1,334 research outputs found
AI-enhanced diagnosis of challenging lesions in breast MRI: a methodology and application primer
Computer-aided diagnosis (CAD) systems have become an important tool in the assessment of breast tumors with magnetic resonance imaging (MRI). CAD systems can be used for the detection and diagnosis of breast tumors as a “second opinion” review complementing the radiologist’s review. CAD systems have many common parts such as image pre-processing, tumor feature extraction and data classification that are mostly based on machine learning (ML) techniques. In this review paper, we describe the application of ML-based CAD systems in MRI of the breast covering the detection of diagnostically challenging lesions such as non-mass enhancing (NME) lesions, multiparametric MRI, neo-adjuvant chemotherapy (NAC) and radiomics all applied to NME. Since ML has been widely used in the medical imaging community, we provide an overview about the state-ofthe-art and novel techniques applied as classifiers to CAD systems. The differences in the CAD systems in MRI of the breast for several standard and novel applications for NME are explained in detail to provide important examples illustrating: (i) CAD for the detection and diagnosis, (ii) CAD in multi-parametric imaging (iii) CAD in NAC and (iv) breast cancer radiomics. We aim to provide a comparison between these CAD applications and to illustrate a global view on intelligent CAD systems based on ANN in MRI of the breast
Tensor based multichannel reconstruction for breast tumours identification from DCE-MRIs
A new methodology based on tensor algebra that uses a higher order singular value decomposition
to perform three-dimensional voxel reconstruction from a series of temporal images
obtained using dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) is proposed.
Principal component analysis (PCA) is used to robustly extract the spatial and temporal
image features and simultaneously de-noise the datasets. Tumour segmentation on
enhanced scaled (ES) images performed using a fuzzy C-means (FCM) cluster algorithm is
compared with that achieved using the proposed tensorial framework. The proposed algorithm
explores the correlations between spatial and temporal features in the tumours. The
multi-channel reconstruction enables improved breast tumour identification through
enhanced de-noising and improved intensity consistency. The reconstructed tumours have
clear and continuous boundaries; furthermore the reconstruction shows better voxel clustering
in tumour regions of interest. A more homogenous intensity distribution is also observed,
enabling improved image contrast between tumours and background, especially in places
where fatty tissue is imaged. The fidelity of reconstruction is further evaluated on the basis
of five new qualitative metrics. Results confirm the superiority of the tensorial approach. The
proposed reconstruction metrics should also find future applications in the assessment of
other reconstruction algorithms
Computer-aided detection and diagnosis of breast cancer in 2D and 3D medical imaging through multifractal analysis
This Thesis describes the research work performed in the scope of a doctoral research program
and presents its conclusions and contributions. The research activities were carried on in the
industry with Siemens S.A. Healthcare Sector, in integration with a research team.
Siemens S.A. Healthcare Sector is one of the world biggest suppliers of products, services and
complete solutions in the medical sector. The company offers a wide selection of diagnostic
and therapeutic equipment and information systems. Siemens products for medical imaging and
in vivo diagnostics include: ultrasound, computer tomography, mammography, digital breast tomosynthesis,
magnetic resonance, equipment to angiography and coronary angiography, nuclear
imaging, and many others.
Siemens has a vast experience in Healthcare and at the beginning of this project it was strategically
interested in solutions to improve the detection of Breast Cancer, to increase its competitiveness
in the sector.
The company owns several patents related with self-similarity analysis, which formed the background
of this Thesis. Furthermore, Siemens intended to explore commercially the computer-
aided automatic detection and diagnosis eld for portfolio integration. Therefore, with the
high knowledge acquired by University of Beira Interior in this area together with this Thesis,
will allow Siemens to apply the most recent scienti c progress in the detection of the breast
cancer, and it is foreseeable that together we can develop a new technology with high potential.
The project resulted in the submission of two invention disclosures for evaluation in Siemens
A.G., two articles published in peer-reviewed journals indexed in ISI Science Citation Index,
two other articles submitted in peer-reviewed journals, and several international conference
papers. This work on computer-aided-diagnosis in breast led to innovative software and novel
processes of research and development, for which the project received the Siemens Innovation
Award in 2012.
