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Automatic segmentation of the thumb trapeziometacarpal joint using parametric statistical shape modelling and random forest regression voting. 基于参数统计形状建模和随机森林回归投票的拇指梯形-掌骨关节自动分割。
IF 1.6 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2019-01-01 Epub Date: 2018-07-26 DOI: 10.1080/21681163.2018.1501765
Marco T Y Schneider, Ju Zhang, Joseph J Crisco, Arnold-Peter C Weiss, Amy L Ladd, Poul M F Nielsen, Thor Besier

We propose an automatic pipeline for creating shape modelling suitable parametric meshes of the trapeziometacarpal (TMC) joint from clinical CT images for the purpose of batch processing and analysis. The method uses 3D random forest regression voting (RFRV) with statistical shape model (SSM) segmentation. The method was demonstrated in a validation experiment involving 65 CT images, 15 of which were randomly selected to be excluded from the training set for testing. With mean root mean squared (RMS) errors of 1.066 mm and 0.632 mm for the first metacarpal and trapezial bones respectively, and a segmentation time of ~2 minutes per CT image, the preliminary results showed promise for providing accurate 3D meshes of TMC joint bones for batch processing.

我们提出了一种自动流水线,用于从临床CT图像中创建形状建模合适的梯形掌骨(TMC)关节参数网格,用于批量处理和分析。该方法采用三维随机森林回归投票(RFRV)和统计形状模型(SSM)分割。该方法在65张CT图像的验证实验中得到验证,随机抽取其中15张从训练集中排除进行测试。初步结果显示,第一掌骨和斜骨的平均均方根误差分别为1.066 mm和0.632 mm,每张CT图像的分割时间约为2分钟,有望为批量处理提供准确的TMC关节骨三维网格。
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引用次数: 3
The transition module: a method for preventing overfitting in convolutional neural networks. 过渡模块:一种防止卷积神经网络过拟合的方法。
IF 1.6 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2019-01-01 Epub Date: 2018-01-26 DOI: 10.1080/21681163.2018.1427148
S Akbar, M Peikari, S Salama, S Nofech-Mozes, A L Martel

Digital pathology has advanced substantially over the last decade with the adoption of slide scanners in pathology labs. The use of digital slides to analyse diseases at the microscopic level is both cost-effective and efficient. Identifying complex tumour patterns in digital slides is a challenging problem but holds significant importance for tumour burden assessment, grading and many other pathological assessments in cancer research. The use of convolutional neural networks (CNNs) to analyse such complex images has been well adopted in digital pathology. However, in recent years, the architecture of CNNs has altered with the introduction of inception modules which have shown great promise for classification tasks. In this paper, we propose a modified 'transition' module which encourages generalisation in a deep learning framework with few training samples. In the transition module, filters of varying sizes are used to encourage class-specific filters at multiple spatial resolutions followed by global average pooling. We demonstrate the performance of the transition module in AlexNet and ZFNet, for classifying breast tumours in two independent data-sets of scanned histology sections; the inclusion of the transition module in these CNNs improved performance.

在过去的十年中,随着病理实验室采用切片扫描仪,数字病理学已经取得了实质性的进展。使用数字载玻片在微观层面上分析疾病既具有成本效益又高效。在数字幻灯片中识别复杂的肿瘤模式是一个具有挑战性的问题,但对肿瘤负荷评估、分级和癌症研究中的许多其他病理评估具有重要意义。使用卷积神经网络(cnn)来分析这种复杂的图像已经很好地应用于数字病理学。然而,近年来,随着初始模块的引入,cnn的架构发生了变化,这些模块在分类任务中显示出很大的希望。在本文中,我们提出了一个改进的“过渡”模块,它鼓励在具有少量训练样本的深度学习框架中进行泛化。在过渡模块中,使用不同大小的过滤器来鼓励在多个空间分辨率下使用特定于类的过滤器,然后进行全局平均池化。我们在AlexNet和ZFNet中展示了过渡模块的性能,用于在扫描组织学切片的两个独立数据集中对乳腺肿瘤进行分类;在这些cnn中加入过渡模块提高了性能。
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引用次数: 10
Integrated 3D Anatomical Model for Automatic Myocardial Segmentation in Cardiac CT Imagery. 心脏CT图像自动分割的集成三维解剖模型。
IF 1.6 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2019-01-01 Epub Date: 2019-03-07 DOI: 10.1080/21681163.2019.1583607
N Dahiya, A Yezzi, M Piccinelli, E Garcia

