CIDI-Lung-Seg: A Single-Click Annotation Tool for Automatic Delineation of Lungs from CT Scans

Accurate and fast extraction of lung volumes from computed tomography (CT) scans remains in a great demand in the clinical environment because the available methods fail to provide a generic solution due to wide anatomical variations of lungs and existence of pathologies. Manual annotation, current gold standard, is time consuming and often subject to human bias. On the other hand, current state-of-the-art fully automated lung segmentation methods fail to make their way into the clinical practice due to their inability to efficiently incorporate human input for handling misclassifications and praxis. This paper presents a lung annotation tool for CT images that is interactive, efficient, and robust. The proposed annotation tool produces an "as accurate as possible" initial annotation based on the fuzzy-connectedness image segmentation, followed by efficient manual fixation of the initial extraction if deemed necessary by the practitioner. To provide maximum flexibility to the users, our annotation tool is supported in three major operating systems (Windows, Linux, and the Mac OS X). The quantitative results comparing our free software with commercially available lung segmentation tools show higher degree of consistency and precision of our software with a considerable potential to enhance the performance of routine clinical tasks.Comment: 4 pages, 6 figures; to appear in the proceedings of 36th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC 2014

REGISTRATION AND SEGMENTATION OF BRAIN MR IMAGES FROM ELDERLY INDIVIDUALS

Quantitative analysis of the MRI structural and functional images is a fundamental component in the assessment of brain anatomical abnormalities, in mapping functional activation onto human anatomy, in longitudinal evaluation of disease progression, and in computer-assisted neurosurgery or surgical planning. Image registration and segmentation is central in analyzing structural and functional MR brain images. However, due to increased variability in brain morphology and age-related atrophy, traditional methods for image registration and segmentation are not suitable for analyzing MR brain images from elderly individuals. The overall goal of this dissertation is to develop algorithms to improve the registration and segmentation accuracy in the geriatric population. The specific aims of this work includes 1) to implement a fully deformable registration pipeline to allow a higher degree of spatial deformation and produce more accurate deformation field, 2) to propose and validate an optimum template selection method for atlas-based segmentation, 3) to propose and validate a multi-template strategy for image normalization, which characterizes brain structural variations in the elderly, 4) to develop an automated segmentation and localization method to access white matter integrity (WMH) in the elderly population, and finally 5) to study the default-mode network (DMN) connectivity and white matter hyperintensity in late-life depression (LLD) with the developed registration and segmentation methods. Through a series of experiments, we have shown that the deformable registration pipeline and the template selection strategies lead to improved accuracy in the brain MR image registration and segmentation, and the automated WMH segmentation and localization method provides more specific and more accurate information about volume and spatial distribution of WMH than traditional visual grading methods. Using the developed methods, our clinical study provides evidence for altered DMN connectivity in LLD. The correlation between WMH volume and DMN connectivity emphasizes the role of vascular changes in LLD's etiopathogenesis

Incorporating 3D virtual anatomy into the medical curriculum

The introduction of the Visible Human Project by Ackerman in 1995, described in the seminal paper in 1996, brought a promise to anatomists that these two frozen, milled, and digitized cadavers--the Visible Male and Female--would revolutionize anatomy teaching by providing the most complete and detailed anatomical images ever. This vision could be compared to the proverbial "man on the moon" program for medical education and has proven to be much more challenging than expected. Although the ramifications of this project are not of the same scale as the shock created five centuries ago by the Padua physician Andreas Vesalius when he challenged the ancient Greek physician Galen's description of the human body, the original interest created by the availability of the Visible Human data was enormous

Segmentation and Evaluation of Adipose Tissue from Whole Body MRI Scans

Accurate quantification of total body and the distribution of regional adipose tissue using manual segmentation is a challenging problem due to the high variation between manual delineations. Manual segmentation also requires highly trained experts with knowledge of anatomy. We present a hybrid segmentation method that provides robust delineation results for adipose tissue from whole body MRI scans. A formal evaluation of accuracy of the segmentation method is performed. This semi-automatic segmentation algorithm reduces significantly the time required for quantification of adipose tissue, and the accuracy measurements show that the results are close to the ground truth obtained from manual segmentations

Chapter 1 : Hybrid Segmentation Methods

We propose a Hybrid Segmentation Engine that consists of component modules, for automated segmentation of radiological patient and the Visible Human data. We integrate boundary-based and region-based segmentation methods to exploit the strength of each method hopefully to cover the weakness of the other method

An interactive color pre-processing method to improve tumor segmentation in digital medical images

In the last few decades the medical imaging field has grown considerably, and new techniques such as computerized axial tomography (CAT) and Magnetic Resonance Imaging (MRI) are able to obtain medical images in noninvasive ways. These new technologies have opened the medical field, offering opportunities to improve patient diagnosis, education and training, treatment monitoring, and surgery planning. One of these opportunities is in the tumor segmentation field. Tumor segmentation is the process of virtually extracting the tumor from the healthy tissues of the body by computer algorithms. This is a complex process since tumors have different shapes, sizes, tissue densities, and locations. The algorithms that have been developed cannot take into account all these variations and higher accuracy is achieved with specialized methods that generally work with specific types of tissue data. In this thesis a color pre-processing method for segmentation is presented. Most tumor segmentation methods are based on grayscale values of the medical images. The method proposed in this thesis adds color information to the original values of the image. The user selects the region of interest (ROI), usually the tumor, from the grayscale medical image and from this initial selection, the image is mapped into a colored space. Tissue densities that are part of the tumor are assigned an RGB component and any tissues outside the tumor are set to black. The user can tweak the color ranges in real time to achieve better results, in cases where the tumor pixels are non-homogenous in terms of intensity. The user then places a seed in the center of the tumor and begins segmentation. A pixel in the image is segmented as part of the tumor if it\u27s within an initial 10% threshold. This threshold is determined if the seed is within the average RGB values of the tumor, and within the search region. The search region is calculated by growing or shrinking the previous region using the information or previous segmented regions of the set of slices. The method automatically segments all the slices on the set from the inputs of the first slice. All through the segmentation process the user can tweak different parameters and visualize the segmentation results in real time. The method was run on ten test cases several runs were performed for each test cases. 10 out of the 20 test runs gave false positives of 25% or less, and 10 out of the 20 test runs gave false negatives of 25% or less. Using only grayscale thresholding methods the results for the same test cases show a false positive of up to 52% on the easy cases and up to 284% on the difficult cases, and false negatives of up to 14% on the easy cases and up to 99% on the difficult cases. While the results of the grayscale and color pre-processing methods on easy cases were similar, the results of color pre-processing were much better on difficult cases, thus supporting the claim that adding color to medical images for segmentation can significantly improve accuracy of tumor segmentation

Computational processing and analysis of ear images

Tese de mestrado. Engenharia Biomédica. Faculdade de Engenharia. Universidade do Porto. 201

Hybrid Segmentation of Anatomical Data

We propose new hybrid methods for automated segmentation of radiological patient data and the Visible Human data. In this paper, we integrate boundary-based and region-based segmentation methods which amplifies the strength but reduces the weakness of both approaches. The novelty comes from combining a boundary-based method, the deformable model-based segmentation with region-based segmentation methods, the fuzzy connectedness and Voronoi Diagram-based segmentation, to develop hybrid methods that yield high precision, accuracy and efficiency. This work is a part of a NLM funded effort to provide a fully implemented and tested Visible Human Project Segmentation and Registration Toolkit (Insight)