It was very rewarding to carry on such technological and innovative project in a socially sensitive
area as Breast Cancer.No cancro da mama a deteção precoce e o diagnóstico correto são de extrema importância na
prescrição terapêutica e caz e e ciente, que potencie o aumento da taxa de sobrevivência à
doença. A teoria multifractal foi inicialmente introduzida no contexto da análise de sinal e a
sua utilidade foi demonstrada na descrição de comportamentos siológicos de bio-sinais e até
na deteção e predição de patologias. Nesta Tese, três métodos multifractais foram estendidos
para imagens bi-dimensionais (2D) e comparados na deteção de microcalci cações em mamogramas.
Um destes métodos foi também adaptado para a classi cação de massas da mama, em
cortes transversais 2D obtidos por ressonância magnética (RM) de mama, em grupos de massas
provavelmente benignas e com suspeição de malignidade. Um novo método de análise multifractal
usando a lacunaridade tri-dimensional (3D) foi proposto para classi cação de massas da
mama em imagens volumétricas 3D de RM de mama. A análise multifractal revelou diferenças
na complexidade subjacente às localizações das microcalci cações em relação aos tecidos normais,
permitindo uma boa exatidão da sua deteção em mamogramas. Adicionalmente, foram
extraídas por análise multifractal características dos tecidos que permitiram identi car os casos
tipicamente recomendados para biópsia em imagens 2D de RM de mama. A análise multifractal
3D foi e caz na classi cação de lesões mamárias benignas e malignas em imagens 3D de RM de
mama. Este método foi mais exato para esta classi cação do que o método 2D ou o método
padrão de análise de contraste cinético tumoral. Em conclusão, a análise multifractal fornece
informação útil para deteção auxiliada por computador em mamogra a e diagnóstico auxiliado
por computador em imagens 2D e 3D de RM de mama, tendo o potencial de complementar a
interpretação dos radiologistas
Emerging Techniques in Breast MRI
As indicated throughout this chapter, there is a constant effort to move to more sensitive, specific, and quantitative methods for characterizing breast tissue via magnetic resonance imaging (MRI). In the present chapter, we focus on six emerging techniques that seek to quantitatively interrogate the physiological and biochemical properties of the breast. At the physiological scale, we present an overview of ultrafast dynamic contrast-enhanced MRI and magnetic resonance elastography which provide remarkable insights into the vascular and mechanical properties of tissue, respectively. Moving to the biochemical scale, magnetization transfer, chemical exchange saturation transfer, and spectroscopy (both “conventional” and hyperpolarized) methods all provide unique, noninvasive, insights into tumor metabolism. Given the breadth and depth of information that can be obtained in a single MRI session, methods of data synthesis and interpretation must also be developed. Thus, we conclude the chapter with an introduction to two very different, though complementary, methods of data analysis: (1) radiomics and habitat imaging, and (2) mechanism-based mathematical modeling
Pre and Post-hoc Diagnosis and Interpretation of Malignancy from Breast DCE-MRI
We propose a new method for breast cancer screening from DCE-MRI based on a
post-hoc approach that is trained using weakly annotated data (i.e., labels are
available only at the image level without any lesion delineation). Our proposed
post-hoc method automatically diagnosis the whole volume and, for positive
cases, it localizes the malignant lesions that led to such diagnosis.
Conversely, traditional approaches follow a pre-hoc approach that initially
localises suspicious areas that are subsequently classified to establish the
breast malignancy -- this approach is trained using strongly annotated data
(i.e., it needs a delineation and classification of all lesions in an image).