Segmentation of epicardial and endocardial boundaries is a critical step in diagnosing cardiovascular function in heart patients. The manual tracing of organ contours in Computed Tomography Angiography (CTA) slices is subjective, time-consuming and impractical in clinical setting. We propose a novel multi-dimensional automatic edge detection algorithm based on shape priors and principal component analysis (PCA). We have developed a highly customized parametric model for implicit representations of segmenting curves (3D) for Left Ventricle (LV), Right Ventricle (RV), and Epicardium (Epi) used simultaneously to achieve myocardial segmentation. We have combined these representations in a region-based image modeling framework with high level constraints enabling the modeling of complex cardiac anatomical structures to automatically guide the segmentation of endo/epicardial boundaries. Test results on 30 short-axis CTA datasets show robust segmentation with error (mean ± std mm) of (1.46 ± 0.41), (2.06 ± 0.65), (2.88 ± 0.59) for LV, RV and Epi respectively.

心外膜和心内膜边界的分割是诊断心脏病患者心血管功能的关键步骤。计算机断层扫描血管造影(CTA)切片中器官轮廓的手工追踪是主观的,耗时的,在临床环境中不切实际的。提出了一种基于形状先验和主成分分析的多维自动边缘检测算法。我们开发了一个高度定制的参数化模型,用于同时实现左心室(LV)、右心室(RV)和心外膜(Epi)的隐式分割曲线(3D)表示。我们将这些表征结合在一个基于区域的图像建模框架中,该框架具有高水平的约束,能够对复杂的心脏解剖结构进行建模,从而自动指导心脏内/心外膜边界的分割。在30个短轴CTA数据集上的测试结果显示,LV、RV和Epi的分割误差(平均±标准差mm)分别为(1.46±0.41)、(2.06±0.65)、(2.88±0.59)。
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引用次数: 13
Simulation of surface strain in tibiofemoral cartilage during walking for the prediction of collagen fiber orientation. 行走过程中胫骨股骨软骨表面应变的模拟,用于预测胶原纤维取向。
IF 1.6 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2019-01-01 Epub Date: 2018-06-11 DOI: 10.1080/21681163.2018.1442751
Milad Rakhsha, Colin R Smith, Antonio Recuero, Scott C E Brandon, Michael F Vignos, Darryl G Thelen, Dan Negrut

The collagen fibers in the superficial layer of tibiofemoral articular cartilage exhibit distinct patterns in orientation revealed by split lines. In this study, we introduce a simulation framework to predict cartilage surface loading during walking to investigate if split line orientations correspond with principal strain directions in the cartilage surface. The two-step framework uses a multibody musculoskeletal model to predict tibiofemoral kinematics which are then imposed on a deformable surface model to predict surface strains. The deformable surface model uses absolute nodal coordinate formulation (ANCF) shell elements to represent the articular surface and a system of spring-dampers and internal pressure to represent the underlying cartilage. Simulations were performed to predict surface strains due to osmotic pressure, loading induced by walking, and the combination of both loading due to pressure and walking. Time-averaged magnitude-weighted first principal strain directions agreed well with split line maps from the literature for both the osmotic pressure and combined cases. This result suggests there is indeed a connection between collagen fiber orientation and mechanical loading, and indicates the importance of accounting for the pre-strain in the cartilage surface due to osmotic pressure.

胫股关节软骨浅层胶原纤维呈明显的分裂线方向。在这项研究中,我们引入了一个模拟框架来预测行走过程中软骨表面的载荷,以研究分裂线方向是否与软骨表面的主应变方向相对应。两步框架使用多体肌肉骨骼模型来预测胫股运动学,然后将其施加于可变形表面模型以预测表面应变。可变形表面模型使用绝对节点坐标公式(ANCF)壳单元来表示关节表面,使用弹簧阻尼器和内部压力系统来表示底层软骨。通过模拟来预测渗透压、行走引起的载荷以及压力和行走引起的载荷联合作用下的表面应变。时间平均震级加权第一主应变方向在渗透压和综合情况下与文献中的分割线图一致。这一结果表明胶原纤维取向与机械载荷之间确实存在联系,并表明考虑软骨表面由于渗透压引起的预应变的重要性。
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引用次数: 2
A statistical framework for quantification and visualisation of positional uncertainty in deep brain stimulation electrodes. 脑深部刺激电极位置不确定性的量化和可视化统计框架。
IF 1.6 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2019-01-01 Epub Date: 2018-10-09 DOI: 10.1080/21681163.2018.1523750
Tushar M Athawale, Kara A Johnson, Christopher R Butson, Chris R Johnson

