471 research outputs found
PWD-3DNet: A deep learning-based fully-automated segmentation of multiple structures on temporal bone CT scans
The temporal bone is a part of the lateral skull surface that contains organs responsible for hearing and balance. Mastering surgery of the temporal bone is challenging because of this complex and microscopic three-dimensional anatomy. Segmentation of intra-temporal anatomy based on computed tomography (CT) images is necessary for applications such as surgical training and rehearsal, amongst others. However, temporal bone segmentation is challenging due to the similar intensities and complicated anatomical relationships among crit- ical structures, undetectable small structures on standard clinical CT, and the amount of time required for manual segmentation. This paper describes a single multi-class deep learning-based pipeline as the ïŹrst fully automated algorithm for segmenting multiple temporal bone structures from CT volumes, including the sigmoid sinus, facial nerve, inner ear, malleus, incus, stapes, internal carotid artery and internal auditory canal. The proposed fully convolutional network, PWD-3DNet, is a patch-wise densely connected (PWD) three-dimensional (3D) network. The accuracy and speed of the proposed algorithm was shown to surpass current manual and semi-automated segmentation techniques. The experimental results yielded signiïŹcantly high Dice similar- ity scores and low Hausdorff distances for all temporal bone structures with an average of 86% and 0.755 millimeter (mm), respectively. We illustrated that overlapping in the inference sub-volumes improves the segmentation performance. Moreover, we proposed augmentation layers by using samples with various transformations and image artefacts to increase the robustness of PWD-3DNet against image acquisition protocols, such as smoothing caused by soft tissue scanner settings and larger voxel sizes used for radiation reduction. The proposed algorithm was tested on low-resolution CTs acquired by another center with different scanner parameters than the ones used to create the algorithm and shows potential for application beyond the particular training data used in the study
PWD-3DNet: A Deep Learning-Based Fully-Automated Segmentation of Multiple Structures on Temporal Bone CT Scans
The temporal bone is a part of the lateral skull surface that contains organs responsible for hearing and balance. Mastering surgery of the temporal bone is challenging because of this complex and microscopic three-dimensional anatomy. Segmentation of intra-temporal anatomy based on computed tomography (CT) images is necessary for applications such as surgical training and rehearsal, amongst others. However, temporal bone segmentation is challenging due to the similar intensities and complicated anatomical relationships among critical structures, undetectable small structures on standard clinical CT, and the amount of time required for manual segmentation. This paper describes a single multi-class deep learning-based pipeline as the first fully automated algorithm for segmenting multiple temporal bone structures from CT volumes, including the sigmoid sinus, facial nerve, inner ear, malleus, incus, stapes, internal carotid artery and internal auditory canal. The proposed fully convolutional network, PWD-3DNet, is a patch-wise densely connected (PWD) three-dimensional (3D) network. The accuracy and speed of the proposed algorithm was shown to surpass current manual and semi-automated segmentation techniques. The experimental results yielded significantly high Dice similarity scores and low Hausdorff distances for all temporal bone structures with an average of 86% and 0.755 millimeter (mm), respectively. We illustrated that overlapping in the inference sub-volumes improves the segmentation performance. Moreover, we proposed augmentation layers by using samples with various transformations and image artefacts to increase the robustness of PWD-3DNet against image acquisition protocols, such as smoothing caused by soft tissue scanner settings and larger voxel sizes used for radiation reduction. The proposed algorithm was tested on low-resolution CTs acquired by another center with different scanner parameters than the ones used to create the algorithm and shows potential for application beyond the particular training data used in the study
Enrichment of the NLST and NSCLC-Radiomics computed tomography collections with AI-derived annotations
Public imaging datasets are critical for the development and evaluation of
automated tools in cancer imaging. Unfortunately, many do not include
annotations or image-derived features, complicating their downstream analysis.
Artificial intelligence-based annotation tools have been shown to achieve
acceptable performance and thus can be used to automatically annotate large
datasets. As part of the effort to enrich public data available within NCI
Imaging Data Commons (IDC), here we introduce AI-generated annotations for two
collections of computed tomography images of the chest, NSCLC-Radiomics, and
the National Lung Screening Trial. Using publicly available AI algorithms we
derived volumetric annotations of thoracic organs at risk, their corresponding
radiomics features, and slice-level annotations of anatomical landmarks and
regions. The resulting annotations are publicly available within IDC, where the
DICOM format is used to harmonize the data and achieve FAIR principles. The
annotations are accompanied by cloud-enabled notebooks demonstrating their use.
This study reinforces the need for large, publicly accessible curated datasets
and demonstrates how AI can be used to aid in cancer imaging
Semiautomated 3D liver segmentation using computed tomography and magnetic resonance imaging
Le foie est un organe vital ayant une capacitĂ© de rĂ©gĂ©nĂ©ration exceptionnelle et un rĂŽle crucial dans le fonctionnement de lâorganisme. LâĂ©valuation du volume du foie est un outil important pouvant ĂȘtre utilisĂ© comme marqueur biologique de sĂ©vĂ©ritĂ© de maladies hĂ©patiques. La volumĂ©trie du foie est indiquĂ©e avant les hĂ©patectomies majeures, lâembolisation de la veine porte et la transplantation.
La méthode la plus répandue sur la base d'examens de tomodensitométrie (TDM) et d'imagerie par résonance magnétique (IRM) consiste à délimiter le contour du foie sur plusieurs coupes consécutives, un processus appelé la «segmentation».
