Cascaded Segmentation of Brain Tumors Using Multi-Modality MR Profiles

The accurate identification of the brain tumor boundary and its components is crucial for their effective treatment, but is rendered challenging due to the large variations in tumor size, shape and location, and the inherent inhomogeneity, presence of edema, and infiltration into surrounding tissue. Most of the existing tumor segmentation methods use supervised or unsupervised tissue classification based on the conventional T1 and/or T2 enhanced images and show promising results in differentiating tumor and normal tissues [1-3]. However, perhaps due to the lack of enough MR modalities that could provide a more distinctive appearance signature of each tissue type, these methods have difficulty in differentiating tumor components (enhancing or non-enhancing) and edema. These issues are alleviated by the framework proposed in this paper, that incorporates multi-modal MR images, including the conventional structural MR images and the diffusion tensor imaging (DTI) related maps to create tumor tissue profiles that provide better differentiation between tumor components, edema, and normal tissue types. Tissue profiles are created using pattern classification techniques that learn the multimodal appearance signature of each tissue type by training on expert identified training samples from several patients. The novel use of DTI in the multi-modality framework, helps incorporate the information that tumors grow along white matter tracts [4]. In addition to distinguishing between enhancing and non-enhancing tumors, our framework is also able to identify edema as a separate class, contributing to the solution of tumor boundary detection problem. Tumor segmentation and probabilistic tissue maps generated as a result of applying the classifiers on a new patient reflect the subtle characterizations of tumors and surrounding tissues, and thus could be used to aid tumor diagnosis, tumor boundary identification and tumor surgery planning

Probabilistic Segmentation of Brain Tumors Based on Multi-Modality Magnetic Resonance Images

In this paper, multi-modal Magnetic Resonance (MR) images are integrated into a tissue profile that aims at differentiating tumor components, edema and normal tissue. This is achieved by a tissue classification technique that learns the appearance models of different tissue types based on training samples identified by an expert and assigns tissue labels to each voxel. These tissue classifiers produce probabilistic tissue maps reflecting imaging characteristics of tumors and surrounding tissues that may be employed to aid in diagnosis, tumor boundary delineation, surgery and treatment planning. The main contributions of this work are: 1) conventional structural MR modalities are combined with diffusion tensor imaging data to create an integrated multimodality profile for brain tumors, and 2) in addition to the tumor components of enhancing and non-enhancing tumor types, edema is also characterized as a separate class in our framework. Classification performance is tested on 22 diverse tumor cases using cross-validation

Multiparametric Tissue Characterization of Brain Neoplasms and Their Recurrence Using Pattern Classification of MR Images

Rationale and Objectives: Treatment of brain neoplasms can greatly benefit from better delineation of bulk neoplasm boundary and the extent and degree of more subtle neoplastic infiltration. MRI is the primary imaging modality for evaluation before and after therapy, typically combining conventional sequences with more advanced techniques like perfusion-weighted imaging and diffusion tensor imaging (DTI). The purpose of this study is to quantify the multi-parametric imaging profile of neoplasms by integrating structural MRI and DTI via statistical image analysis methods, in order to potentially capture complex and subtle tissue characteristics that are not obvious from any individual image or parameter. Materials and Methods: Five structural MR sequences, namely, B0, Diffusion Weighted Images, FLAIR, T1-weighted, and gadolinium-enhanced T1-weighted, and two scalar maps computed from DTI, i.e., fractional anisotropy and apparent diffusion coefficient, are used to create an intensity-based tissue profile. This is incorporated into a non-linear pattern classification technique to create a multi-parametric probabilistic tissue characterization, which is applied to data from 14 patients with newly diagnosed primary high grade neoplasms who have not received any therapy prior to imaging. Results: Preliminary results demonstrate that this multi-parametric tissue characterization helps to better differentiate between neoplasm, edema and healthy tissue, and to identify tissue that is likely progress to neoplasm in the future. This has been validated on expert assessed tissue. Conclusion: This approach has potential applications in treatment, aiding computer-assisted surgery by determining the spatial distributions of healthy and neoplastic tissue, as well as in identifying tissue that is relatively more prone to tumor recurrence

Interaction between Salmonella and Schistosomiasis: A Review.

The interaction between schistosomiasis and Salmonella is a particularly important issue in Africa, where dual infection by the parasite and the bacterium are likely common. In this review, the ways in which schistosomiasis affects human biology as it relates to Salmonella are described. Those who are infected by both organisms experience reduced immunological functioning, exhibit irreversible organ damage due to prolonged schistosomiasis infection, and become latent carriers of Salmonella enterica serotypes Typhi and Paratyphi and S. Typhimurium. The sequestration of the bacteria in the parasite leads to ineffective antibiotic treatment because the bacteria cannot be completely killed, and lingering infection may then lead to antimicrobial resistance. These manifestations are likely not just for those dually infected but also for those first infected with schistosomes and, later, Salmonella. More data are needed to better understand dual infection, particularly as it may impact treatment and prevention of schistosomiasis and Salmonella in sub-Saharan Africa