Novel Brain Complexity Measures Based on Information Theory

Brain networks are widely used models to understand the topology and organization of the brain. These networks can be represented by a graph, where nodes correspond to brain regions and edges to structural or functional connections. Several measures have been proposed to describe the topological features of these networks, but unfortunately, it is still unclear which measures give the best representation of the brain. In this paper, we propose a new set of measures based on information theory. Our approach interprets the brain network as a stochastic process where impulses are modeled as a random walk on the graph nodes. This new interpretation provides a solid theoretical framework from which several global and local measures are derived. Global measures provide quantitative values for the whole brain network characterization and include entropy, mutual information, and erasure mutual information. The latter is a new measure based on mutual information and erasure entropy. On the other hand, local measures are based on different decompositions of the global measures and provide different properties of the nodes. Local measures include entropic surprise, mutual surprise, mutual predictability, and erasure surprise. The proposed approach is evaluated using synthetic model networks and structural and functional human networks at different scales. Results demonstrate that the global measures can characterize new properties of the topology of a brain network and, in addition, for a given number of nodes, an optimal number of edges is found for small-world networks. Local measures show different properties of the nodes such as the uncertainty associated to the node, or the uniqueness of the path that the node belongs. Finally, the consistency of the results across healthy subjects demonstrates the robustness of the proposed measures

3D CATBraTS: Channel Attention Transformer for Brain Tumour Semantic Segmentation

Brain tumour diagnosis is a challenging task yet crucial for planning treatments to stop or slow the growth of a tumour. In the last decade, there has been a dramatic increase in the use of convolutional neural networks (CNN) for their high performance in the automatic segmentation of tumours in medical images. More recently, Vision Transformer (ViT) has become a central focus of medical imaging for its robustness and efficiency when compared to CNNs. In this paper, we propose a novel 3D transformer named 3D CATBraTS for brain tumour semantic segmentation on magnetic resonance images (MRIs) based on the state-of-the-art Swin transformer with a modified CNN-encoder architecture using residual blocks and a channel attention module. The proposed approach is evaluated on the BraTS 2021 dataset and achieved quantitative measures of the mean Dice similarity coefficient (DSC) that surpasses the current state-of-the-art approaches in the validation phase

Fan-Slicer: A Pycuda Package for Fast Reslicing of Ultrasound Shaped Planes

Fan-Slicer (https://github.com/UCL/fan-slicer) is a Python package that enables the fast sampling (slicing) of 2D ultrasound-shaped images from a 3D volume. To increase sampling speed, CUDA kernel functions are used in conjunction with the Pycuda package. The main features include functions to generate images from both 3D surface models and 3D volumes. Additionally, the package also allows for the sampling of images from curvilinear (fan shaped planes) and linear (rectangle shaped planes) ultrasound transducers. Potential uses of Fan-slicer include the generation of large datasets of 2D images from 3D volumes and the simulation of intra-operative data among others

Automatic segmentation of prostate MRI using convolutional neural networks: Investigating the impact of network architecture on the accuracy of volume measurement and MRI-ultrasound registration

Convolutional neural networks (CNNs) have recently led to significant advances in automatic segmentations of anatomical structures in medical images, and a wide variety of network architectures are now available to the research community. For applications such as segmentation of the prostate in magnetic resonance images (MRI), the results of the PROMISE12 online algorithm evaluation platform have demonstrated differences between the best-performing segmentation algorithms in terms of numerical accuracy using standard metrics such as the Dice score and boundary distance. These small differences in the segmented regions/boundaries outputted by different algorithms may potentially have an unsubstantial impact on the results of downstream image analysis tasks, such as estimating organ volume and multimodal image registration, which inform clinical decisions. This impact has not been previously investigated. In this work, we quantified the accuracy of six different CNNs in segmenting the prostate in 3D patient T2-weighted MRI scans and compared the accuracy of organ volume estimation and MRI-ultrasound (US) registration errors using the prostate segmentations produced by different networks. Networks were trained and tested using a set of 232 patient MRIs with labels provided by experienced clinicians. A statistically significant difference was found among the Dice scores and boundary distances produced by these networks in a non-parametric analysis of variance (p < 0.001 and p < 0.001, respectively), where the following multiple comparison tests revealed that the statistically significant difference in segmentation errors were caused by at least one tested network. Gland volume errors (GVEs) and target registration errors (TREs) were then estimated using the CNN-generated segmentations. Interestingly, there was no statistical difference found in either GVEs or TREs among different networks, (p = 0.34 and p = 0.26, respectively). This result provides a real-world example that these networks with different segmentation performances may potentially provide indistinguishably adequate registration accuracies to assist prostate cancer imaging applications. We conclude by recommending that the differences in the accuracy of downstream image analysis tasks that make use of data output by automatic segmentation methods, such as CNNs, within a clinical pipeline should be taken into account when selecting between different network architectures, in addition to reporting the segmentation accuracy

