Computer-aided image quality assessment in automated 3D breast ultrasound images

Automated 3D breast ultrasound (ABUS) is a valuable, non-ionising adjunct to X-ray mammography for breast cancer screening and diagnosis for women with dense breasts. High image quality is an important prerequisite for diagnosis and has to be guaranteed at the time of acquisition. The high throughput of images in a screening scenario demands for automated solutions. In this work, an automated image quality assessment system rating ABUS scans at the time of acquisition was designed and implemented. Quality assessment of present diagnostic ultrasound images has rarely been performed demanding thorough analysis of potential image quality aspects in ABUS. Therefore, a reader study was initiated, making two clinicians rate the quality of clinical ABUS images. The frequency of specific quality aspects was evaluated revealing that incorrect positioning and insufficiently applied contact fluid caused the most relevant image quality issues. The relative position of the nipple in the image, the acoustic shadow caused by the nipple as well as the shape of the breast contour reflect patient positioning and ultrasound transducer handling. Morphological and histogram-based features utilized for machine learning to reproduce the manual classification as provided by the clinicians. At 97 % specificity, the automatic classification achieved sensitivities of 59 %, 45 %, and 46 % for the three aforementioned aspects, respectively. The nipple is an important landmark in breast imaging, which is generally---but not always correctly---pinpointed by the technicians. An existing nipple detection algorithm was extended by probabilistic atlases and exploited for automatic detection of incorrectly annotated nipple marks. The nipple detection rate was increased from 82 % to 85 % and the classification achieved 90 % sensitivity at 89 % specificity. A lack of contact fluid between transducer and skin can induce reverberation patterns and acoustic shadows, which can possibly obscure lesions. Parameter maps were computed in order to localize these artefact regions and yielded a detection rate of 83 % at 2.6 false positives per image. Parts of the presented work were integrated to clinical workflow making up a novel image quality assessment system that supported technicians in their daily routine by detecting images of insufficient quality and indicating potential improvements for a repeated scan while the patient was still in the examination room. First evaluations showed that the proposed method sensitises technicians for the radiologists' demands on diagnostically valuable images

Image Analysis and Processing With Applications in Proteomics and Medicine

Στην παρούσα διατριβή παρουσιάζονται αυτόματοι αλγόριθμοι ανάλυσης εικόνας για την κατάτμηση διαφόρων τύπων εικόνων, με έμφαση στις εικόνες πρωτεομικής και στις ιατρικές εικόνες. Οι προτεινόμενοι αλγόριθμοι βασίζονται στις αρχές των παραμορφώσιμων μοντέλων. Η διατριβή εστιάζει σε δύο κυρίως στόχους: 1) στην επίλυση του σημαντικού προβλήματος της αυτόματης παραμετροποίησης στην κατάτμηση εικόνας, 2) στην διατύπωση ενός ολοκληρωμένου μοντέλου κατάτμησης εικόνων πρωτεομικής. Η πρώτη συνεισφορά είναι ένα πρωτότυπο πλαίσιο αυτόματης παραμετροποίησης των ενεργών περιγραμμάτων περιοχής. Το πλαίσιο εμπλουτίζει τα αποτελέσματα με αντικειμενικότητα και απελευθερώνει τους τελικούς χρήστες από την επίπονη διαδικασία της εμπειρικής ρύθμισης. Εφαρμόζεται σε διάφορους τύπους ιατρικών εικόνων και παραμένει ανεπηρέαστο στις τροποποιήσεις των ρυθμίσεων των συσκευών λήψης των εικόνων αυτών. Τα πειραματικά αποτελέσματα καταδεικνύουν ότι το προτεινόμενο πλαίσιο διατηρεί υψηλή την ποιότητα κατάτμησης, συγκρίσιμη με εκείνη που επιτυγχάνεται με εμπειρική παραμετροποίηση. Η δεύτερη συνεισφορά είναι ένα αυτόματο μοντέλο βασιζόμενο στα ενεργά περιγράμματα για την κατάτμηση εικόνων πρωτεομικής. Το μοντέλο αντιμετωπίζει σημαντικά προβλήματα συμπεριλαμβανομένων των γραμμών, τεχνουργημάτων, αχνών και επικαλυπτομένων κηλίδων. Ακόμη, παρέχει εναλλακτική λύση στην επιρρεπή σε σφάλματα διαδικασία της χειρωνακτικής επεξεργασίας που απαιτείται στα υπάρχοντα πακέτα λογισμικού. Τα πειραματικά αποτελέσματα καταδεικνύουν ότι το προτεινόμενο μοντέλο υπερτερεί των υπαρχόντων πακέτων λογισμικού σε ποσοτικές μετρικές εντοπισμού και κατάτμησης.This thesis introduces unsupervised image analysis algorithms for the segmentation of several types of images, with an emphasis on proteomics and medical images. Τhe presented algorithms are tailored upon the principles of deformable models. Two objectives are pursued: 1) the core issue of unsupervised parameterization in image segmentation, 2) the formulation of a complete model for the segmentation of proteomics images. The first contribution is a novel framework for automated parameterization of region-based active contours. The presented framework endows segmentation results with objectivity and sets domain users free from the cumbersome process of empirical adjustment. It is applicable on various medical imaging modalities and remains insensitive on alterations in the settings of acquisition devices. The experimental results demonstrate that the presented framework maintains a high segmentation quality, comparable to the one obtained with empirical parameterization. The second contribution is an unsupervised active contour-based model for the segmentation of proteomics images. The presented model copes with crucial issues including streaks, artifacts, faint and overlapping spots. Moreover, it provides an alternate to the error-prone process of manual editing, required in state-of-the-art software packages. The experimental results demonstrate that the proposed model outperforms software packages in terms of detection and segmentation quantity metrics

