Tissue-Based MRI Intensity Standardization: Application to Multicentric Datasets

Intensity standardization in MRI aims at correcting scanner-dependent intensity variations. Existing simple and robust techniques aim at matching the input image histogram onto a standard, while we think that standardization should aim at matching spatially corresponding tissue intensities. In this study, we present a novel automatic technique, called STI for STandardization of Intensities, which not only shares the simplicity and robustness of histogram-matching techniques, but also incorporates tissue spatial intensity information. STI uses joint intensity histograms to determine intensity correspondence in each tissue between the input and standard images. We compared STI to an existing histogram-matching technique on two multicentric datasets, Pilot E-ADNI and ADNI, by measuring the intensity error with respect to the standard image after performing nonlinear registration. The Pilot E-ADNI dataset consisted in 3 subjects each scanned in 7 different sites. The ADNI dataset consisted in 795 subjects scanned in more than 50 different sites. STI was superior to the histogram-matching technique, showing significantly better intensity matching for the brain white matter with respect to the standard image

A Review on MR Image Intensity Inhomogeneity Correction

Intensity inhomogeneity (IIH) is often encountered in MR imaging, and a number of techniques have been devised to correct this artifact. This paper attempts to review some of the recent developments in the mathematical modeling of IIH field. Low-frequency models are widely used, but they tend to corrupt the low-frequency components of the tissue. Hypersurface models and statistical models can be adaptive to the image and generally more stable, but they are also generally more complex and consume more computer memory and CPU time. They are often formulated together with image segmentation within one framework and the overall performance is highly dependent on the segmentation process. Beside these three popular models, this paper also summarizes other techniques based on different principles. In addition, the issue of quantitative evaluation and comparative study are discussed

Simple Methods for Scanner Drift Normalization Validated for Automatic Segmentation of Knee Magnetic Resonance Imaging:with data from the Osteoarthritis Initiative

Scanner drift is a well-known magnetic resonance imaging (MRI) artifact characterized by gradual signal degradation and scan intensity changes over time. In addition, hardware and software updates may imply abrupt changes in signal. The combined effects are particularly challenging for automatic image analysis methods used in longitudinal studies. The implication is increased measurement variation and a risk of bias in the estimations (e.g. in the volume change for a structure). We proposed two quite different approaches for scanner drift normalization and demonstrated the performance for segmentation of knee MRI using the fully automatic KneeIQ framework. The validation included a total of 1975 scans from both high-field and low-field MRI. The results demonstrated that the pre-processing method denoted Atlas Affine Normalization significantly removed scanner drift effects and ensured that the cartilage volume change quantifications became consistent with manual expert scores

An Automated Method for Segmenting White Matter Lesions through Multi-Level Morphometric Feature Classification with Application to Lupus

We demonstrate an automated, multi-level method to segment white matter brain lesions and apply it to lupus. The method makes use of local morphometric features based on multiple MR sequences, including T1-weighted, T2-weighted, and fluid attenuated inversion recovery. After preprocessing, including co-registration, brain extraction, bias correction, and intensity standardization, 49 features are calculated for each brain voxel based on local morphometry. At each level of segmentation a supervised classifier takes advantage of a different subset of the features to conservatively segment lesion voxels, passing on more difficult voxels to the next classifier. This multi-level approach allows for a fast lesion classification method with tunable trade-offs between sensitivity and specificity producing accuracy comparable to a human rater

Assessment of Post-Treatment Imaging Changes Following Radiotherapy using Magnetic Susceptibility Techniques

