Augmented breast tumor classification by perfusion analysis

Magnetic resonance and computed tomography imaging aid in the diagnosis and analysis of pathologic conditions. Blood flow, or perfusion, through a region of tissue can be computed from a time series of contrast-enhanced images. Perfusion is an important set of physiological parameters that reflect angiogenesis. In cancer, heightened angiogenesis is a key process in the growth and spread of tumorous masses. An automatic classification technique using recovered perfusion may prove to be a highly accurate diagnostic tool. Such a classification system would supplement existing histopathological tests, and help physicians to choose the most optimal treatment protocol. Perfusion is obtained through deconvolution of signal intensity series and a pharmacokinetic model. However, many computational problems complicate the accurate-consistent recovery of perfusion. The high time-resolution acquisition of images decreases signal-to-noise, producing poor deconvolution solutions. The delivery of contrast agent as a function of time must also be determined or sampled before deconvolution can proceed. Some regions of the body, such as the brain, provide a nearby artery to serve as this arterial input function. Poor estimates can lead to an over or under estimation of perfusion. Breast tissue is an example of one tissue region where a clearly defined artery is not present. This proposes a new method of using recovered perfusion and spatial information in an automated classifier. This classifier grades suspected lesions as benign or malignant. This method can be integrated into a computer-aided diagnostic system to enhance the value of medical imagery

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