Robust semi-automated path extraction for visualising stenosis of the coronary arteries

Computed tomography angiography (CTA) is useful for diagnosing and planning treatment of heart disease. However, contrast agent in surrounding structures (such as the aorta and left ventricle) makes 3-D visualisation of the coronary arteries difficult. This paper presents a composite method employing segmentation and volume rendering to overcome this issue. A key contribution is a novel Fast Marching minimal path cost function for vessel centreline extraction. The resultant centreline is used to compute a measure of vessel lumen, which indicates the degree of stenosis (narrowing of a vessel). Two volume visualisation techniques are presented which utilise the segmented arteries and lumen measure. The system is evaluated and demonstrated using synthetic and clinically obtained datasets

BRISC—An Open Source Pulmonary Nodule Image Retrieval Framework

We have created a content-based image retrieval framework for computed tomography images of pulmonary nodules. When presented with a nodule image, the system retrieves images of similar nodules from a collection prepared by the Lung Image Database Consortium (LIDC). The system (1) extracts images of individual nodules from the LIDC collection based on LIDC expert annotations, (2) stores the extracted data in a flat XML database, (3) calculates a set of quantitative descriptors for each nodule that provide a high-level characterization of its texture, and (4) uses various measures to determine the similarity of two nodules and perform queries on a selected query nodule. Using our framework, we compared three feature extraction methods: Haralick co-occurrence, Gabor filters, and Markov random fields. Gabor and Markov descriptors perform better at retrieving similar nodules than do Haralick co-occurrence techniques, with best retrieval precisions in excess of 88%. Because the software we have developed and the reference images are both open source and publicly available they may be incorporated into both commercial and academic imaging workstations and extended by others in their research

Data preparation for artificial intelligence in medical imaging: A comprehensive guide to open-access platforms and tools

The vast amount of data produced by today's medical imaging systems has led medical professionals to turn to novel technologies in order to efficiently handle their data and exploit the rich information present in them. In this context, artificial intelligence (AI) is emerging as one of the most prominent solutions, promising to revolutionise every day clinical practice and medical research. The pillar supporting the development of reliable and robust AI algorithms is the appropriate preparation of the medical images to be used by the AI-driven solutions. Here, we provide a comprehensive guide for the necessary steps to prepare medical images prior to developing or applying AI algorithms. The main steps involved in a typical medical image preparation pipeline include: (i) image acquisition at clinical sites, (ii) image de-identification to remove personal information and protect patient privacy, (iii) data curation to control for image and associated information quality, (iv) image storage, and (v) image annotation. There exists a plethora of open access tools to perform each of the aforementioned tasks and are hereby reviewed. Furthermore, we detail medical image repositories covering different organs and diseases. Such repositories are constantly increasing and enriched with the advent of big data. Lastly, we offer directions for future work in this rapidly evolving field

Magneettiresonanssikuvien tekstuurianalyysisovelluksen kehittäminen MATLAB-ympäristössä

This thesis was based on the need to develop a generic software application frame for texture analysis of magnetic resonance (MR) images. In collaboration with the research group at the department of Medical Imaging Centre and Hospital Pharmacy (MICHP) at Tampere University Hospital (TAUH) the goal was to improve the user experience and work flow as well as implement a completely new user interface and key functionalities. The platform was required to be complex enough to manage with image processing algorithms and to provide high level and easily modifiable software architecture. The research group having years of experience with an open-source texture analysis oriented MaZda software the focus of this thesis was to analyse and solve the restrictions based on the observations from using MaZda. MATLAB was chosen as the programming platform due the high-level syntax with powerful built-in properties e.g. Image Processing Toolbox (IPT) that would allow proficient support for computationally demanding processes. Another advantage with MATLAB was the interface support for languages like Fortran, C and C++. MATLAB being commercial software platform, it was acknowledged that achieving a standalone end product would not be possible. Computational performance was also omitted for the purpose this thesis not only due to MATLAB’s limitations but also to keep the scale contained. The improvement suggestions provided by the research group were considered as a rough specification for the software to be implemented. These requirements included extensibility in terms of texture analysis algorithms and simplified user interface to improve the work flow. Selecting MATLAB as the programming environment extended the group of people capable of contributing to the tool in the future. Implementing the frame from the beginning allowed the texture analysis parameters and features to be fully configurable instead of static. The modular visual structure of the software allowed the user to switch between image sets more easily. Removing the region of interest (ROI) limitation ensured that same image set could be utilized more efficiently. The implemented MATLAB application provides a basic frame for more convenient medical image processing flow for texture analysis of MR images but further testing and development is required to complement the tool

PyRaDiSe: A Python package for DICOM-RT-based auto-segmentation pipeline construction and DICOM-RT data conversion.

