Brain and Human Body Modelling 2021

This open access book describes modern applications of computational human modelling to advance neurology, cancer treatment, and radio-frequency studies including regulatory, safety, and wireless communication fields. Readers working on any application that may expose human subjects to electromagnetic radiation will benefit from this book’s coverage of the latest models and techniques available to assess a given technology’s safety and efficacy in a timely and efficient manner. This is an Open Access book

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

A non-invasive image based system for early diagnosis of prostate cancer.

Prostate cancer is the second most fatal cancer experienced by American males. The average American male has a 16.15% chance of developing prostate cancer, which is 8.38% higher than lung cancer, the second most likely cancer. The current in-vitro techniques that are based on analyzing a patients blood and urine have several limitations concerning their accuracy. In addition, the prostate Specific Antigen (PSA) blood-based test, has a high chance of false positive diagnosis, ranging from 28%-58%. Yet, biopsy remains the gold standard for the assessment of prostate cancer, but only as the last resort because of its invasive nature, high cost, and potential morbidity rates. The major limitation of the relatively small needle biopsy samples is the higher possibility of producing false positive diagnosis. Moreover, the visual inspection system (e.g., Gleason grading system) is not quantitative technique and different observers may classify a sample differently, leading to discrepancies in the diagnosis. As reported in the literature that the early detection of prostate cancer is a crucial step for decreasing prostate cancer related deaths. Thus, there is an urgent need for developing objective, non-invasive image based technology for early detection of prostate cancer. The objective of this dissertation is to develop a computer vision methodology, later translated into a clinically usable software tool, which can improve sensitivity and specificity of early prostate cancer diagnosis based on the well-known hypothesis that malignant tumors are will connected with the blood vessels than the benign tumors. Therefore, using either Diffusion Weighted Magnetic Resonance imaging (DW-MRI) or Dynamic Contrast Enhanced Magnetic Resonance Imaging (DCE-MRI), we will be able to interrelate the amount of blood in the detected prostate tumors by estimating either the Apparent Diffusion Coefficient (ADC) in the prostate with the malignancy of the prostate tumor or perfusion parameters. We intend to validate this hypothesis by demonstrating that automatic segmentation of the prostate from either DW-MRI or DCE-MRI after handling its local motion, provides discriminatory features for early prostate cancer diagnosis. The proposed CAD system consists of three majors components, the first two of which constitute new research contributions to a challenging computer vision problem. The three main components are: (1) A novel Shape-based segmentation approach to segment the prostate from either low contrast DW-MRI or DCE-MRI data; (2) A novel iso-contours-based non-rigid registration approach to ensure that we have voxel-on-voxel matches of all data which may be more difficult due to gross patient motion, transmitted respiratory effects, and intrinsic and transmitted pulsatile effects; and (3) Probabilistic models for the estimated diffusion and perfusion features for both malignant and benign tumors. Our results showed a 98% classification accuracy using Leave-One-Subject-Out (LOSO) approach based on the estimated ADC for 30 patients (12 patients diagnosed as malignant; 18 diagnosed as benign). These results show the promise of the proposed image-based diagnostic technique as a supplement to current technologies for diagnosing prostate cancer

Brain and Human Body Modelling 2021

This open access book describes modern applications of computational human modelling to advance neurology, cancer treatment, and radio-frequency studies including regulatory, safety, and wireless communication fields. Readers working on any application that may expose human subjects to electromagnetic radiation will benefit from this book’s coverage of the latest models and techniques available to assess a given technology’s safety and efficacy in a timely and efficient manner. This is an Open Access book

Improving Radiotherapy Targeting for Cancer Treatment Through Space and Time

Radiotherapy is a common medical treatment in which lethal doses of ionizing radiation are preferentially delivered to cancerous tumors. In external beam radiotherapy, radiation is delivered by a remote source which sits several feet from the patient\u27s surface. Although great effort is taken in properly aligning the target to the path of the radiation beam, positional uncertainties and other errors can compromise targeting accuracy. Such errors can lead to a failure in treating the target, and inflict significant toxicity to healthy tissues which are inadvertently exposed high radiation doses. Tracking the movement of targeted anatomy between and during treatment fractions provides valuable localization information that allows for the reduction of these positional uncertainties. Inter- and intra-fraction anatomical localization data not only allows for more accurate treatment setup, but also potentially allows for 1) retrospective treatment evaluation, 2) margin reduction and modification of the dose distribution to accommodate daily anatomical changes (called `adaptive radiotherapy\u27), and 3) targeting interventions during treatment (for example, suspending radiation delivery while the target it outside the path of the beam). The research presented here investigates the use of inter- and intra-fraction localization technologies to improve radiotherapy to targets through enhanced spatial and temporal accuracy. These technologies provide significant advancements in cancer treatment compared to standard clinical technologies. Furthermore, work is presented for the use of localization data acquired from these technologies in adaptive treatment planning, an investigational technique in which the distribution of planned dose is modified during the course of treatment based on biological and/or geometrical changes of the patient\u27s anatomy. The focus of this research is directed at abdominal sites, which has historically been central to the problem of motion management in radiation therapy