Filter-Based Probabilistic Markov Random Field Image Priors: Learning, Evaluation, and Image Analysis

Markov random fields (MRF) based on linear filter responses are one of the most popular forms for modeling image priors due to their rigorous probabilistic interpretations and versatility in various applications. In this dissertation, we propose an application-independent method to quantitatively evaluate MRF image priors using model samples. To this end, we developed an efficient auxiliary-variable Gibbs samplers for a general class of MRFs with flexible potentials. We found that the popular pairwise and high-order MRF priors capture image statistics quite roughly and exhibit poor generative properties. We further developed new learning strategies and obtained high-order MRFs that well capture the statistics of the inbuilt features, thus being real maximum-entropy models, and other important statistical properties of natural images, outlining the capabilities of MRFs. We suggest a multi-modal extension of MRF potentials which not only allows to train more expressive priors, but also helps to reveal more insights of MRF variants, based on which we are able to train compact, fully-convolutional restricted Boltzmann machines (RBM) that can model visual repetitive textures even better than more complex and deep models. The learned high-order MRFs allow us to develop new methods for various real-world image analysis problems. For denoising of natural images and deconvolution of microscopy images, the MRF priors are employed in a pure generative setting. We propose efficient sampling-based methods to infer Bayesian minimum mean squared error (MMSE) estimates, which substantially outperform maximum a-posteriori (MAP) estimates and can compete with state-of-the-art discriminative methods. For non-rigid registration of live cell nuclei in time-lapse microscopy images, we propose a global optical flow-based method. The statistics of noise in fluorescence microscopy images are studied to derive an adaptive weighting scheme for increasing model robustness. High-order MRFs are also employed to train image filters for extracting important features of cell nuclei and the deformation of nuclei are then estimated in the learned feature spaces. The developed method outperforms previous approaches in terms of both registration accuracy and computational efficiency

Spatio-temporal Modeling and Analysis of Brain Development

The incidence of preterm birth is increasing and has emerged as a leading cause of neurodevelopmental impairment in childhood. In early development, defined here as the period before and around birth, the brain undergoes significant morphological, functional and appearance changes. The scope and rate of change is arguably greater than at any other time in life, but quantitative markers of this period of development are limited. Improved understanding of cerebral changes during this critical period is important for mapping normal growth, and for investigating mechanisms of injury associated with risk factors for maldevelopment such as premature birth. The objective of this thesis is the development of methods for spatio-temporal modeling and quantitative measures of brain development that can assist understanding the patterns of normal growth and can guide interventions designed to reduce the burden of preterm brain injury. An approach for constructing high-definition spatio-temporal atlases of the developing brain is introduced. A novelty in the proposed approach is the use of a time-varying kernel width, to overcome the variations in the distribution of subjects at different ages. This leads to an atlas that retains a consistent level of detail at every time-point. The resulting 4D fetal and neonatal average atlases have greater anatomic definition than currently available 4D atlases, an important factor in improving registrations between the atlas and individual subjects with clear anatomical structures and atlas-based automatic segmentation. The fetal atlas provides a natural benchmark for assessing preterm born neonates and gives some insight into differences between the groups. Also, a novel framework for longitudinal registration which can accommodate large intra-subject anatomical variations is introduced. The framework exploits previously developed spatio-temporal atlases, which can aid the longitudinal registration process as it provides prior information about the missing anatomical evolution between two scans taken over large time-interval. Finally, a voxel-wise analysis framework is proposed which complements the analysis of changes in brain morphology by the study of spatio-temporal signal intensity changes in multi-modal MRI, which can offer a useful marker of neurodevelopmental changes

Analysis of the developing brain using image registration

Imperial Users onl

Multi-modality cardiac image computing: a survey

Multi-modality cardiac imaging plays a key role in the management of patients with cardiovascular diseases. It allows a combination of complementary anatomical, morphological and functional information, increases diagnosis accuracy, and improves the efficacy of cardiovascular interventions and clinical outcomes. Fully-automated processing and quantitative analysis of multi-modality cardiac images could have a direct impact on clinical research and evidence-based patient management. However, these require overcoming significant challenges including inter-modality misalignment and finding optimal methods to integrate information from different modalities. This paper aims to provide a comprehensive review of multi-modality imaging in cardiology, the computing methods, the validation strategies, the related clinical workflows and future perspectives. For the computing methodologies, we have a favored focus on the three tasks, i.e., registration, fusion and segmentation, which generally involve multi-modality imaging data, either combining information from different modalities or transferring information across modalities. The review highlights that multi-modality cardiac imaging data has the potential of wide applicability in the clinic, such as trans-aortic valve implantation guidance, myocardial viability assessment, and catheter ablation therapy and its patient selection. Nevertheless, many challenges remain unsolved, such as missing modality, modality selection, combination of imaging and non-imaging data, and uniform analysis and representation of different modalities. There is also work to do in defining how the well-developed techniques fit in clinical workflows and how much additional and relevant information they introduce. These problems are likely to continue to be an active field of research and the questions to be answered in the future

Towards Robust and Accurate Image Registration by Incorporating Anatomical and Appearance Priors

Ph.DDOCTOR OF PHILOSOPH

4-D Tomographic Inference: Application to SPECT and MR-driven PET

Emission tomographic imaging is framed in the Bayesian and information theoretic framework. The first part of the thesis is inspired by the new possibilities offered by PET-MR systems, formulating models and algorithms for 4-D tomography and for the integration of information from multiple imaging modalities. The second part of the thesis extends the models described in the first part, focusing on the imaging hardware. Three key aspects for the design of new imaging systems are investigated: criteria and efficient algorithms for the optimisation and real-time adaptation of the parameters of the imaging hardware; learning the characteristics of the imaging hardware; exploiting the rich information provided by depthof- interaction (DOI) and energy resolving devices. The document concludes with the description of the NiftyRec software toolkit, developed to enable 4-D multi-modal tomographic inference

Analysis of contrast-enhanced medical images.

