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Evaluation of a Hierarchical 
Anatomical Segmentation Approach in 
VISCERAL Anatomy Benchmarks 
Oscar Jiménez-del-Toro 
Henning Müller 
University of Applied Sciences 
Western Switzerland 
(HES-SO)
2 
Overview 
• Motivation 
• VISCERAL 
• Method 
• Experimental Setup 
• Results Anatomy 1 Benchmark 
• Discussion 
• Conclusions
3 
Overview 
• Motivation 
• VISCERAL 
• Method 
• Experimental Setup 
• Results Anatomy 1 Benchmark 
• Discussion 
• Conclusions
• Anatomical segmentation is fundamental for 
further image analysis and Computer-Aided 
Diagnosis1 
• Manual annotation and visual inspection is 
time consuming for radiologists 
• Accurate large scale data analysis techniques 
are needed 
4 
Motivation
5 
Overview 
• Motivation 
• VISCERAL 
• Method 
• Experimental Setup 
• Results Anatomy 1 Benchmark 
• Discussion 
• Conclusions
6 
Overview 
• Motivation 
• VISCERAL 
• Method 
• Experimental Setup 
• Results Anatomy 1 Benchmark 
• Discussion 
• Conclusions
VISual Concept Extraction  
challenge in RAdioLogy 
• EU funded project (2012-2015) 
– HES-SO, ETHZ, UHD, MUW, TUW, Gencat 
• Organize competitions on medical image 
analysis on big data 
o Anatomy benchmarks 
o Detection benchmark 
o Retrieval benchmark
VISCERAL Anatomy Benchmarks 
• All computations done in the 
cloud 
• Annotation by medical 
doctors 
• Automatic segmentation of 
anatomical structures (20) 
and landmark detection 
• CT and MR images (contrast-enhanced 
and non-enhanced)
9 
Overview 
• Motivation 
• VISCERAL 
• Method 
• Experimental Setup 
• Results Anatomy 1 Benchmark 
• Discussion 
• Conclusions
10 
Overview 
• Motivation 
• VISCERAL 
• Method 
• Experimental Setup 
• Results Anatomy 1 Benchmark 
• Discussion 
• Conclusions
Hierarchic Multi Atlas-Based 
Segmentation2 
• Use multiple atlases for label estimation 
• Global and local alignment 
• Hierarchical selection of the registrations 
• Reuse registrations from the bigger 
structures (eg. liver) for the smaller ones 
• Label fusion
Image registration 
• Atlas = Patient volume + labels 
• Coordinate transformation 
increases spatial correlation 
between images3 
• Multi-scale gaussian pyramid4
Affine alignment 
• Global rigid align 
• Independent local refinement for bigger 
structures (eg. liver, lungs) 
• Regions of interest based on the 
morphologically dilated initial estimations
Non-rigid alignment 
• Non-rigid b-spline 
• Multi-scale approach 
• Faster optimization 
due to better initial 
alignment
Label fusion 
• Majority voting threshold 
• Classification on a per-voxel 
basis 
• Local registration errors are 
reduced 
• Threshold optimization
Hierarchical Registration 
Affine 
Liver 
Right 
Kidney 
Urinary 
Bladder 
Global 
alignment 
Right 
Lung 
Left 
Lung 
1st Lumbar 
Vertebra 
Gall-bladder 
Left 
Trachea 
Kidney 
Spleen 
Local Affine 
2nd Local 
Affine 
B-spline non-rigid 
Label fusion
17 
Overview 
• Motivation 
• VISCERAL 
• Method 
• Experimental Setup 
• Results Anatomy 1 Benchmark 
• Discussion 
• Conclusions
18 
Overview 
• Motivation 
• VISCERAL 
• Method 
• Experimental Setup 
• Results Anatomy 1 Benchmark 
• Discussion 
• Conclusions
Experimental setup 
• VISCERAL Anatomy 1 
• Testset :12 contrast-enhanced CT of the trunk 
• Applied to 10 anatomical structures 
• VISCERAL Anatomy 2 
• Testset :10 contrast-enhanced CT of the trunk 
• 10 unenhanced whole body CT 
• Applied to ALL anatomical structures
20 
Overview 
• Motivation 
• VISCERAL 
• Method 
• Experimental Setup 
• Results Anatomy 1 Benchmark 
• Discussion 
• Conclusions
• Motivation 
• VISCERAL 
• Method 
• Experimental Setup 
• Results Anatomy 1 Benchmark 
• Discussion 
• Conclusions 
21 
Overview
Anatomy 1 Results 
DICE coefficient
Anatomy 1 Results 
DICE coefficient 
Top rank in benchmark
Anatomy 1 Results 
Average distance error
Anatomy 1 Results 
Average distance error 
Top rank in benchmark
Discussion 
Comparison with other 
participant methods: 
- SJ: Spanier et al. Rule-based approach with 
region growing for multiple organs 
- HJ: Huang et al. Multiple prior knowledge 
models and free-form deformation 
- W: Wang et al. Fast model bases level set 
method and hierarchical shape priors 
- K: Kazmig et al. Clustering and graph cut 
using shortest path constraint for spatial 
relations 
- GG: Gass et al. Multiple atlases via Markov 
random field registrations 
(DICE)
Discussion 
Comparison with other 
participant methods: 
- SJ: Spanier et al. Rule-based approach with 
region growing for multiple organs 
- HJ: Huang et al. Multiple prior knowledge 
models and free-form deformation 
- W: Wang et al. Fast model bases level set 
method and hierarchical shape priors 
- K: Kazmig et al. Clustering and graph cut 
using shortest path constraint for spatial 
relations 
- GG: Gass et al. Multiple atlases via Markov 
random field registrations 
(DICE)
Discussion 
• Competitive results compared with up to 5 
segmentation methods in Anatomy1 
• Similar to state-of-the-art methods for some 
organs: liver (0.89-0.96)5,6, kidneys (0.92-0.98)7,8 
• Segments not only abdominal organs but can be 
implemented for any anatomical structure 
• Future work: Extend to method to other 
modalities
Conclusion 
• Straightforward automatic multi-structure 
segmentation method 
• Showed robustness in multiple structures 
particularly for ceCT 
• High overlap for the bigger structures (e.g. 
