554 research outputs found
Medical image computing and computer-aided medical interventions applied to soft tissues. Work in progress in urology
Until recently, Computer-Aided Medical Interventions (CAMI) and Medical
Robotics have focused on rigid and non deformable anatomical structures.
Nowadays, special attention is paid to soft tissues, raising complex issues due
to their mobility and deformation. Mini-invasive digestive surgery was probably
one of the first fields where soft tissues were handled through the development
of simulators, tracking of anatomical structures and specific assistance
robots. However, other clinical domains, for instance urology, are concerned.
Indeed, laparoscopic surgery, new tumour destruction techniques (e.g. HIFU,
radiofrequency, or cryoablation), increasingly early detection of cancer, and
use of interventional and diagnostic imaging modalities, recently opened new
challenges to the urologist and scientists involved in CAMI. This resulted in
the last five years in a very significant increase of research and developments
of computer-aided urology systems. In this paper, we propose a description of
the main problems related to computer-aided diagnostic and therapy of soft
tissues and give a survey of the different types of assistance offered to the
urologist: robotization, image fusion, surgical navigation. Both research
projects and operational industrial systems are discussed
Label-driven weakly-supervised learning for multimodal deformable image registration
Spatially aligning medical images from different modalities remains a
challenging task, especially for intraoperative applications that require fast
and robust algorithms. We propose a weakly-supervised, label-driven formulation
for learning 3D voxel correspondence from higher-level label correspondence,
thereby bypassing classical intensity-based image similarity measures. During
training, a convolutional neural network is optimised by outputting a dense
displacement field (DDF) that warps a set of available anatomical labels from
the moving image to match their corresponding counterparts in the fixed image.
These label pairs, including solid organs, ducts, vessels, point landmarks and
other ad hoc structures, are only required at training time and can be
spatially aligned by minimising a cross-entropy function of the warped moving
label and the fixed label. During inference, the trained network takes a new
image pair to predict an optimal DDF, resulting in a fully-automatic,
label-free, real-time and deformable registration. For interventional
applications where large global transformation prevails, we also propose a
neural network architecture to jointly optimise the global- and local
displacements. Experiment results are presented based on cross-validating
registrations of 111 pairs of T2-weighted magnetic resonance images and 3D
transrectal ultrasound images from prostate cancer patients with a total of
over 4000 anatomical labels, yielding a median target registration error of 4.2
mm on landmark centroids and a median Dice of 0.88 on prostate glands.Comment: Accepted to ISBI 201
Prostate biopsies guided by three-dimensional real-time (4-D) transrectal ultrasonography on a phantom: comparative study versus two-dimensional transrectal ultrasound-guided biopsies
OBJECTIVE: This study evaluated the accuracy in localisation and distribution
of real-time three-dimensional (4-D) ultrasound-guided biopsies on a prostate
phantom. METHODS: A prostate phantom was created. A three-dimensional real-time
ultrasound system with a 5.9MHz probe was used, making it possible to see
several reconstructed orthogonal viewing planes in real time. Fourteen
operators performed biopsies first under 2-D then 4-D transurethral ultrasound
(TRUS) guidance (336 biopsies). The biopsy path was modelled using segmentation
in a 3-D ultrasonographic volume. Special software was used to visualise the
biopsy paths in a reference prostate and assess the sampled area. A comparative
study was performed to examine the accuracy of the entry points and target of
the needle. Distribution was assessed by measuring the volume sampled and a
redundancy ratio of the sampled prostate. RESULTS: A significant increase in
accuracy in hitting the target zone was identified using 4-D ultrasonography as
compared to 2-D. There was no increase in the sampled volume or improvement in
the biopsy distribution with 4-D ultrasonography as compared to 2-D.
CONCLUSION: The 4-D TRUS guidance appears to show, on a synthetic model, an
improvement in location accuracy and in the ability to reproduce a protocol.
The biopsy distribution does not seem improved
V-Net: Fully Convolutional Neural Networks for Volumetric Medical Image Segmentation
Convolutional Neural Networks (CNNs) have been recently employed to solve
problems from both the computer vision and medical image analysis fields.
Despite their popularity, most approaches are only able to process 2D images
while most medical data used in clinical practice consists of 3D volumes. In
this work we propose an approach to 3D image segmentation based on a
volumetric, fully convolutional, neural network. Our CNN is trained end-to-end
on MRI volumes depicting prostate, and learns to predict segmentation for the
whole volume at once. We introduce a novel objective function, that we optimise
during training, based on Dice coefficient. In this way we can deal with
situations where there is a strong imbalance between the number of foreground
and background voxels. To cope with the limited number of annotated volumes
available for training, we augment the data applying random non-linear
transformations and histogram matching. We show in our experimental evaluation
that our approach achieves good performances on challenging test data while
requiring only a fraction of the processing time needed by other previous
methods
A review of artificial intelligence in prostate cancer detection on imaging
A multitude of studies have explored the role of artificial intelligence (AI) in providing diagnostic support to radiologists, pathologists, and urologists in prostate cancer detection, risk-stratification, and management. This review provides a comprehensive overview of relevant literature regarding the use of AI models in (1) detecting prostate cancer on radiology images (magnetic resonance and ultrasound imaging), (2) detecting prostate cancer on histopathology images of prostate biopsy tissue, and (3) assisting in supporting tasks for prostate cancer detection (prostate gland segmentation, MRI-histopathology registration, MRI-ultrasound registration). We discuss both the potential of these AI models to assist in the clinical workflow of prostate cancer diagnosis, as well as the current limitations including variability in training data sets, algorithms, and evaluation criteria. We also discuss ongoing challenges and what is needed to bridge the gap between academic research on AI for prostate cancer and commercial solutions that improve routine clinical care
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Domain generalization for prostate segmentation in transrectal ultrasound images: A multi-center study
Prostate biopsy and image-guided treatment procedures are often performed under the guidance of ultrasound fused with magnetic resonance images (MRI). Accurate image fusion relies on accurate segmentation of the prostate on ultrasound images. Yet, the reduced signal-to-noise ratio and artifacts (e.g., speckle and shadowing) in ultrasound images limit the performance of automated prostate segmentation techniques and generalizing these methods to new image domains is inherently difficult. In this study, we address these challenges by introducing a novel 2.5D deep neural network for prostate segmentation on ultrasound images. Our approach addresses the limitations of transfer learning and finetuning methods (i.e., drop in performance on the original training data when the model weights are updated) by combining a supervised domain adaptation technique and a knowledge distillation loss. The knowledge distillation loss allows the preservation of previously learned knowledge and reduces the performance drop after model finetuning on new datasets. Furthermore, our approach relies on an attention module that considers model feature positioning information to improve the segmentation accuracy. We trained our model on 764 subjects from one institution and finetuned our model using only ten subjects from subsequent institutions. We analyzed the performance of our method on three large datasets encompassing 2067 subjects from three different institutions. Our method achieved an average Dice Similarity Coefficient (Dice) of 94.0±0.03 and Hausdorff Distance (HD95) of 2.28 mm in an independent set of subjects from the first institution. Moreover, our model generalized well in the studies from the other two institutions (Dice: 91.0±0.03; HD95: 3.7 mm and Dice: 82.0±0.03; HD95: 7.1 mm). We introduced an approach that successfully segmented the prostate on ultrasound images in a multi-center study, suggesting its clinical potential to facilitate the accurate fusion of ultrasound and MRI images to drive biopsy and image-guided treatments
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