TBI Contusion Segmentation from MRI using Convolutional Neural Networks

Traumatic brain injury (TBI) is caused by a sudden trauma to the head that may result in hematomas and contusions and can lead to stroke or chronic disability. An accurate quantification of the lesion volumes and their locations is essential to understand the pathophysiology of TBI and its progression. In this paper, we propose a fully convolutional neural network (CNN) model to segment contusions and lesions from brain magnetic resonance (MR) images of patients with TBI. The CNN architecture proposed here was based on a state of the art CNN architecture from Google, called Inception. Using a 3-layer Inception network, lesions are segmented from multi-contrast MR images. When compared with two recent TBI lesion segmentation methods, one based on CNN (called DeepMedic) and another based on random forests, the proposed algorithm showed improved segmentation accuracy on images of 18 patients with mild to severe TBI. Using a leave-one-out cross validation, the proposed model achieved a median Dice of 0.75, which was significantly better (p<0.01) than the two competing methods.Comment: https://ieeexplore.ieee.org/abstract/document/8363545/, IEEE 15th International Symposium on Biomedical Imaging (ISBI 2018

Integrating semi-supervised label propagation and random forests for multi-atlas based hippocampus segmentation

A novel multi-atlas based image segmentation method is proposed by integrating a semi-supervised label propagation method and a supervised random forests method in a pattern recognition based label fusion framework. The semi-supervised label propagation method takes into consideration local and global image appearance of images to be segmented and segments the images by propagating reliable segmentation results obtained by the supervised random forests method. Particularly, the random forests method is used to train a regression model based on image patches of atlas images for each voxel of the images to be segmented. The regression model is used to obtain reliable segmentation results to guide the label propagation for the segmentation. The proposed method has been compared with state-of-the-art multi-atlas based image segmentation methods for segmenting the hippocampus in MR images. The experiment results have demonstrated that our method obtained superior segmentation performance.Comment: Accepted paper in IEEE International Symposium on Biomedical Imaging (ISBI), 201

Multi-atlas label fusion by using supervised local weighting for brain image segmentation

La segmentación automática de estructuras de interés en imágenes de resonancia magnética cerebral requiere esfuerzos significantes, debido a las formas complicadas, el bajo contraste y la variabilidad anatómica. Un aspecto que reduce el desempeño de la segmentación basada en múltiples atlas es la suposición de correspondencias uno-a-uno entre los voxeles objetivo y los del atlas. Para mejorar el desempeño de la segmentación, las metodologías de fusión de etiquetas incluyen información espacial y de intensidad a través de estrategias de votación ponderada a nivel de voxel. Aunque los pesos se calculan para un conjunto de atlas predefinido, estos no son muy eficientes en etiquetar estructuras intrincadas, ya que la mayoría de las formas de los tejidos no se distribuyen uniformemente en las imágenes. Este artículo propone una metodología de extracción de características a nivel de voxel basado en la combinación lineal de las intensidades de un parche. Hasta el momento, este es el primer intento de extraer características locales maximizando la función de alineamiento de kernel centralizado, buscando construir representaciones discriminativas, superar la complejidad de las estructuras, y reducir la influencia de los artefactos. Para validar los resultados, la estrategia de segmentación propuesta se compara contra la segmentación Bayesiana y la fusión de etiquetas basada en parches en tres bases de datos diferentes. Respecto del índice de similitud Dice, nuestra propuesta alcanza el más alto acierto (90.3% en promedio) con suficiente robusticidad ante los artefactos y respetabilidad apropiada.The automatic segmentation of interest structures is devoted to the morphological analysis of brain magnetic resonance imaging volumes. It demands significant efforts due to its complicated shapes and since it lacks contrast between tissues and intersubject anatomical variability. One aspect that reduces the accuracy of the multi-atlasbased segmentation is the label fusion assumption of one-to-one correspondences between targets and atlas voxels. To improve the performance of brain image segmentation, label fusion approaches include spatial and intensity information by using voxel-wise weighted voting strategies. Although the weights are assessed for a predefined atlas set, they are not very efficient for labeling intricate structures since most tissue shapes are not uniformly distributed in the images. This paper proposes a methodology of voxel-wise feature extraction based on the linear combination of patch intensities. As far as we are concerned, this is the first attempt to locally learn the features by maximizing the centered kernel alignment function. Our methodology aims to build discriminative representations, deal with complex structures, and reduce the image artifacts. The result is an enhanced patch-based segmentation of brain images. For validation, the proposed brain image segmentation approach is compared against Bayesian-based and patch-wise label fusion on three different brain image datasets. In terms of the determined Dice similarity index, our proposal shows the highest segmentation accuracy (90.3% on average); it presents sufficient artifact robustness, and provides suitable repeatability of the segmentation results

