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Anatomical correlations for a hierarchical
multi-atlas segmentation of the pancreas in
CT images
Oscar A. Jiménez del Toro
University of Applied Sciences
Western Switzerland
(HES-SO)
Overview
•  Introduction
•  VISCERAL
•  Method
•  Multi-atlas segmentation
•  Image registration
•  Hierarchical registration approach
•  Pancreas segmentation
•  Results
2
Overview
•  Introduction
•  VISCERAL
•  Method
•  Multi-atlas segmentation
•  Image registration
•  Hierarchical registration approach
•  Pancreas segmentation
•  Results
3
Introduction
•  Anatomical segmentation is fundamental for
further image analysis1
•  Different methods proposed2,3 (regression
random forests, level set…)
•  Comparison of multiple approaches for the
same public dataset is uncommon
4
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
•  All computation done in the cloud
•  Segmentation benchmark
•  Retrieval benchmark
•  Annotation by medical doctors
Cloud environment
Benchmark 2 Anatomy
•  Automatic segmentation of
anatomical structures (20)
and landmark detection
•  Define challenges in large
scale data (aprox. 10TB)
processing
•  CT and MR images
(contrast-enhanced and
non-enhanced)
Overview
•  Introduction
•  VISCERAL
•  Method
•  Multi-atlas segmentation
•  Image registration
•  Hierarchical registration approach
•  Pancreas segmentation
•  Results
8
Overview
•  Introduction
•  VISCERAL
•  Method
•  Multi-atlas segmentation
•  Image registration
•  Hierarchical registration approach
•  Pancreas segmentation
•  Results
9
Hierarchical multi-atlas segmentation
•  Use multiple atlases for
the estimation on a target
image
•  Global and local alignment
•  Hierarchical selection of
the registrations improves
results
•  Label fusion
Image Registration
•  Atlas =
Patient volume + labels
•  Coordinate transformation
that increases spatial
correlation
– Affine: Rotate, translate, scale
– B-spline: Non-rigid
Right
Kidney
Liver
Global
alignment
Urinary Bladder Right Lung Left Lung1st Lumbar Vertebra
Gall-
bladder
Left KidneyTrachea
Spleen
2nd Local
Affine
Hierarchical Registration approach
Affine
Local Affine
B-spline non-
rigid
Label fusion
•  Majority voting threshold
•  Classification on a per-voxel
basis
•  Threshold optimization
Overview
•  Introduction
•  VISCERAL
•  Method
•  Multi-atlas segmentation
•  Image registration
•  Hierarchical registration approach
•  Pancreas segmentation
•  Results
14
Overview
•  Introduction
•  VISCERAL
•  Method
•  Multi-atlas segmentation
•  Image registration
•  Hierarchical registration approach
•  Pancreas segmentation
•  Results
15
Right
Kidney
Liver
Global
alignment
Urinary Bladder Right Lung Left Lung1st Lumbar Vertebra
Gall-
bladder
Left KidneyTrachea
Spleen
2nd Local
Affine
Pancreas segmentation
Affine
Local Affine
B-spline non-
rigid
Right
Kidney
Liver
Global
alignment
Urinary Bladder Right Lung Left Lung1st Lumbar Vertebra
Gall-
bladder
Left KidneyTrachea
Spleen
2nd Local
Affine
Affine
Local Affine
B-spline non-
rigid
Liver
Right
Kidney
Pancreas segmentation
Experimental setup
•  VISCERAL Benchmark 1 testset
•  10 contrast-enhanced CT volumes of the trunk
•  Added to segmentation method of 10
structures:
– Liver, lungs, kidneys, gallbladder, urinary bladder,
1st lumbar vertebra, trachea and spleen
•  7 independent atlases as trainingset
Results
•  Average DICE score for Pancreas: 0.52
Structure DICE Rank in VISCERAL
Benchmark 1
Liver 0.918 1st
Right Kidney 0.913 1st
Left Kidney 0.921 1st
Right Lung 0.965 3rd
Left Lung 0.955 3rd
Spleen 0.852 3rd
Trachea 0.836 2nd
Gallbladder 0.566 1st
Urinary bladder 0.7 3rd
1st Lumbar vertebra 0.522 2nd
Results
•  Average DICE score for Pancreas: 0.52
Structure DICE Rank in VISCERAL
Benchmark 1
Liver 0.918 1st
Right Kidney 0.913 1st
Left Kidney 0.921 1st
Right Lung 0.965 3rd
Left Lung 0.955 3rd
Spleen 0.852 3rd
Trachea 0.836 2nd
Gallbladder 0.566 1st
Urinary bladder 0.7 3rd
1st Lumbar vertebra 0.522 2nd
Conclusion
•  Full automatic method
•  Requires little or no feedback from the user
•  Showed robustness in the segmentation of
multiple structures with high overlap
•  Fared well when compared to other methods
of the VISCERAL Benchmark 1
•  Future work:
–  Extend to method to other modalities (CTwb ISBI challenge, MR)
–  Test in a bigger dataset for VISCERAL Benchmark 2 Anatomy
Sierre, Switzerland
Questions???

