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B-spline methods for interactive segmentation and modeling of lumen and vessel surfaces in three-dimensional intravascular ultrasound.

Intravascular ultrasound (IVUS) provides direct depiction of coronary anatomy, including the degree and extent of coronary plaque, useful in quantitative research or clinical studies. These studies require fast and accurate analysis of coronary morphometry in volumetric IVUS images. Semi-automated interaction techniques are important for this task due to limitations of automated processing. We present B-spline-based surface fitting and manipulation methods that provide a foundation for such interaction techniques. They can be integrated easily with previously developed segmentation algorithms to provide a semi-automated segmentation system for identification of luminal and vessel borders in volumetric IVUS images.

Algorithms↗

Comparison of multiple sclerosis lesions at 1.5 and 3.0 Tesla.

OBJECTIVE: To evaluate the relative sensitivity of MR scanning for multiple sclerosis (MS) at 1.5 Tesla (T) and 3.0 T using identical acquisition conditions, as is typical of multicenter clinical trials. METHODS: Twenty-five subjects with MS were scanned at 1.5 T and 3.0 T using fast spin echo, and T(1)-weighted SPGR with and without gadolinium contrast injections. Image data, blinded to field strength, were analyzed using automated segmentation and lesion counting. RESULTS: Relative to scanning at 1.5 T, the 3.0 T scans showed a 21% increase in the number of detected contrast enhancing lesions, a 30% increase in enhancing lesion volume and a 10% increase in total lesion volume. DISCUSSION: The improved detection ability using high-field MR imaging is prominent even when sequence parameters are optimized around the midfield units. Multicenter trials using both 1.5 T and 3.0 T instruments may be affected by these sensitivity differences.

Adolescent↗

Evaluation of octree regional spatial normalization method for regional anatomical matching.

The goal of regional spatial normalization is to remove anatomical differences between individual three-dimensional (3D) brain images by warping them to match features of a standard brain atlas. Processing to fit features at the limiting resolution of a 3D MR image volume is computationally intensive, limiting the broad use of full-resolution regional spatial normalization. In Kochunov et al. (1999: Neuro-Image 10:724-737), we proposed a regional spatial normalization algorithm called octree spatial normalization (OSN) that reduces processing time to minutes while targeting the accuracy of previous methods. In the current study, modifications of the OSN algorithm for use in human brain images are described and tested. An automated brain tissue segmentation procedure was adopted to create anatomical templates to drive feature matching in white matter, gray matter, and cerebral-spinal fluid. Three similarity measurement functions (fast-cross correlation (CC), sum-square error, and centroid) were evaluated in a group of six subjects. A combination of fast-CC and centroid was found to provide the best feature matching and speed. Multiple iterations and multiple applications of the OSN algorithm were evaluated to improve fit quality. Two applications of the OSN algorithm with two iterations per application were found to significantly reduce volumetric mismatch (up to six times for lateral ventricle) while keeping processing time under 30 min. The refined version of OSN was tested with anatomical landmarks from several major sulci in a group of nine subjects. Anatomical variability was appreciably reduced for every sulcus investigated, and mean sulcal tracings accurately followed sulcal tracings in the target brain.

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Automatic segmentation of thalamus from brain MRI integrating fuzzy clustering and dynamic contours.

Thalamus is an important neuro-anatomic structure in the brain. In this paper, an automated method is presented to segment thalamus from magnetic resonance images (MRI). The method is based on a discrete dynamic contour model that consists of vertices and edges connecting adjacent vertices. The model starts from an initial contour and deforms by external and internal forces. Internal forces are calculated from local geometry of the model and external forces are estimated from desired image features such as edges. However, thalamus has low contrast and discontinues edges on MRI, making external force estimation a challenge. The problem is solved using a new algorithm based on fuzzy C-means (FCM) unsupervised clustering, Prewitt edge-finding filter, and morphological operators. In addition, manual definition of the initial contour for the model makes the final segmentation operator-dependent. To eliminate this dependency, new methods are developed for generating the initial contour automatically. The proposed approaches are evaluated and validated by comparing automatic and radiologist's segmentation results and illustrating their agreement.

