11 research outputs found

    Capturing the Multiscale Anatomical Shape Variability with Polyaffine Transformation Trees

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    International audienceMandible fractures are classified depending on their location. In clinical practice, locations are grouped into regions at different scales according to anatomical, functional and esthetic considerations. Implant design aims at defining the optimal implant for each patient. Emerging population-based techniques analyze the anatomical variability across a population and perform statistical analysis to identify an optimal set of implants. Current efforts are focused on finding clusters of patients with similar characteristics and designing one implant for each cluster. Ideally, the description of anatomical variability is directly connected to the clinical regions. This connection is what we present here, by introducing a new registration method that builds upon a tree of locally affine transformations that describes variability at different scales. We assess the accuracy of our method on 146 CT images of femurs. Two medical experts provide the ground truth by manually measuring six landmarks. We illustrate the clinical importance of our method by clustering 43 CT images of mandibles for implant design. The presented method does not require any application-specific input, which makes it attractive for the analysis of other multiscale anatomical structures. At the core of our new method lays the introduction of a new basis for stationary velocity fields. This basis has very close links to anatomical substructures. In the future, this method has the potential to discover the hidden and possibly sparse structure of the anatomy

    Segmenting the male pelvic organs from limited angle images with application to ART

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    Prostate cancer is the second leading cause of cancer deaths in men, and external beam radiotherapy is a common method for treating prostate cancer. In a clinically state-of-the-art radiotherapy protocol, CT images are taken at treatment time and are used to properly position the patient with respect to the treatment device. In adaptive radiotherapy (ART), this image is used to approximate the actual radiation dose delivered to the patient and track the progress of therapy. Doing so, however, requires that the male pelvic organs of interest be segmented and that correspondence be established between the images (registration), such that cumulative delivered dose can be accumulated in a reference coordinate system. Because a typical prostate radiotherapy treatment is delivered over 30-40 daily fractions, there is a large non-therapeutic radiation dose delivered to the patient from daily imaging. In the interest of reducing this dose, gantry mounted limited angle imaging devices have been developed which reduce dose at the expense of image quality. However, in the male pelvis, such limited angle images are not suitable for the ART process using traditional methods. In this work, a patient specific deformation model is developed that is sufficient for use with limited angle images. This model is learned from daily CT images taken during the first several treatment fractions. Limited angle imaging can then be used for the remaining fractions at decreased dose. When the parameters of this model are set, it provides segmentation of the prostate, bladder, and rectum, correspondence between the images, and a CT-like image that can be used for dose accumulation. However, intra-patient deformation in the male pelvis is complex and quality deformation models cannot be developed from a reasonable number of training images using traditional methods. This work solves this issue by partitioning the deformation to be explained into independent sub-models that explain deformation due to articulation, deformation near to the skin, deformation of the prostate bladder, and rectum, and any residual deformation. It is demonstrated that a model that segments the prostate with accuracy comparable to inter-expert variation can be developed from 16 daily images.Doctor of Philosoph

    Visual analytics methods for shape analysis of biomedical images exemplified on rodent skull morphology

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    In morphometrics and its application fields like medicine and biology experts are interested in causal relations of variation in organismic shape to phylogenetic, ecological, geographical, epidemiological or disease factors - or put more succinctly by Fred L. Bookstein, morphometrics is "the study of covariances of biological form". In order to reveal causes for shape variability, targeted statistical analysis correlating shape features against external and internal factors is necessary but due to the complexity of the problem often not feasible in an automated way. Therefore, a visual analytics approach is proposed in this thesis that couples interactive visualizations with automated statistical analyses in order to stimulate generation and qualitative assessment of hypotheses on relevant shape features and their potentially affecting factors. To this end long established morphometric techniques are combined with recent shape modeling approaches from geometry processing and medical imaging, leading to novel visual analytics methods for shape analysis. When used in concert these methods facilitate targeted analysis of characteristic shape differences between groups, co-variation between different structures on the same anatomy and correlation of shape to extrinsic attributes. Here a special focus is put on accurate modeling and interactive rendering of image deformations at high spatial resolution, because that allows for faithful representation and communication of diminutive shape features, large shape differences and volumetric structures. The utility of the presented methods is demonstrated in case studies conducted together with a collaborating morphometrics expert. As exemplary model structure serves the rodent skull and its mandible that are assessed via computed tomography scans