Radiation therapy (RT) is a common treatment for brain neoplasms and is used alone or in combination with other therapies. The use of RT has been found to be successful in controlling tumors and extending the overall survival of patients; however, there are many unanswered questions regarding radiotherapy effects in the normal brain surrounding or infiltrated by tumor. Changes to the vascular and parenchyma have been documented, and more recently inflammatory mechanisms have been postulated to play a role in radiation injury. Traditional imaging techniques used within the clinic (CT and MRI) are often lacking in their ability to differentiate between recurrent tumor, transient treatment effects, or radiation necrosis. The primary goal of this thesis is to demonstrate an MRI acquisition method that has been shown to be sensitive to deoxygenated blood and iron content as a potential biomarker of radiation effect on the normal brain. Specifically, post-processing techniques are used to determine the applicability of qualitative images such as Susceptibility-Weighted Imaging (SWI) and quantitative methods such as Quantitative Susceptibility Mapping (QSM) and apparent traverse relaxation (R2*) using the same sequence. These methods are potential surrogate markers for vascular changes and neuroinflammatory components that could predict sub-acute and long-term radiation effects. Within this thesis, R2* is shown to be a promising marker for the prediction of radiation necrosis, whereas SWI and QSM are shown to be excellent modalities for detecting longterm effects such as microbleeds. Additionally, R2 * is shown to be a potentially useful technique in identifying post-imaging treatment changes (pseudoprogression) following chemoradiotherapy for malignant glioma. Finally, the use of this non-contrast method shows promise for integration within a clinical setting and the potential for expansion to multicenter clinical trials

Applications of Deep Learning Techniques for Automated Multiple Sclerosis Detection Using Magnetic Resonance Imaging: A Review

Multiple Sclerosis (MS) is a type of brain disease which causes visual, sensory, and motor problems for people with a detrimental effect on the functioning of the nervous system. In order to diagnose MS, multiple screening methods have been proposed so far; among them, magnetic resonance imaging (MRI) has received considerable attention among physicians. MRI modalities provide physicians with fundamental information about the structure and function of the brain, which is crucial for the rapid diagnosis of MS lesions. Diagnosing MS using MRI is time-consuming, tedious, and prone to manual errors. Research on the implementation of computer aided diagnosis system (CADS) based on artificial intelligence (AI) to diagnose MS involves conventional machine learning and deep learning (DL) methods. In conventional machine learning, feature extraction, feature selection, and classification steps are carried out by using trial and error; on the contrary, these steps in DL are based on deep layers whose values are automatically learn. In this paper, a complete review of automated MS diagnosis methods performed using DL techniques with MRI neuroimaging modalities is provided. Initially, the steps involved in various CADS proposed using MRI modalities and DL techniques for MS diagnosis are investigated. The important preprocessing techniques employed in various works are analyzed. Most of the published papers on MS diagnosis using MRI modalities and DL are presented. The most significant challenges facing and future direction of automated diagnosis of MS using MRI modalities and DL techniques are also provided

Computer aided analysis of inflammatory muscle disease using magnetic resonance imaging

Inflammatory muscle disease (myositis) is characterised by inflammation and a gradual increase in muscle weakness. Diagnosis typically requires a range of clinical tests, including magnetic resonance imaging of the thigh muscles to assess the disease severity. In the past, this has been measured by manually counting the number of muscles affected. In this work, a computer-aided analysis of inflammatory muscle disease is presented to help doctors diagnose and monitor the disease. Methods to quantify the level of oedema and fat infiltration from magnetic resonance scans are proposed and the disease quantities determined are shown to have positive correlation against expert medical opinion. The methods have been designed and tested on a database of clinically acquired T1 and STIR sequences, and are proven to be robust despite suboptimal image quality. General background information is first introduced, giving an overview of the medical, technical, and theoretical topics necessary to understand the problem domain. Next, a detailed introduction to the physics of magnetic resonance imaging is given. A review of important literature from similar and related domains is presented, with valuable insights that are utilised at a later stage. Scans are carefully pre-processed to bring all slices in to a common frame of reference and the methods to quantify the level of oedema and fat infiltration are defined and shown to have good positive correlation with expert medical opinion. A number of validation tests are performed with re-scanned subjects to indicate the level of repeatability. The disease quantities, together with statistical features from the T1-STIR joint histogram, are used for automatic classification of the disease severity. Automatic classification is shown to be successful on out of sample data for both the oedema and fat infiltration problems