Shape-driven segmentation of the arterial wall in intravascular ultrasound images

Segmentation of arterial wall boundaries from intravascular images is an important problem for many applications in the study of plaque characteristics, mechanical properties of the arterial wall, its 3-D reconstruction, and its measurements such as lumen size, lumen radius, and wall radius. We present a shape-driven approach to segmentation of the arterial wall from intravascular ultrasound images in the rectangular domain. In a properly built shape space using training data, we constrain the lumen and media-adventitia contours to a smooth, closed geometry, which increases the segmentation quality without any tradeoff with a regularizer term. In addition to a shape prior, we utilize an intensity prior through a nonparametric probability-density-based image energy, with global image measurements rather than pointwise measurements used in previous methods. Furthermore, a detection step is included to address the challenges introduced to the segmentation process by side branches and calcifications. All these features greatly enhance our segmentation method. The tests of our algorithm on a large dataset demonstrate the effectiveness of our approach.     

Tissue characterization in intravascular ultrasound images

Intravascular ultrasound (IVUS) imaging permits direct visualization of vascular pathology. It has been used to evaluate lumen and plaque in coronary arteries and its clinical significance for guidance of coronary interventions is increasingly recognized. Conventional manual evaluation is tedious and time-consuming. This paper describes a highly automated approach to segmentation of coronary wall and plaque, and determination of plaque composition in individual IVUS images and pullback image sequences. The determined regions of plaque were classified in one of three classes: soft plaque, hard plaque, or hard plaque shadow. The method's performance was assessed in vitro and in vivo in comparison with observer-defined independent standards. In the analyzed images and image sequences, the mean border positioning error of the wall and plaque borders ranged from 0.13-0.17 mm. Plaque classification correctness was 90%.     

Fully automatic luminal contour segmentation in intracoronary ultrasound imaging--a statistical approach

In this paper, a fully automatic method for luminal contour segmentation in intracoronary ultrasound imaging is introduced. Its principle is based on a contour with a priori properties that evolves according to the statistics of the ultrasound texture brightness, which is generally Rayleigh distributed. The main interest of the technique is its fully automatic character. This is insured by an initial contour that is not set by the user, like in classical snake-based algorithms, but estimated and, thus, adapted to each image. Its estimation combines two pieces of information extracted from the a posteriori probability function of the contour position: the function maximum location (or maximum a posteriori estimator) and the first zero-crossing of its derivative. Then, starting from the initial contour, a region of interest is automatically selected and the process iterated until the contour evolution can be ignored. In vivo coronary images from 15 patients, acquired with the 20-MHz central frequency Jomed Invision ultrasound scanner, were segmented with the developed method. Automatic contours were compared to those manually drawn by two physicians in terms of mean absolute difference. The results demonstrate that the error between automatic contours and the average of manual ones is of small amplitude, and only very slightly higher (0.099 +/- 0.032 mm) than the interexpert error (0.097 +/- 0.027 mm).     

An automatic approach for artifacts detection and shadow enhancement in intravascular ultrasound images

Intravascular ultrasound (IVUS) is clinically available for visualizing coronary arteries. However, it suffers from acoustic shadow areas and ring-down artifacts as two of the common issues in IVUS images. This paper introduces an approach which can overcome these limitations. As shadow areas were displayed behind hard plaques in the IVUS grayscale images, calcified plaques were first segmented by using Otsu threshold. Then, active contour, histogram matching, and local histogram matching are implemented. In addition, a new modified circle Hough transform is introduced to remove the ring-down artifacts from IVUS images. In order to evaluate the efficacy of this new method in detection of shadow and ring-down regions, 300 IVUS images are considered. Sensitivity of 89% and specificity of 92% are achieved from a comparison in revelation of calcium along with shadow in the proposed method and virtual histology images. Also, area differences of \(5.83 \pm 3.3\) and \(5.65 \pm 2.83\) are obtained, respectively, for ring-down and shadow domain when compared to measures performed manually by a clinical expert.     

