Automated detection of brain abnormalities in neonatal hypoxia ischemic injury from MR images.

We compared the efficacy of three automated brain injury detection methods, namely symmetry-integrated region growing (SIRG), hierarchical region splitting (HRS) and modified watershed segmentation (MWS) in human and animal magnetic resonance imaging (MRI) datasets for the detection of hypoxic ischemic injuries (HIIs). Diffusion weighted imaging (DWI, 1.5T) data from neonatal arterial ischemic stroke (AIS) patients, as well as T2-weighted imaging (T2WI, 11.7T, 4.7T) at seven different time-points (1, 4, 7, 10, 17, 24 and 31 days post HII) in rat-pup model of hypoxic ischemic injury were used to assess the temporal efficacy of our computational approaches. Sensitivity, specificity, and similarity were used as performance metrics based on manual ('gold standard') injury detection to quantify comparisons. When compared to the manual gold standard, automated injury location results from SIRG performed the best in 62% of the data, while 29% for HRS and 9% for MWS. Injury severity detection revealed that SIRG performed the best in 67% cases while 33% for HRS. Prior information is required by HRS and MWS, but not by SIRG. However, SIRG is sensitive to parameter-tuning, while HRS and MWS are not. Among these methods, SIRG performs the best in detecting lesion volumes; HRS is the most robust, while MWS lags behind in both respects

Visual and Contextual Modeling for the Detection of Repeated Mild Traumatic Brain Injury.

Currently, there is a lack of computational methods for the evaluation of mild traumatic brain injury (mTBI) from magnetic resonance imaging (MRI). Further, the development of automated analyses has been hindered by the subtle nature of mTBI abnormalities, which appear as low contrast MR regions. This paper proposes an approach that is able to detect mTBI lesions by combining both the high-level context and low-level visual information. The contextual model estimates the progression of the disease using subject information, such as the time since injury and the knowledge about the location of mTBI. The visual model utilizes texture features in MRI along with a probabilistic support vector machine to maximize the discrimination in unimodal MR images. These two models are fused to obtain a final estimate of the locations of the mTBI lesion. The models are tested using a novel rodent model of repeated mTBI dataset. The experimental results demonstrate that the fusion of both contextual and visual textural features outperforms other state-of-the-art approaches. Clinically, our approach has the potential to benefit both clinicians by speeding diagnosis and patients by improving clinical care

Computerized Analysis of Magnetic Resonance Images to Study Cerebral Anatomy in Developing Neonates

The study of cerebral anatomy in developing neonates is of great importance for the understanding of brain development during the early period of life. This dissertation therefore focuses on three challenges in the modelling of cerebral anatomy in neonates during brain development. The methods that have been developed all use Magnetic Resonance Images (MRI) as source data. To facilitate study of vascular development in the neonatal period, a set of image analysis algorithms are developed to automatically extract and model cerebral vessel trees. The whole process consists of cerebral vessel tracking from automatically placed seed points, vessel tree generation, and vasculature registration and matching. These algorithms have been tested on clinical Time-of- Flight (TOF) MR angiographic datasets. To facilitate study of the neonatal cortex a complete cerebral cortex segmentation and reconstruction pipeline has been developed. Segmentation of the neonatal cortex is not effectively done by existing algorithms designed for the adult brain because the contrast between grey and white matter is reversed. This causes pixels containing tissue mixtures to be incorrectly labelled by conventional methods. The neonatal cortical segmentation method that has been developed is based on a novel expectation-maximization (EM) method with explicit correction for mislabelled partial volume voxels. Based on the resulting cortical segmentation, an implicit surface evolution technique is adopted for the reconstruction of the cortex in neonates. The performance of the method is investigated by performing a detailed landmark study. To facilitate study of cortical development, a cortical surface registration algorithm for aligning the cortical surface is developed. The method first inflates extracted cortical surfaces and then performs a non-rigid surface registration using free-form deformations (FFDs) to remove residual alignment. Validation experiments using data labelled by an expert observer demonstrate that the method can capture local changes and follow the growth of specific sulcus

