Automatic Lumbar Vertebrae Segmentation in Fluoroscopic Images via Optimised Concurrent Hough Transform

Low back pain is a very common problem in the industrialised countries and its associated cost is enormous. Diagnosis of the underlying causes can be extremely difficult. Many studies have focused on mechanical disorders of the spine. Digital videofluoroscopy (DVF) was widely used to obtain images for motion studies. This can provide motion sequences of the lumbar spine, but the images obtained often suffer due to noise, exacerbated by the very low radiation dosage. Thus determining vertebrae position within the image sequence presents a considerable challenge. In this paper, we show how our new approach can automatically detect the positions and borders of vertebrae concurrently, relieving many of the problems experienced in other approaches. First, we use phase congruency to relieve difficulty associated with threshold selection in edge detection of the illumination variant DVF images. Then, our new Hough transform approach is applied to determine the moving vertebrae, concurrently. We include optimisation via a genetic algorithm as without it the extraction of moving multiple vertebrae is computationally daunting. Our results show that this new approach can indeed provide extractions of position and rotation which appear to be of sufficient quality to aid therapy and diagnosis of spinal disorders

Lumbar Spine Location in Fluoroscopic Images by Evidence Gathering

Low back pain (LBP) is a very common problem and lumbar segmental instability is one of the causes. It is important to investigate lumbar spine movement in order to understand instability better and as an aid to diagnosis. Digital videofluoroscopy provides a method of quantifying the motion of individual vertebrae, but due to the relatively poor image quality, it is difficult and time consuming to locate landmarks manually, from which the kinematics can be calculated. Some semi-automatic approaches have already been developed but these are still time consuming and require some manual interaction. In this paper we apply the Hough transform (HT) to locate the lumbar spinal segments automatically. The HT is a powerful tool in computer vision and it has good performance in noise and partial occlusion. A recent arbitrary shape representation avoids problems inherent with tabular representations in the generalised HT (GHT) by describing shapes using a continuous formulation. The target shape is described by a set of Fourier descriptors, which vote in an accumulator space from which the object parameters of translation (including the x and y direction), rotation and scale can be determined. At present, this algorithm has been applied to the images of lumbar spine, and has been shown to provide satisfactory results. Further work will concentrate on reducing the computational time for real-time application, and on approaches to refine information at the apices, given initialisation by the new HT method

Automated Vessel Segmentation Using Infinite Perimeter Active Contour Model with Hybrid Region Information with Application to Retinal Images

Automated detection of blood vessel structures is becoming of crucial interest for better management of vascular disease. In this paper, we propose a new infinite active contour model that uses hybrid region information of the image to approach this problem. More specifically, an infinite perimeter regularizer, provided by using L 2 Lebesgue measure of the γ-neighborhood of boundaries, allows for better detection of small oscillatory (branching) structures than the traditional models based on the length of a feature's boundaries (i.e., H 1 Hausdorff measure). Moreover, for better general segmentation performance, the proposed model takes the advantage of using different types of region information, such as the combination of intensity information and local phase based enhancement map. The local phase based enhancement map is used for its superiority in preserving vessel edges while the given image intensity information will guarantee a correct feature's segmentation. We evaluate the performance of the proposed model by applying it to three public retinal image datasets (two datasets of color fundus photography and one fluorescein angiography dataset). The proposed model outperforms its competitors when compared with other widely used unsupervised and supervised methods. For example, the sensitivity (0.742), specificity (0.982) and accuracy (0.954) achieved on the DRIVE dataset are very close to those of the second observer's annotations

A New Method of Blind Deconvolution for Colour Fundus Retinal Images

Fundus retinal imaging is widely used in the diagnosis and management of eye disease. Blur commonly occurs in the acquisition and when it is severe the resulting loss of resolution hampers accurate clinical assessment. In this paper, we present a new technique to address this challenging problem. We make use of implicitly constrained image deblurring, which is known to provide improved results over unconstrained and explicitly constrained methods, and build this into a multi-channel variational framework for parametric deblurring. We propose a new method for automatically selecting the regularisation parameter in the absence of the true (sharp) image using vessel segmentation. We then modify the model to include a regularisation coefficient function which is dependent on an available image mask in order to avoid potential inaccuracies caused by the addition of artificial masks. We present experimental results to demonstrate the effectiveness of our new method

Retinal vessel segmentation:An efficient graph cut approach with Retinex and local phase

Our application concerns the automated detection of vessels in retinal images to improve understanding of the disease mechanism, diagnosis and treatment of retinal and a number of systemic diseases. We propose a new framework for segmenting retinal vasculatures with much improved accuracy and efficiency. The proposed framework consists of three technical components: Retinex-based image inhomogeneity correction, local phase-based vessel enhancement and graph cut-based active contour segmentation. These procedures are applied in the following order. Underpinned by the Retinex theory, the inhomogeneity correction step aims to address challenges presented by the image intensity inhomogeneities, and the relatively low contrast of thin vessels compared to the background. The local phase enhancement technique is employed to enhance vessels for its superiority in preserving the vessel edges. The graph cut-based active contour method is used for its efficiency and effectiveness in segmenting the vessels from the enhanced images using the local phase filter. We have demonstrated its performance by applying it to four public retinal image datasets (3 datasets of color fundus photography and 1 of fluorescein angiography). Statistical analysis demonstrates that each component of the framework can provide the level of performance expected. The proposed framework is compared with widely used unsupervised and supervised methods, showing that the overall framework outperforms its competitors. For example, the achieved sensitivity (0:744), specificity (0:978) and accuracy (0:953) for the DRIVE dataset are very close to those of the manual annotations obtained by the second observer

Automated Detection of Vessel Abnormalities on Fluorescein Angiogram in Malarial Retinopathy

The detection and assessment of intravascular filling defects is important, because they may represent a process central to cerebral malaria pathogenesis: neurovascular sequestration. We have developed and validated a framework that can automatically detect intravascular filling defects in fluorescein angiogram images. It first employs a state-of-the-art segmentation approach to extract the vessels from images and then divide them into individual segments by geometrical analysis. A feature vector based on the intensity and shape of saliency maps is generated to represent the level of abnormality of each vessel segment. An AdaBoost classifier with weighted cost coefficient is trained to classify the vessel segments into normal and abnormal categories. To demonstrate its effectiveness, we apply this framework to 6,358 vessel segments in images from 10 patients with malarial retinopathy. The test sensitivity, specificity, accuracy, and area under curve (AUC) are 74.7%, 73.5%, 74.1% and 74.2% respectively when compared to the reference standard of human expert manual annotations. This performance is comparable to the agreement that we find between human observers of intravascular filling defects. Our method will be a powerful new tool for studying malarial retinopathy