An approach to identify, from DCE MRI, significant subvolumes of tumors related to outcomes in advanced head‐and‐neck cancera)

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/134885/1/mp7022.pd

Cluster analysis of the signal curves in perfusion DCE-MRI datasets

Pathological studies show that tumors consist of different sub-regions with more homogeneous vascular properties during their growth. In addition, destroying tumor's blood supply is the target of most cancer therapies. Finding the sub-regions in the tissue of interest with similar perfusion patterns provides us with valuable information about tissue structure and angiogenesis. This information on cancer therapy, for example, can be used in monitoring the response of the cancer treatment to the drug. Cluster analysis of perfusion curves assays to find sub-regions with a similar perfusion pattern. The present work focuses on the cluster analysis of perfusion curves, measured by dynamic contrast enhanced magnetic resonance imaging (DCE-MRI). The study, besides searching for the proper clustering method, follows two other major topics, the choice of an appropriate similarity measure, and determining the number of clusters. These three subjects are connected to each other in such a way that success in one direction will help solving the other problems. This work introduces a new similarity measure, parallelism measure (PM), for comparing the parallelism in the washout phase of the signal curves. Most of the previous works used the Euclidean distance as the measure of dissimilarity. However, the Euclidean distance does not take the patterns of the signal curves into account and therefore for comparing the signal curves is not sufficient. To combine the advantages of both measures a two-steps clustering is developed. The two-steps clustering uses two different similarity measures, the introduced PM measure and Euclidean distance in two consecutive steps. The results of two-steps clustering are compared with the results of other clustering methods. The two-steps clustering besides good performance has some other advantages. The granularity and the number of clusters are controlled by thresholds defined by considering the noise in signal curves. The method is easy to implement and is robust against noise. The focus of the work is mainly the cluster analysis of breast tumors in DCE-MRI datasets. The possibility to adopt the method for liver datasets is studied as well

Kidney segmentation in 4-dimensional dynamic contrast- enhanced MR images : A physiological approach

Master'sMASTER OF ENGINEERIN

Methods for assisting the automation of Dynamic Susceptibility Contrast Magnetic Resonance Imaging Analysis

Purpose Dynamic susceptibility-contrast magnetic resonance imaging (DSC-MRI) is widely used for cerebral perfusion measurement, but dependence on operator input leads to a time-consuming, subjective, and poorly-reproducible analysis. Although automation can overcome these limitations, investigations are required to further simplify and accelerate the analysis. This research focuses on automating arterial voxel (AV) and brain tissue segmentation, and model-dependent deconvolution steps of DSC-MRI analysis. Methods Several features were extracted from DSC-MRI data; their AV- and tissue voxel- discriminatory powers were evaluated by the area-under-the-receiver-operating-characteristic-curve (AUCROC). Thresholds for discarding non-arterial voxels were identified using ROC cut-offs. The applicability of DSC-MRI time-series data for brain segmentation was explored. Two segmentation approaches that clustered the dimensionality-reduced raw data were compared with two raw−data-based approaches, and an approach using principal component analysis (PCA) for dimension-reduction. Computation time and Dice coefficients (DCs) were compared. For model-dependent deconvolution, four parametric transit time distribution (TTD) models were compared in terms of goodness- and stability-of-fit, consistency of perfusion estimates, and computation time. Results Four criteria were effective in distinguishing AVs, forming the basis of a framework that can determine optimal thresholds for effective criteria to discard tissue voxels with high sensitivity and specificity. Compared to raw−data-based approaches, one of the proposed segmentation approaches identified GM with higher (>0.7, p<0.005), and WM with similar DC. The approach outperformed the PCA-based approach for all tissue regions (p<0.005), and clustered similar regions faster than other approaches (p<0.005). For model-dependent deconvolution, all TTD models gave similar perfusion estimates and goodness-of-fit. The gamma distribution was most suitable for perfusion analysis, showing significantly higher fit stability and lower computation time. Conclusion The proposed methods were able to simplify and accelerate automatic DSC-MRI analysis while maintaining performance. They will particularly help clinicians in rapid diagnosis and characterisation of tumour or stroke lesions, and subsequent treatment planning and monitoring