Nous prĂ©sentons la conception et la stratĂ©gie de validation pour une mĂ©thode de segmentation semi-automatisĂ©e dĂ©veloppĂ©e Ă notre institution. Notre mĂ©thode reprĂ©sente une approche basĂ©e sur un modĂšle utilisant lâinterpolation variationnelle de forme ainsi que lâoptimisation de maillages de Laplace. La mĂ©thode a Ă©tĂ© conçue afin dâĂȘtre compatible avec la TDM ainsi que l' IRM.
Nous avons Ă©valuĂ© la rĂ©pĂ©tabilitĂ©, la fiabilitĂ© ainsi que lâefficacitĂ© de notre mĂ©thode semi-automatisĂ©e de segmentation avec deux Ă©tudes transversales conçues rĂ©trospectivement. Les rĂ©sultats de nos Ă©tudes de validation suggĂšrent que la mĂ©thode de segmentation confĂšre une fiabilitĂ© et rĂ©pĂ©tabilitĂ© comparables Ă la segmentation manuelle. De plus, cette mĂ©thode diminue de façon significative le temps dâinteraction, la rendant ainsi adaptĂ©e Ă la pratique clinique courante.
Dâautres Ă©tudes pourraient incorporer la volumĂ©trie afin de dĂ©terminer des marqueurs biologiques de maladie hĂ©patique basĂ©s sur le volume tels que la prĂ©sence de stĂ©atose, de fer, ou encore la mesure de fibrose par unitĂ© de volume.The liver is a vital abdominal organ known for its remarkable regenerative
capacity and fundamental role in organism viability. Assessment of liver volume is
an important tool which physicians use as a biomarker of disease severity. Liver
volumetry is clinically indicated prior to major hepatectomy, portal vein
embolization and transplantation.
The most popular method to determine liver volume from computed
tomography (CT) and magnetic resonance imaging (MRI) examinations involves
contouring the liver on consecutive imaging slices, a process called
âsegmentationâ. Segmentation can be performed either manually or in an
automated fashion.
We present the design concept and validation strategy for an innovative
semiautomated liver segmentation method developed at our institution. Our
method represents a model-based approach using variational shape interpolation
and Laplacian mesh optimization techniques. It is independent of training data,
requires limited user interactions and is robust to a variety of pathological cases.
Further, it was designed for compatibility with both CT and MRI examinations.
We evaluated the repeatability, agreement and efficiency of our
semiautomated method in two retrospective cross-sectional studies. The results of
our validation studies suggest that semiautomated liver segmentation can provide
strong agreement and repeatability when compared to manual segmentation.
Further, segmentation automation significantly shortens interaction time, thus
making it suitable for daily clinical practice.
Future studies may incorporate liver volumetry to determine volume-averaged
biomarkers of liver disease, such as such as fat, iron or fibrosis measurements per
unit volume. Segmental volumetry could also be assessed based on
subsegmentation of vascular anatomy
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Development of advanced 3D medical analysis tools for clinical training, diagnosis and treatment
This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University.The objective of this PhD research was the development of novel 3D interactive medical platforms for medical image analysis, simulation and visualisation, with a focus on oncology images to support clinicians in managing the increasing amount of data provided by several medical image modalities.
DoctorEye and Automatic Tumour Detector platforms were developed through constant interaction and feedback from expert clinicians, integrating a number of innovations in algorithms and methods, concerning image handling, segmentation, annotation, visualisation and plug-in technologies. DoctorEye is already being used in a related tumour modelling EC project (ContraCancrum) and offers several robust algorithms and tools for fast annotation, 3D visualisation and measurements to assist the clinician in better understanding the pathology of the brain area and define the treatment. It is free to use upon request and offers a user friendly environment for clinicians as it simplifies the implementation of complex algorithms and methods. It integrates a sophisticated, simple-to-use plug-in technology allowing researchers to add algorithms and methods (e.g. tumour growth and simulation algorithms for improving therapy planning) and interactively check the results. Apart from diagnostic and research purposes, it supports clinical training as it allows an expert clinician to evaluate a clinical delineation by different clinical users. The Automatic Tumour Detector focuses on abdominal images, which are more complex than those of the brain. It supports full automatic 3D detection of kidney pathology in real-time as well as 3D advanced visualisation and measurements. This is achieved through an innovative method implementing Templates. They contain rules and parameters for the Automatic Recognition Framework defined interactively by engineers based on cliniciansâ 3D Golden Standard models. The Templates enable the automatic detection of kidneys and their possible abnormalities (tumours, stones and cysts). The system also supports the transmission of these Templates to another expert for a second opinion. Future versions of the proposed platforms could integrate even more sophisticated algorithms and tools and offer fully computer-aided identification of a variety of other organs and their dysfunctions
Measurement Variability in Treatment Response Determination for Non-Small Cell Lung Cancer: Improvements using Radiomics
Multimodality imaging measurements of treatment response are critical for clinical practice, oncology trials, and the evaluation of new treatment modalities. The current standard for determining treatment response in non-small cell lung cancer (NSCLC) is based on tumor size using the RECIST criteria. Molecular targeted agents and immunotherapies often cause morphological change without reduction of tumor size. Therefore, it is difficult to evaluate therapeutic response by conventional methods. Radiomics is the study of cancer imaging features that are extracted using machine learning and other semantic features. This method can provide comprehensive information on tumor phenotypes and can be used to assess therapeutic response in this new age of immunotherapy. Delta radiomics, which evaluates the longitudinal changes in radiomics features, shows potential in gauging treatment response in NSCLC. It is well known that quantitative measurement methods may be subject to substantial variability due to differences in technical factors and require standardization. In this review, we describe measurement variability in the evaluation of NSCLC and the emerging role of radiomics. © 2019 Wolters Kluwer Health, Inc. All rights reserved
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