4 research outputs found

    A variational model dedicated to joint segmentation, registration, and atlas generation for shape analysis

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    In medical image analysis, constructing an atlas, i.e., a mean representative of an ensemble of images, is a critical task for practitioners to estimate variability of shapes inside a population, and to characterize and understand how structural shape changes have an impact on health. This involves identifying significant shape constituents of a set of images, a process called segmentation, and mapping this group of images to an unknown mean image, a task called registration, making a statistical analysis of the image population possible. To achieve this goal, we propose treating these operations jointly to leverage their positive mutual influence, in a hyperelasticity setting, by viewing the shapes to be matched as Ogden materials. The approach is complemented by novel hard constraints on the L\infty norm of both the Jacobian and its inverse, ensuring that the deformation is a bi-Lipschitz homeomorphism. Segmentation is based on the Potts model, which allows for a partition into more than two regions, i.e., more than one shape. The connection to the registration problem is ensured by the dissimilarity measure that aims to align the segmented shapes. A representation of the deformation field in a linear space equipped with a scalar product is then computed in order to perform a geometry-driven Principal Component Analysis (PCA) and to extract the main modes of variations inside the image population. Theoretical results emphasizing the mathematical soundness of the model are provided, among which are existence of minimizers, analysis of a numerical method, asymptotic results, and a PCA analysis, as well as numerical simulations demonstrating the ability of the model to produce an atlas exhibiting sharp edges, high contrast, and a consistent shape

    Accuracy of manual and automated rectal contours using helical tomotherapy image guidance scans during prostate radiotherapy.

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    Background: Prostate radiotherapy can be delivered using daily image-guided helical tomotherapy. Previous work has shown that contouring the rectum on the kV planning CT scan has a Jaccard conformity index (JCI) of 0.78 for different oncologists (inter-observer variability) and 0.82 for a single oncologist (intra-observer variability) (Lutgendorf-Caucig C et al. Feasibility of CBCT-based target and normal structure delineation in prostate cancer radiotherapy: multi-observer and image multi-modality study. Radiother Oncol. 2011;98(2):154-61.). Using the daily image guidance MV CT scan we have developed automated methods to contour the rectum in order to investigate the dose delivered over a course of treatment. We sought to quantify the accuracy of MV manual and automated contours. Methods: A single oncologist (JES) contoured the rectum on 370 MV scans for 10 participants treated with helical tomotherapy to prostate and pelvic lymph nodes. Accuracy of MV manual contours was tested using a scalar algorithm to enlarge and reduce the contours and intra-observer re-contouring at a 3-month interval. Automated contouring, incorporating the Chan-Vese algorithm, was developed and outputs were compared with manual contours. Results: JES could identify differences in MV manual contour size at the level of ±2.2 mm, equivalent to 1.7 pixels. The median JCI for MV re-contouring was 0.87 with inter-quartile range (IQR) 0.78 to 0.90. When compared with manual contours, automated outputs had a median JCI of 0.79 (IQR 0.74 to 0.79). These results were obtained after 3 iterations, each taking less than 10 seconds. Conclusions: Manual contouring using MV scans was accurate, at a level of approximately 2 mm, and reproducible, with JCI of 0.87. The time taken to contour was approximately 20 minutes per scan. Automated contouring was also reproducible with JCI of 0.79 and, in contrast, took less than a minute per scan. Both manual and automated methods produced results comparable to those for contouring using kV scans. We plan to use auto-contouring to calculate accumulated dose to the rectum in an initial cohort of 100 participants. These doses will be correlated with toxicity as part of the VoxTox Study
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