Fully automatic method for segmentation of brain tumor from multimodal magnetic resonance images using wavelet transformation and clustering technique

Fully automatic brain tumor segmentation is one of the critical tasks in magnetic resonance imaging (MRI) images. This proposed work is aimed to develop an automatic method for brain tumor segmentation process by wavelet transformation and clustering technique. The proposed method using discrete wavelet transform (DWT) for pre‐ and post‐processing, fuzzy c‐means (FCM) for brain tissues segmentation. Initially, MRI images are preprocessed by DWT to sharpen the images and enhance the tumor region. It assists to quicken the FCM clustering technique and classified into four major classes: gray matter (GM), white matter (WM), cerebrospinal fluid (CSF), and background (BG). Then check the abnormality detection using Fuzzy symmetric measure for GM, WM, and CSF classes. Finally, DWT method is applied in segmented abnormal region of images respectively and extracts the tumor portion. The proposed method used 30 multimodal MRI training datasets from BraTS2012 database. Several quantitative measures were calculated and compared with the existing. The proposed method yielded the mean value of similarity index as 0.73 for complete tumor, 0.53 for core tumor, and 0.35 for enhancing tumor. The proposed method gives better results than the existing challenging methods over the publicly available training dataset from MICCAI multimodal brain tumor segmentation challenge and a minimum processing time for tumor segmentation. © 2016 Wiley Periodicals, Inc. Int J Imaging Syst Technol, 26, 305–314, 2016     

Automated brain tumour segmentation techniques— A review

Automatic segmentation of brain tumour is the process of separating abnormal tissues from normal tissues, such as white matter (WM), gray matter (GM), and cerebrospinal fluid (CSF). The process of segmentation is still challenging due to the diversity of shape, location, and size of the tumour segmentation. The metabolic process, psychological process, and detailed information of the images, are obtained using positron emission tomography (PET) image, Computer Tomography (CT) image and Magnetic Resonance Image (MRI). Multimodal imaging techniques (such as PET/CT and PET/MRI) that combine the information from many imaging techniques contribute more for accurate brain tumour segmentation. In this article, a comprehensive overview of recent automatic brain tumour segmentation techniques of MRI, PET, CT, and multimodal imaging techniques has been provided. The methods, techniques, their working principle, advantages, their limitations, and their future challenges are discussed in this article. © 2017 Wiley Periodicals, Inc. Int J Imaging Syst Technol, 27, 66–77, 2017     

Detection and diagnosis of meningioma brain tumor using ANFIS classifier

Tumors are formed in brain due to the uncontrolled development of cells. These tumors can be cured if it is timely detected and by proper medication. This article proposes a computer‐aided automatic detection and diagnosis of meningioma brain tumors in brain images using Adaptive Neuro Fuzzy Inference System (ANFIS) classifier. The proposed system consists of feature extraction, classification, and segmentation and diagnosis sections. In this article, Grey level Co‐occurrence Matric (GLCM) and Grid features are extracted from the brain image and these features are classified using ANFIS classifier into normal or abnormal. Then, morphological operations are used to segment the abnormal regions in brain image. Based on the location of these abnormal regions in brain tissues, the segmented tumor regions are diagnosed.     

MRI brain segmentation in combination of clustering methods with Markov random field

Medical image segmentation is a preliminary stage of inclusion in identification tools. The correct segmentation of brain Magnetic Resonance Imaging (MRI) images is crucial for an accurate detection of the disease diagnosis. Due to in‐homogeneity, low distinction and noise the segmentation of the brain MRI images is treated as the most challenging task. In this article, we proposed hybrid segmentation, by combining the clustering methods with Hidden Markov Random Field (HMRF) technique. This aims to decrease the computational load and improves the runtime of segmentation method, as MRF methodology is used in post‐processing the images. Its evaluation has performed on real imaging data, resulting in the classification of brain tissues with dice similarity metric. These results indicate the improvement in performance of the proposed method with various noise levels, compared with existing algorithms. In implementation, selection of clustering method provides better results in the segmentation of MRI brain images.     

3D brain magnetic resonance imaging segmentation by using bitplane and adaptive fast marching

Diagnosis using medical images helps doctors detect diseases and treat patients effectively. A system that segments objects automatically from magnetic resonance imaging (MRI) plays an important role when doctors diagnose injuries and brain diseases. This article presents a method for automatic brain, scalp, and skull segmentation from MRI that uses Bitplane and the Adaptive Fast Marching method (FMM). We focus on the segmentation of these tissues, especially the brain, because they are the essential objects, and their segmentation is the first step in the segmentation of other tissues. First, the type of each slice is set based on the shape of the brain, and the head region is segmented by removing its background. Second, the sure region and the unsure region are segmented based on the Bitplane method. Finally, this work proposes an approach for classification that is based on the Adaptive FMM. This approach is evaluated with the BrainWeb and Neurodevelopmental MRI databases and compared with other methods. The Dice Averages for brain, scalp, and skull segmentation are 96%, 80%, and 93%, respectively, on the BrainWeb database and 91%, 67%, and 80%, respectively, on the Neurodevelopmental MRI database.     

