Computerized Analysis of Magnetic Resonance Images to Study Cerebral Anatomy in Developing Neonates

The study of cerebral anatomy in developing neonates is of great importance for the understanding of brain development during the early period of life. This dissertation therefore focuses on three challenges in the modelling of cerebral anatomy in neonates during brain development. The methods that have been developed all use Magnetic Resonance Images (MRI) as source data. To facilitate study of vascular development in the neonatal period, a set of image analysis algorithms are developed to automatically extract and model cerebral vessel trees. The whole process consists of cerebral vessel tracking from automatically placed seed points, vessel tree generation, and vasculature registration and matching. These algorithms have been tested on clinical Time-of- Flight (TOF) MR angiographic datasets. To facilitate study of the neonatal cortex a complete cerebral cortex segmentation and reconstruction pipeline has been developed. Segmentation of the neonatal cortex is not effectively done by existing algorithms designed for the adult brain because the contrast between grey and white matter is reversed. This causes pixels containing tissue mixtures to be incorrectly labelled by conventional methods. The neonatal cortical segmentation method that has been developed is based on a novel expectation-maximization (EM) method with explicit correction for mislabelled partial volume voxels. Based on the resulting cortical segmentation, an implicit surface evolution technique is adopted for the reconstruction of the cortex in neonates. The performance of the method is investigated by performing a detailed landmark study. To facilitate study of cortical development, a cortical surface registration algorithm for aligning the cortical surface is developed. The method first inflates extracted cortical surfaces and then performs a non-rigid surface registration using free-form deformations (FFDs) to remove residual alignment. Validation experiments using data labelled by an expert observer demonstrate that the method can capture local changes and follow the growth of specific sulcus

Computer- and robot-assisted Medical Intervention

Medical robotics includes assistive devices used by the physician in order to make his/her diagnostic or therapeutic practices easier and more efficient. This chapter focuses on such systems. It introduces the general field of Computer-Assisted Medical Interventions, its aims, its different components and describes the place of robots in that context. The evolutions in terms of general design and control paradigms in the development of medical robots are presented and issues specific to that application domain are discussed. A view of existing systems, on-going developments and future trends is given. A case-study is detailed. Other types of robotic help in the medical environment (such as for assisting a handicapped person, for rehabilitation of a patient or for replacement of some damaged/suppressed limbs or organs) are out of the scope of this chapter.Comment: Handbook of Automation, Shimon Nof (Ed.) (2009) 000-00

Development of an Atlas-Based Segmentation of Cranial Nerves Using Shape-Aware Discrete Deformable Models for Neurosurgical Planning and Simulation

Twelve pairs of cranial nerves arise from the brain or brainstem and control our sensory functions such as vision, hearing, smell and taste as well as several motor functions to the head and neck including facial expressions and eye movement. Often, these cranial nerves are difficult to detect in MRI data, and thus represent problems in neurosurgery planning and simulation, due to their thin anatomical structure, in the face of low imaging resolution as well as image artifacts. As a result, they may be at risk in neurosurgical procedures around the skull base, which might have dire consequences such as the loss of eyesight or hearing and facial paralysis. Consequently, it is of great importance to clearly delineate cranial nerves in medical images for avoidance in the planning of neurosurgical procedures and for targeting in the treatment of cranial nerve disorders. In this research, we propose to develop a digital atlas methodology that will be used to segment the cranial nerves from patient image data. The atlas will be created from high-resolution MRI data based on a discrete deformable contour model called 1-Simplex mesh. Each of the cranial nerves will be modeled using its centerline and radius information where the centerline is estimated in a semi-automatic approach by finding a shortest path between two user-defined end points. The cranial nerve atlas is then made more robust by integrating a Statistical Shape Model so that the atlas can identify and segment nerves from images characterized by artifacts or low resolution. To the best of our knowledge, no such digital atlas methodology exists for segmenting nerves cranial nerves from MRI data. Therefore, our proposed system has important benefits to the neurosurgical community

Left Ventricle Myocardium Segmentation from 3D Cardiac MR Images using Combined Probabilistic Atlas and Graph Cut-based Approaches

Medical imaging modalities, including Computed Tomography (CT) Magnetic Resonance Imaging (MRI) and Ultrasound (US) are critical for the diagnosis and progress monitoring of many cardiac conditions, planning, visualization and delivery of therapy via minimally invasive intervention procedures, as well as for teaching, training and simulation applications. Image segmentation is a processing technique that allows the user to extract the necessary information from an image dataset, in the form of a surface model of the region of interest from the anatomy. A wide variety of segmentation techniques have been developed and implemented for cardiac MR images. Despite their complexity and performance, many of them are intended for specific image datasets or are too specific to be employed for segmenting classical clinical quality Magnetic Resonance (MR) images. Graph Cut based segmentation algorithms have been shown to work well in regards to medical image segmentation. In addition, they are computationally efficient, which scales well to real time applications. While the basic graph cuts algorithms use lower-order statistics, combining this segmentation approach with atlas-based methods may help improve segmentation accuracy at a lower computational cost. The proposed technique will be tested at each step during the development by assessing the segmentation results against the available ground truth segmentation. Several metrics will be used to quantify the performance of the proposed technique, including computational performance, segmentation accuracy and fidelity assessed via the Sørensen-Dice Coefficient (DSC), Mean Absolute Distance (MAD) and Hausdorff Distance (HD) metrics