liver, lungs) and competitive overlap for smaller 
structures (e.g. gallbladder)
Thank you 
for your attention !!
References 
1 K.Doi. Current status and future potential of computer-aided 
diagnosis in medical imaging. British Journal of Radiology, 78:3-19, 2005 
2Jiménez del Toro et al., Multi-structure Atlas-Based Segmentation 
using Anatomical Regions of Interest. Proceedings of Medical Image 
Computing and Computer Assisted Intervention (MICCAI2013) MCV 
workshop, Nagoya, Japan, 2013 
3Stefan Klein et al. Elastix: a toolbox for intensity-based medical image 
registration. IEEE Transactions on medical imaging, 29(1):196-205, 2010 
4 Stefan Klein et al. Adaptive stochastic gradient descent optimisation 
for image registration. International Journal of Computer Vision, 81(3): 
227-239, 2009
References 
5Criminisi et al. Regression forests for efficient anatomy detection and 
localization in computed tomography scans. Medical Image Analysis, 
17(8):1293-1303, 2013 
6Okada et al. Abdominal multi-organ segmentation of CT images 
based on hierarchical spatial modeling of organ interrelations. 
Abdominal Imaging 2011, 7029:173-180, 2012 
7Zhou et al. Automatic localization of solid organs on 3D CT images 
by a collaborative majority voting decision based on ensemble 
learning. Computerized Medical Imaging and Graphics, 36:304-313, 2012 
8Wolz et al. Multi-organ abdominal CT segmentation using 
hierarchically weighted subject-specific atlases. Proceedings of Medical 
Image Computing and Computer Assisted Intervention (MICCAI2012), 
7510:10-17, 2012

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Evaluation of a Hierarchical Anatomical Segmentation Approach in VISCERAL Anatomy Benchmarks

  • 1. Evaluation of a Hierarchical Anatomical Segmentation Approach in VISCERAL Anatomy Benchmarks Oscar Jiménez-del-Toro Henning Müller University of Applied Sciences Western Switzerland (HES-SO)
  • 2. 2 Overview • Motivation • VISCERAL • Method • Experimental Setup • Results Anatomy 1 Benchmark • Discussion • Conclusions
  • 3. 3 Overview • Motivation • VISCERAL • Method • Experimental Setup • Results Anatomy 1 Benchmark • Discussion • Conclusions
  • 4. • Anatomical segmentation is fundamental for further image analysis and Computer-Aided Diagnosis1 • Manual annotation and visual inspection is time consuming for radiologists • Accurate large scale data analysis techniques are needed 4 Motivation
  • 5. 5 Overview • Motivation • VISCERAL • Method • Experimental Setup • Results Anatomy 1 Benchmark • Discussion • Conclusions
  • 6. 6 Overview • Motivation • VISCERAL • Method • Experimental Setup • Results Anatomy 1 Benchmark • Discussion • Conclusions
  • 7. VISual Concept Extraction challenge in RAdioLogy • EU funded project (2012-2015) – HES-SO, ETHZ, UHD, MUW, TUW, Gencat • Organize competitions on medical image analysis on big data o Anatomy benchmarks o Detection benchmark o Retrieval benchmark
  • 8. VISCERAL Anatomy Benchmarks • All computations done in the cloud • Annotation by medical doctors • Automatic segmentation of anatomical structures (20) and landmark detection • CT and MR images (contrast-enhanced and non-enhanced)
  • 9. 9 Overview • Motivation • VISCERAL • Method • Experimental Setup • Results Anatomy 1 Benchmark • Discussion • Conclusions
  • 10. 10 Overview • Motivation • VISCERAL • Method • Experimental Setup • Results Anatomy 1 Benchmark • Discussion • Conclusions
  • 11. Hierarchic Multi Atlas-Based Segmentation2 • Use multiple atlases for label estimation • Global and local alignment • Hierarchical selection of the registrations • Reuse registrations from the bigger structures (eg. liver) for the smaller ones • Label fusion
  • 12. Image registration • Atlas = Patient volume + labels • Coordinate transformation increases spatial correlation between images3 • Multi-scale gaussian pyramid4
  • 13. Affine alignment • Global rigid align • Independent local refinement for bigger structures (eg. liver, lungs) • Regions of interest based on the morphologically dilated initial estimations
  • 14. Non-rigid alignment • Non-rigid b-spline • Multi-scale approach • Faster optimization due to better initial alignment
  • 15. Label fusion • Majority voting threshold • Classification on a per-voxel basis • Local registration errors are reduced • Threshold optimization