Assisted Probe Positioning for Ultrasound Guided Radiotherapy Using Image Sequence Classification

Effective transperineal ultrasound image guidance in prostate external beam radiotherapy requires consistent alignment between probe and prostate at each session during patient set-up. Probe placement and ultrasound image interpretation are manual tasks contingent upon operator skill, leading to interoperator uncertainties that degrade radiotherapy precision. We demonstrate a method for ensuring accurate probe placement through joint classification of images and probe position data. Using a multi-input multi-task algorithm, spatial coordinate data from an optically tracked ultrasound probe is combined with an image classifier using a recurrent neural network to generate two sets of predictions in real-time. The first set identifies relevant prostate anatomy visible in the field of view using the classes: outside prostate, prostate periphery, prostate centre. The second set recommends a probe angular adjustment to achieve alignment between the probe and prostate centre with the classes: move left, move right, stop. The algorithm was trained and tested on 9,743 clinical images from 61 treatment sessions across 32 patients. We evaluated classification accuracy against class labels derived from three experienced observers at 2/3 and 3/3 agreement thresholds. For images with unanimous consensus between observers, anatomical classification accuracy was 97.2% and probe adjustment accuracy was 94.9%. The algorithm identified optimal probe alignment within a mean (standard deviation) range of 3.7° (1.2°) from angle labels with full observer consensus, comparable to the 2.8° (2.6°) mean interobserver range. We propose such an algorithm could assist radiotherapy practitioners with limited experience of ultrasound image interpretation by providing effective real-time feedback during patient set-up

Brain parcellation based on information theory

BACKGROUND AND OBJECTIVE: In computational neuroimaging, brain parcellation methods subdivide the brain into individual regions that can be used to build a network to study its structure and function. Using anatomical or functional connectivity, hierarchical clustering methods aim to offer a meaningful parcellation of the brain at each level of granularity. However, some of these methods have been only applied to small regions and strongly depend on the similarity measure used to merge regions. The aim of this work is to present a robust whole-brain hierarchical parcellation that preserves the global structure of the network. METHODS: Brain regions are modeled as a random walk on the connectome. From this model, a Markov process is derived, where the different nodes represent brain regions and in which the structure can be quantified. Functional or anatomical brain regions are clustered by using an agglomerative information bottleneck method that minimizes the overall loss of information of the structure by using mutual information as a similarity measure. RESULTS: The method is tested with synthetic models, structural and functional human connectomes and is compared with the classic k-means. Results show that the parcellated networks preserve the main properties and are consistent across subjects. CONCLUSION: This work provides a new framework to study the human connectome using functional or anatomical connectivity at different levels

Assessment of Electromagnetic Tracking Accuracy for Endoscopic Ultrasound

Endoscopic ultrasound (EUS) is a minimally-invasive imaging technique that can be technically difficult to perform due to the small field of view and uncertainty in the endoscope position. Electromagnetic (EM) tracking is emerging as an important technology in guiding endoscopic interventions and for training in endotherapy by providing information on endoscope location by fusion with pre-operative images. However, the accuracy of EM tracking could be compromised by the endoscopic ultrasound transducer. In this work, we quantify the precision and accuracy of EM tracking sensors inserted into the working channel of a flexible endoscope, with the ultrasound transducer turned on and off. The EUS device was found to have little (no significant) effect on static tracking accuracy although jitter increased significantly. A significant change in the measured distance between sensors arranged in a fixed geometry was found during a dynamic acquisition. In conclusion, EM tracking accuracy was not found to be significantly affected by the flexible endoscope

Determination of optimal ultrasound planes for the initialisation of image registration during endoscopic ultrasound-guided procedures

