A history of transurethral resection of the prostate should not be a contra-indication for low-dose-rate 125I prostate brachytherapy: results of a prospective Uro-GEC phase-II trial

Purpose Early reports suggested that transurethral resection (TURP) prior to permanent seed brachytherapy (BT) results in high incontinence rates. Guidelines consider prior TURP as a contra-indication to treatment, but improvements in imaging and treatment planning may reduce this risk, and are investigated in this prospective study. Material and methods 99 men with histologically proven low- to intermediate-risk, localized prostate cancer, with a history of TURP performed at least 3 months before BT procedure were enrolled. All patients received a permanent seed implant between March 2009 and June 2015. Intra-operative interactive planning was recommended to ensure optimal accuracy of seed placement during the procedure. No supplemental external beam was allowed. Target and organ at risk contouring, definition of clinical target volume (CTV), and dosimetric parameters followed the modified GEC-ESTRO guidelines for permanent seed implants, as described an earlier report of our group. Follow-up was scheduled every 3 months for the first year, and every 6 months afterwards, with minimum follow-up of 2 years. Study endpoints the primary endpoint was the incidence of post-implant urinary incontinence. Secondary endpoints were the incidence of urinary and gastro-intestinal toxicity, the eventual impact on the sexual function, and the freedom from biochemical failure. Results The median follow-up time for these 99 patients was 49 months (min. 24, max. 96). In this series, the incontinence rate was 2% after TURP + BT and 2% in case of TURP + BT + re-TURP, ending up with a total urinary incontinence rate of 4%. Acute and late urinary toxicities were extremely low. No significant late gastro-intestinal toxicity was seen, and the 5-year biochemical non-evidence of disease (bNED) was 93%. Conclusions The excellent long-term results and low morbidity presented as well as many advantages of prostate brachytherapy over other treatments demonstrates that brachytherapy is an effective treatment for patients with transurethral resection and organ-confined prostate cancer

Constructive links between some morphological hierarchies on edge-weighted graphs

International audienceIn edge-weighted graphs, we provide a unified presentation of a family of popular morphological hierarchies such as component trees, quasi flat zones, binary partition trees, and hierarchical watersheds. For any hierarchy of this family, we show if (and how) it can be obtained from any other element of the family. In this sense, the main contribution of this paper is the study of all constructive links between these hierarchies

Image decompositions and transformations as peaks and wells

10 pages to be submitted to ISMM2011International audienceAn image may be decomposed as a difference between an image of peaks and an image of wells. Applying a morphological operator to these two components before reconstructing a final image produces interesting filters for grey tone or binary images. This decomposition depends upon the point of view from where the image is considered

Quantification of valvular regurgitation by cardiac blood pool scintigraphy: correlation with catheterization

The diagnosis of valvular regurgitation (R) is usually based on clinical signs. Quantification conventionally requires catheterization (C). We have quantified R with cardiac blood pool scintigraphy (CBPS) and compared the results with those obtained by C. Regurgitant fraction (RF) determined by C was calculated with the technique of Dodge. Forward output was measured by thermodilution or cardiogreen dilution. The RF at CBPS was obtained by the stroke index ratio (SIR) minus 1.2 divided by SIR, where SIR is the ratio of the stroke counts of left venticle over those of the right ventricle. Stroke counts are calculated directly from the time-activity curves. Each time-activity curve was obtained by drawing one region of interest around each diastolic image. The correction factor (1.2) was calculated from a large normal population. 22 patients had aortic R, 7 mitral R, 12 both, 8 patients had no evidence of regurgitation. RF of the patients with R varied from 27 to 71% (x = 42%) at C and from 26 to 74% (Y = 41%) at CBPS. Linear regression shows a good correlation coefficient (r = 0.82). The regression equation is y = 0.93x + 1.8. No correlation was found between RF (CBPS or C) and the severity of R assessed visually from angiography. In conclusion: CBPS, a non-invasive method, allows easy and repeatable determination of RF and correlates well with data obtained at catheterizatio

Climbing: A Unified Approach for Global Constraints on Hierarchical Segmentation

International audienceThe paper deals with global constraints for hierarchical segmentations. The proposed framework associates, with an input image, a hierarchy of segmentations and an energy, and the subsequent optimization problem. It is the first paper that compiles the different global constraints and unifies them as Climbing energies. The transition from global optimization to local optimization is attained by the h-increasingness property, which allows to compare parent and child partition energies in hierarchies. The laws of composition of such energies are established and examples are given over the Berkeley Dataset for colour and texture segmentation

Attribute Controlled Reconstruction and Adaptive Mathematical Morphology

ISBN : 978-3-642-38293-2International audienceIn this paper we present a reconstruction method controlled by the evolution of attributes. The process begins from a marker, propagated over increasing quasi-flat zones. The evolution of several increasing and non-increasing attributes is studied in order to select the appropriate region. Additionally, the combination of attributes can be used in a straightforward way. To demonstrate the performance of our method, three applications are presented. Firstly, our method successfully segments connected objects in range images. Secondly, input-adaptive structuring elements (SE) are defined computing the controlled propagation for each pixel on a pilot image. Finally, input-adaptive SE are used to assess shape features on the image. Our approach is multi-scale and auto-dual. Compared with other methods, it is based on a given attribute but does not require a size parameter in order to determine appropriate regions. It is useful to extract objects of a given shape. Additionally, our reconstruction is a connected operator since quasi-flat zones do not create new contours on the image

On morphological hierarchical representations for image processing and spatial data clustering

Hierarchical data representations in the context of classi cation and data clustering were put forward during the fties. Recently, hierarchical image representations have gained renewed interest for segmentation purposes. In this paper, we briefly survey fundamental results on hierarchical clustering and then detail recent paradigms developed for the hierarchical representation of images in the framework of mathematical morphology: constrained connectivity and ultrametric watersheds. Constrained connectivity can be viewed as a way to constrain an initial hierarchy in such a way that a set of desired constraints are satis ed. The framework of ultrametric watersheds provides a generic scheme for computing any hierarchical connected clustering, in particular when such a hierarchy is constrained. The suitability of this framework for solving practical problems is illustrated with applications in remote sensing

An MPEG-7 scheme for semantic content modelling and filtering of digital video

Abstract Part 5 of the MPEG-7 standard specifies Multimedia Description Schemes (MDS); that is, the format multimedia content models should conform to in order to ensure interoperability across multiple platforms and applications. However, the standard does not specify how the content or the associated model may be filtered. This paper proposes an MPEG-7 scheme which can be deployed for digital video content modelling and filtering. The proposed scheme, COSMOS-7, produces rich and multi-faceted semantic content models and supports a content-based filtering approach that only analyses content relating directly to the preferred content requirements of the user. We present details of the scheme, front-end systems used for content modelling and filtering and experiences with a number of users

On the equivalence between hierarchical segmentations and ultrametric watersheds

We study hierarchical segmentation in the framework of edge-weighted graphs. We define ultrametric watersheds as topological watersheds null on the minima. We prove that there exists a bijection between the set of ultrametric watersheds and the set of hierarchical segmentations. We end this paper by showing how to use the proposed framework in practice in the example of constrained connectivity; in particular it allows to compute such a hierarchy following a classical watershed-based morphological scheme, which provides an efficient algorithm to compute the whole hierarchy.Comment: 19 pages, double-colum