Anatomical segmentation is fundamental for further image analysis and Computer-Aided Diagnosis. Manual annotation and visual inspection is time consuming for radiologists. Accurate large scale data analysis techniques are needed.
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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)
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
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)
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
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
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)
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