Feature-Based Correspondences to Infer the Location of Anatomical Landmarks

A methodology has been developed for automatically determining inter-image correspondences between cliques of features extracted from a reference and a query image. Cliques consist of up to threefeatures and correspondences between them are determined via a hierarchy of similarity metrics based on the inherent properties of the features and geometric relationships between those features. As opposed to approaches that determine correspondences solely by voxel intensity, features that also include shape description are used. Specifically, medial-based features areemployed because they are sparse compared to the number of image voxels and can be automatically extracted from the image.The correspondence framework has been extended to automatically estimate the location of anatomical landmarks in the query image by adding landmarks to the cliques. Anatomical landmark locationsare then inferred from the reference image by maximizing landmark correspondences. The ability to infer landmark locations has provided a means to validate the correspondence framework in thepresence of structural variation between images. Moreover, automated landmark estimation imparts the user with anatomical information and can hypothetically be used to initialize andconstrain the search space of segmentation and registration methods.Methods developed in this dissertation were applied to simulated MRI brain images, synthetic images, and images constructed from several variations of a parametric model. Results indicate that the methods are invariant to global translation and rotation and can operate in the presence of structure variation between images.The automated landmark placement method was shown to be accurate as compared to ground-truth that was established both parametrically and manually. It is envisioned that these automated methods could prove useful for alleviating time-consuming and tedious tasks in applications that currently require manual input, and eliminate intra-user subjectivity

3D Facial landmark detection under large yaw and expression variations

A 3D landmark detection method for 3D facial scans is presented and thoroughly evaluated. The main contribution of the presented method is the automatic and pose-invariant detection of landmarks on 3D facial scans under large yaw variations (that often result in missing facial data), and its robustness against large facial expressions. Three-dimensional information is exploited by using 3D local shape descriptors to extract candidate landmark points. The shape descriptors include the shape index, a continuous map of principal curvature values of a 3D object’s surface, and spin images, local descriptors of the object’s 3D point distribution. The candidate landmarks are identified and labeled by matching them with a Facial Landmark Model (FLM) of facial anatomical landmarks. The presented method is extensively evaluated against a variety of 3D facial databases and achieves state-of-the-art accuracy (4.5-6.3 mm mean landmark localization error), considerably outperforming previous methods, even when tested with the most challenging data

Uniscale and multiscale gait recognition in realistic scenario

The performance of a gait recognition method is affected by numerous challenging factors that degrade its reliability as a behavioural biometrics for subject identification in realistic scenario. Thus for effective visual surveillance, this thesis presents five gait recog- nition methods that address various challenging factors to reliably identify a subject in realistic scenario with low computational complexity. It presents a gait recognition method that analyses spatio-temporal motion of a subject with statistical and physical parameters using Procrustes shape analysis and elliptic Fourier descriptors (EFD). It introduces a part- based EFD analysis to achieve invariance to carrying conditions, and the use of physical parameters enables it to achieve invariance to across-day gait variation. Although spatio- temporal deformation of a subject’s shape in gait sequences provides better discriminative power than its kinematics, inclusion of dynamical motion characteristics improves the iden- tification rate. Therefore, the thesis presents a gait recognition method which combines spatio-temporal shape and dynamic motion characteristics of a subject to achieve robust- ness against the maximum number of challenging factors compared to related state-of-the- art methods. A region-based gait recognition method that analyses a subject’s shape in image and feature spaces is presented to achieve invariance to clothing variation and carry- ing conditions. To take into account of arbitrary moving directions of a subject in realistic scenario, a gait recognition method must be robust against variation in view. Hence, the the- sis presents a robust view-invariant multiscale gait recognition method. Finally, the thesis proposes a gait recognition method based on low spatial and low temporal resolution video sequences captured by a CCTV. The computational complexity of each method is analysed. Experimental analyses on public datasets demonstrate the efficacy of the proposed methods

Novel Approaches to the Representation and Analysis of 3D Segmented Anatomical Districts

