Fully automated segmentation and tracking of the intima media thickness in ultrasound video sequences of the common carotid artery

Abstract—The robust identification and measurement of the intima media thickness (IMT) has a high clinical relevance because it represents one of the most precise predictors used in the assessment of potential future cardiovascular events. To facilitate the analysis of arterial wall thickening in serial clinical investigations, in this paper we have developed a novel fully automatic algorithm for the segmentation, measurement, and tracking of the intima media complex (IMC) in B-mode ultrasound video sequences. The proposed algorithm entails a two-stage image analysis process that initially addresses the segmentation of the IMC in the first frame of the ultrasound video sequence using a model-based approach; in the second step, a novel customized tracking procedure is applied to robustly detect the IMC in the subsequent frames. For the video tracking procedure, we introduce a spatially coherent algorithm called adaptive normalized correlation that prevents the tracking process from converging to wrong arterial interfaces. This represents the main contribution of this paper and was developed to deal with inconsistencies in the appearance of the IMC over the cardiac cycle. The quantitative evaluation has been carried out on 40 ultrasound video sequences of the common carotid artery (CCA) by comparing the results returned by the developed algorithm with respect to ground truth data that has been manually annotated by clinical experts. The measured IMTmean ± standard deviation recorded by the proposed algorithm is 0.60 mm ± 0.10, with a mean coefficient of variation (CV) of 2.05%, whereas the corresponding result obtained for the manually annotated ground truth data is 0.60 mm ± 0.11 with a mean CV equal to 5.60%. The numerical results reported in this paper indicate that the proposed algorithm is able to correctly segment and track the IMC in ultrasound CCA video sequences, and we were encouraged by the stability of our technique when applied to data captured under different imaging conditions. Future clinical studies will focus on the evaluation of patients that are affected by advanced cardiovascular conditions such as focal thickening and arterial plaques

Unstructured mesh algorithms for aerodynamic calculations

The use of unstructured mesh techniques for solving complex aerodynamic flows is discussed. The principle advantages of unstructured mesh strategies, as they relate to complex geometries, adaptive meshing capabilities, and parallel processing are emphasized. The various aspects required for the efficient and accurate solution of aerodynamic flows are addressed. These include mesh generation, mesh adaptivity, solution algorithms, convergence acceleration, and turbulence modeling. Computations of viscous turbulent two-dimensional flows and inviscid three-dimensional flows about complex configurations are demonstrated. Remaining obstacles and directions for future research are also outlined

3D Brain Segmentation Using Dual-Front Active Contours with Optional User Interaction

Important attributes of 3D brain cortex segmentation algorithms include robustness, accuracy, computational efficiency, and facilitation of user interaction, yet few algorithms incorporate all of these traits. Manual segmentation is highly accurate but tedious and laborious. Most automatic techniques, while less demanding on the user, are much less accurate. It would be useful to employ a fast automatic segmentation procedure to do most of the work but still allow an expert user to interactively guide the segmentation to ensure an accurate final result. We propose a novel 3D brain cortex segmentation procedure utilizing dual-front active contours which minimize image-based energies in a manner that yields flexibly global minimizers based on active regions. Region-based information and boundary-based information may be combined flexibly in the evolution potentials for accurate segmentation results. The resulting scheme is not only more robust but much faster and allows the user to guide the final segmentation through simple mouse clicks which add extra seed points. Due to the flexibly global nature of the dual-front evolution model, single mouse clicks yield corrections to the segmentation that extend far beyond their initial locations, thus minimizing the user effort. Results on 15 simulated and 20 real 3D brain images demonstrate the robustness, accuracy, and speed of our scheme compared with other methods

Multidimensional image analysis of cardiac function in MRI

Cardiac morphology is a key indicator of cardiac health. Important metrics that are currently in clinical use are left-ventricle cardiac ejection fraction, cardiac muscle (myocardium) mass, myocardium thickness and myocardium thickening over the cardiac cycle. Advances in imaging technologies have led to an increase in temporal and spatial resolution. Such an increase in data presents a laborious task for medical practitioners to analyse. In this thesis, measurement of the cardiac left-ventricle function is achieved by developing novel methods for the automatic segmentation of the left-ventricle blood-pool and the left ventricle myocardium boundaries. A preliminary challenge faced in this task is the removal of noise from Magnetic Resonance Imaging (MRI) data, which is addressed by using advanced data filtering procedures. Two mechanisms for left-ventricle segmentation are employed. Firstly segmentation of the left ventricle blood-pool for the measurement of ejection fraction is undertaken in the signal intensity domain. Utilising the high discrimination between blood and tissue, a novel methodology based on a statistical partitioning method offers success in localising and segmenting the blood pool of the left ventricle. From this initialisation, the estimation of the outer wall (epi-cardium) of the left ventricle can be achieved using gradient information and prior knowledge. Secondly, a more involved method for extracting the myocardium of the leftventricle is developed, that can better perform segmentation in higher dimensions. Spatial information is incorporated in the segmentation by employing a gradient-based boundary evolution. A level-set scheme is implemented and a novel formulation for the extraction of the cardiac muscle is introduced. Two surfaces, representing the inner and the outer boundaries of the left-ventricle, are simultaneously evolved using a coupling function and supervised with a probabilistic model of expertly assisted manual segmentations

Contributions to the segmentation of dermoscopic images

Tese de mestrado. Mestrado em Engenharia Biomédica. Faculdade de Engenharia. Universidade do Porto. 201

Markov Random Field Segmentation of Brain MR Images

We describe a fully-automatic 3D-segmentation technique for brain MR images. Using Markov random fields the segmentation algorithm captures three important MR features, i.e. non-parametric distributions of tissue intensities, neighborhood correlations and signal inhomogeneities. Detailed simulations and real MR images demonstrate the performance of the segmentation algorithm. The impact of noise, inhomogeneity, smoothing and structure thickness is analyzed quantitatively. Even single echo MR images are well classified into gray matter, white matter, cerebrospinal fluid, scalp-bone and background. A simulated annealing and an iterated conditional modes implementation are presented. Keywords: Magnetic Resonance Imaging, Segmentation, Markov Random FieldsComment: 34 pages, 10 figures; the paper (published in 1997) has introduced the concept of Markov random field to the segmentation of medical MR images. For the published version see http://dx.doi.org/10.1109/42.65088