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Semiautomated registration using new markers for assessing the accuracy of a navigation system.

OBJECTIVES: New markers are described that can be used for an improved registration procedure and for the exact comparison of navigation systems. The advantages of the markers are demonstrated, together with an automated segmentation algorithm for locating the centroid of the markers in image space. Compared to manual registration, this method shows an improved registration accuracy. MATERIALS AND METHODS: The new markers are detected completely automatically within all scan images. This allows a semiautomatic registration, as a preregistration is performed via the algorithm. Furthermore, the exact coordinates within one scan slice are now determined with the calculation procedure. The calculated data from the preregistration were matched up with a manual preregistration and some reference data, so as to confirm the quality of this new algorithm. The accuracies of several manual and semiautomatic registrations were also compared. RESULTS: The average deviation between the coordinates of the algorithm and the reference data (coordinate measuring machine) was 0.3 mm. The standard deviation amounted to 0.131 mm. Comparing several manual registrations with the reference data showed that the middle fiducial registration error (FRE) was between 0.7 and 2 mm. In comparison, the FRE remained constant at around 0.7 mm for the semiautomatic registration procedure. CONCLUSIONS: The measured results show a significant improvement in the preregistration data using the new markers together with the algorithm. This improvement leads to a reproducible and more accurate registration. The combination of the new marker type with the automated segmentation algorithm minimizes the human error factor, and provides the opportunity to directly compare image-guided and robotic systems.

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A knowledge-guided active contour method of segmentation of cerebella on MR images of pediatric patients with medulloblastoma.

PURPOSE: To develop an automated method for identification of the cerebella on magnetic resonance (MR) images of patients with medulloblastoma. MATERIALS AND METHODS: The method used a template constructed from 10 patients' aligned MR head images, and the contour of this template was superimposed on the aligned data set of a given patient as the starting contour. The starting contour was then actively adjusted to locate the boundary of the cerebellum of the given patient. Morphologic operations were applied to the outlined volume to generate cerebellum images. The method was then applied to data sets of 20 other patients to generate cerebellum images and volumetric results. RESULTS: Comparison of the automatically generated cerebellum images with two sets of manually traced images showed a strong correlation between the automatically and manually generated volumetric results (correlation coefficient, 0.97). The average Jaccard similarities were 0.89 and 0.88 in comparison to each of two manually traced images, respectively. The same comparisons yielded average kappa indexes of 0.94 and 0.93, respectively. CONCLUSION: The method was robust and accurate for cerebellum segmentation on MR images of patients with medulloblastoma. The method may be applied to investigations that require segmentation and quantitative measurement of MR images of the cerebellum.

Adolescent↗

Expert knowledge-guided segmentation system for brain MRI.

We describe an automated 3-D segmentation system for in vivo brain magnetic resonance images (MRI). Our segmentation method combines a variety of filtering, segmentation, and registration techniques and makes maximum use of the available a priori biomedical expertise, both in an implicit and an explicit form. We approach the issue of boundary finding as a process of fitting a group of deformable templates (simplex mesh surfaces) to the contours of the target structures. These templates evolve in parallel, supervised by a series of rules derived from analyzing the template's dynamics and from medical experience. The templates are also constrained by knowledge on the expected textural and shape properties of the target structures. We apply our system to segment four brain structures (corpus callosum, ventricles, hippocampus, and caudate nuclei) and discuss its robustness to imaging characteristics and acquisition noise.

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Hybrid artificial neural network segmentation and classification of dynamic contrast-enhanced MR imaging (DEMRI) of osteosarcoma.