Nowadays, image processing and 3D shape analysis are an integral part of clinical practice and have the potentiality to support clinicians with advanced analysis and visualization techniques. Both approaches provide visual and quantitative information to medical practitioners, even if from different points of view. Indeed, shape analysis is aimed at studying the morphology of anatomical structures, while image processing is focused more on the tissue or functional information provided by the pixels/voxels intensities levels. Despite the progress obtained by research in both fields, a junction between these two complementary worlds is missing. When working with 3D models analyzing shape features, the information of the volume surrounding the structure is lost, since a segmentation process is needed to obtain the 3D shape model; however, the 3D nature of the anatomical structure is represented explicitly. With volume images, instead, the tissue information related to the imaged volume is the core of the analysis, while the shape and morphology of the structure are just implicitly represented, thus not clear enough. The aim of this Thesis work is the integration of these two approaches in order to increase the amount of information available for physicians, allowing a more accurate analysis of each patient. An augmented visualization tool able to provide information on both the anatomical structure shape and the surrounding volume through a hybrid representation, could reduce the gap between the two approaches and provide a more complete anatomical rendering of the subject. To this end, given a segmented anatomical district, we propose a novel mapping of volumetric data onto the segmented surface. The grey-levels of the image voxels are mapped through a volume-surface correspondence map, which defines a grey-level texture on the segmented surface. The resulting texture mapping is coherent to the local morphology of the segmented anatomical structure and provides an enhanced visual representation of the anatomical district. The integration of volume-based and surface-based information in a unique 3D representation also supports the identification and characterization of morphological landmarks and pathology evaluations. The main research contributions of the Ph.D. activities and Thesis are: \u2022 the development of a novel integration algorithm that combines surface-based (segmented 3D anatomical structure meshes) and volume-based (MRI volumes) information. The integration supports different criteria for the grey-levels mapping onto the segmented surface; \u2022 the development of methodological approaches for using the grey-levels mapping together with morphological analysis. The final goal is to solve problems in real clinical tasks, such as the identification of (patient-specific) ligament insertion sites on bones from segmented MR images, the characterization of the local morphology of bones/tissues, the early diagnosis, classification, and monitoring of muscle-skeletal pathologies; \u2022 the analysis of segmentation procedures, with a focus on the tissue classification process, in order to reduce operator dependency and to overcome the absence of a real gold standard for the evaluation of automatic segmentations; \u2022 the evaluation and comparison of (unsupervised) segmentation methods, finalized to define a novel segmentation method for low-field MR images, and for the local correction/improvement of a given segmentation. The proposed method is simple but effectively integrates information derived from medical image analysis and 3D shape analysis. Moreover, the algorithm is general enough to be applied to different anatomical districts independently of the segmentation method, imaging techniques (such as CT), or image resolution. The volume information can be integrated easily in different shape analysis applications, taking into consideration not only the morphology of the input shape but also the real context in which it is inserted, to solve clinical tasks. The results obtained by this combined analysis have been evaluated through statistical analysis

Visualizing and Predicting the Effects of Rheumatoid Arthritis on Hands

This dissertation was inspired by difficult decisions patients of chronic diseases have to make about about treatment options in light of uncertainty. We look at rheumatoid arthritis (RA), a chronic, autoimmune disease that primarily affects the synovial joints of the hands and causes pain and deformities. In this work, we focus on several parts of a computer-based decision tool that patients can interact with using gestures, ask questions about the disease, and visualize possible futures. We propose a hand gesture based interaction method that is easily setup in a doctor\u27s office and can be trained using a custom set of gestures that are least painful. Our system is versatile and can be used for operations like simple selections to navigating a 3D world. We propose a point distribution model (PDM) that is capable of modeling hand deformities that occur due to RA and a generalized fitting method for use on radiographs of hands. Using our shape model, we show novel visualization of disease progression. Using expertly staged radiographs, we propose a novel distance metric learning and embedding technique that can be used to automatically stage an unlabeled radiograph. Given a large set of expertly labeled radiographs, our data-driven approach can be used to extract different modes of deformation specific to a disease

Anticipation of Tennis Shot Direction from Whole-body Movement: The role of movement amplitude and dynamics

International audienceWhile recent studies indicate that observers are able to use dynamic information to anticipate whole-body actions like tennis shots, it is less clear whether the action's amplitude may also allow for anticipation. We therefore examined the role of movement dynamics and amplitude for the anticipation of tennis shot direction. In a previous study, movement dynamics and amplitude were separated from the kinematics of tennis players' forehand groundstrokes. In the present study, these were manipulated and tennis shots were simulated. Three conditions were created in which shot direction differences were either preserved or removed: Dynamics-Present-Amplitude-Present (DA), Dynamics-Present-Amplitude-Absent (DA), and Dynamics-Absent-Amplitude-Present (DA). Nineteen low-skill and fifteen intermediate-skill tennis players watched the simulated shots and predicted shot direction from movements prior to ball-racket contact only. Percent of correctly predicted shots per condition was measured. On average, both groups' performance was superior when the dynamics were present (the DA and DA conditions) compared to when it was absent (the DA condition). However, the intermediate-skill players performed above chance independent of amplitude differences in shots (i.e., both the DA and DA conditions), whereas the low-skill group only performed above chance when amplitude differences were absent (the DA condition). These results suggest that the movement's dynamics but not their amplitude provides information from which tennis-shot direction can be anticipated. Furthermore, the successful extraction of dynamical information may be hampered by amplitude differences in a skill dependent manner

Automatic image analysis of C-arm Computed Tomography images for ankle joint surgeries

