7,044 research outputs found
The impact of computed high b-value images on the diagnostic accuracy of DWI for prostate cancer: A receiver operating characteristics analysis.
To evaluate the performance of computed high b value diffusion-weighted images (DWI) in prostate cancer detection. 97 consecutive patients who had undergone multiparametric MRI of the prostate followed by biopsy were reviewed. Five radiologists independently scored 138 lesions on native high b-value images (b = 1200 s/mm2), apparent diffusion coefficient (ADC) maps, and computed high b-value images (contrast equivalent to b = 2000 s/mm2) to compare their diagnostic accuracy. Receiver operating characteristic (ROC) analysis and McNemar's test were performed to assess the relative performance of computed high b value DWI, native high b-value DWI and ADC maps. No significant difference existed in the area under the curve (AUC) for ROCs comparing B1200 (b = 1200 s/mm2) to computed B2000 (c-B2000) in 5 readers. In 4 of 5 readers c-B2000 had significantly increased sensitivity and/or decreased specificity compared to B1200 (McNemar's p < 0.05), at selected thresholds of interpretation. ADC maps were less accurate than B1200 or c-B2000 for 2 of 5 readers (P < 0.05). This study detected no consistent improvement in overall diagnostic accuracy using c-B2000, compared with B1200 images. Readers detected more cancer with c-B2000 images (increased sensitivity) but also more false positive findings (decreased specificity)
Optimizing Magnetic Resonance Imaging for Image-Guided Radiotherapy
Magnetic resonance imaging (MRI) is playing an increasingly important role in image-guided radiotherapy. MRI provides excellent soft tissue contrast, and is flexible in characterizing various tissue properties including relaxation, diffusion and perfusion. This thesis aims at developing new image analysis and reconstruction algorithms to optimize MRI in support of treatment planning, target delineation and treatment response assessment for radiotherapy.
First, unlike Computed Tomography (CT) images, MRI cannot provide electron density information necessary for radiation dose calculation. To address this, we developed a synthetic CT generation algorithm that generates pseudo CT images from MRI, based on tissue classification results on MRI for female pelvic patients. To improve tissue classification accuracy, we learnt a pelvic bone shape model from a training dataset, and integrated the shape model into an intensity-based fuzzy c-menas classification scheme. The shape-regularized tissue classification algorithm is capable of differentiating tissues that have significant overlap in MRI intensity distributions. Treatment planning dose calculations using synthetic CT image volumes generated from the tissue classification results show acceptably small variations as compared to CT volumes. As MRI artifacts, such as B1 filed inhomogeneity (bias field) may negatively impact the tissue classification accuracy, we also developed an algorithm that integrates the correction of bias field into the tissue classification scheme. We modified the fuzzy c-means classification by modeling the image intensity as the true intensity corrupted by the multiplicative bias field. A regularization term further ensures the smoothness of the bias field. We solved the optimization problem using a linearized alternating direction method of multipliers (ADMM) method, which is more computational efficient over existing methods.
The second part of this thesis looks at a special MR imaging technique, diffusion-weighted MRI (DWI). By acquiring a series of DWI images with a wide range of b-values, high order diffusion analysis can be performed using the DWI image series and new biomarkers for tumor grading, delineation and treatment response evaluation may be extracted. However, DWI suffers from low signal-to-noise ratio at high b-values, and the multi-b-value acquisition makes the total scan time impractical for clinical use. In this thesis, we proposed an accelerated DWI scheme, that sparsely samples k-space and reconstructs images using a model-based algorithm. Specifically, we built a 3D block-Hankel tensor from k-space samples, and modeled both local and global correlations of the high dimensional k-space data as a low-rank property of the tensor. We also added a phase constraint to account for large phase variations across different b-values, and to allow reconstruction from partial Fourier acquisition, which further accelerates the image acquisition. We proposed an ADMM algorithm to solve the constrained image reconstruction problem. Image reconstructions using both simulated and patient data show improved signal-to-noise ratio. As compared to clinically used parallel imaging scheme which achieves a 4-fold acceleration, our method achieves an 8-fold acceleration. Reconstructed images show reduced reconstruction errors as proved on simulated data and similar diffusion parameter mapping results on patient data.PHDElectrical Engineering: SystemsUniversity of Michigan, Horace H. Rackham School of Graduate Studieshttps://deepblue.lib.umich.edu/bitstream/2027.42/143919/1/llliu_1.pd
MITK-ModelFit: A generic open-source framework for model fits and their exploration in medical imaging -- design, implementation and application on the example of DCE-MRI
Many medical imaging techniques utilize fitting approaches for quantitative
parameter estimation and analysis. Common examples are pharmacokinetic modeling
in DCE MRI/CT, ADC calculations and IVIM modeling in diffusion-weighted MRI and
Z-spectra analysis in chemical exchange saturation transfer MRI. Most available
software tools are limited to a special purpose and do not allow for own
developments and extensions. Furthermore, they are mostly designed as
stand-alone solutions using external frameworks and thus cannot be easily