Deep brain stimulation (DBS) is an established therapy for treating patients with movement disorders such as Parkinson's disease. Patient-specific computational modelling and visualisation have been shown to play a key role in surgical and therapeutic decisions for DBS. The computational models use brain imaging, such as magnetic resonance (MR) and computed tomography (CT), to determine the DBS electrode positions within the patient's head. The finite resolution of brain imaging, however, introduces uncertainty in electrode positions. The DBS stimulation settings for optimal patient response are sensitive to the relative positioning of DBS electrodes to a specific neural substrate (white/grey matter). In our contribution, we study positional uncertainty in the DBS electrodes for imaging with finite resolution. In a three-step approach, we first derive a closed-form mathematical model characterising the geometry of the DBS electrodes. Second, we devise a statistical framework for quantifying the uncertainty in the positional attributes of the DBS electrodes, namely the direction of longitudinal axis and the contact-centre positions at subvoxel levels. The statistical framework leverages the analytical model derived in step one and a Bayesian probabilistic model for uncertainty quantification. Finally, the uncertainty in contact-centre positions is interactively visualised through volume rendering and isosurfacing techniques. We demonstrate the efficacy of our contribution through experiments on synthetic and real datasets. We show that the spatial variations in true electrode positions are significant for finite resolution imaging, and interactive visualisation can be instrumental in exploring probabilistic positional variations in the DBS lead.

脑深部电刺激(DBS)是一种治疗帕金森病等运动障碍的成熟疗法。患者特异性计算建模和可视化已被证明在DBS的手术和治疗决策中发挥关键作用。计算模型使用脑成像,如磁共振(MR)和计算机断层扫描(CT),来确定DBS电极在患者头部内的位置。然而,脑成像的有限分辨率引入了电极位置的不确定性。DBS刺激的最佳患者反应设置对DBS电极对特定神经基质(白质/灰质)的相对定位很敏感。在我们的贡献中,我们研究了DBS电极在有限分辨率成像中的位置不确定性。在一个三步的方法中,我们首先推导出一个封闭形式的数学模型来表征DBS电极的几何形状。其次,我们设计了一个统计框架来量化DBS电极位置属性的不确定性,即纵向轴的方向和接触中心在亚体素水平上的位置。统计框架利用第一步导出的分析模型和贝叶斯概率模型进行不确定性量化。最后,接触中心位置的不确定性通过体绘制和等表面技术交互式可视化。我们通过在合成和真实数据集上的实验证明了我们的贡献的有效性。我们发现,在有限分辨率成像中,真实电极位置的空间变化是重要的,交互式可视化可以用于探索DBS导联的概率位置变化。
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引用次数: 8
A Spatio-Temporal Atlas and Statistical Model of the Tongue During Speech from Cine-MRI. 语言过程中舌头的时空图谱和统计模型。
IF 1.6 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2018-01-01 Epub Date: 2016-04-28 DOI: 10.1080/21681163.2016.1169220
Jonghye Woo, Fangxu Xing, Junghoon Lee, Maureen Stone, Jerry L Prince

Statistical modeling of tongue motion during speech using cine magnetic resonance imaging (MRI) provides key information about the relationship between structure and motion of the tongue. In order to study the variability of tongue shape and motion in populations, a consistent integration and characterization of inter-subject variability is needed. In this paper, a method to construct a spatio-temporal atlas comprising a mean motion model and statistical modes of variation during speech is presented. The model is based on the cine-MRI from twenty two normal speakers and consists of several steps involving both spatial and temporal alignment problems independently. First, all images are registered into a common reference space, which is taken to be a neutral resting position of the tongue. Second, the tongue shapes of each individual relative to this reference space are produced. Third, a time warping approach (several are evaluated) is used to align the time frames of each subject to a common time series of initial mean images. Finally, the spatio-temporal atlas is created by time-warping each subject, generating new mean images at each time, and producing shape statistics around these mean images using principal component analysis at each reference time frame. Experimental results consist of comparison of various parameters and methods in creation of the atlas and a demonstration of the final modes of variations at various key time frames in a sample phrase.

