kidneys from 12 target CT images, and the results were compared with careful manual segmentations performed by two human experts. M-rep models were trained based on manual segmentations from a collection of images that did not include the targets. Segmentation using m-reps began with interactive initialization to position the kidney model over the target kidney in the image data. Fully automatic segmentation proceeded through two stages at successively smaller spatial scales. At the first stage, a global similarity transformation of the kidney model was computed to position the model closer to the target kidney. The similarity transformation was followed by large-scale deformations based on principal geodesic analysis (PGA). During the second stage, the medial atoms comprising the m-rep model were deformed one by one. This procedure was iterated until no changes were observed. The transformations and deformations at both stages were driven by optimizing an objective function with two terms. One term penalized the currently deformed m-rep by an amount proportional to its deviation from the mean m-rep derived from PGA of the training segmentations. The second term computed a model-to-image match term based on the goodness of match of the trained intensity template for the currently deformed m-rep with the corresponding intensity data in the target image. Human and m-rep segmentations were compared using quantitative metrics provided in a toolset called Valmet. Metrics reported in this article include (1) percent volume overlap; (2) mean surface distance between two segmentations; and (3) maximum surface separation (Hausdorff distance). RESULTS: Averaged over all kidneys the mean surface separation was 0.12 cm, the mean Hausdorff distance was 0.99 cm, and the mean volume overlap for human segmentations was 88.8%. Between human and m-rep segmentations the mean surface separation was 0.18-0.19 cm, the mean Hausdorff distance was 1.14-1.25 cm, and the mean volume overlap was 82-83%. CONCLUSIONS: Overall in this study, the best m-rep kidney segmentations were at least as good as careful manual slice-by-slice segmentations performed by two experienced humans, and the worst performance was no worse than typical segmentations from our clinical setting. The mean surface separations for human-m-rep segmentations were slightly larger than for human-human segmentations but still in the subvoxel range, and volume overlap and maximum surface separation were slightly better for human-human comparisons. These results were expected because of experimental factors that favored comparison of the human-human segmentations. In particular, m-rep agreement with humans appears to have been limited largely by fundamental differences between manual slice-by-slice and true three-dimensional segmentation, imaging artifacts, image voxel dimensions, and the use of an m-rep model that produced a smooth surface across the renal pelvis.

Humans↗

A method and software for segmentation of anatomic object ensembles by deformable m-reps.

Deformable shape models (DSMs) comprise a general approach that shows great promise for automatic image segmentation. Published studies by others and our own research results strongly suggest that segmentation of a normal or near-normal object from 3D medical images will be most successful when the DSM approach uses (1) knowledge of the geometry of not only the target anatomic object but also the ensemble of objects providing context for the target object and (2) knowledge of the image intensities to be expected relative to the geometry of the target and contextual objects. The segmentation will be most efficient when the deformation operates at multiple object-related scales and uses deformations that include not just local translations but the biologically important transformations of bending and twisting, i.e., local rotation, and local magnification. In computer vision an important class of DSM methods uses explicit geometric models in a Bayesian statistical framework to provide a priori information used in posterior optimization to match the DSM against a target image. In this approach a DSM of the object to be segmented is placed in the target image data and undergoes a series of rigid and nonrigid transformations that deform the model to closely match the target object. The deformation process is driven by optimizing an objective function that has terms for the geometric typicality and model-to-image match for each instance of the deformed model. The success of this approach depends strongly on the object representation, i.e., the structural details and parameter set for the DSM, which in turn determines the analytic form of the objective function. This paper describes a form of DSM called m-reps that has or allows these properties, and a method of segmentation consisting of large to small scale posterior optimization of m-reps. Segmentation by deformable m-reps, together with the appropriate data representations, visualizations, and user interface, has been implemented in software that accomplishes 3D segmentations in a few minutes. Software for building and training models has also been developed. The methods underlying this software and its abilities are the subject of this paper.

Algorithms↗

Extracting branching tubular object geometry via cores.

Blood vessels and other anatomic objects in the human body can be described as trees of branching tubes. The focus of this paper is the extraction of the branching geometry in three-dimensional, as well as the extraction of the tubes themselves, via skeletons computed as cores. Cores are height ridges of a graded measure of medial strength called medialness, which measures how much a given location resembles the middle of an object as indicated by image intensities. Object bifurcations are detected using an affine-invariant corner detector and computations on the core's medialness values. The methods presented in this paper are evaluated on synthetic images of branching tubular objects as well as on blood vessels in head MR angiogram data. Results show impressive resistance to noise and the ability to detect branches spanning a variety of widths and branching angles. An extension that allows cores to extract general branching structures, not only branching tubes, is introduced.

Cerebrovascular Circulation↗

Principal geodesic analysis for the study of nonlinear statistics of shape.

A primary goal of statistical shape analysis is to describe the variability of a population of geometric objects. A standard technique for computing such descriptions is principal component analysis. However, principal component analysis is limited in that it only works for data lying in a Euclidean vector space. While this is certainly sufficient for geometric models that are parameterized by a set of landmarks or a dense collection of boundary points, it does not handle more complex representations of shape. We have been developing representations of geometry based on the medial axis description or m-rep. While the medial representation provides a rich language for variability in terms of bending, twisting, and widening, the medial parameters are not elements of a Euclidean vector space. They are in fact elements of a nonlinear Riemannian symmetric space. In this paper, we develop the method of principal geodesic analysis, a generalization of principal component analysis to the manifold setting. We demonstrate its use in describing the variability of medially-defined anatomical objects. Results of applying this framework on a population of hippocampi in a schizophrenia study are presented.

Algorithms↗

Feature selection for shape-based classification of biological objects.

This paper introduces a method for selecting subsets of relevant statistical features in biological shape-based classification problems. The method builds upon existing feature selection methodology by introducing a heuristic that favors the geometric locality of the selected features. This heuristic effectively reduces the combinatorial search space of the feature selection problem. The new method is tested on synthetic data and on clinical data from a study of hippocampal shape in schizophrenia. Results on clinical data indicate that features describing the head of the right hippocampus are most relevant for discrimination.

Algorithms↗

Measuring tortuosity of the intracerebral vasculature from MRA images.

The clinical recognition of abnormal vascular tortuosity, or excessive bending, twisting, and winding, is important to the diagnosis of many diseases. Automated detection and quantitation of abnormal vascular tortuosity from three-dimensional (3-D) medical image data would, therefore, be of value. However, previous research has centered primarily upon two-dimensional (2-D) analysis of the special subset of vessels whose paths are normally close to straight. This report provides the first 3-D tortuosity analysis of clusters of vessels within the normally tortuous intracerebral circulation. We define three different clinical patterns of abnormal tortuosity. We extend into 3-D two tortuosity metrics previously reported as useful in analyzing 2-D images and describe a new metric that incorporates counts of minima of total curvature. We extract vessels from MRA data, map corresponding anatomical regions between sets of normal patients and patients with known pathology, and evaluate the three tortuosity metrics for ability to detect each type of abnormality within the region of interest. We conclude that the new tortuosity metric appears to be the most effective in detecting several types of abnormalities. However, one of the other metrics, based on a sum of curvature magnitudes, may be more effective in recognizing tightly coiled, "corkscrew" vessels associated with malignant tumors.

Brain↗