A novel Markov random field model based on region adjacency graph for T1 magnetic resonance imaging brain segmentation

Tissue segmentation in magnetic resonance brain scans is the most critical task in different aspects of brain analysis. Because manual segmentation of brain magnetic resonance imaging (MRI) images is a time‐consuming and labor‐intensive procedure, automatic image segmentation is widely used for this purpose. As Markov Random Field (MRF) model provides a powerful tool for segmentation of images with a high level of artifacts, it has been considered as a superior method. But because of the high computational cost of MRF, it is not appropriate for online processing. This article has proposed a novel method based on a proper combination of MRF model and watershed algorithm in order to alleviate the MRF's drawbacks. Results illustrate that the proposed method has a good ability in MRI image segmentation, and also decreases the computational time effectively, which is a valuable improvement in the online applications. © 2017 Wiley Periodicals, Inc. Int J Imaging Syst Technol, 27, 78–88, 2017     

A rapid automatic brain tumor detection method for MRI images using modified minimum error thresholding technique

This proposed work is aimed to develop a rapid automatic method to detect the brain tumor from T2‐weighted MRI brain images using the principle of modified minimum error thresholding (MET) method. Initially, modified MET method is applied to produce well segmented and sub‐structural clarity for MRI brain images. Further, using FCM clustering the appearance of tumor area is refined. The obtained results are compared with corresponding ground truth images. The quantitative measures of results were compared with the results of those conventional methods using the metrics predictive accuracy (PA), dice coefficient (DC), and processing time. The PA and DC values of the proposed method attained maximum value and processing time is minimum while compared to conventional FCM and k‐means clustering techniques. This proposed method is more efficient and faster than the existing segmentation methods in detecting the tumor region from T2‐weighted MRI brain images. © 2015 Wiley Periodicals, Inc. Int J Imaging Syst Technol, 25, 77–85, 2015     

A machine learning approach for brain image enhancement and segmentation

In brain MRI analysis, image segmentation is commonly used for measuring and visualizing the brain's anatomical structures, for surgical planning, etc. However, due to presence of noise and uncertainty between different tissues in the brain image, the segmentation of brain is a challenging task. This problem is rectified in this article using two stages. In the first stage an enhancement technique called contrast limited fuzzy adaptive histogram equalization (CLFAHE) which is a combination of CLAHE and fuzzy enhancement is used to improve the contrast of MRI Brain images. Contrast of the image is controlled using contrast intensification operator (Clip limit). The second stage deals with the segmentation of enhanced image. The enhanced brain images are segmented using new level‐set method which has the property of both local and global segmentation. Signed pressure force (SPF) function is also used here which stops the contours at weak and blurred edged efficiently.     

Brain Tumor Segmentation in Multimodal MRI Using U-Net Layered Structure

The brain tumour is the mass where some tissues become old or damaged, but they do not die or not leave their space. Mainly brain tumour masses occur due to malignant masses. These tissues must die so that new tissues are allowed to be born and take their place. Tumour segmentation is a complex and time-taking problem due to the tumour’s size, shape, and appearance variation. Manually finding such masses in the brain by analyzing Magnetic Resonance Images (MRI) is a crucial task for experts and radiologists. Radiologists could not work for large volume images simultaneously, and many errors occurred due to overwhelming image analysis. The main objective of this research study is the segmentation of tumors in brain MRI images with the help of digital image processing and deep learning approaches. This research study proposed an automatic model for tumor segmentation in MRI images. The proposed model has a few significant steps, which first apply the pre-processing method for the whole dataset to convert Neuroimaging Informatics Technology Initiative (NIFTI) volumes into the 3D NumPy array. In the second step, the proposed model adopts U-Net deep learning segmentation algorithm with an improved layered structure and sets the updated parameters. In the third step, the proposed model uses state-of-the-art Medical Image Computing and Computer-Assisted Intervention (MICCAI) BRATS 2018 dataset with MRI modalities such as T1, T1Gd, T2, and Fluid-attenuated inversion recovery (FLAIR). Tumour types in MRI images are classified according to the tumour masses. Labelling of these masses carried by state-of-the-art approaches such that the first is enhancing tumour (label 4), edema (label 2), necrotic and non-enhancing tumour core (label 1), and the remaining region is label 0 such that edema (whole tumour), necrosis and active. The proposed model is evaluated and gets the Dice Coefficient (DSC) value for High-grade glioma (HGG) volumes for their test set-a, test set-b, and test set-c 0.9795, 0.9855 and 0.9793, respectively. DSC value for the Low-grade glioma (LGG) volumes for the test set is 0.9950, which shows the proposed model has achieved significant results in segmenting the tumour in MRI using deep learning approaches. The proposed model is fully automatic that can implement in clinics where human experts consume maximum time to identify the tumorous region of the brain MRI. The proposed model can help in a way it can proceed rapidly by treating the tumor segmentation in MRI.     

