No Arabic abstract
We present a fully automated method for top-down segmentation of the pulmonary arterial tree in low-dose thoracic CT images. The main basal pulmonary arteries are identified near the lung hilum by searching for candidate vessels adjacent to known airways, identified by our previously reported airway segmentation method. Model cylinders are iteratively fit to the vessels to track them into the lungs. Vessel bifurcations are detected by measuring the rate of change of vessel radii, and child vessels are segmented by initiating new trackers at bifurcation points. Validation is accomplished using our novel sparse surface (SS) evaluation metric. The SS metric was designed to quantify the magnitude of the segmentation error per vessel while significantly decreasing the manual marking burden for the human user. A total of 210 arteries and 205 veins were manually marked across seven test cases. 134/210 arteries were correctly segmented, with a specificity for arteries of 90%, and average segmentation error of 0.15 mm. This fully-automated segmentation is a promising method for improving lung nodule detection in low-dose CT screening scans, by separating vessels from surrounding iso-intensity objects.
A computer-aided detection (CAD) system for the identification of pulmonary nodules in low-dose multi-detector helical CT images with 1.25 mm slice thickness is being developed in the framework of the INFN-supported MAGIC-5 Italian project. The basic modules of our lung-CAD system, a dot enhancement filter for nodule candidate selection and a voxel-based neural classifier for false-positive finding reduction, are described. Preliminary results obtained on the so-far collected database of lung CT scans are discussed.
Pulmonary vessel segmentation is important for clinical diagnosis of pulmonary diseases, while is also challenging due to the complicated structure. In this work, we present an effective framework and refinement process of pulmonary vessel segmentation from chest computed tomographic (CT) images. The key to our approach is a 2.5D segmentation network applied from three orthogonal axes, which presents a robust and fully automated pulmonary vessel segmentation result with lower network complexity and memory usage compared to 3D networks. The slice radius is introduced to convolve the adjacent information of the center slice and the multi-planar fusion optimizes the presentation of intra- and inter- slice features. Besides, the tree-like structure of the pulmonary vessel is extracted in the post-processing process, which is used for segmentation refining and pruning. In the evaluation experiments, three fusion methods are tested and the most promising one is compared with the state-of-the-art 2D and 3D structures on 300 cases of lung images randomly selected from LIDC dataset. Our method outperforms other network structures by a large margin and achieves by far the highest average DICE score of 0.9272 and precision of 0.9310, as per our knowledge from the pulmonary vessel segmentation models available in the literature.
Low-dose X-ray CT technology is one of important directions of current research and development of medical imaging equipment. A fast algorithm of blockwise sinogram filtering is presented for realtime low-dose CT imaging. A nonstationary Gaussian noise model of low-dose sinogram data is proposed in the low-mA (tube current) CT protocol. Then, according to the linear minimum mean square error principle, an adaptive blockwise algorithm is built to filter contaminated sinogram data caused by photon starvation. A moving sum technique is used to speed the algorithm into a linear time one, regardless of the block size and thedata range. The proposedfast filtering givesa better performance in noise reduction and detail preservation in the reconstructed images,which is verified in experiments on simulated and real data compared with some related filtering methods.
X-ray Computed Tomography (CT) is an important tool in medical imaging to obtain a direct visualization of patient anatomy. However, the x-ray radiation exposure leads to the concern of lifetime cancer risk. Low-dose CT scan can reduce the radiation exposure to patient while the image quality is usually degraded due to the appearance of noise and artifacts. Numerous studies have been conducted to regularize CT image for better image quality. Yet, exploring the underlying manifold where real CT images residing on is still an open problem. In this paper, we propose a fully data-driven manifold learning approach by incorporating the emerging deep-learning technology. An encoder-decoder convolutional neural network has been established to map a CT image to the inherent low-dimensional manifold, as well as to restore the CT image from its corresponding manifold representation. A novel reconstruction algorithm assisted by the leant manifold prior has been developed to achieve high quality low-dose CT reconstruction. In order to demonstrate the effectiveness of the proposed framework, network training, testing, and comprehensive simulation study have been performed using patient abdomen CT images. The trained encoder-decoder CNN is capable of restoring high-quality CT images with average error of ~20 HU. Furthermore, the proposed manifold prior assisted reconstruction scheme achieves high-quality low-dose CT reconstruction, with average reconstruction error of < 30 HU, more than five times and two times lower than that of filtered back projection method and total-variation based iterative reconstruction method, respectively.
The Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has rapidly spread into a global pandemic. A form of pneumonia, presenting as opacities with in a patients lungs, is the most common presentation associated with this virus, and great attention has gone into how these changes relate to patient morbidity and mortality. In this work we provide open source models for the segmentation of patterns of pulmonary opacification on chest Computed Tomography (CT) scans which have been correlated with various stages and severities of infection. We have collected 663 chest CT scans of COVID-19 patients from healthcare centers around the world, and created pixel wise segmentation labels for nearly 25,000 slices that segment 6 different patterns of pulmonary opacification. We provide open source implementations and pre-trained weights for multiple segmentation models trained on our dataset. Our best model achieves an opacity Intersection-Over-Union score of 0.76 on our test set, demonstrates successful domain adaptation, and predicts the volume of opacification within 1.7% of expert radiologists. Additionally, we present an analysis of the inter-observer variability inherent to this task, and propose methods for appropriate probabilistic approaches.