Volumetric relief map for the cortical subarachnoid space analysis

Purpose: Medical image visualization is an important step in the medical diagnosis of hydrocephalus. In this paper, we present planar representations called volumetric relief maps that are generated from three-dimensional images of the cerebrospinal fluid within the cortical subarachnoid space. Such maps are visually interpreted at once and allow to automatically characterize fluid distributions. Consequently, they help specialists to provide a diagnosis and to monitor patients instantly. Methods: Volumetric relief maps are generated by enclosing the cortical subarachnoid space with a hemisphere, and using a ray tracing method and a map projection technique from a hemisphere to a plane. Results: Visualization of maps indicates that healthy adults have more balanced fluid distributions with well-filled sulci, unlike hydrocephalus patients who have more or less large fluid depletions in the posterior regions of the brain. We showed that a moment-based approach allows to efficiently characterize such fluid distributions from maps. In particular, the center of mass of a distribution is an efficient discriminant factor to distinguish between healthy adults and hydrocephalus patients, with resulting sensitivity and specificity of 100%. In addition, we have noted that asymmetry of the fluid distribution increases with depletion for hydrocephalus patients; such asymmetry is generally oriented towards the frontal part of the fissura longitudinalis cerebri. Conclusions: This paper describes an innovative visualization tool used to analyze fluid distribution within the cortical subarachnoid space. It allows to efficiently discriminate between healthy adults and pathological cases, and to monitor patients before and after surgery

Volumetric relief map for intracranial cerebrospinal fluid distribution analysis

International audienceCerebrospinal fluid imaging plays a significant role in the clinical diagnosis of brain disorders, such as hydrocephalus and Alzheimer's disease. While three-dimensional images of cerebrospinal fluid are very detailed, the complex structures they contain can be time-consuming and laborious to interpret. This paper presents a simple technique that represents the intracranial cerebrospinal fluid distribution as a two-dimensional image in such a way that the total fluid volume is preserved. We call this a volumetric relief map, and show its effectiveness in a characterization and analysis of fluid distributions and networks in hydrocephalus patients and healthy adults

A Kernel-based Approach to Diffusion Tensor and Fiber Clustering in the Human Skeletal Muscle

In this report, we present a kernel-based approach to the clustering of diffusion tensors in images of the human skeletal muscle. Based on the physical intuition of tensors as a means to represent the uncertainty of the position of water protons in the tissues, we propose a Mercer (i.e. positive definite) kernel over the tensor space where both spatial and diffusion information are taken into account. This kernel highlights implicitly the connectivity along fiber tracts. We show that using this kernel in a kernel-PCA setting compounded with a landmark-Isomap embedding and k-means clustering provides a tractable framework for tensor clustering. We extend this kernel to deal with fiber tracts as input using the multi-instance kernel by considering the fiber as set of tensors centered in the sampled points of the tract. The obtained kernel reflects not only interactions between points along fiber tracts, but also the interactions between diffusion tensors. We give an interpretation of the obtained kernel as a comparison of soft fiber representations and show that it amounts to a generalization of the Gaussian kernel Correlation. As in the tensor case, we use the kernel-PCA setting and k-means for grouping of fiber tracts. This unsupervised method is further extended by way of an atlas-based registration of diffusion-free images, followed by a classification of fibers based on non-linear kernel Support Vector Machines (SVMs) and kernel diffusion. The experimental results on a dataset of diffusion tensor images of the calf muscle of 25 patients (of which 5 affected by myopathies, i.e. neuromuscular diseases) show the potential of our method in segmenting the calf in anatomically relevant regions both at the tensor and fiber level

Manifold-driven Grouping of Skeletal Muscle Fibers

In this report, we present a manifold clustering method for the classification of fibers obtained from diffusion tensor images (DTI) of the human skeletal muscle. To this end, we propose the use of angular Hilbertian metrics between multivariate normal distributions to define a family of distances between tensors that we generalize to fibers. The obtained metrics between fiber tracts encompasses both diffusion and localization information. As far as clustering is concerned, we use two methods. The first approach is based on diffusion maps and k-means clustering in the spectral embedding space. The second approach uses a linear programming formulation of prototype-based clustering. This formulation allows for classification over manifolds without the necessity to embed the data in low dimensional spaces and determines automatically the number of clusters. The experimental validation of the proposed framework is done using a manually annotated significant dataset of DTI of the calf muscle for healthy and diseased subjects

Evaluation des déformations du myocarde sur des séquences temporelles d'images IRM par estimation contrainte du flot optique