The evaluation of pediatric osteosarcoma has suffered from the lack of an accurate imaging measure of response. One major problem is that osteosarcoma do not shrink in response to chemotherapy; instead, viable tumor is replaced by necrotic tissue. Currently available techniques that use dynamic contrast-enhanced magnetic resonance imaging to quantitatively evaluate tumor response fail to assess the percentage of necrosis. At present, histopathologic evaluation of resected tissue is the only means of measuring the percentage of necrosis in treated osteosarcoma. The current study presents a non-invasive method to visualize necrotic and viable tumor and quantitatively assess the response of osteosarcoma. Our technique uses a hybrid neural network consisting of a Kohonen self-organizing map to segment dynamic contrast-enhanced magnetic resonance images and a multi-layer backpropagation neural network to classify the segmented images. Because the hybrid neural network is completely automated, our technique removes both inter- and intra-operator error. An analysis comparing the percentage of necrosis from our technique to the histopathologic analysis revealed a highly significant Spearman correlation coefficient of 0.617 with p < 0.001.

Adolescent↗

Automated localization and identification of lower spinal anatomy in magnetic resonance images.

Clinical interpretation of the subtle changes present in MR images in the setting of disease currently relies on subjective image analysis. Image evaluation could potentially be improved by computerized segmentation and precise quantification of the image anatomy. However, this cannot be automated unless reliable navigation within an image is established, capable of compensating for unpredictable factors such as anatomical variability, positioning of an image plane in the body, and variable image characteristics. Focusing on the lower spinal region, this paper explores the presence of image- and anatomy-invariant features which facilitate automated, unconstrained identification, and localization of basic lower spine anatomy.

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Digital geometric measurements in comparison to cinefilm analysis of coronary artery dimensions.

Six months follow-up post-PTCA angiograms from 31 patients were acquired digitally and on cinefilm and used for a comparison of geometric coronary measurements at the site of the previous dilatation. On 70 images of 34 coronary segments quantitative analysis was performed both on-line, using the Automated Coronary Analysis package of the Philips Digital Cardiac Imaging System (DCI, pixel matrix 512 x 512) and off-line, using the Cardiovascular Angiography Analysis System (CAAS). With the CAAS a cine-video conversion is performed and a 6.9 x 6.9 mm region of interest from the 18 x 24 mm cineframe is digitized into a 512 x 512 pixel matrix. In both systems the vascular contours are assessed by means of operator-independent edge detection algorithms. The angiographic catheter was used for calibration. Best agreement between DCI and CAAS was found for obstruction diameter and minimal luminal diameter, respectively (r = 0.82; y = 0.12 + 0.97x; SEE = 0.29). The reconstructed reference diameter related to a computed reference contour yields lower correlation (r = 0.76; y = 0.27 + 0.91x; SEE = 0.37). Worst results were obtained from the relative measure of percent diameter stenosis as well as from the derived parameter of plaque area. The on-line digital approach of geometric coronary assessments provides good agreement with cinefilm analysis when direct measurements of coronary dimensions are applied.

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Segmentation of vessels from mammograms using a deformable model.

Vessel extraction is a fundamental step in certain medical imaging applications such as angiograms. Different methods are available to segment vessels in medical images, but they are not fully automated (initial vessel points are required) or they are very sensitive to noise in the image. Unfortunately, the presence of noise, the variability of the background, and the low and varying contrast of vessels in many imaging modalities such as mammograms, makes it quite difficult to obtain reliable fully automatic or even semi-automatic vessel detection procedures. In this paper a fully automatic algorithm for the extraction of vessels in noisy medical images is presented and validated for mammograms. The main issue in this research is the negative influence of noise on segmentation algorithms. A two-stage procedure was designed for noise reduction. First, a global approach phase including edge detection and thresholding is applied. Then, the local approach phase performs vessel segmentation using a deformable model with a new energy term that reduces the noise still remaining in the image from the first stage. Experimental results on mammograms show that this method has an excellent performance level in terms of accuracy, sensitivity, and specificity. The computation time also makes it suitable for real-time applications within a clinical environment.