Hybrid method combining superpixel,supervised learning,and random walk for glioma segmentation

Currently, the analysis of magnetic resonance imaging (MRI) brain images of pathological patients is performed manually, both for the recognition of brain structures or lesions and for their characterization. Physicians sometimes encounter difficulties in interpreting these images for a reliable diagnosis of the patient's condition. This is due to the difficulty of detecting the nature of the lesions, particularly glioma. Glioma is one of the most common tumors, and one of the most difficult to detect because of its shape, irregularities, and ambiguous limits. The segmentation of these tumors is one of the most crucial steps for their classification and surgical planning. This article presents a new, accurate, and automatic approach for the precise segmentation of early gliomas (benign tumors), combining the random walk (RW) algorithm and the simple linear iterative clustering algorithm. The study was carried out in four steps. The first step consisted of decomposing the image into superpixels to obtain an initial outline of the tumor. The superpixels were generated using the SLIC algorithm. In the second step, for each superpixel, a set of statistical and multifractal characteristics were calculated (gray‐level co‐occurrence matrix, multifractal detrending moving average). In the third step, the superpixels were classified using a supervised random forest (RF) type classier into healthy or tumorous brain tissue. In the final step, the contour of the detected tumor was enhanced using the customized RW algorithm. The proposed method was evaluated using the Brain Tumor Image Segmentation Challenge 2013 database. The results obtained are competitive compared to other existing methods.     

Computer aided automated detection and classification of brain tumors using CANFIS classification method

The development of abnormal cells in human brain leads to the formation of tumors. This article proposes an efficient approach for brain tumor detection and segmentation using image fusion and co-active adaptive neuro fuzzy inference system (CANFIS) classification method. The brain MRI images are fused and the dual tree complex wavelet transform is applied on the fused image. Then, the statistical features, local ternary pattern features and gray level co-occurrence matrix features. These extracted features are classified using CANFIS classification approach for the classification of source brain MRI image into either normal or abnormal. Further, morphological operations are applied on the abnormal brain MRI image for segmenting the tumor regions. The proposed methodology is evaluated with respect to the performance metrics sensitivity, specificity, positive predictive value, negative predictive value, tumor segmentation accuracy with detection rate. The proposed image fusion based brain tumor detection and classification methodology stated in this article achieves 96.5% of average sensitivity, 97.7% of average specificity, 87.6% of positive predictive value, 96.6% of negative predictive value, and 98.8% of average accuracy.     

Fetal brain extraction from magnetic resonance image (MRI) of human fetus

Study of a fetus is a rapidly growing field of research and it requires fetal brain segmentation. Automatic segmentation of the fetal brain from magnetic resonance imaging (MRI) is challenging, due to the highly variable size and shape of the developing brain, possible brain structure abnormalities, movement of the fetus and a poor resolution of fetal MRI scans. This is in contrast to adult brain segmentation, where the brain structure is stable and several established methods exist. This paper presents a fully automatic segmentation method to segment the fetal brain portion from MRI. The segmentation pipeline developed in this study includes contrast enhancement, region growing and hole filling. Twenty-five volumes of retrospective fetal MRI are used in this work. Experimental results show that this method can successfully segment the fetal brain from magnetic resonance images which are comparable to that of a semi-automatic method.     

3D brain tumor segmentation in MRI images based on a modified PSO technique

Three-dimensional (3D) brain tumor segmentation is a clinical requirement for brain tumor diagnosis and radiotherapy planning. This is a challenging task due to variation in type, size, location, and shape of tumors. Several methods such as particle swarm optimization (PSO) algorithm formed a topological relationship for the slices that converts 2D images into 3D magnetic resonance imaging (MRI) images which does not provide accurate results and they depend on the number of input sections, positions, and the shape of the MRI images. In this article, we propose an efficient 3D brain tumor segmentation technique called modified particle swarm optimization. Also, segmentation results are compared with Darwinian particle swarm optimization (DPSO) and fractional-order Darwinian particle swarm optimization (FODPSO) approaches. The experimental results show that our method succeeded 3D segmentation with 97.6% of accuracy rate more efficient if compared with the DPSO and FODPSO methods with 78.1% and 70.21% for the case of T1-C modality.     