利用电影磁共振成像(MRI)对说话过程中舌头运动的统计建模提供了舌头结构和运动之间关系的关键信息。为了研究群体中舌头形状和运动的变异性,需要对主体间变异性进行一致的整合和表征。本文提出了一种基于平均运动模型和统计变化模式的语音时空图谱构建方法。该模型基于22名正常说话者的电影mri,由几个步骤组成,分别涉及空间和时间对齐问题。首先,将所有图像注册到一个共同的参考空间中,该空间被认为是舌头的中性休息位置。其次,生成每个个体相对于这个参考空间的舌形。第三,使用时间扭曲方法(评估了几种方法)将每个受试者的时间框架对齐到初始平均图像的共同时间序列。最后,通过对每个主题进行时间扭曲,每次生成新的平均图像,并在每个参考时间框架上使用主成分分析产生这些平均图像周围的形状统计,从而创建时空图谱。实验结果包括在图谱创建中各种参数和方法的比较,以及在一个样本短语中不同关键时间框架的最终变化模式的演示。
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引用次数: 15
Structure and variability in human tongue muscle anatomy. 人类舌肌解剖学的结构和变异性。
IF 1.6 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2018-01-01 Epub Date: 2016-04-08 DOI: 10.1080/21681163.2016.1162752
Maureen Stone, Jonghye Woo, Junghoon Lee, Tera Poole, Amy Seagraves, Michael Chung, Eric Kim, Emi Z Murano, Jerry L Prince, Silvia S Blemker

The human tongue has a complex architecture, consistent with its complex roles in eating, speaking and breathing. Tongue muscle architecture has been depicted in drawings and photographs, but not quantified volumetrically. This paper aims to fill that gap by measuring the muscle architecture of the tongue for 14 people captured in high-resolution 3D MRI volumes. The results show the structure, relationships and variability among the muscles, as well as the effects of age, gender and weight on muscle volume. Since the tongue consists of partially interdigitated muscles, we consider the muscle volumes in two ways. The functional muscle volume encompasses the region of the tongue served by the muscle. The structural volume halves the volume of the muscle in regions where it interdigitates with other muscles. Results show similarity of scaling across subjects, and speculate on functional effects of the anatomical structure.

人类的舌头结构复杂,与其进食、说话和呼吸的复杂功能相一致。舌肌结构已在图纸和照片中描绘,但没有量化的体积。这篇论文的目的是通过测量14个人的舌头肌肉结构来填补这一空白,这些肌肉结构是用高分辨率的3D MRI体积捕获的。结果显示了肌肉的结构、关系和可变性,以及年龄、性别和体重对肌肉体积的影响。由于舌头由部分指间的肌肉组成,我们从两方面考虑肌肉体积。功能性肌肉体积包括由舌头肌肉服务的区域。在与其他肌肉交叉的区域,结构体积使肌肉体积减半。结果显示了不同受试者之间的相似度,并推测了解剖结构的功能影响。
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引用次数: 41
Holistic classification of CT attenuation patterns for interstitial lung diseases via deep convolutional neural networks. 基于深度卷积神经网络的间质性肺疾病CT衰减模式整体分类。
IF 1.3 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2018-01-01 Epub Date: 2016-06-06 DOI: 10.1080/21681163.2015.1124249
Mingchen Gao, Ulas Bagci, Le Lu, Aaron Wu, Mario Buty, Hoo-Chang Shin, Holger Roth, Georgios Z Papadakis, Adrien Depeursinge, Ronald M Summers, Ziyue Xu, Daniel J Mollura

Interstitial lung diseases (ILD) involve several abnormal imaging patterns observed in computed tomography (CT) images. Accurate classification of these patterns plays a significant role in precise clinical decision making of the extent and nature of the diseases. Therefore, it is important for developing automated pulmonary computer-aided detection systems. Conventionally, this task relies on experts' manual identification of regions of interest (ROIs) as a prerequisite to diagnose potential diseases. This protocol is time consuming and inhibits fully automatic assessment. In this paper, we present a new method to classify ILD imaging patterns on CT images. The main difference is that the proposed algorithm uses the entire image as a holistic input. By circumventing the prerequisite of manual input ROIs, our problem set-up is significantly more difficult than previous work but can better address the clinical workflow. Qualitative and quantitative results using a publicly available ILD database demonstrate state-of-the-art classification accuracy under the patch-based classification and shows the potential of predicting the ILD type using holistic image.