Open reduction and internal fixation is a standard procedure in ankle surgery for treating a fractured fibula. Since fibula fractures are often accompanied by an injury of the syndesmosis complex, it is essential to restore the correct relative pose of the fibula relative to the adjoining tibia for the ligaments to heal. Otherwise, the patient might experience instability of the ankle leading to arthritis and ankle pain and ultimately revision surgery. Incorrect positioning referred to as malreduction of the fibula is assumed to be one of the major causes of unsuccessful ankle surgery. 3D C-arm imaging is the current standard procedure for revealing malreduction of fractures in the operating room. However, intra-operative visual inspection of the reduction result is complicated due to high inter-individual variation of the ankle anatomy and rather based on the subjective experience of the surgeon. A contralateral side comparison with the patient’s uninjured ankle is recommended but has not been integrated into clinical routine due to the high level of radiation exposure it incurs. This thesis presents the first approach towards a computer-assisted intra-operative contralateral side comparison of the ankle joint. The focus of this thesis was the design, development and validation of a software-based prototype for a fully automatic intra-operative assistance system for orthopedic surgeons. The implementation does not require an additional 3D C-arm scan of the uninjured ankle, thus reducing time consumption and cumulative radiation dose. A 3D statistical shape model (SSM) is used to reconstruct a 3D surface model from three 2D fluoroscopic projections representing the uninjured ankle. To this end, a 3D SSM segmentation is performed on the 3D image of the injured ankle to gain prior knowledge of the ankle. A 3D convolutional neural network (CNN) based initialization method was developed and its outcome was incorporated into the SSM adaption step. Segmentation quality was shown to be improved in terms of accuracy and robustness compared to the pure intensity-based SSM. This allows us to overcome the limitations of the previously proposed methods, namely inaccuracy due to metal artifacts and the lack of device-to-patient orientation of the C-arm. A 2D-CNN is employed to extract semantic knowledge from all fluoroscopic projection images. This step of the pipeline both creates features for the subsequent reconstruction and also helps to pre-initialize the 3D-SSM without user interaction. A 2D-3D multi-bone reconstruction method has been developed which uses distance maps of the 2D features for fast and accurate correspondence optimization and SSM adaption. This is the central and most crucial component of the workflow. This is the first time that a bone reconstruction method has been applied to the complex ankle joint and the first reconstruction method using CNN based segmentations as features. The reconstructed 3D-SSM of the uninjured ankle can be back-projected and visualized in a workflow-oriented manner to procure clear visualization of the region of interest, which is essential for the evaluation of the reduction result. The surgeon can thus directly compare an overlay of the contralateral ankle with the injured ankle. The developed methods were evaluated individually using data sets acquired during a cadaver study and representative clinical data acquired during fibular reduction. A hierarchical evaluation was designed to assess the inaccuracies of the system on different levels and to identify major sources of error. The overall evaluation performed on eleven challenging clinical datasets acquired for manual contralateral side comparison showed that the system is capable of accurately reconstructing 3D surface models of the uninjured ankle solely using three projection images. A mean Hausdorff distance of 1.72 mm was measured when comparing the reconstruction result to the ground truth segmentation and almost achieved the high required clinical accuracy of 1-2 mm. The overall error of the pipeline was mainly attributed to inaccuracies in the 2D-CNN segmentation. The consistency of these results requires further validation on a larger dataset. The workflow proposed in this thesis establishes the first approach to enable automatic computer-assisted contralateral side comparison in ankle surgery. The feasibility of the proposed approach was proven on a limited amount of clinical cases and has already yielded good results. The next important step is to alleviate the identified bottlenecks in the approach by providing more training data in order to further improve the accuracy. In conclusion, the new approach presented gives the chance to guide the surgeon during the reduction process, improve the surgical outcome while avoiding additional radiation exposure and reduce the number of revision surgeries in the long term

Sparse visual models for biologically inspired sensorimotor control

Given the importance of using resources efficiently in the competition for survival, it is reasonable to think that natural evolution has discovered efficient cortical coding strategies for representing natural visual information. Sparse representations have intrinsic advantages in terms of fault-tolerance and low-power consumption potential, and can therefore be attractive for robot sensorimotor control with powerful dispositions for decision-making. Inspired by the mammalian brain and its visual ventral pathway, we present in this paper a hierarchical sparse coding network architecture that extracts visual features for use in sensorimotor control. Testing with natural images demonstrates that this sparse coding facilitates processing and learning in subsequent layers. Previous studies have shown how the responses of complex cells could be sparsely represented by a higher-order neural layer. Here we extend sparse coding in each network layer, showing that detailed modeling of earlier stages in the visual pathway enhances the characteristics of the receptive fields developed in subsequent stages. The yield network is more dynamic with richer and more biologically plausible input and output representation

A proposal for a coordinated effort for the determination of brainwide neuroanatomical connectivity in model organisms at a mesoscopic scale

In this era of complete genomes, our knowledge of neuroanatomical circuitry remains surprisingly sparse. Such knowledge is however critical both for basic and clinical research into brain function. Here we advocate for a concerted effort to fill this gap, through systematic, experimental mapping of neural circuits at a mesoscopic scale of resolution suitable for comprehensive, brain-wide coverage, using injections of tracers or viral vectors. We detail the scientific and medical rationale and briefly review existing knowledge and experimental techniques. We define a set of desiderata, including brain-wide coverage; validated and extensible experimental techniques suitable for standardization and automation; centralized, open access data repository; compatibility with existing resources, and tractability with current informatics technology. We discuss a hypothetical but tractable plan for mouse, additional efforts for the macaque, and technique development for human. We estimate that the mouse connectivity project could be completed within five years with a comparatively modest budget.Comment: 41 page