Segmentation for brain magnetic resonance images using dual‐tree complex wavelet transform and spatial constrained self‐organizing tree map

In brain MR images, the noise and low‐contrast significantly deteriorate the segmentation results. In this paper, we introduce a novel application of dual‐tree complex wavelet transform (DT‐CWT), and propose an automatic unsupervised segmentation method integrating DT‐CWT with self‐organizing map for brain MR images. First, a multidimensional feature vector is constructed based on the intensity, low‐frequency subband of DT‐CWT, and spatial position information. Then, a spatial constrained self‐organizing tree map (SCSOTM) is presented as the segmentation system. It adaptively captures the complicated spatial layout of the individual tissues, and overcomes the problem of overlapping gray‐scale intensities for different tissues. SCSOTM applies a dual‐thresholding method for automatic growing of the tree map, which uses the information from the high‐frequency subbands of DT‐CWT. The proposed method is validated by extensive experiments using both simulated and real T1‐weighted MR images, and compared with the state‐of‐the‐art algorithms. © 2014 Wiley Periodicals, Inc. Int J Imaging Syst Technol, 24, 208–214, 2014     

Gamma Knife treatment planning: MR brain tumor segmentation and volume measurement based on unsupervised Fuzzy C‐Means clustering

Nowadays, radiation treatment is beginning to intensively use MRI thanks to its greater ability to discriminate healthy and diseased soft‐tissues. Leksell Gamma Knife® is a radio‐surgical device, used to treat different brain lesions, which are often inaccessible for conventional surgery, such as benign or malignant tumors. Currently, the target to be treated with radiation therapy is contoured with slice‐by‐slice manual segmentation on MR datasets. This approach makes the segmentation procedure time consuming and operator‐dependent. The repeatability of the tumor boundary delineation may be ensured only by using automatic or semiautomatic methods, supporting clinicians in the treatment planning phase. This article proposes a semiautomatic segmentation method, based on the unsupervised Fuzzy C‐Means clustering algorithm. Our approach helps segment the target and automatically calculates the lesion volume. To evaluate the performance of the proposed approach, segmentation tests on 15 MR datasets were performed, using both area‐based and distance‐based metrics, obtaining the following average values: Similarity Index = 95.59%, Jaccard Index = 91.86%, Sensitivity = 97.39%, Specificity = 94.30%, Mean Absolute Distance = 0.246[pixels], Maximum Distance = 1.050[pixels], and Hausdorff Distance = 1.365[pixels]. © 2015 Wiley Periodicals, Inc. Int J Imaging Syst Technol, 25, 213–225, 2015     

Multiclassifier for severity-level categorization of glioma tumors using multimodal magnetic resonance imaging brain images

Brain tumor segmentation and classification is a crucial challenge in diagnosing, planning, and treating brain tumors. This article proposes an automatic method that categorizes the severity level of the tumors to render an effective diagnosis. The proposed fractional Jaya optimizer-deep convolutional neural network undergoes the severity classification based on the features obtained from the segments of the magnetic resonance imaging (MRI) images. The segments are obtained using the particle swarm optimization that ensures the optimal selection of the segments from the MRI image and yields the core tumor and the edema tumor regions. The experimentation using the BRATS database reveals that the proposed method acquired a maximal accuracy, specificity, and sensitivity of 0.9414, 0.9429, and 0.9708, respectively.     

Robust brain MRI denoising and segmentation using enhanced non‐local means algorithm

Image denoising is an integral component of many practical medical systems. Non‐local means (NLM) is an effective method for image denoising which exploits the inherent structural redundancy present in images. Improved adaptive non‐local means (IANLM) is an improved variant of classical NLM based on a robust threshold criterion. In this paper, we have proposed an enhanced non‐local means (ENLM) algorithm, for application to brain MRI, by introducing several extensions to the IANLM algorithm. First, a Rician bias correction method is applied for adapting the IANLM algorithm to Rician noise in MR images. Second, a selective median filtering procedure based on fuzzy c‐means algorithm is proposed as a postprocessing step, in order to further improve the quality of IANLM‐filtered image. Third, different parameters of the proposed ENLM algorithm are optimized for application to brain MR images. Different variants of the proposed algorithm have been presented in order to investigate the influence of the proposed modifications. The proposed variants have been validated on both T1‐weighted (T1‐w) and T2‐weighted (T2‐w) simulated and real brain MRI. Compared with other denoising methods, superior quantitative and qualitative denoising results have been obtained for the proposed algorithm. Additionally, the proposed algorithm has been applied to T2‐weighted brain MRI with multiple sclerosis lesion to show its superior capability of preserving pathologically significant information. Finally, impact of the proposed algorithm has been tested on segmentation of brain MRI. Quantitative and qualitative segmentation results verify that the proposed algorithm based segmentation is better compared with segmentation produced by other contemporary techniques.     