Multimodal image analysis of the human brain

Gedurende de laatste decennia heeft de snelle ontwikkeling van multi-modale en niet-invasieve hersenbeeldvorming technologieën een revolutie teweeg gebracht in de mogelijkheid om de structuur en functionaliteit van de hersens te bestuderen. Er is grote vooruitgang geboekt in het beoordelen van hersenschade door gebruik te maken van Magnetic Reconance Imaging (MRI), terwijl Elektroencefalografie (EEG) beschouwd wordt als de gouden standaard voor diagnose van neurologische afwijkingen. In deze thesis focussen we op de ontwikkeling van nieuwe technieken voor multi-modale beeldanalyse van het menselijke brein, waaronder MRI segmentatie en EEG bronlokalisatie. Hierdoor voegen we theorie en praktijk samen waarbij we focussen op twee medische applicaties: (1) automatische 3D MRI segmentatie van de volwassen hersens en (2) multi-modale EEG-MRI data analyse van de hersens van een pasgeborene met perinatale hersenschade. We besteden veel aandacht aan de verbetering en ontwikkeling van nieuwe methoden voor accurate en ruisrobuuste beeldsegmentatie, dewelke daarna succesvol gebruikt worden voor de segmentatie van hersens in MRI van zowel volwassen als pasgeborenen. Daarenboven ontwikkelden we een geïntegreerd multi-modaal methode voor de EEG bronlokalisatie in de hersenen van een pasgeborene. Deze lokalisatie wordt gebruikt voor de vergelijkende studie tussen een EEG aanval bij pasgeborenen en acute perinatale hersenletsels zichtbaar in MRI

TEXTURAL CLASSIFICATION OF MULTIPLE SCLEROSISLESIONS IN MULTIMODAL MRI VOLUMES

Background and objectives:Multiple Sclerosis is a common relapsing demyelinating diseasecausing the significant degradation of cognitive and motor skills and contributes towards areduced life expectancy of 5 to 10 years. The identification of Multiple Sclerosis Lesionsat early stages of a patient’s life can play a significant role in the diagnosis, treatment andprognosis for that individual. In recent years the process of disease detection has been aidedthrough the implementation of radiomic pipelines for texture extraction and classificationutilising Computer Vision and Machine Learning techniques. Eight Multiple Sclerosis Patient datasets have been supplied, each containing one standardclinical T2 MRI sequence and four diffusion-weighted sequences (T2, FA, ADC, AD, RD).This work proposes a Multimodal Multiple Sclerosis Lesion segmentation methodology util-ising supervised texture analysis, feature selection and classification. Three Machine Learningmodels were applied to Multimodal MRI data and tested using unseen patient datasets to eval-uate the classification performance of various extracted features, feature selection algorithmsand classifiers to MRI volumes uncommonly applied to MS Lesion detection. Method: First Order Statistics, Haralick Texture Features, Gray-Level Run-Lengths, His-togram of Oriented Gradients and Local Binary Patterns were extracted from MRI volumeswhich were minimally pre-processed using a skull stripping and background removal algorithm.mRMR and LASSO feature selection algorithms were applied to identify a subset of rankingsfor use in Machine Learning using Support Vector Machine, Random Forests and ExtremeLearning Machine classification. Results: ELM achieved a top slice classification accuracy of 85% while SVM achieved 79%and RF 78%. It was found that combining information from all MRI sequences increased theclassification performance when analysing unseen T2 scans in almost all cases. LASSO andmRMR feature selection methods failed to increase accuracy, and the highest-scoring groupof features were Haralick Texture Features, derived from Grey-Level Co-occurrence matrices

Combining global and local information for the segmentation of MR images of the brain

Magnetic resonance imaging can provide high resolution volumetric images of the brain with exceptional soft tissue contrast. These factors allow the complex structure of the brain to be clearly visualised. This has lead to the development of quantitative methods to analyse neuroanatomical structures. In turn, this has promoted the use of computational methods to automate and improve these techniques. This thesis investigates methods to accurately segment MRI images of the brain. The use of global and local image information is considered, where global information includes image intensity distributions, means and variances and local information is based on the relationship between spatially neighbouring voxels. Methods are explored that aim to improve the classification and segmentation of MR images of the brain by combining these elements. Some common artefacts exist in MR brain images that can be seriously detrimental to image analysis methods. Methods to correct for these artifacts are assessed by exploring their effect, first with some well established classification methods and then with methods that combine global information with local information in the form of a Markov random field model. Another characteristic of MR images is the partial volume effect that occurs where signals from different tissues become mixed over the finite volume of a voxel. This effect is demonstrated and quantified using a simulation. Analysis methods that address these issues are tested on simulated and real MR images. They are also applied to study the structure of the temporal lobes in a group of patients with temporal lobe epilepsy. The results emphasise the benefits and limitations of applying these methods to a problem of this nature. The work in this thesis demonstrates the advantages of using global and local information together in the segmentation of MR brain images and proposes a generalised framework that allows this information to be combined in a flexible way