incorporated natively in the analysis workflow. We present a framework for
medical image fitting tasks that is included in MITK, following a rigorous
open-source, well-integrated and operating system independent policy. Software
engineering-wise, the local models, the fitting infrastructure and the results
representation are abstracted and thus can be easily adapted to any model
fitting task on image data, independent of image modality or model. Several
ready-to-use libraries for model fitting and use-cases, including fit
evaluation and visualization, were implemented. Their embedding into MITK
allows for easy data loading, pre- and post-processing and thus a natural
inclusion of model fitting into an overarching workflow. As an example, we
present a comprehensive set of plug-ins for the analysis of DCE MRI data, which
we validated on existing and novel digital phantoms, yielding competitive
deviations between fit and ground truth. Providing a very flexible environment,
our software mainly addresses developers of medical imaging software that
includes model fitting algorithms and tools. Additionally, the framework is of
high interest to users in the domain of perfusion MRI, as it offers
feature-rich, freely available, validated tools to perform pharmacokinetic
analysis on DCE MRI data, with both interactive and automatized batch
processing workflows.Comment: 31 pages, 11 figures URL: http://mitk.org/wiki/MITK-ModelFi
Comparison of quality control methods for automated diffusion tensor imaging analysis pipelines
© 2019 Haddad et al. The processing of brain diffusion tensor imaging (DTI) data for large cohort studies requires fully automatic pipelines to perform quality control (QC) and artifact/outlier removal procedures on the raw DTI data prior to calculation of diffusion parameters. In this study, three automatic DTI processing pipelines, each complying with the general ENIGMA framework, were designed by uniquely combining multiple image processing software tools. Different QC procedures based on the RESTORE algorithm, the DTIPrep protocol, and a combination of both methods were compared using simulated ground truth and artifact containing DTI datasets modeling eddy current induced distortions, various levels of motion artifacts, and thermal noise. Variability was also examined in 20 DTI datasets acquired in subjects with vascular cognitive impairment (VCI) from the multi-site Ontario Neurodegenerative Disease Research Initiative (ONDRI). The mean fractional anisotropy (FA), mean diffusivity (MD), axial diffusivity (AD), and radial diffusivity (RD) were calculated in global brain grey matter (GM) and white matter (WM) regions. For the simulated DTI datasets, the measure used to evaluate the performance of the pipelines was the normalized difference between the mean DTI metrics measured in GM and WM regions and the corresponding ground truth DTI value. The performance of the proposed pipelines was very similar, particularly in FA measurements. However, the pipeline based on the RESTORE algorithm was the most accurate when analyzing the artifact containing DTI datasets. The pipeline that combined the DTIPrep protocol and the RESTORE algorithm produced the lowest standard deviation in FA measurements in normal appearing WM across subjects. We concluded that this pipeline was the most robust and is preferred for automated analysis of multisite brain DTI data
Evaluation of rigid registration methods for whole head imaging in diffuse optical tomography
Functional brain imaging has become an important neuroimaging technique for the study of brain organization and development. Compared to other imaging techniques, diffuse optical tomography (DOT) is a portable and low-cost technique that can be applied to infants and hospitalized patients using an atlas-based light model. For DOT imaging, the accuracy of the forward model has a direct effect on the resulting recovered brain function within a field of view and so the accuracy of the spatially normalized atlas-based forward models must be evaluated. Herein, the accuracy of atlas-based DOT is evaluated on models that are spatially normalized via a number of different rigid registration methods on 24 subjects. A multileveled approach is developed to evaluate the correlation of the geometrical and sensitivity accuracies across the full field of view as well as within specific functional subregions. Results demonstrate that different registration methods are optimal for recovery of different sets of functional brain regions. However, the “nearest point to point” registration method, based on the EEG 19 landmark system, is shown to be the most appropriate registration method for image quality throughout the field of view of the high-density cap that covers the whole of the optically accessible cortex
Multimodal T2w and DWI Prostate Gland Automated Registration
Multiparametric magnetic resonance imaging (mpMRI) is emerging as a promising tool in the clinical pathway of prostate cancer (PCa). The registration between a structural and a functional imaging modality, such as T2-weighted (T2w) and diffusion-weighted imaging (DWI) is fundamental in the development of a mpMRI-based computer aided diagnosis (CAD) system for PCa. Here, we propose an automated method to register the prostate gland in T2w and DWI image sequences by a landmark-based affine registration and a non-parametric diffeomorphic registration. An expert operator manually segmented the prostate gland in both modalities on a dataset of 20 patients. Target registration error and Jaccard index, which measures the overlap between masks, were evaluated pre-and post-registration resulting in an improvement of 44% and 21%, respectively. In the future, the proposed method could be useful in the framework of a CAD system for PCa detection and characterization in mpMRI
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