Computerized Analysis of Magnetic Resonance Images to Study Cerebral Anatomy in Developing Neonates

The study of cerebral anatomy in developing neonates is of great importance for the understanding of brain development during the early period of life. This dissertation therefore focuses on three challenges in the modelling of cerebral anatomy in neonates during brain development. The methods that have been developed all use Magnetic Resonance Images (MRI) as source data. To facilitate study of vascular development in the neonatal period, a set of image analysis algorithms are developed to automatically extract and model cerebral vessel trees. The whole process consists of cerebral vessel tracking from automatically placed seed points, vessel tree generation, and vasculature registration and matching. These algorithms have been tested on clinical Time-of- Flight (TOF) MR angiographic datasets. To facilitate study of the neonatal cortex a complete cerebral cortex segmentation and reconstruction pipeline has been developed. Segmentation of the neonatal cortex is not effectively done by existing algorithms designed for the adult brain because the contrast between grey and white matter is reversed. This causes pixels containing tissue mixtures to be incorrectly labelled by conventional methods. The neonatal cortical segmentation method that has been developed is based on a novel expectation-maximization (EM) method with explicit correction for mislabelled partial volume voxels. Based on the resulting cortical segmentation, an implicit surface evolution technique is adopted for the reconstruction of the cortex in neonates. The performance of the method is investigated by performing a detailed landmark study. To facilitate study of cortical development, a cortical surface registration algorithm for aligning the cortical surface is developed. The method first inflates extracted cortical surfaces and then performs a non-rigid surface registration using free-form deformations (FFDs) to remove residual alignment. Validation experiments using data labelled by an expert observer demonstrate that the method can capture local changes and follow the growth of specific sulcus

Silver Standard Masks for Data Augmentation Applied to Deep-Learning-Based Skull-Stripping

The bottleneck of convolutional neural networks (CNN) for medical imaging is the number of annotated data required for training. Manual segmentation is considered to be the "gold-standard". However, medical imaging datasets with expert manual segmentation are scarce as this step is time-consuming and expensive. We propose in this work the use of what we refer to as silver standard masks for data augmentation in deep-learning-based skull-stripping also known as brain extraction. We generated the silver standard masks using the consensus algorithm Simultaneous Truth and Performance Level Estimation (STAPLE). We evaluated CNN models generated by the silver and gold standard masks. Then, we validated the silver standard masks for CNNs training in one dataset, and showed its generalization to two other datasets. Our results indicated that models generated with silver standard masks are comparable to models generated with gold standard masks and have better generalizability. Moreover, our results also indicate that silver standard masks could be used to augment the input dataset at training stage, reducing the need for manual segmentation at this step