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Anatomical correlations for a hierarchical multi-atlas segmentation of the pancreas in CT images

  • 1. Anatomical correlations for a hierarchical multi-atlas segmentation of the pancreas in CT images Oscar A. Jiménez del Toro University of Applied Sciences Western Switzerland (HES-SO)
  • 2. Overview •  Introduction •  VISCERAL •  Method •  Multi-atlas segmentation •  Image registration •  Hierarchical registration approach •  Pancreas segmentation •  Results 2
  • 3. Overview •  Introduction •  VISCERAL •  Method •  Multi-atlas segmentation •  Image registration •  Hierarchical registration approach •  Pancreas segmentation •  Results 3
  • 4. Introduction •  Anatomical segmentation is fundamental for further image analysis1 •  Different methods proposed2,3 (regression random forests, level set…) •  Comparison of multiple approaches for the same public dataset is uncommon 4
  • 5. 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 •  All computation done in the cloud •  Segmentation benchmark •  Retrieval benchmark •  Annotation by medical doctors
  • 7. Benchmark 2 Anatomy •  Automatic segmentation of anatomical structures (20) and landmark detection •  Define challenges in large scale data (aprox. 10TB) processing •  CT and MR images (contrast-enhanced and non-enhanced)
  • 8. Overview •  Introduction •  VISCERAL •  Method •  Multi-atlas segmentation •  Image registration •  Hierarchical registration approach •  Pancreas segmentation •  Results 8
  • 9. Overview •  Introduction •  VISCERAL •  Method •  Multi-atlas segmentation •  Image registration •  Hierarchical registration approach •  Pancreas segmentation •  Results 9
  • 10. Hierarchical multi-atlas segmentation •  Use multiple atlases for the estimation on a target image •  Global and local alignment •  Hierarchical selection of the registrations improves results •  Label fusion
  • 11. Image Registration •  Atlas = Patient volume + labels •  Coordinate transformation that increases spatial correlation – Affine: Rotate, translate, scale – B-spline: Non-rigid
  • 12. Right Kidney Liver Global alignment Urinary Bladder Right Lung Left Lung1st Lumbar Vertebra Gall- bladder Left KidneyTrachea Spleen 2nd Local Affine Hierarchical Registration approach Affine Local Affine B-spline non- rigid
  • 13. Label fusion •  Majority voting threshold •  Classification on a per-voxel basis •  Threshold optimization
  • 14. Overview •  Introduction •  VISCERAL •  Method •  Multi-atlas segmentation •  Image registration •  Hierarchical registration approach •  Pancreas segmentation •  Results 14
  • 15. Overview •  Introduction •  VISCERAL •  Method •  Multi-atlas segmentation •  Image registration •  Hierarchical registration approach •  Pancreas segmentation •  Results 15
  • 16. Right Kidney Liver Global alignment Urinary Bladder Right Lung Left Lung1st Lumbar Vertebra Gall- bladder Left KidneyTrachea Spleen 2nd Local Affine Pancreas segmentation Affine Local Affine B-spline non- rigid
  • 17. Right Kidney Liver Global alignment Urinary Bladder Right Lung Left Lung1st Lumbar Vertebra Gall- bladder Left KidneyTrachea Spleen 2nd Local Affine Affine Local Affine B-spline non- rigid Liver Right Kidney Pancreas segmentation
  • 18. Experimental setup •  VISCERAL Benchmark 1 testset •  10 contrast-enhanced CT volumes of the trunk •  Added to segmentation method of 10 structures: – Liver, lungs, kidneys, gallbladder, urinary bladder, 1st lumbar vertebra, trachea and spleen •  7 independent atlases as trainingset
  • 19. Results •  Average DICE score for Pancreas: 0.52 Structure DICE Rank in VISCERAL Benchmark 1 Liver 0.918 1st Right Kidney 0.913 1st Left Kidney 0.921 1st Right Lung 0.965 3rd Left Lung 0.955 3rd Spleen 0.852 3rd Trachea 0.836 2nd Gallbladder 0.566 1st Urinary bladder 0.7 3rd 1st Lumbar vertebra 0.522 2nd
  • 20. Results •  Average DICE score for Pancreas: 0.52 Structure DICE Rank in VISCERAL Benchmark 1 Liver 0.918 1st Right Kidney 0.913 1st Left Kidney 0.921 1st Right Lung 0.965 3rd Left Lung 0.955 3rd Spleen 0.852 3rd Trachea 0.836 2nd Gallbladder 0.566 1st Urinary bladder 0.7 3rd 1st Lumbar vertebra 0.522 2nd
  • 21.
  • 22. Conclusion •  Full automatic method •  Requires little or no feedback from the user •  Showed robustness in the segmentation of multiple structures with high overlap •  Fared well when compared to other methods of the VISCERAL Benchmark 1 •  Future work: –  Extend to method to other modalities (CTwb ISBI challenge, MR) –  Test in a bigger dataset for VISCERAL Benchmark 2 Anatomy