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[Image processing in radiology].

Medical imaging processing and analysis methods have significantly improved during recent years and are now being increasingly used in clinical applications. Preprocessing algorithms are used to influence image contrast and noise. Three-dimensional visualization techniques including volume rendering and virtual endoscopy are increasingly available to evaluate sectional imaging data sets. Registration techniques have been developed to merge different examination modalities. Structures of interest can be extracted from the image data sets by various segmentation methods. Segmented structures are used for automated quantification analysis as well as for three-dimensional therapy planning, simulation and intervention guidance, including medical modelling, virtual reality environments, surgical robots and navigation systems. These newly developed methods require specialized skills for the production and postprocessing of radiological imaging data as well as new definitions of the roles of the traditional specialties. The aim of this article is to give an overview of the state-of-the-art of medical imaging processing methods, practical implications for the radiologist's daily work and future aspects.

Computer Simulation↗

Segmentation and 3D reconstruction of biological cells from serial slice images.

Our understanding of the world around us and the many objects that we encounter is based primarily on three-dimensional information. It is simply part of the environment in which we live and the intuitive nature of our interpretation of our surroundings. In the arena of biomedical imaging, the image information most often collected is in the form of two-dimensional images. In cases where serial slice information is obtained, such as MRI images, it is still difficult for the observer to mentally build and understand the three-dimensional structure of the object. Although most image rendering software packages allow for 3D views of the serial sections, they lack the ability to segment, or isolated different objects in the data set. Typically the task of segmentation is performed by knowledgeable persons who tediously outline or label the object of interest in each image slice containing the object [1,2]. It remains a difficult challenge to train a computer to understand an image and aid in this process of segmentation. This article reports of on-going work in developing a semi-automated segmentation technique. The approach uses a Leica Confocal Laser Scanning Microscope (CLSM) to collect serial slice images, image rendering and manipulating software called IMOD (Boulder Colorado), and Matlab (The Mathworks Inc.) image processing tools for development of the object segmentation routines. The initial objects are simple fluorescent microspheres (Molecular Probes), which are easily imaged and segmented. The second objects are rat enteric neurons, which provide medium complexity in shape and size. Finally, the work will be applied to the biological cells of the household .y, Musca domestica, to further understand how its vision system operates.

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Automated histometry in quantitative prostate pathology.

OBJECTIVE: To review progress on the development of machine vision and image understanding in prostate tissue histology and to discuss the problems and opportunities afforded to pathology through the use of these techniques. STUDY DESIGN: A variety of concepts in machine vision are explored, and methodologies are described that have been developed to deal with the complexities of histologic imagery. The theory of human vision and its impact on machine vision are discussed. Software has been specifically developed for the analysis of prostate histology, allowing accurate gland segmentation, basal cell identification and measurement of vascularization within lesions. RESULTS: Image interpretation can be achieved using knowledge-based image analysis and the application of local object-oriented processing. This successfully allows an automated quantitative analysis of histologic morphology in the diagnosis of prostate intraepithelial neoplasia and invasive prostatic cancer. The use of low-power image scanning, based on textural or n-gram mapping, permits the development of fully automated devices for the rapid detection of tissue abnormalities. High-power, knowledge-guided scene segmentation can be carried out for the quantitative analysis of cellular features and the objective grading of the lesion. CONCLUSION: Automated tissue section scanning and image interpretation is now possible and holds much promise in prostate pathology and other diagnostically demanding areas. Issues of standardization still need to be addressed, but the development of such systems will undoubtedly enhance our diagnostic capabilities through the automation of time-consuming procedures and the quantitative evaluation of disease processes.

Humans↗

A fast spot segmentation algorithm for two-dimensional gel electrophoresis analysis.