医学图像中典型分割算法的比较分析

通过图像分割算法获取医学图像感兴趣区域是医学图像分析与识别要解决的首要问题及技术难点。在阐述医学图像分割及其研究意义的基础上,总结了医学图像分割中的典型算法。接着,以MR颅脑图像的分割为例,做了基于FCM、C-V、区域生长法的图像分割及对比分析,讨论了医学图像有效分割存在的技术难点。最后,指明了医学图像分割未来的发展趋势。研究成果对深入认识医学图像分割的研究意义、分割算法、分割难点、分割趋势等,推动医学图像分割技术的发展均具有一定意义。     

Automatic segmentation of ultrasound images using morphological operators

A method for the automatic measurement of femur length in fetal ultrasound images is presented. Fetal femur length measurements are used to estimate gestational age by comparing the measurement to a typical growth chart. Using a real-time ultrasound system, sonographers currently indicate the femur endpoints on the ultrasound display station with a mouse-like device. The measurements are subjective, and have been proven to be inconsistent. The automatic approach described exploits prior knowledge of the general range of femoral size and shape by using morphological operators, which process images based on shape characteristics. Morphological operators are used first to remove the background (noise) from the image, next to refine the shape of the femur and remove spurious artifacts, and finally to produce a single pixel-wide skeleton of the femur. The skeleton endpoints are assumed to be the femur endpoints. The length of the femur is calculated as the distance between those endpoints. A comparison of the measurements obtained with the manual and with the automated techniques is included.     

Segmentation of intravascular ultrasound images: a knowledge-based approach

Intravascular ultrasound imaging of coronary arteries provides important information about coronary lumen, wall, and plaque characteristics. Quantitative studies of coronary atherosclerosis using intravascular ultrasound and manual identification of wall and plaque borders are limited by the need for observers with substantial experience and the tedious nature of manual border detection. We have developed a method for segmentation of intravascular ultrasound images that identifies the internal and external elastic laminae and the plaque-lumen interface. The border detection algorithm was evaluated in a set of 38 intravascular ultrasound images acquired from fresh cadaveric hearts using a 30 MHz imaging catheter. To assess the performance of our border detection method we compared five quantitative measures of arterial anatomy derived from computer-detected borders with measures derived from borders manually defined by expert observers. Computer-detected and observer-defined lumen areas correlated very well (r=0.96, y=1.02x+0.52), as did plaque areas (r=0.95, y=1.07x-0.48), and percent area stenosis (r=0.93, y=0.99x-1.34.) Computer-derived segmental plaque thickness measurements were highly accurate. Our knowledge-based intravascular ultrasound segmentation method shows substantial promise for the quantitative analysis of in vivo intravascular ultrasound image data.     

A new model-based framework for lung tissue segmentation in three-dimensional thoracic CT images

A new framework for model-based lung tissue segmentation in three-dimensional thoracic CT images is proposed. In the first stage, a parametric model for lung segmenting surface is created using shape representation based on level sets method. This model is constituted by the sum of a mean distance function and a number of weighted eigenshapes. Consequently, unlike the other model-based segmentation methods, there is no need to specify any marker point in this model. In the second stage, the segmenting surface is varied so as to be matched with the binarized input image. For this purpose, a region-based energy function is minimized with respect to the parameters including the weights of eigenshapes and coefficients of a three-dimensional similarity transform. Finally, the resulted segmenting surface is post-processed in order to improve its fitness with the lung borders of the input image. The experimental results demonstrated the outperformance of the proposed framework over its model-based counterparts in model matching stage. Moreover, it performed slightly better in terms of final segmentation results.     

Multi-feature gradient vector flow snakes for adaptive segmentation of the ultrasound images of breast cancer

Segmentation of ultrasound (US) images of breast cancer is one of the most challenging problems of the modern medical image processing. A number of popular codes for US segmentation are based on a generalized gradient vector flow (GGVF) method proposed by Xu and Prince. The GGVF equations include a smoothing term (diffusion) applied to regions of small gradients of the edge map and a stopping term to fix and extend large gradients appearing at the boundary of the object.The paper proposes two new directions. The first component is diffusion as a polynomial function of the intensity of the edge map. The second component is the orientation score of the vector field. The new features are integrated into the GGVF equations in the smoothing and the stopping term.The algorithms, having been tested by a set of ground truth images, show that the proposed techniques lead to a better convergence and better segmentation accuracy with the reference to conventional GGVF snakes. The adaptive multi-feature snake does not require any hand-tuning. However, it is as efficient as the standard GGVF with the parameters selected by the “brutal force approach”. Finally, proposed approach has been tested against recent modifications of GGVF, i.e. the Poisson gradient vector flow, the mixed noise vector flow and the convolution vector flow. The numerical tests employing 195 synthetic and 48 real ultrasound images show a tangible improvement in the accuracy of segmentation.     