  • 16. Hierarchical Registration Affine Liver Right Kidney Urinary Bladder Global alignment Right Lung Left Lung 1st Lumbar Vertebra Gall-bladder Left Trachea Kidney Spleen Local Affine 2nd Local Affine B-spline non-rigid Label fusion
  • 17. 17 Overview • Motivation • VISCERAL • Method • Experimental Setup • Results Anatomy 1 Benchmark • Discussion • Conclusions
  • 18. 18 Overview • Motivation • VISCERAL • Method • Experimental Setup • Results Anatomy 1 Benchmark • Discussion • Conclusions
  • 19. Experimental setup • VISCERAL Anatomy 1 • Testset :12 contrast-enhanced CT of the trunk • Applied to 10 anatomical structures • VISCERAL Anatomy 2 • Testset :10 contrast-enhanced CT of the trunk • 10 unenhanced whole body CT • Applied to ALL anatomical structures
  • 20. 20 Overview • Motivation • VISCERAL • Method • Experimental Setup • Results Anatomy 1 Benchmark • Discussion • Conclusions
  • 21. • Motivation • VISCERAL • Method • Experimental Setup • Results Anatomy 1 Benchmark • Discussion • Conclusions 21 Overview
  • 22. Anatomy 1 Results DICE coefficient
  • 23. Anatomy 1 Results DICE coefficient Top rank in benchmark
  • 24. Anatomy 1 Results Average distance error
  • 25. Anatomy 1 Results Average distance error Top rank in benchmark
  • 26. Discussion Comparison with other participant methods: - SJ: Spanier et al. Rule-based approach with region growing for multiple organs - HJ: Huang et al. Multiple prior knowledge models and free-form deformation - W: Wang et al. Fast model bases level set method and hierarchical shape priors - K: Kazmig et al. Clustering and graph cut using shortest path constraint for spatial relations - GG: Gass et al. Multiple atlases via Markov random field registrations (DICE)
  • 27. Discussion Comparison with other participant methods: - SJ: Spanier et al. Rule-based approach with region growing for multiple organs - HJ: Huang et al. Multiple prior knowledge models and free-form deformation - W: Wang et al. Fast model bases level set method and hierarchical shape priors - K: Kazmig et al. Clustering and graph cut using shortest path constraint for spatial relations - GG: Gass et al. Multiple atlases via Markov random field registrations (DICE)
  • 28. Discussion • Competitive results compared with up to 5 segmentation methods in Anatomy1 • Similar to state-of-the-art methods for some organs: liver (0.89-0.96)5,6, kidneys (0.92-0.98)7,8 • Segments not only abdominal organs but can be implemented for any anatomical structure • Future work: Extend to method to other modalities
  • 29. Conclusion • Straightforward automatic multi-structure segmentation method • Showed robustness in multiple structures particularly for ceCT • High overlap for the bigger structures (e.g. liver, lungs) and competitive overlap for smaller structures (e.g. gallbladder)
  • 30. Thank you for your attention !!
  • 31. References 1 K.Doi. Current status and future potential of computer-aided diagnosis in medical imaging. British Journal of Radiology, 78:3-19, 2005 2Jiménez del Toro et al., Multi-structure Atlas-Based Segmentation using Anatomical Regions of Interest. Proceedings of Medical Image Computing and Computer Assisted Intervention (MICCAI2013) MCV workshop, Nagoya, Japan, 2013 3Stefan Klein et al. Elastix: a toolbox for intensity-based medical image registration. IEEE Transactions on medical imaging, 29(1):196-205, 2010 4 Stefan Klein et al. Adaptive stochastic gradient descent optimisation for image registration. International Journal of Computer Vision, 81(3): 227-239, 2009
  • 32. References 5Criminisi et al. Regression forests for efficient anatomy detection and localization in computed tomography scans. Medical Image Analysis, 17(8):1293-1303, 2013 6Okada et al. Abdominal multi-organ segmentation of CT images based on hierarchical spatial modeling of organ interrelations. Abdominal Imaging 2011, 7029:173-180, 2012 7Zhou et al. Automatic localization of solid organs on 3D CT images by a collaborative majority voting decision based on ensemble learning. Computerized Medical Imaging and Graphics, 36:304-313, 2012 8Wolz et al. Multi-organ abdominal CT segmentation using hierarchically weighted subject-specific atlases. Proceedings of Medical Image Computing and Computer Assisted Intervention (MICCAI2012), 7510:10-17, 2012