Tumor Extraction for Brain Magnetic Resonance Imaging Using Modified Gaussian Distribution

Magnetic Resonance Imaging (MRI) is extensively used in the study of brain. Segmentation of MR brain images is necessary for a number of clinical investigations of various complexity, change detection, cortical labeling, and visualization in surgical planning. The volume of enhancing lesions, following the administration of paramagnetic contrast agent is an important indicator of pathology in multiple sclerosis (MS). Manual estimation of enhancing lesion volumes introduces significant errors, and operator bias, besides being time consuming and subjective. Therefore, there is a need for automatic identification and estimation of volumes of the present MS lesions specially by dealing with a large number of images that are typically acquired in multi-center clinical trials. In the developed techniques, 150 T1- and T2-weighted spin echo images were taken from the routine scans of Kuala Lumpur General Hospital.Multiple sclerosis lesions visualized by morphological MRI are classified through a feature map technique on T1 weighted MRI tissue. Gray level morphology methods are used to make tissue types in the images more homogenous and minimize difficulties with connections to outside tissue. A method for hzzy connectedness and combinations of the different segmentation techniques were experimented. A gain-based correction method; probability density function model are used to cluster white and gray matters, cerebrospinal fluid, and meninges. Results of segmentation have been validated by a group of neuro-radiologists. 3D visualization has been implemented for the segmented regions as well as brain lesion. The visualization of the segmented structures uses a combination of volume rendering and surface rendering. The mutual information algorithms used in this work has been developed and experimented in the system and has proven to yield more accurate and stable results than other algorithms. Currently testing the validation of the proposed segmentation in a validation study that compares resulting MS lesion as well as gray and white matter tissue structures with Neural Network expert segmentation system. The proposed method versus Neural Network rater validation showed an average validation score of overlap ratio of >85% for gray and white matters tissue segmentation and for MS lesion the rater validation showed an average overlap ratio of > 87%

Supervised learning based multimodal MRI brain tumour segmentation using texture features from supervoxels

BACKGROUND: Accurate segmentation of brain tumour in magnetic resonance images (MRI) is a difficult task due to various tumour types. Using information and features from multimodal MRI including structural MRI and isotropic (p) and anisotropic (q) components derived from the diffusion tensor imaging (DTI) may result in a more accurate analysis of brain images. METHODS: We propose a novel 3D supervoxel based learning method for segmentation of tumour in multimodal MRI brain images (conventional MRI and DTI). Supervoxels are generated using the information across the multimodal MRI dataset. For each supervoxel, a variety of features including histograms of texton descriptor, calculated using a set of Gabor filters with different sizes and orientations, and first order intensity statistical features are extracted. Those features are fed into a random forests (RF) classifier to classify each supervoxel into tumour core, oedema or healthy brain tissue. RESULTS: The method is evaluated on two datasets: 1) Our clinical dataset: 11 multimodal images of patients and 2) BRATS 2013 clinical dataset: 30 multimodal images. For our clinical dataset, the average detection sensitivity of tumour (including tumour core and oedema) using multimodal MRI is 86% with balanced error rate (BER) 7%; while the Dice score for automatic tumour segmentation against ground truth is 0.84. The corresponding results of the BRATS 2013 dataset are 96%, 2% and 0.89, respectively. CONCLUSION: The method demonstrates promising results in the segmentation of brain tumour. Adding features from multimodal MRI images can largely increase the segmentation accuracy. The method provides a close match to expert delineation across all tumour grades, leading to a faster and more reproducible method of brain tumour detection and delineation to aid patient management