image analysis and processing with applications in proteomics and medicine

This thesis introduces unsupervised image analysis algorithms for the segmentation of several types of images, with an emphasis on proteomics and medical images. Τhe presented algorithms are tailored upon the principles of deformable models and more specific region-based active contours. Two different objectives are pursued. The first is the core issue of unsupervised parameterization in image segmentation, whereas the second is the formulation of a complete model for the segmentation of proteomics images, which is the first to exploit the appealing attributes of active contours. The first major contribution of this thesis is a novel framework for the automated parameterization of region-based active contours. The presented framework aims to endow segmentation results with objectivity and robustness as well as to set domain users free from the cumbersome and time-consuming process of empirical adjustment. It is applicable on various medical imaging modalities and remains insensitive on alterations in the settings of the acquisition devices. The experimental results demonstrate that the presented framework maintains a segmentation quality which is comparable to the one obtained with empirical parameterization. The second major contribution of this thesis is an unsupervised active contour-based model for the segmentation of proteomics images. The presented model copes with crucial issues in 2D-GE image analysis including streaks, artifacts, faint and overlapping spots. In addition, it provides an alternate to the laborious, error-prone process of manual editing, which is required in state-of-the-art 2D-GE image analysis software packages. The experimental results demonstrate that the presented model outperforms 2D-GE image analysis software packages in terms of detection and segmentation quantity metrics

New Horizons in Time-Domain Diffuse Optical Spectroscopy and Imaging

Jöbsis was the first to describe the in vivo application of near-infrared spectroscopy (NIRS), also called diffuse optical spectroscopy (DOS). NIRS was originally designed for the clinical monitoring of tissue oxygenation, and today it has also become a useful tool for neuroimaging studies (functional near-infrared spectroscopy, fNIRS). However, difficulties in the selective and quantitative measurements of tissue hemoglobin (Hb), which have been central in the NIRS field for over 40 years, remain to be solved. To overcome these problems, time-domain (TD) and frequency-domain (FD) measurements have been tried. Presently, a wide range of NIRS instruments are available, including commonly available commercial instruments for continuous wave (CW) measurements, based on the modified Beer–Lambert law (steady-state domain measurements). Among these measurements, the TD measurement is the most promising approach, although compared with CW and FD measurements, TD measurements are less common, due to the need for large and expensive instruments with poor temporal resolution and limited dynamic range. However, thanks to technological developments, TD measurements are increasingly being used in research, and also in various clinical settings. This Special Issue highlights issues at the cutting edge of TD DOS and diffuse optical tomography (DOT). It covers all aspects related to TD measurements, including advances in hardware, methodology, the theory of light propagation, and clinical applications

Applications of Medical Physics

Applications of Medical Physics” is a Special Issue of Applied Sciences that has collected original research manuscripts describing cutting-edge physics developments in medicine and their translational applications. Reviews providing updates on the latest progresses in this field are also included. The collection includes a total of 20 contributions by authors from 9 different countries, which cover several areas of medical physics, spanning from radiation therapy, nuclear medicine, radiology, dosimetry, radiation protection, and radiobiology