    Automating the multimodal analysis of musculoskeletal imaging in the presence of hip implants

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    In patients treated with hip arthroplasty, the muscular condition and presence of inflammatory reactions are assessed using magnetic resonance imaging (MRI). As MRI lacks contrast for bony structures, computed tomography (CT) is preferred for clinical evaluation of bone tissue and orthopaedic surgical planning. Combining the complementary information of MRI and CT could improve current clinical practice for diagnosis, monitoring and treatment planning. In particular, the different contrast of these modalities could help better quantify the presence of fatty infiltration to characterise muscular condition after hip replacement. In this thesis, I developed automated processing tools for the joint analysis of CT and MR images of patients with hip implants. In order to combine the multimodal information, a novel nonlinear registration algorithm was introduced, which imposes rigidity constraints on bony structures to ensure realistic deformation. I implemented and thoroughly validated a fully automated framework for the multimodal segmentation of healthy and pathological musculoskeletal structures, as well as implants. This framework combines the proposed registration algorithm with tailored image quality enhancement techniques and a multi-atlas-based segmentation approach, providing robustness against the large population anatomical variability and the presence of noise and artefacts in the images. The automation of muscle segmentation enabled the derivation of a measure of fatty infiltration, the Intramuscular Fat Fraction, useful to characterise the presence of muscle atrophy. The proposed imaging biomarker was shown to strongly correlate with the atrophy radiological score currently used in clinical practice. Finally, a preliminary work on multimodal metal artefact reduction, using an unsupervised deep learning strategy, showed promise for improving the postprocessing of CT and MR images heavily corrupted by metal artefact. This work represents a step forward towards the automation of image analysis in hip arthroplasty, supporting and quantitatively informing the decision-making process about patient’s management

    Automated analysis and visualization of preclinical whole-body microCT data

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    In this thesis, several strategies are presented that aim to facilitate the analysis and visualization of whole-body in vivo data of small animals. Based on the particular challenges for image processing, when dealing with whole-body follow-up data, we addressed several aspects in this thesis. The developed methods are tailored to handle data of subjects with significantly varying posture and address the large tissue heterogeneity of entire animals. In addition, we aim to compensate for lacking tissue contrast by relying on approximation of organs based on an animal atlas. Beyond that, we provide a solution to automate the combination of multimodality, multidimensional data.* Advanced School for Computing and Imaging (ASCI), Delft, NL * Bontius Stichting inz Doelfonds Beeldverwerking, Leiden, NL * Caliper Life Sciences, Hopkinton, USA * Foundation Imago, Oegstgeest, NLUBL - phd migration 201

    Femur Specific Polyaffine Model to Regularize the Log-Domain Demons Registration

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    Osteoarticular allograft transplantation is a popular treatment method in wide surgical resections with large defects. For this reason hospitals are building bone data banks. Performing the optimal allograft selection on bone banks is crucial to the surgical outcome and patient recovery. However, current approaches are very time consuming hindering an efficient selection. We present an automatic method based on registration of femur bones to overcome this limitation. We introduce a new regularization term for the log-domain demons algorithm. This term replaces the standard Gaussian smoothing with a femur specific polyaffine model. The polyaffine femur model is constructed with two affine (femoral head and condyles) and one rigid (shaft) transformation. Our main contribution in this paper is to show that the demons algorithm can be improved in specific cases with an appropriate model. We are not trying to find the most optimal polyaffine model of the femur, but the simplest model with a minimal number of parameters. There is no need to optimize for different number of regions, boundaries and choice of weights, since this fine tuning will be done automatically by a final demons relaxation step with Gaussian smoothing. The newly developed synthesis approach provides a clear anatomically motivated modeling contribution through the specific three component transformation model, and clearly shows a performance improvement (in terms of anatomical meaningful correspondences) on 146 CT images of femurs compared to a standard multiresolution demons. In addition, this simple model improves the robustness of the demons while preserving its accuracy. The ground truth are manual measurements performed by medical experts
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