- Ce travail a pour objectif l'estimation du champ de déformation du myocarde sur des séquences d'images IRM non marquées en vue de l'évaluation de la fonction cardiaque. Nous évaluons, par une méthode de segmentation et de mise en correspondance des contours du myocarde, un champ de vitesse épars utilisé comme contrainte dans le calcul du flot optique. Une validation clinique de la méthode d'estimation des déformations myocardiques à partir de ciné IRM standard a permis d'envisager l'évaluation précise de la viabilité du tissu cardiaque en routine clinique

Local Appearance Knowledge and Shape Variation Models for Muscle Segmentation

In this report, we present a novel prior knowledge representation of shape variation using diffusion wavelets and applied for medical image segmentation. One of the major advantage of our approach is that it can reflect arbitrary and continuous interdependencies in the training data. In contrast to state-of-the-art methods our framework during the learning stage optimizes the coefficients as well as the number and the position of landmarks using geometric (reconstructed surface) constraints. Saliency is encoded in the model and segmentation is expressed through the extraction of the corresponding features in a new data-set. The resulting paradigm supports hierarchies both in the model and the search space, can encode complex geometric and photometric dependencies of the structure of interest, and can deal with arbitrary topologies. In another hand, our report deals with a different model search methodology where we apply an approach related to active feature models; the location of landmarks is updated iteratively, using local features, and the canonical correlation analysis. We report promising results on two challenging medical data sets, that illustrate the potential of our method

Estimation of tissue contractility from cardiac cine-MRI using a biomechanical heart model

International audienceThe objective of this paper is to propose and assess an estimation procedure - based on data assimilation principles - well-suited to obtain some regional values of key biophysical parameters in a beating heart model, using actual Cine-MR images. The motivation is twofold: (1) to provide an automatic tool for personalizing the characteristics of a cardiac model in order to achieve predictivity in patient-specific modeling, and (2) to obtain some useful information for diagnosis purposes in the estimated quantities themselves. In order to assess the global methodology we specifically devised an animal experiment in which a controlled infarct was produced and data acquired before and after infarction, with an estimation of regional tissue contractility - a key parameter directly affected by the pathology - performed for every measured stage. After performing a preliminary assessment of our proposed methodology using synthetic data, we then demonstrate a full-scale application by first estimating contractility values associated with 6 regions based on the AHA subdivision, before running a more detailed estimation using the actual AHA segments. The estimation results are assessed by comparison with the medical knowledge of the specific infarct, and with late enhancement MR images. We discuss their accuracy at the various subdivision levels, in the light of the inherent modeling limitations and of the intrinsic information contents featured in the data

Optimal estimation of diffusion in DW-MRI by high-order MRF-based joint deformable registration and diffusion modeling

International audienceOver the last years, the apparent diffusion coefficient (ADC), computed from diffusion-weighted magnetic resonance (DW-MR) images, has become an important imaging biomarker for evaluating and managing patients with neoplastic or cerebrovascular disease. Standard methods for the calculation of ADC ignore the presence of noise and motion between successive (in time) DW-MR images acquired by changing the b-value. In order to accurately quantify the diffusion process during image acquisition, we introduce a method based on a high-order Markov Random Field (MRF) formulation that jointly registers the DW-MR images and models the spatiotemporal diffusion. Spatial smoothness on the ADC map, as well as spatiotempo-ral deformation smoothness, is imposed towards producing anatomically meaningful representations. The high-order dependencies in our MRF model are handled through Dual Decomposition. Performance of registration is compared to a state-of-the art registration approach in terms of obtained fitting error of the diffusion model in the core of the tumor. Preliminary results reveal a marginally better performance of our method when compared against the standard ADC map used in clinical practice, which indicates its potential as a means for extracting imaging biomarkers

Deformable group-wise registration using a physiological model: application to DIffusion-Weighted MRI

International audienceIntensity variations can often be described by a physiological or temporal model applied on a voxel-wise basis across a group of images. However the voxel correspondence might be unknown, imposing the need for a group-wise deformable registration coupled with the computation of the model parameters. In this paper we propose a group-wise registration method of medical images that incorporates the temporal dimension (reflecting the change of signal amplitude) of the acquisition process. Consistency on the spatiotemporal physiological model, as well as deformation smoothness, is imposed in order to produce anatomically meaningful representations of the 3D images. The performance of the proposed method is compared to two different group-wise registration approaches; one that penalizes the absolute differences in the intensities and one that penalizes the intensity range among the images on corresponding regions. We chose as an application paradigm the registration of diffusion-weighted magnetic resonance (DW-MR) images for the evaluation of patients with lymphomas. A dataset consisting of 25 patients, each scanned with 3 " b values " , was used to evaluate the method's accuracy. The proposed registration method outperfomed the other two registration approaches, making it a very promising method for highlighting the importance of DWI as an imaging biomarker