An important issue in the automation of two-dimensional gel electrophoresis image analysis is the detection and quantification of protein spots. A spot segmentation algorithm must detect, define the extent of, and measure the integrated density of spots under a wide variety of actual gel image conditions. Besides these functions, the algorithm must be memory efficient to be able to process very large gel images and do this in a reasonable amount of computation time on low-cost computers, such as workstations and personal computers. We have developed a fast spot segmentation algorithm, extending the GELLAB-II segmenter, which extracts spots in a single raster scanning pass through the gel image. The performance analysis of the algorithm will be given in the paper as well as a discussion of the algorithm.

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Tooth segmentation of dental study models using range images.

The accurate segmentation of the teeth from the digitized representation of a dental study model is an important component in computer-based algorithms for orthodontic feature detection and measurement and in the simulation of orthodontic procedures such as tooth rearrangement. This paper presents an automated method for tooth segmentation from the three-dimensional (3-D) digitized image captured by a laser scanner. We avoid the complexity of directly processing 3-D mesh data by proposing the innovative idea of detecting features on two range images computed from the 3-D image. The dental arch is first obtained from the plan-view range image. Using the arch as the reference, a panoramic range image of the dental model can be computed. The interstices between the teeth are detected separately in the two range images, and results from both views are combined for a determination of interstice locations and orientations. Finally, the teeth are separated from the gums by delineating the gum margin. The algorithm was tested on 34 dental models representing a variety of malocclusions and was found to be robust and accurate.

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Physiological basis and image processing in functional magnetic resonance imaging: neuronal and motor activity in brain.

Functional magnetic resonance imaging (fMRI) is recently developing as imaging modality used for mapping hemodynamics of neuronal and motor event related tissue blood oxygen level dependence (BOLD) in terms of brain activation. Image processing is performed by segmentation and registration methods. Segmentation algorithms provide brain surface-based analysis, automated anatomical labeling of cortical fields in magnetic resonance data sets based on oxygen metabolic state. Registration algorithms provide geometric features using two or more imaging modalities to assure clinically useful neuronal and motor information of brain activation. This review article summarizes the physiological basis of fMRI signal, its origin, contrast enhancement, physical factors, anatomical labeling by segmentation, registration approaches with examples of visual and motor activity in brain. Latest developments are reviewed for clinical applications of fMRI along with other different neurophysiological and imaging modalities.

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Computer-assisted, interactive fundus image processing for macular drusen quantitation.

PURPOSE: To design and validate a software package to quantitate the area subtended by drusen in color fundus photographs for the conduct of efficient, accurate clinical trials in age-related macular degeneration. DESIGN: Algorithm and software development. Comparisons with manual methodologies. PARTICIPANTS: Evaluation and testing on color fundus photographs from patient records and from eyes enrolled in the Choroidal Neovascularization Prevention Trial. METHODS: Fundus photographs of eyes with drusen were digitized. The green channel was selected for maximum contrast and preprocessed with filtering and shade correction to minimize noise, improve contrast, and correct for illumination and background inhomogeneities. Local thresholding and region-growing algorithms identified drusen. Multiple levels of supervision were incorporated to maximize robustness, accuracy, and validity. Validation studies compared computer-assisted with manual grading by an experienced grader. Intraclass correlation coefficients were calculated as a measure of the concordance between manual and computer-assisted fundus gradings. MAIN OUTCOME MEASURES: Drusen area and concordance with manual grading. RESULTS: Automated supervised image analysis offers extreme robustness and accuracy. Most images were segmented with little or no supervision, with processing times on the order of 5 seconds. More complicated images required supervision and a total analysis time varying from 20 seconds to 5 minutes, with most of this time devoted to inspection and comparison. Interactive image processing affords arbitrarily close concordance with manual drusen identification, with calculated intraclass correlation coefficients of 0.92 and 0.93 for comparison of manual with automated, supervised grading by two observers. CONCLUSIONS: Automated supervised fundus image analysis is an efficient, robust, valid technique for drusen quantitation from color fundus photographs. This approach should prove useful in the conduct of efficient accurate clinical trials for age-related macular degeneration.

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