4 research outputs found
Statistical atlas-based descriptor for an early detection of optic disc abnormalities
Optic disc (OD) appearance in fundus images is one of the clinical indicators considered in the assessment of retinal diseases such as glaucoma. The cup-to-disc ratio (CDR) is the most common clinical measurement used to characterize glaucoma. However, the CDR only evaluates the relative sizes of the cup and the OD via their diameters. We propose to construct an atlas-based shape descriptor (ASD) to statistically characterize the geometric deformations of the OD shape and of the blood vessels' configuration inside the OD region. A local representation of the OD region is proposed to construct a well-defined statistical atlas using nonlinear registration and statistical analysis of deformation fields. The shape descriptor is defined as being composed of several statistical measures from the atlas. Analysis of the average model and its principal modes of deformation are performed on a healthy population. The components of the ASD show a significant difference between pathological and healthy ODs. We show that the ASD is able to characterize healthy and glaucomatous OD regions. The deviation map extracted from the atlas can be used to assist clinicians in an early detection of deformation abnormalities in the OD region
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Development of computer-based algorithms for unsupervised assessment of radiotherapy contouring
INTRODUCTION: Despite the advances in radiotherapy treatment delivery, target volume
delineation remains one of the greatest sources of error in the radiotherapy delivery process,
which can lead to poor tumour control probability and impact clinical outcome. Contouring
assessments are performed to ensure high quality of target volume definition in clinical trials
but this can be subjective and labour-intensive.
This project addresses the hypothesis that computational segmentation techniques, with a given
prior, can be used to develop an image-based tumour delineation process for contour
assessments. This thesis focuses on the exploration of the segmentation techniques to develop
an automated method for generating reference delineations in the setting of advanced lung
cancer. The novelty of this project is in the use of the initial clinician outline as a prior for
image segmentation.
METHODS: Automated segmentation processes were developed for stage II and III non-small
cell lung cancer using the IDEAL-CRT clinical trial dataset. Marker-controlled watershed
segmentation, two active contour approaches (edge- and region-based) and graph-cut applied
on superpixels were explored. k-nearest neighbour (k-NN) classification of tumour from
normal tissues based on texture features was also investigated.
RESULTS: 63 cases were used for development and training. Segmentation and classification
performance were evaluated on an independent test set of 16 cases. Edge-based active contour
segmentation achieved highest Dice similarity coefficient of 0.80 ± 0.06, followed by graphcut
at 0.76 ± 0.06, watershed at 0.72 ± 0.08 and region-based active contour at 0.71 ± 0.07,
with mean computational times of 192 ± 102 sec, 834 ± 438 sec, 21 ± 5 sec and 45 ± 18 sec
per case respectively. Errors in accuracy of irregularly shaped lesions and segmentation
leakages at the mediastinum were observed.
In the distinction of tumour and non-tumour regions, misclassification errors of 14.5% and
15.5% were achieved using 16- and 8-pixel regions of interest (ROIs) respectively. Higher
misclassification errors of 24.7% and 26.9% for 16- and 8-pixel ROIs were obtained in the
analysis of the tumour boundary.
CONCLUSIONS: Conventional image-based segmentation techniques with the application of
priors are useful in automatic segmentation of tumours, although further developments are
required to improve their performance. Texture classification can be useful in distinguishing
tumour from non-tumour tissue, but the segmentation task at the tumour boundary is more
difficult. Future work with deep-learning segmentation approaches need to be explored.Funded by National Radiotherapy Trials Quality Assurance (RTTQA) grou
Visual Impairment and Blindness
Blindness and vision impairment affect at least 2.2 billion people worldwide with most individuals having a preventable vision impairment. The majority of people with vision impairment are older than 50 years, however, vision loss can affect people of all ages. Reduced eyesight can have major and long-lasting effects on all aspects of life, including daily personal activities, interacting with the community, school and work opportunities, and the ability to access public services. This book provides an overview of the effects of blindness and visual impairment in the context of the most common causes of blindness in older adults as well as children, including retinal disorders, cataracts, glaucoma, and macular or corneal degeneration