3,694 research outputs found
SEMIAUTOMATIC DETECTION OF STENOSIS AND OCCLUSION OF PULMONARY ARTERIES FOR PATIENTS WITH CHRONIC THROMBOEMBOLIC PULMONARY HYPERTENSION
Chronic thromboembolic pulmonary hypertension (CTEPH) is a severe lung disease defined by the presence of chronic blood clots in the pulmonary arteries accompanied by severe health complications. It is necessary to go through a large set of axial sections from Computed tomography pulmonary angiogram (CTPA) for diagnosing the disease, which is difficult and time consuming for the radiologist. The radiologist's experience plays a significant role, same as subjective factors such as attention and fatigue. In this work we pursued the design and development of the algorithm for semiautomatic detection of pulmonary artery stenoses and clots for diagnosing CTEPH, which is based on the implementation of semantic segmentation using deep convolutional neural networks. Specifically, it is about the use of the DeepLab V3 + model embedded in the Xception architecture. Within this work we focused on stenoses and clots located in larger pulmonary arteries. Anonymized data of patients diagnosed with CTEPH and one healthy patient in the term of the presence of the disease were used for realization of this work. Statistical analysis of the results is divided into two parts: analysis of the created algorithm based on comparison of outputs with ground truth data (manually marked references) and analysis of pathology detection on new data based on comparison of predictions with reference images from the radiologist. The proposed algorithm correctly detects present vascular pathology in 83% of cases (sensitivity) and precisely selects cases where the investigated pathology does not occur in 72% of cases (specificity). The calculated Matthews correlation coefficient is 0.53. This means that the predictive ability of the algorithm is moderate positive. The designed and developed image analysis algorithm offers the radiologist a "second opinion" and it also could enable to increase the sensitivity of CTEPH diagnostics in cooperation with a radiologist.
Mesh-to-raster based non-rigid registration of multi-modal images
Region of interest (ROI) alignment in medical images plays a crucial role in
diagnostics, procedure planning, treatment, and follow-up. Frequently, a model
is represented as triangulated mesh while the patient data is provided from CAT
scanners as pixel or voxel data. Previously, we presented a 2D method for
curve-to-pixel registration. This paper contributes (i) a general
mesh-to-raster (M2R) framework to register ROIs in multi-modal images; (ii) a
3D surface-to-voxel application, and (iii) a comprehensive quantitative
evaluation in 2D using ground truth provided by the simultaneous truth and
performance level estimation (STAPLE) method. The registration is formulated as
a minimization problem where the objective consists of a data term, which
involves the signed distance function of the ROI from the reference image, and
a higher order elastic regularizer for the deformation. The evaluation is based
on quantitative light-induced fluoroscopy (QLF) and digital photography (DP) of
decalcified teeth. STAPLE is computed on 150 image pairs from 32 subjects, each
showing one corresponding tooth in both modalities. The ROI in each image is
manually marked by three experts (900 curves in total). In the QLF-DP setting,
our approach significantly outperforms the mutual information-based
registration algorithm implemented with the Insight Segmentation and
Registration Toolkit (ITK) and Elastix
PadChest: A large chest x-ray image dataset with multi-label annotated reports
We present a labeled large-scale, high resolution chest x-ray dataset for the
automated exploration of medical images along with their associated reports.