Early detection of human organ diseases is of great importance for the accurate diagnosis and institution of appropriate therapies. This can potentially prevent progression to end-stage disease by detecting precursors that evaluate organ functionality. In addition, it also assists the clinicians for therapy evaluation, tracking diseases progression, and surgery operations. Advances in functional and contrast-enhanced (CE) medical images enabled accurate noninvasive evaluation of organ functionality due to their ability to provide superior anatomical and functional information about the tissue-of-interest. The main objective of this dissertation is to develop a computer-aided diagnostic (CAD) system for analyzing complex data from CE magnetic resonance imaging (MRI). The developed CAD system has been tested in three case studies: (i) early detection of acute renal transplant rejection, (ii) evaluation of myocardial perfusion in patients with ischemic heart disease after heart attack; and (iii), early detection of prostate cancer. However, developing a noninvasive CAD system for the analysis of CE medical images is subject to multiple challenges, including, but are not limited to, image noise and inhomogeneity, nonlinear signal intensity changes of the images over the time course of data acquisition, appearances and shape changes (deformations) of the organ-of-interest during data acquisition, determination of the best features (indexes) that describe the perfusion of a contrast agent (CA) into the tissue. To address these challenges, this dissertation focuses on building new mathematical models and learning techniques that facilitate accurate analysis of CAs perfusion in living organs and include: (i) accurate mathematical models for the segmentation of the object-of-interest, which integrate object shape and appearance features in terms of pixel/voxel-wise image intensities and their spatial interactions; (ii) motion correction techniques that combine both global and local models, which exploit geometric features, rather than image intensities to avoid problems associated with nonlinear intensity variations of the CE images; (iii) fusion of multiple features using the genetic algorithm. The proposed techniques have been integrated into CAD systems that have been tested in, but not limited to, three clinical studies. First, a noninvasive CAD system is proposed for the early and accurate diagnosis of acute renal transplant rejection using dynamic contrast-enhanced MRI (DCE-MRI). Acute rejection–the immunological response of the human immune system to a foreign kidney–is the most sever cause of renal dysfunction among other diagnostic possibilities, including acute tubular necrosis and immune drug toxicity. In the U.S., approximately 17,736 renal transplants are performed annually, and given the limited number of donors, transplanted kidney salvage is an important medical concern. Thus far, biopsy remains the gold standard for the assessment of renal transplant dysfunction, but only as the last resort because of its invasive nature, high cost, and potential morbidity rates. The diagnostic results of the proposed CAD system, based on the analysis of 50 independent in-vivo cases were 96% with a 95% confidence interval. These results clearly demonstrate the promise of the proposed image-based diagnostic CAD system as a supplement to the current technologies, such as nuclear imaging and ultrasonography, to determine the type of kidney dysfunction. Second, a comprehensive CAD system is developed for the characterization of myocardial perfusion and clinical status in heart failure and novel myoregeneration therapy using cardiac first-pass MRI (FP-MRI). Heart failure is considered the most important cause of morbidity and mortality in cardiovascular disease, which affects approximately 6 million U.S. patients annually. Ischemic heart disease is considered the most common underlying cause of heart failure. Therefore, the detection of the heart failure in its earliest forms is essential to prevent its relentless progression to premature death. While current medical studies focus on detecting pathological tissue and assessing contractile function of the diseased heart, this dissertation address the key issue of the effects of the myoregeneration therapy on the associated blood nutrient supply. Quantitative and qualitative assessment in a cohort of 24 perfusion data sets demonstrated the ability of the proposed framework to reveal regional perfusion improvements with therapy, and transmural perfusion differences across the myocardial wall; thus, it can aid in follow-up on treatment for patients undergoing the myoregeneration therapy. Finally, an image-based CAD system for early detection of prostate cancer using DCE-MRI is introduced. Prostate cancer is the most frequently diagnosed malignancy among men and remains the second leading cause of cancer-related death in the USA with more than 238,000 new cases and a mortality rate of about 30,000 in 2013. Therefore, early diagnosis of prostate cancer can improve the effectiveness of treatment and increase the patient’s chance of survival. Currently, needle biopsy is the gold standard for the diagnosis of prostate cancer. However, it is an invasive procedure with high costs and potential morbidity rates. Additionally, it has a higher possibility of producing false positive diagnosis due to relatively small needle biopsy samples. Application of the proposed CAD yield promising results in a cohort of 30 patients that would, in the near future, represent a supplement of the current technologies to determine prostate cancer type. The developed techniques have been compared to the state-of-the-art methods and demonstrated higher accuracy as shown in this dissertation. The proposed models (higher-order spatial interaction models, shape models, motion correction models, and perfusion analysis models) can be used in many of today’s CAD applications for early detection of a variety of diseases and medical conditions, and are expected to notably amplify the accuracy of CAD decisions based on the automated analysis of CE images