8,372 research outputs found

    Diagnosing and mapping pulmonary emphysema on X-ray projection images

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    To assess whether grating-based X-ray dark-field imaging can increase the sensitivity of X-ray projection images in the diagnosis of pulmonary emphysema and allow for a more accurate assessment of emphysema distribution. Lungs from three mice with pulmonary emphysema and three healthy mice were imaged ex vivo using a laser-driven compact synchrotron X-ray source. Median signal intensities of transmission (T), dark-field (V) and a combined parameter (normalized scatter) were compared between emphysema and control group. To determine the diagnostic value of each parameter in differentiating between healthy and emphysematous lung tissue, a receiver-operating-characteristic (ROC) curve analysis was performed both on a per-pixel and a per-individual basis. Parametric maps of emphysema distribution were generated using transmission, dark-field and normalized scatter signal and correlated with histopathology. Transmission values relative to water were higher for emphysematous lungs than for control lungs (1.11 vs. 1.06, p<0.001). There was no difference in median dark-field signal intensities between both groups (0.66 vs. 0.66). Median normalized scatter was significantly lower in the emphysematous lungs compared to controls (4.9 vs. 10.8, p<0.001), and was the best parameter for differentiation of healthy vs. emphysematous lung tissue. In a per-pixel analysis, the area under the ROC curve (AUC) for the normalized scatter value was significantly higher than for transmission (0.86 vs. 0.78, p<0.001) and dark-field value (0.86 vs. 0.52, p<0.001) alone. Normalized scatter showed very high sensitivity for a wide range of specificity values (94% sensitivity at 75% specificity). Using the normalized scatter signal to display the regional distribution of emphysema provides color-coded parametric maps, which show the best correlation with histopathology. In a murine model, the complementary information provided by X-ray transmission and dark-field images adds incremental diagnostic value in detecting pulmonary emphysema and visualizing its regional distribution as compared to conventional X-ray projections

    Automatic COVID-19 lung infected region segmentation and measurement using CT-scans images

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    History shows that the infectious disease (COVID-19) can stun the world quickly, causing massive losses to health, resulting in a profound impact on the lives of billions of people, from both a safety and an economic perspective, for controlling the COVID-19 pandemic. The best strategy is to provide early intervention to stop the spread of the disease. In general, Computer Tomography (CT) is used to detect tumors in pneumonia, lungs, tuberculosis, emphysema, or other pleura (the membrane covering the lungs) diseases. Disadvantages of CT imaging system are: inferior soft tissue contrast compared to MRI as it is X-ray-based Radiation exposure. Lung CT image segmentation is a necessary initial step for lung image analysis. The main challenges of segmentation algorithms exaggerated due to intensity in-homogeneity, presence of artifacts, and closeness in the gray level of different soft tissue. The goal of this paper is to design and evaluate an automatic tool for automatic COVID-19 Lung Infection segmentation and measurement using chest CT images. The extensive computer simulations show better efficiency and flexibility of this end-to-end learning approach on CT image segmentation with image enhancement comparing to the state of the art segmentation approaches, namely GraphCut, Medical Image Segmentation (MIS), and Watershed. Experiments performed on COVID-CT-Dataset containing (275) CT scans that are positive for COVID-19 and new data acquired from the EL-BAYANE center for Radiology and Medical Imaging. The means of statistical measures obtained using the accuracy, sensitivity, F-measure, precision, MCC, Dice, Jacquard, and specificity are 0.98, 0.73, 0.71, 0.73, 0.71, 0.71, 0.57, 0.99 respectively; which is better than methods mentioned above. The achieved results prove that the proposed approach is more robust, accurate, and straightforward

    Task Driven Generative Modeling for Unsupervised Domain Adaptation: Application to X-ray Image Segmentation

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    Automatic parsing of anatomical objects in X-ray images is critical to many clinical applications in particular towards image-guided invention and workflow automation. Existing deep network models require a large amount of labeled data. However, obtaining accurate pixel-wise labeling in X-ray images relies heavily on skilled clinicians due to the large overlaps of anatomy and the complex texture patterns. On the other hand, organs in 3D CT scans preserve clearer structures as well as sharper boundaries and thus can be easily delineated. In this paper, we propose a novel model framework for learning automatic X-ray image parsing from labeled CT scans. Specifically, a Dense Image-to-Image network (DI2I) for multi-organ segmentation is first trained on X-ray like Digitally Reconstructed Radiographs (DRRs) rendered from 3D CT volumes. Then we introduce a Task Driven Generative Adversarial Network (TD-GAN) architecture to achieve simultaneous style transfer and parsing for unseen real X-ray images. TD-GAN consists of a modified cycle-GAN substructure for pixel-to-pixel translation between DRRs and X-ray images and an added module leveraging the pre-trained DI2I to enforce segmentation consistency. The TD-GAN framework is general and can be easily adapted to other learning tasks. In the numerical experiments, we validate the proposed model on 815 DRRs and 153 topograms. While the vanilla DI2I without any adaptation fails completely on segmenting the topograms, the proposed model does not require any topogram labels and is able to provide a promising average dice of 85% which achieves the same level accuracy of supervised training (88%)

    A Survey on Deep Learning in Medical Image Analysis

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    Deep learning algorithms, in particular convolutional networks, have rapidly become a methodology of choice for analyzing medical images. This paper reviews the major deep learning concepts pertinent to medical image analysis and summarizes over 300 contributions to the field, most of which appeared in the last year. We survey the use of deep learning for image classification, object detection, segmentation, registration, and other tasks and provide concise overviews of studies per application area. Open challenges and directions for future research are discussed.Comment: Revised survey includes expanded discussion section and reworked introductory section on common deep architectures. Added missed papers from before Feb 1st 201
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