Integrating Semi-supervised and Supervised Learning Methods for Label Fusion in Multi-Atlas Based Image Segmentation

A novel label fusion method for multi-atlas based image segmentation method is developed by integrating semi-supervised and supervised machine learning techniques. Particularly, our method is developed in a pattern recognition based multi-atlas label fusion framework. We build random forests classification models for each image voxel to be segmented based on its corresponding image patches of atlas images that have been registered to the image to be segmented. The voxelwise random forests classification models are then applied to the image to be segmented to obtain a probabilistic segmentation map. Finally, a semi-supervised label propagation method is adapted to refine the probabilistic segmentation map by propagating its reliable voxelwise segmentation labels, taking into consideration consistency of local and global image appearance of the image to be segmented. The proposed method has been evaluated for segmenting the hippocampus in MR images and compared with alternative machine learning based multi-atlas based image segmentation methods. The experiment results have demonstrated that our method could obtain competitive segmentation performance (average Dice index &gt; 0.88), compared with alternative multi-atlas based image segmentation methods under comparison. Source codes of the methods under comparison are publicly available at www.nitrc.org/frs/?group_id=1242

Brain ventricle parcellation using a deep neural network: Application to patients with ventriculomegaly

Publisher's version (útgefin grein)Numerous brain disorders are associated with ventriculomegaly, including both neuro-degenerative diseases and cerebrospinal fluid disorders. Detailed evaluation of the ventricular system is important for these conditions to help understand the pathogenesis of ventricular enlargement and elucidate novel patterns of ventriculomegaly that can be associated with different diseases. One such disease is normal pressure hydrocephalus (NPH), a chronic form of hydrocephalus in older adults that causes dementia. Automatic parcellation of the ventricular system into its sub-compartments in patients with ventriculomegaly is quite challenging due to the large variation of the ventricle shape and size. Conventional brain labeling methods are time-consuming and often fail to identify the boundaries of the enlarged ventricles. We propose a modified 3D U-Net method to perform accurate ventricular parcellation, even with grossly enlarged ventricles, from magnetic resonance images (MRIs). We validated our method on a data set of healthy controls as well as a cohort of 95 patients with NPH with mild to severe ventriculomegaly and compared with several state-of-the-art segmentation methods. On the healthy data set, the proposed network achieved mean Dice similarity coefficient (DSC) of 0.895 ± 0.03 for the ventricular system. On the NPH data set, we achieved mean DSC of 0.973 ± 0.02, which is significantly (p < 0.005) higher than four state-of-the-art segmentation methods we compared with. Furthermore, the typical processing time on CPU-base implementation of the proposed method is 2 min, which is much lower than the several hours required by the other methods. Results indicate that our method provides: 1) highly robust parcellation of the ventricular system that is comparable in accuracy to state-of-the-art methods on healthy controls; 2) greater robustness and significantly more accurate results on cases of ventricular enlargement; and 3) a tool that enables computation of novel imaging biomarkers for dilated ventricular spaces that characterize the ventricular system. © 2019 The AuthorsThis work was supported by the NIH/NINDS under grant R21-NS096497 . Support was also provided by the National Multiple Sclerosis Society grant RG-1507-05243 , the Department of Defense in the Center for Neuroscience and Regenerative Medicine , and the Icelandic Centre for Research (RANNIS) under grant 173942051 . The author Shuo Han is in part supported by the Intramural Research Program of the NIH , National Institute on Aging . This research project was conducted using computational resources at the Maryland Advanced Research Computing Center (MARCC).Peer Reviewe