Strain imaging and elasticity reconstruction of arteries based on intravascular ultrasound video images

Based on intravascular ultrasound (IVUS) video images, a novel motion estimation method combining the genetic algorithm-based optical flow method and a step-by-step and sum strategy has been developed to estimate the displacement and strain distributions on the scan cross sections of the arteries. And then, real elasticity distributions were reconstructed under the conditions of small and large deformation. Experimental results of in vitro porcine arteries demonstrated the feasibility of the method. This investigation may have potentials to provide new technological means for monitoring and evaluating percutaneous transluminal coronary angioplasty procedure, especially, for the end users of IVUSpercimaging equipment.     

Classification algorithms for quantitative tissue characterization of diffuse liver disease from ultrasound images

Visual criteria for diagnosing diffused liver diseases from ultrasound images can be assisted by computerized tissue classification. Feature extraction algorithms are proposed in this paper to extract the tissue characterization parameters from liver images. The resulting parameter set is further processed to obtain the minimum number of parameters which represent the most discriminating pattern space for classification. This preprocessing step has been applied to over 120 distinct pathology-investigated cases to obtain the learning data for classification. The extracted features are divided into independent training and test sets, and are used to develop and compare both statistical and neural classifiers. The optimal criteria for these classifiers are set to have minimum classification error, ease of implementation and learning, and the flexibility for future modifications. Various algorithms of classification based on statistical and neural network methods are presented and tested. The authors show that very good diagnostic rates can be obtained using unconventional classifiers trained on actual patient data.     

Analysis of tumor vascularity using three-dimensional power Doppler ultrasound images

Tumor vascularity is an important factor that has been shown to correlate with tumor malignancy and was demonstrated as a prognostic indicator for a wide range of cancers. Three-dimensional (3-D) power Doppler ultrasound (PDUS) offers a convenient tool for investigators to inspect the signals of blood flow and vascular structures in breast cancer. In this paper, a new computer-aided diagnosis (CAD) system for quantifying Doppler ultrasound images based on 3-D thinning algorithm and neural network is proposed. We extracted the skeleton of blood vessels from 3-D PDUS data to facilitate the capturing of morphological changes. Nine features including vessel-to-volume ratio, number of vascular trees, length of vessels, number of branching, mean of radius, number of cycles, and three tortuosity measures, were extracted from the thinning result. Benign and malignant tumors can therefore be differentiated by a score computed by a multilayered perceptron (MLP) neural network using these features as parameters. The proposed system was tested on 221 breast tumors, including 110 benign and 111 malignant lesions. The accuracy, sensitivity, specificity, and positive and negative predictive values were 88.69% (196/221), 91.89% (102/111), 85.45% (94/110), 86.44% (102/118), and 91.26% (94/103), respectively. The Az value of the ROC curve was 0.94. The results demonstrate a correlation between the morphology of blood vessels and tumor malignancy, indicating that the newly proposed method can retrieves a high accuracy in the classification of benign and malignant breast tumors.     

3-D active appearance models: segmentation of cardiac MR and ultrasound images

A model-based method for three-dimensional image segmentation was developed and its performance assessed in segmentation of volumetric cardiac magnetic resonance (MR) images and echocardiographic temporal image sequences. Comprehensive design of a three-dimensional (3-D) active appearance model (AAM) is reported for the first time as an involved extension of the AAM framework introduced by Cootes et al. The model's behavior is learned from manually traced segmentation examples during an automated training stage. Information about shape and image appearance of the cardiac structures is contained in a single model. This ensures a spatially and/or temporally consistent segmentation of three-dimensional cardiac images. The clinical potential of the 3-D AAM is demonstrated in short-axis cardiac MR images and four-chamber echocardiographic sequences. The method's performance was assessed by comparison with manually identified independent standards in 56 clinical MR and 64 clinical echo image sequences. The AAM method showed good agreement with the independent standard using quantitative indexes of border positioning errors, endo- and epicardial volumes, and left ventricular mass. In MR, the endocardial volumes, epicardial volumes, and left ventricular wall mass correlation coefficients between manual and AAM were R2 = 0.94, 0.97, 0.82, respectively. For echocardiographic analysis, the area correlation was R2 = 0.79. The AAM method shows high promise for successful application to MR and echocardiographic image analysis in a clinical setting.     