间质性肺疾病(ILD)涉及计算机断层扫描(CT)图像中观察到的几种异常成像模式。这些模式的准确分类在疾病的程度和性质的精确临床决策中起着重要作用。因此,开发自动化肺部计算机辅助检测系统具有重要意义。传统上,这项任务依赖于专家手动识别感兴趣区域(roi)作为诊断潜在疾病的先决条件。该协议耗时且抑制全自动评估。在本文中,我们提出了一种新的方法来分类CT图像上的ILD图像模式。主要区别在于,所提出的算法使用整个图像作为整体输入。通过规避人工输入roi的先决条件,我们的问题设置比以前的工作要困难得多,但可以更好地解决临床工作流程。使用公开可用的ILD数据库的定性和定量结果显示了基于补丁的分类下最先进的分类准确性,并显示了使用整体图像预测ILD类型的潜力。
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引用次数: 0
Improvements resulting from respiratory-swallow phase training visualized in patient-specific computational analysis of swallowing mechanics. 在吞咽力学的患者特异性计算分析中,呼吸-吞咽阶段训练所产生的改善。
IF 1.6 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2018-01-01 Epub Date: 2016-03-16 DOI: 10.1080/21681163.2016.1152567
Thi Tu Anh Tran, Bonnie Martin Harris, William G Pearson

The aim of this study was to visualize improved swallowing mechanics resulting from respiratory-swallow phase training using patient specific computational analysis of Modified Barium Swallow (MBS) videofluoroscopic images. Imaging from a single subject showing improved MBSImP© scores in 17 of 18 pre- to post-treatment swallows was selected for analysis. Using a semi-automated MATLAB tracker tool, a frame-by-frame annotation of 10 coordinates mapping muscle functional groups was performed during oropharyngeal swallowing. Computational analysis of coordinate shape change was executed using MorphoJ software to determine differences in swallowing mechanics associated with multiple independent variables. Canonical variant analysis indicated significant differences in mechanics associated with respiratory-swallow phase training (D=1.92,p<.0001). Vectors allowed for visualization of changes in swallowing mechanics associated with respiratory-swallow phase training. A regression of shape associated with laryngeal vestibular closure on respiratory-swallow phase training was highly significant (p<.0001) and accounted for 94.1% of the variance.

本研究的目的是通过对改良钡吞咽(MBS)视频透视图像的患者特异性计算分析,可视化呼吸-吞咽阶段训练所带来的吞咽力学改善。来自单个受试者的成像显示,18只治疗前和治疗后的燕子中有17只MBSImP™©评分得到改善。利用半自动化的MATLAB跟踪工具,对口咽吞咽过程中10个映射肌肉功能群的坐标进行逐帧注释。利用MorphoJ软件对坐标形状变化进行计算分析,确定与多个自变量相关的吞咽力学差异。典型变异分析表明,与呼吸-吞咽阶段训练相关的力学有显著差异(D=1.92,pp
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引用次数: 17
Surgical planning for living donor liver transplant using 4D flow MRI, computational fluid dynamics and in vitro experiments. 活体肝移植手术计划的4D血流MRI、计算流体力学和体外实验。
IF 1.6 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2018-01-01 Epub Date: 2017-01-18 DOI: 10.1080/21681163.2017.1278619
David R Rutkowski, Scott B Reeder, Luis A Fernandez, Alejandro Roldán-Alzate
Abstract This study used magnetic resonance imaging (MRI), computational fluid dynamics (CFD) modelling and in vitro experiments to predict patient-specific alterations in hepatic hemodynamics in response to partial hepatectomy in living liver donors. 4D Flow MRI was performed on three donors before and after hepatectomy and models of the portal venous system were created. Virtual surgery was performed to simulate (1) surgical resection and (2) post-surgery vessel dilation. CFD simulations were conducted using in vivo flow data for boundary conditions. CFD results showed good agreement with in vivo data, and in vitro experimental values agreed well with imaging and simulation results. The post-surgery models predicted an increase in all measured hemodynamic parameters, and the dilated virtual surgery model predicted post-surgery conditions better than the model that only simulated resection. The methods used in this study have potential significant value for the surgical planning process for the liver and other vascular territories.
本研究使用磁共振成像(MRI)、计算流体动力学(CFD)建模和体外实验来预测活体肝供者部分肝切除术后肝脏血流动力学的特异性改变。对3例肝切除术前后供体行4D血流MRI检查,建立门静脉系统模型。通过虚拟手术模拟(1)手术切除和(2)术后血管扩张。采用体内流动数据作为边界条件进行CFD模拟。CFD结果与体内数据吻合较好,体外实验值与成像和模拟结果吻合较好。术后模型预测了所有测量的血流动力学参数的增加,并且扩张的虚拟手术模型比仅模拟切除的模型更好地预测了术后情况。本研究中使用的方法对肝脏和其他血管区域的手术计划过程具有潜在的重要价值。
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引用次数: 26
期刊
Computer Methods in Biomechanics and Biomedical Engineering-Imaging and Visualization
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