Orientation-Sensitive Overlap Measures for the Validation of Medical Image Segmentations

Validation is a key concept in the development and assessment of medical image segmentation algorithms. However, the proliferation of modern, non-deterministic segmentation algorithms has not been met by an equivalent improvement in validation strategies. In this paper, we briefly examine the state of the art in validation, and propose an improved validation method for non-deterministic segmentations, showing that it improves validation precision and accuracy on both synthetic and clinical sets, compared to more traditional (but still widely used) methods and state of the art

The International Workshop on Osteoarthritis Imaging Knee MRI Segmentation Challenge: A Multi-Institute Evaluation and Analysis Framework on a Standardized Dataset

Purpose: To organize a knee MRI segmentation challenge for characterizing the semantic and clinical efficacy of automatic segmentation methods relevant for monitoring osteoarthritis progression. Methods: A dataset partition consisting of 3D knee MRI from 88 subjects at two timepoints with ground-truth articular (femoral, tibial, patellar) cartilage and meniscus segmentations was standardized. Challenge submissions and a majority-vote ensemble were evaluated using Dice score, average symmetric surface distance, volumetric overlap error, and coefficient of variation on a hold-out test set. Similarities in network segmentations were evaluated using pairwise Dice correlations. Articular cartilage thickness was computed per-scan and longitudinally. Correlation between thickness error and segmentation metrics was measured using Pearson's coefficient. Two empirical upper bounds for ensemble performance were computed using combinations of model outputs that consolidated true positives and true negatives. Results: Six teams (T1-T6) submitted entries for the challenge. No significant differences were observed across all segmentation metrics for all tissues (p=1.0) among the four top-performing networks (T2, T3, T4, T6). Dice correlations between network pairs were high (>0.85). Per-scan thickness errors were negligible among T1-T4 (p=0.99) and longitudinal changes showed minimal bias (<0.03mm). Low correlations (<0.41) were observed between segmentation metrics and thickness error. The majority-vote ensemble was comparable to top performing networks (p=1.0). Empirical upper bound performances were similar for both combinations (p=1.0). Conclusion: Diverse networks learned to segment the knee similarly where high segmentation accuracy did not correlate to cartilage thickness accuracy. Voting ensembles did not outperform individual networks but may help regularize individual models.Comment: Submitted to Radiology: Artificial Intelligence; Fixed typo

Variable Scale Statistics For Cardiac Segmentation and Shape Analysis

A novel framework for medical image analysis, known as Shells and Spheres, has been developed by our research lab. This framework utilizes spherical operators of variable radius, centered at each image pixel and sized to reach, but not cross, the nearest boundary. Statistical population tests are performed on the populations of pixels within adjacent spheres to compare image regions across boundaries, delineating bothindependent image objects and the boundaries between them. This research has focused on developing the Shells and Spheres frameworkand applying it to the problem of segmentation of anatomical objects. Furthermore, we have rigorously studied the framework and its applications to clinical segmentation, validating and improving our n-dimensional segmentation algorithm. To this end, we have enhanced the original Shells and Spheres segmentation algorithm by adding a priori information, developing techniques for optimizing algorithm parameters, implementing a software platform for experimentation, and performing validation experiments using real 3D ovine cardiac MRI data. The system developed provides automated 3D segmentation given a priori information in the form of a trivial 2D manual training procedure, which involves tracing a single 2D contour from which 3D algorithm parameters are then automatically derived. We apply this system tosegmentation of the Right Ventricular Outflow Tract (RVOT) to aid in research toward the creation of a Tissue Engineered Pulmonary Valve(TEPV). Experimental methods are presented for the development and validation of the system, as well as a detailed description of the Shells and Spheres framework, our segmentation algorithm, and the clinical significance of this work

Vessel tractography using an intensity based tensor model with branch detection

In this paper, we present a tubular structure seg- mentation method that utilizes a second order tensor constructed from directional intensity measurements, which is inspired from diffusion tensor image (DTI) modeling. The constructed anisotropic tensor which is fit inside a vessel drives the segmen- tation analogously to a tractography approach in DTI. Our model is initialized at a single seed point and is capable of capturing whole vessel trees by an automatic branch detection algorithm developed in the same framework. The centerline of the vessel as well as its thickness is extracted. Performance results within the Rotterdam Coronary Artery Algorithm Evaluation framework are provided for comparison with existing techniques. 96.4% average overlap with ground truth delineated by experts is obtained in addition to other measures reported in the paper. Moreover, we demonstrate further quantitative results over synthetic vascular datasets, and we provide quantitative experiments for branch detection on patient Computed Tomography Angiography (CTA) volumes, as well as qualitative evaluations on the same CTA datasets, from visual scores by a cardiologist expert

Machine learning of hierarchical clustering to segment 2D and 3D images

We aim to improve segmentation through the use of machine learning tools during region agglomeration. We propose an active learning approach for performing hierarchical agglomerative segmentation from superpixels. Our method combines multiple features at all scales of the agglomerative process, works for data with an arbitrary number of dimensions, and scales to very large datasets. We advocate the use of variation of information to measure segmentation accuracy, particularly in 3D electron microscopy (EM) images of neural tissue, and using this metric demonstrate an improvement over competing algorithms in EM and natural images.Comment: 15 pages, 8 figure

Histological Quantification in Temporal Lobe Epilepsy

Approximately 30 percent of epilepsy patients suffer from refractory temporal lobe epilepsy which is commonly treated with resection of the epileptogenic tissue. However, surgical treatment presents many challenges in locating the epileptogenic focus and thus not all patients become seizure-free following surgery. Advances in techniques can lead to improved localization of the epileptogenic zone and may be validated by correlating MRI with neuropathology of the excised cortical tissue. Focal cortical dysplasias are a neuropathological group of cortical malformations that are often found in cases of refractory epilepsy, however, they are subtle and difficult to quantify. The purpose of this research is to employ histology image analysis techniques to better characterize these abnormalities at the neuronal and laminar level, allowing for correlative MRI-histology studies and improved lesion detection in medically intractable TLE