DEFORM'06 - Proceedings of the Workshop on Image Registration in Deformable Environments

Preface These are the proceedings of DEFORM'06, the Workshop on Image Registration in Deformable Environments, associated to BMVC'06, the 17th British Machine Vision Conference, held in Edinburgh, UK, in September 2006. The goal of DEFORM'06 was to bring together people from different domains having interests in deformable image registration. In response to our Call for Papers, we received 17 submissions and selected 8 for oral presentation at the workshop. In addition to the regular papers, Andrew Fitzgibbon from Microsoft Research Cambridge gave an invited talk at the workshop. The conference website including online proceedings remains open, see http://comsee.univ-bpclermont.fr/events/DEFORM06. We would like to thank the BMVC'06 co-chairs, Mike Chantler, Manuel Trucco and especially Bob Fisher for is great help in the local arrangements, Andrew Fitzgibbon, and the Programme Committee members who provided insightful reviews of the submitted papers. Special thanks go to Marc Richetin, head of the CNRS Research Federation TIMS, which sponsored the workshop. August 2006 Adrien Bartoli Nassir Navab Vincent Lepeti

Physical Constraint Finite Element Model for Medical Image Registration

Due to being derived from linear assumption, most elastic body based non-rigid image registration algorithms are facing challenges for soft tissues with complex nonlinear behavior and with large deformations. To take into account the geometric nonlinearity of soft tissues, we propose a registration algorithm on the basis of Newtonian differential equation. The material behavior of soft tissues is modeled as St. Venant-Kirchhoff elasticity, and the nonlinearity of the continuum represents the quadratic term of the deformation gradient under the Green- St.Venant strain. In our algorithm, the elastic force is formulated as the derivative of the deformation energy with respect to the nodal displacement vectors of the finite element; the external force is determined by the registration similarity gradient flow which drives the floating image deforming to the equilibrium condition. We compared our approach to three other models: 1) the conventional linear elastic finite element model (FEM); 2) the dynamic elastic FEM; 3) the robust block matching (RBM) method. The registration accuracy was measured using three similarities: MSD (Mean Square Difference), NC (Normalized Correlation) and NMI (Normalized Mutual Information), and was also measured using the mean and max distance between the ground seeds and corresponding ones after registration. We validated our method on 60 image pairs including 30 medical image pairs with artificial deformation and 30 clinical image pairs for both the chest chemotherapy treatment in different periods and brain MRI normalization. Our method achieved a distance error of 0.320±0.138 mm in x direction and 0.326±0.111 mm in y direction, MSD of 41.96±13.74, NC of 0.9958±0.0019, NMI of 1.2962±0.0114 for images with large artificial deformations; and average NC of 0.9622±0.008 and NMI of 1.2764±0.0089 for the real clinical cases. Student's t-test demonstrated that our model statistically outperformed the other methods in comparison (p-values <0.05)

Deep learning cardiac motion analysis for human survival prediction

Motion analysis is used in computer vision to understand the behaviour of moving objects in sequences of images. Optimising the interpretation of dynamic biological systems requires accurate and precise motion tracking as well as efficient representations of high-dimensional motion trajectories so that these can be used for prediction tasks. Here we use image sequences of the heart, acquired using cardiac magnetic resonance imaging, to create time-resolved three-dimensional segmentations using a fully convolutional network trained on anatomical shape priors. This dense motion model formed the input to a supervised denoising autoencoder (4Dsurvival), which is a hybrid network consisting of an autoencoder that learns a task-specific latent code representation trained on observed outcome data, yielding a latent representation optimised for survival prediction. To handle right-censored survival outcomes, our network used a Cox partial likelihood loss function. In a study of 302 patients the predictive accuracy (quantified by Harrell's C-index) was significantly higher (p < .0001) for our model C=0.73 (95$\%$ CI: 0.68 - 0.78) than the human benchmark of C=0.59 (95$\%$ CI: 0.53 - 0.65). This work demonstrates how a complex computer vision task using high-dimensional medical image data can efficiently predict human survival

Regularized Surface and Point Landmarks Based Efficient Non-Rigid Medical Image Registration

Medical image registration is one of the fundamental tasks in medical image processing. It has various applications in field of image guided surgery (IGS) and computer assisted diagnosis (CAD). A set of non-linear methods have been already developed for inter-subject and intra-subject 3D medical image registration. However, efficient registration in terms of accuracy and speed is one of the most demanded of today surgical navigation (SN) systems. This paper is a result of a series of experiments which utilizes Fast Radial Basis Function (RBF) technique to register one or more medical images non-rigidly. Initially, a set of curves are extracted using a combined watershed and active contours algorithm and then tiled and converted to a regular surface using a global parameterization algorithm. It is shown that the registration accuracy improves when higher number of salient features (i.e. anatomical point landmarks and surfaces) are used and it also has no impact on the speed of the algorithm. The results show that the target registration error is less than 2 mm and has sub-second performance on intra-subject registration of MR image real datasets. It is observed that the Fast RBF algorithm is relatively insensitive to the increasing number of point landmarks used as compared with the competing feature based algorithms