This dataset includes more than 160,000 images obtained from 67,000 patients
that were interpreted and reported by radiologists at Hospital San Juan
Hospital (Spain) from 2009 to 2017, covering six different position views and
additional information on image acquisition and patient demography. The reports
were labeled with 174 different radiographic findings, 19 differential
diagnoses and 104 anatomic locations organized as a hierarchical taxonomy and
mapped onto standard Unified Medical Language System (UMLS) terminology. Of
these reports, 27% were manually annotated by trained physicians and the
remaining set was labeled using a supervised method based on a recurrent neural
network with attention mechanisms. The labels generated were then validated in
an independent test set achieving a 0.93 Micro-F1 score. To the best of our
knowledge, this is one of the largest public chest x-ray database suitable for
training supervised models concerning radiographs, and the first to contain
radiographic reports in Spanish. The PadChest dataset can be downloaded from
http://bimcv.cipf.es/bimcv-projects/padchest/
Brain Tumor Detection and Segmentation in Multisequence MRI
Tato práce se zabĂ˝vá detekcĂ a segmentacĂ mozkovĂ©ho nádoru v multisekvenÄŤnĂch MR obrazech se zaměřenĂm na gliomy vysokĂ©ho a nĂzkĂ©ho stupnÄ› malignity. Jsou zde pro tento účel navrĹľeny tĹ™i metody. PrvnĂ metoda se zabĂ˝vá detekcĂ prezence částĂ mozkovĂ©ho nádoru v axiálnĂch a koronárnĂch Ĺ™ezech. Jedná se o algoritmus zaloĹľenĂ˝ na analĂ˝ze symetrie pĹ™i rĹŻznĂ˝ch rozlišenĂch obrazu, kterĂ˝ byl otestován na T1, T2, T1C a FLAIR obrazech. Druhá metoda se zabĂ˝vá extrakcĂ oblasti celĂ©ho mozkovĂ©ho nádoru, zahrnujĂcĂ oblast jádra tumoru a edĂ©mu, ve FLAIR a T2 obrazech. Metoda je schopna extrahovat mozkovĂ˝ nádor z 2D i 3D obrazĹŻ. Je zde opÄ›t vyuĹľita analĂ˝za symetrie, která je následována automatickĂ˝m stanovenĂm intenzitnĂho prahu z nejvĂce asymetrickĂ˝ch částĂ. TĹ™etĂ metoda je zaloĹľena na predikci lokálnĂ struktury a je schopna segmentovat celou oblast nádoru, jeho jádro i jeho aktivnà část. Metoda vyuĹľĂvá faktu, Ĺľe vÄ›tšina lĂ©kaĹ™skĂ˝ch obrazĹŻ vykazuje vysokou podobnost intenzit sousednĂch pixelĹŻ a silnou korelaci mezi intenzitami v rĹŻznĂ˝ch obrazovĂ˝ch modalitách. JednĂm ze zpĹŻsobĹŻ, jak s touto korelacĂ pracovat a pouĹľĂvat ji, je vyuĹľitĂ lokálnĂch obrazovĂ˝ch polĂ. Podobná korelace existuje takĂ© mezi sousednĂmi pixely v anotaci obrazu. Tento pĹ™Ăznak byl vyuĹľit v predikci lokálnĂ struktury pĹ™i lokálnĂ anotaci polĂ. Jako klasifikaÄŤnĂ algoritmus je v tĂ©to metodÄ› pouĹľita konvoluÄŤnĂ neuronová sĂĹĄ vzhledem k jejĂ známe schopnosti zacházet s korelacĂ mezi pĹ™Ăznaky. Všechny tĹ™i metody byly otestovány na veĹ™ejnĂ© databázi 254 multisekvenÄŤnĂch MR obrazech a byla dosáhnuta pĹ™esnost srovnatelná s nejmodernÄ›jšĂmi metodami v mnohem kratšĂm vĂ˝poÄŤetnĂm ÄŤase (v řádu sekund pĹ™i pouĹľitĂ˝ CPU), coĹľ poskytuje moĹľnost manuálnĂch Ăşprav pĹ™i interaktivnĂ segmetaci.This work deals with the brain tumor detection and segmentation in multisequence MR images with particular focus on high- and low-grade gliomas. Three methods are propose for this purpose. The first method deals with the presence detection of brain tumor structures in axial and coronal slices. This method is based on multi-resolution symmetry analysis and it was tested for T1, T2, T1C and FLAIR images. The second method deals with extraction of the whole brain tumor region, including tumor core and edema, in FLAIR and T2 images and is suitable to extract the whole brain tumor region from both 2D and 3D. It also uses the symmetry analysis approach which is followed by automatic determination of the intensity threshold from the most asymmetric parts. The third method is based on local structure prediction and it is able to segment the whole tumor region as well as tumor core and active tumor. This method takes the advantage of a fact that most medical images feature a high similarity in intensities of nearby pixels and a strong correlation of intensity profiles across different image modalities. One way of dealing with -- and even exploiting -- this correlation is the use of local image patches. In the same way, there is a high correlation between nearby labels in image annotation, a feature that has been used in the ``local structure prediction'' of local label patches. Convolutional neural network is chosen as a learning algorithm, as it is known to be suited for dealing with correlation between features. All three methods were evaluated on a public data set of 254 multisequence MR volumes being able to reach comparable results to state-of-the-art methods in much shorter computing time (order of seconds running on CPU) providing means, for example, to do online updates when aiming at an interactive segmentation.
- …