PURPOSE: Navigation of endoscopic ultrasound (EUS)-guided procedures of the upper gastrointestinal (GI) system can be technically challenging due to the small fields-of-view of ultrasound and optical devices, as well as the anatomical variability and limited number of orienting landmarks during navigation. Co-registration of an EUS device and a pre-procedure 3D image can enhance the ability to navigate. However, the fidelity of this contextual information depends on the accuracy of registration. The purpose of this study was to develop and test the feasibility of a simulation-based planning method for pre-selecting patient-specific EUS-visible anatomical landmark locations to maximise the accuracy and robustness of a feature-based multimodality registration method. METHODS: A registration approach was adopted in which landmarks are registered to anatomical structures segmented from the pre-procedure volume. The predicted target registration errors (TREs) of EUS-CT registration were estimated using simulated visible anatomical landmarks and a Monte Carlo simulation of landmark localisation error. The optimal planes were selected based on the 90th percentile of TREs, which provide a robust and more accurate EUS-CT registration initialisation. The method was evaluated by comparing the accuracy and robustness of registrations initialised using optimised planes versus non-optimised planes using manually segmented CT images and simulated ([Formula: see text]) or retrospective clinical ([Formula: see text]) EUS landmarks. RESULTS: The results show a lower 90th percentile TRE when registration is initialised using the optimised planes compared with a non-optimised initialisation approach (p value [Formula: see text]). CONCLUSIONS: The proposed simulation-based method to find optimised EUS planes and landmarks for EUS-guided procedures may have the potential to improve registration accuracy. Further work will investigate applying the technique in a clinical setting

Novel Brain Complexity Measures Based on Information Theory

Brain networks are widely used models to understand the topology and organization of the brain. These networks can be represented by a graph, where nodes correspond to brain regions and edges to structural or functional connections. Several measures have been proposed to describe the topological features of these networks, but unfortunately, it is still unclear which measures give the best representation of the brain. In this paper, we propose a new set of measures based on information theory. Our approach interprets the brain network as a stochastic process where impulses are modeled as a random walk on the graph nodes. This new interpretation provides a solid theoretical framework from which several global and local measures are derived. Global measures provide quantitative values for the whole brain network characterization and include entropy, mutual information, and erasure mutual information. The latter is a new measure based on mutual information and erasure entropy. On the other hand, local measures are based on different decompositions of the global measures and provide different properties of the nodes. Local measures include entropic surprise, mutual surprise, mutual predictability, and erasure surprise. The proposed approach is evaluated using synthetic model networks and structural and functional human networks at different scales. Results demonstrate that the global measures can characterize new properties of the topology of a brain network and, in addition, for a given number of nodes, an optimal number of edges is found for small-world networks. Local measures show different properties of the nodes such as the uncertainty associated to the node, or the uniqueness of the path that the node belongs. Finally, the consistency of the results across healthy subjects demonstrates the robustness of the proposed measures

Determination of optimal ultrasound planes for the initialisation of image registration during endoscopic ultrasound-guided procedures

Purpose Navigation of endoscopic ultrasound (EUS)-guided procedures of the upper gastrointestinal (GI) system can be technically challenging due to the small fields-of-view of ultrasound and optical devices, as well as the anatomical variability and limited number of orienting landmarks during navigation. Co-registration of an EUS device and a pre-procedure 3D image can enhance the ability to navigate. However, the fidelity of this contextual information depends on the accuracy of registration. The purpose of this study was to develop and test the feasibility of a simulation-based planning method for pre-selecting patient-specific EUS-visible anatomical landmark locations to maximise the accuracy and robustness of a feature-based multimodality registration method. Methods A registration approach was adopted in which landmarks are registered to anatomical structures segmented from the pre-procedure volume. The predicted target registration errors (TREs) of EUS-CT registration were estimated using simulated visible anatomical landmarks and a Monte Carlo simulation of landmark localisation error. The optimal planes were selected based on the 90th percentile of TREs, which provide a robust and more accurate EUS-CT registration initialisation. The method was evaluated by comparing the accuracy and robustness of registrations initialised using optimised planes versus non-optimised planes using manually segmented CT images and simulated (n=9) or retrospective clinical (n=1) EUS landmarks. Results The results show a lower 90th percentile TRE when registration is initialised using the optimised planes compared with a non-optimised initialisation approach (p value <0.01). Conclusions The proposed simulation-based method to find optimised EUS planes and landmarks for EUS-guided procedures may have the potential to improve registration accuracy. Further work will investigate applying the technique in a clinical setting