Multi‐modal brain tumor image segmentation based on SDAE

Accurate tumor segmentation has the ability to provide doctors with a basis for surgical planning. Moreover, brain tumor segmentation needs to extract different tumor tissues (Edema, tumor, tumor enhancement, and necrosis) from normal tissues which is a big challenge because tumor structures vary considerably across patients in terms of size, extension, and localization. In this article, we evaluate a fully automated method for segmenting brain tumor images from multi‐modal magnetic resonance imaging volumes based on stacked de‐noising auto‐encoders (SDAEs). Specially, we adopted multi‐modality information from T1, T1c, T2, and Flair images, respectively. We extracted gray level patches from different modalities as the input of the SDAE. After trained by the SDAE, the raw network parameters will be obtained, which are adopted as a parameter of the feed forward neural network for classification. A simple post‐processing is implemented by threshold segmentation method to generate a mask to get the final segmentation result. By evaluating the proposed method on the BRATS 2015, it can be proven that our method obtains the better performance than other state‐of‐the‐art counterpart methods. And a preliminary dice score of 0.86 for whole tumor segmentation has been achieved.     

A deep learning model integrating convolution neural network and multiple kernel K means clustering for segmenting brain tumor in magnetic resonance images

In medical imaging, segmenting brain tumor becomes a vital task, and it provides a way for early diagnosis and treatment. Manual segmentation of brain tumor in magnetic resonance (MR) images is a time‐consuming and challenging task. Hence, there is a need for a computer‐aided brain tumor segmentation approach. Using deep learning algorithms, a robust brain tumor segmentation approach is implemented by integrating convolution neural network (CNN) and multiple kernel K means clustering (MKKMC). In this proposed CNN‐MKKMC approach, classification of MR images into normal and abnormal is performed by CNN algorithm. At next, MKKMC algorithm is employed to segment the brain tumor from the abnormal brain image. The proposed CNN‐MKKMC algorithm is evaluated both visually and objectively in terms of accuracy, sensitivity, and specificity with the existing segmentation methods. The experimental results demonstrate that the proposed CNN‐MKKMC approach yields better accuracy in segmenting brain tumor with less time cost.     

NeXt for neuro‐radiosurgery: A fully automatic approach for necrosis extraction in brain tumor MRI using an unsupervised machine learning technique

Stereotactic neuro‐radiosurgery is a well‐established therapy for intracranial diseases, especially brain metastases and highly invasive cancers that are difficult to treat with conventional surgery or radiotherapy. Nowadays, magnetic resonance imaging (MRI) is the most used modality in radiation therapy for soft‐tissue anatomical districts, allowing for an accurate gross tumor volume (GTV) segmentation. Investigating also necrotic material within the whole tumor has significant clinical value in treatment planning and cancer progression assessment. These pathological necrotic regions are generally characterized by hypoxia, which is implicated in several aspects of tumor development and growth. Therefore, particular attention must be deserved to these hypoxic areas that could lead to recurrent cancers and resistance to therapeutic damage. This article proposes a novel fully automatic method for necrosis extraction (NeXt), using the Fuzzy C‐Means algorithm, after the GTV segmentation. This unsupervised Machine Learning technique detects and delineates the necrotic regions also in heterogeneous cancers. The overall processing pipeline is an integrated two‐stage segmentation approach useful to support neuro‐radiosurgery. NeXt can be exploited for dose escalation, allowing for a more selective strategy to increase radiation dose in hypoxic radioresistant areas. Moreover, NeXt analyzes contrast‐enhanced T1‐weighted MR images alone and does not require multispectral MRI data, representing a clinically feasible solution. This study considers an MRI dataset composed of 32 brain metastatic cancers, wherein 20 tumors present necroses. The segmentation accuracy of NeXt was evaluated using both spatial overlap‐based and distance‐based metrics, achieving these average values: Dice similarity coefficient 95.93% ± 4.23% and mean absolute distance 0.225 ± 0.229 (pixels).