Another goal of this paper is to establish the advantages and disadvantages of
both approaches when applied to breast screening from DCE-MRI. Relying on
experiments on a breast DCE-MRI dataset that contains scans of 117 patients,
our results show that the post-hoc method is more accurate for diagnosing the
whole volume per patient, achieving an AUC of 0.91, while the pre-hoc method
achieves an AUC of 0.81. However, the performance for localising the malignant
lesions remains challenging for the post-hoc method due to the weakly labelled
dataset employed during training.Comment: Submitted to Medical Image Analysi
Intraoperative Quantification of Bone Perfusion in Lower Extremity Injury Surgery
Orthopaedic surgery is one of the most common surgical categories. In particular, lower extremity injuries sustained from trauma can be complex and life-threatening injuries that are addressed through orthopaedic trauma surgery. Timely evaluation and surgical debridement following lower extremity injury is essential, because devitalized bones and tissues will result in high surgical site infection rates. However, the current clinical judgment of what constitutes “devitalized tissue” is subjective and dependent on surgeon experience, so it is necessary to develop imaging techniques for guiding surgical debridement, in order to control infection rates and to improve patient outcome.
In this thesis work, computational models of fluorescence-guided debridement in lower extremity injury surgery will be developed, by quantifying bone perfusion intraoperatively using Dynamic contrast-enhanced fluorescence imaging (DCE-FI) system. Perfusion is an important factor of tissue viability, and therefore quantifying perfusion is essential for fluorescence-guided debridement. In Chapters 3-7 of this thesis, we explore the performance of DCE-FI in quantifying perfusion from benchtop to translation: We proposed a modified fluorescent microsphere quantification technique using cryomacrotome in animal model. This technique can measure bone perfusion in periosteal and endosteal separately, and therefore to validate bone perfusion measurements obtained by DCE-FI; We developed pre-clinical rodent contaminated fracture model to correlate DCE-FI with infection risk, and compare with multi-modality scanning; Furthermore in clinical studies, we investigated first-pass kinetic parameters of DCE-FI and arterial input functions for characterization of perfusion changes during lower limb amputation surgery; We conducted the first in-human use of dynamic contrast-enhanced texture analysis for orthopaedic trauma classification, suggesting that spatiotemporal features from DCE-FI can classify bone perfusion intraoperatively with high accuracy and sensitivity; We established clinical machine learning infection risk predictive model on open fracture surgery, where pixel-scaled prediction on infection risk will be accomplished.
In conclusion, pharmacokinetic and spatiotemporal patterns of dynamic contrast-enhanced imaging show great potential for quantifying bone perfusion and prognosing bone infection. The thesis work will decrease surgical site infection risk and improve successful rates of lower extremity injury surgery
Pattern classification approaches for breast cancer identification via MRI: state‐of‐the‐art and vision for the future
Mining algorithms for Dynamic Contrast Enhanced Magnetic Resonance Imaging (DCEMRI)
of breast tissue are discussed. The algorithms are based on recent advances in multidimensional
signal processing and aim to advance current state‐of‐the‐art computer‐aided detection
and analysis of breast tumours when these are observed at various states of development. The topics
discussed include image feature extraction, information fusion using radiomics, multi‐parametric
computer‐aided classification and diagnosis using information fusion of tensorial datasets as well
as Clifford algebra based classification approaches and convolutional neural network deep learning
methodologies. The discussion also extends to semi‐supervised deep learning and self‐supervised
strategies as well as generative adversarial networks and algorithms using generated
confrontational learning approaches. In order to address the problem of weakly labelled tumour
images, generative adversarial deep learning strategies are considered for the classification of
different tumour types. The proposed data fusion approaches provide a novel Artificial Intelligence
(AI) based framework for more robust image registration that can potentially advance the early
identification of heterogeneous tumour types, even when the associated imaged organs are
registered as separate entities embedded in more complex geometric spaces. Finally, the general
structure of a high‐dimensional medical imaging analysis platform that is based on multi‐task
detection and learning is proposed as a way forward. The proposed algorithm makes use of novel
loss functions that form the building blocks for a generated confrontation learning methodology
that can be used for tensorial DCE‐MRI. Since some of the approaches discussed are also based on
time‐lapse imaging, conclusions on the rate of proliferation of the disease can be made possible. The
proposed framework can potentially reduce the costs associated with the interpretation of medical
images by providing automated, faster and more consistent diagnosis
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