OFDM-PTS算法中的三种不同分割方法的特性

研究了OFDM-PTS算法中的三种不同分割方法:相邻分割、随机分割、交织分割三种子序列分割方案的特性.这些改进的算法与常规的PTS方法相比,大大降低了系统的复杂性,而且带来效率的损失也较小.通过选用不同的子序列分割的方法来改善系统的性能.对于交织分割法,利用其在分割顺序上的特点,可以进一步降低PTS算法的复杂度,并且在系统性能上,仅次于采用随机分割方法.     

Combining strings and necklaces for interactive three-dimensional segmentation of spinal images using an integral deformable spine model

Segmentation of the spine directly from three-dimensional (3-D) image data is desirable to accurately capture its morphological properties. We describe a method that allows true 3-D spinal image segmentation using a deformable integral spine model. The method learns the appearance of vertebrae from multiple continuous features recorded along vertebra boundaries in a given training set of images. Important summarizing statistics are encoded into a necklace model on which landmarks are differentiated on their free dimensions. The landmarks are used within a priority segmentation scheme to reduce the complexity of the segmentation problem. Necklace models are coupled by string models. The string models describe in detail the biological variability in the appearance of spinal curvatures from multiple continuous features recorded in the training set. In the segmentation phase, the necklace and string models are used to interactively detect vertebral structures in new image data via elastic deformation reminiscent of a marionette with strings allowing for movement between interrelated structures. Strings constrain the deformation of the spine model within feasible solutions. The driving application in this work is analysis of computed tomography scans of the human lumbar spine. An illustration of the segmentation process shows that the method is promising for segmentation of the spine and for assessment of its morphological properties.     

Evaluation of four probability distribution models for speckle in clinical cardiac ultrasound images

Segmenting cardiac ultrasound images requires a model for the statistics of speckle in the images. Although the statistics of speckle are well understood for the raw transducer signal, the statistics of speckle in the image are not. This paper evaluates simple empirical models for first-order statistics for the distribution of gray levels in speckle. The models are created by analyzing over 100 images obtained from commercial ultrasound machines in clinical settings. The data in the images suggests a unimodal scalable family of distributions as a plausible model. Four families of distributions (Gamma, Weibull, Normal, and Log-normal) are compared with the data using goodness-of-fit and misclassification tests. Attention is devoted to the analysis of artifacts in images and to the choice of goodness-of-fit and misclassification tests. The distribution of parameters of one of the models is investigated and priors for the distribution are suggested.     

Deformable segmentation of 3-D ultrasound prostate images using statistical texture matching method

This paper presents a novel deformable model for automatic segmentation of prostates from three-dimensional ultrasound images, by statistical matching of both shape and texture. A set of Gabor-support vector machines (G-SVMs) are positioned on different patches of the model surface, and trained to adaptively capture texture priors of ultrasound images for differentiation of prostate and nonprostate tissues in different zones around prostate boundary. Each G-SVM consists of a Gabor filter bank for extraction of rotation-invariant texture features and a kernel support vector machine for robust differentiation of textures. In the deformable segmentation procedure, these pretrained G-SVMs are used to tentatively label voxels around the surface of deformable model as prostate or nonprostate tissues by a statistical texture matching. Subsequently, the surface of deformable model is driven to the boundary between the tentatively labeled prostate and non-prostate tissues. Since the step of tissue labeling and the step of label-based surface deformation are dependent on each other, these two steps are repeated until they converge. Experimental results by using both synthesized and real data show the good performance of the proposed model in segmenting prostates from ultrasound images.     

Robust simultaneous detection of coronary borders in complex images

Visual estimation of coronary obstruction severity from angiograms suffers from poor inter- and intraobserver reproducibility and is often inaccurate. In spite of the widely recognized limitations of visual analysis, automated methods have not found widespread clinical use, in part because they too frequently fail to accurately identify vessel borders. The authors have developed a robust method for simultaneous detection of left and right coronary borders that is suitable for analysis of complex images with poor contrast, nearby or overlapping structures, or branching vessels. The reliability of the simultaneous border detection method and that of the authors' previously reported conventional border detection method were tested in 130 complex images, selected because conventional automated border detection might be expected to fail. Conventional analysis failed to yield acceptable borders in 65/130 or 50% of images. Simultaneous border detection was much more robust (p<.001) and failed in only 15/130 or 12% of complex images. Simultaneous border detection identified stenosis diameters that correlated significantly better with observer-derived stenosis diameters than did diameters obtained with conventional border detection (p<0.001), Simultaneous detection of left and right coronary borders is highly robust and has substantial promise for enhancing the utility of quantitative coronary angiography in the clinical setting.