BACKGROUND AND OBJECTIVE Despite fast evolution cycles in deep learning methodologies for medical imaging in radiotherapy, auto-segmentation solutions rarely run in clinics due to the lack of open-source frameworks feasible for processing DICOM RT Structure Sets. Besides this shortage, available open-source DICOM RT Structure Set converters rely exclusively on 2D reconstruction approaches leading to pixelated contours with potentially low acceptance by healthcare professionals. PyRaDiSe, an open-source, deep learning framework independent Python package, addresses these issues by providing a framework for building auto-segmentation solutions feasible to operate directly on DICOM data. In addition, PyRaDiSe provides profound DICOM RT Structure Set conversion and processing capabilities; thus, it applies also to auto-segmentation-related tasks, such as dataset construction for deep learning model training. METHODS The PyRaDiSe package follows a holistic approach and provides DICOM data handling, deep learning model inference, pre-processing, and post-processing functionalities. The DICOM data handling allows for highly automated and flexible handling of DICOM image series, DICOM RT Structure Sets, and DICOM registrations, including 2D-based and 3D-based conversion from and to DICOM RT Structure Sets. For deep learning model inference, extending given skeleton classes is straightforwardly achieved, allowing for employing any deep learning framework. Furthermore, a profound set of pre-processing and post-processing routines is included that incorporate partial invertibility for restoring spatial properties, such as image origin or orientation. RESULTS The PyRaDiSe package, characterized by its flexibility and automated routines, allows for fast deployment and prototyping, reducing efforts for auto-segmentation pipeline implementation. Furthermore, while deep learning model inference is independent of the deep learning framework, it can easily be integrated into famous deep learning frameworks such as PyTorch or Tensorflow. The developed package has successfully demonstrated its capabilities in a research project at our institution for organs-at-risk segmentation in brain tumor patients. Furthermore, PyRaDiSe has shown its conversion performance for dataset construction. CONCLUSIONS The PyRaDiSe package closes the gap between data science and clinical radiotherapy by enabling deep learning segmentation models to be easily transferred into clinical research practice. PyRaDiSe is available on https://github.com/ubern-mia/pyradise and can be installed directly from the Python Package Index using pip install pyradise

Techniques and software tool for 3D multimodality medical image segmentation

The era of noninvasive diagnostic radiology and image-guided radiotherapy has witnessed burgeoning interest in applying different imaging modalities to stage and localize complex diseases such as atherosclerosis or cancer. It has been observed that using complementary information from multimodality images often significantly improves the robustness and accuracy of target volume definitions in radiotherapy treatment of cancer. In this work, we present techniques and an interactive software tool to support this new framework for 3D multimodality medical image segmentation. To demonstrate this methodology, we have designed and developed a dedicated open source software tool for multimodality image analysis MIASYS. The software tool aims to provide a needed solution for 3D image segmentation by integrating automatic algorithms, manual contouring methods, image preprocessing filters, post-processing procedures, user interactive features and evaluation metrics. The presented methods and the accompanying software tool have been successfully evaluated for different radiation therapy and diagnostic radiology applications

New Methods to Improve Large-Scale Microscopy Image Analysis with Prior Knowledge and Uncertainty

Multidimensional imaging techniques provide powerful ways to examine various kinds of scientific questions. The routinely produced data sets in the terabyte-range, however, can hardly be analyzed manually and require an extensive use of automated image analysis. The present work introduces a new concept for the estimation and propagation of uncertainty involved in image analysis operators and new segmentation algorithms that are suitable for terabyte-scale analyses of 3D+t microscopy images

Improving statistics for hybrid segmentation of high-resolution multichannel images

High-resolution multichannel textures are difficult to characterize with simple statistics and the high level of detail makes the selection of a particular contour using classical gradient-based methods not effective. We have developed a hybrid method that combines fuzzy connectedness and Voronoi diagram classification for the segmentation of color and multichannel objects. The multi-step classification process relies on homogeneity measures derived from moment statistics and histogram information. These color features have been optimized to best combine individual channel information in the classification process. The segmentation initialization requires only a set of interior and exterior seed points, minimizing user intervention and the influence of the initialization on the overall quality of the results. The method was tested on volumes from the Visible Human and on brain multi-protocol MRI data sets. The hybrid segmentation produced robust, rapid and finely detailed contours with good visual accuracy. The addition of quantized statistics and color histogram distances as classification features improved the robustness of the method with regards to initialization when compared to our original implementation