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Volumetric medical image segmentation via fully 3D adaptation of Segment Anything Model 通过完全三维适应分割任何模型的体积医学图像分割
IF 5.3 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-01-01 DOI: 10.1016/j.bbe.2024.11.001
Haoneng Lin , Jing Zou , Sen Deng , Ka Po Wong , Angelica I. Aviles-Rivero , Yiting Fan , Alex Pui-Wai Lee , Xiaowei Hu , Jing Qin
The Segment Anything Model (SAM) exhibits exceptional generalization capabilities in diverse domains, owing to its interactive learning mechanism designed for precise image segmentation. However, applying SAM to out-of-distribution domains, especially in 3D medical image segmentation, poses challenges. Existing methods for adapting 2D segmentation models to 3D medical data treat 3D volumes as a mere stack of 2D slices. The essential inter-slice information, which is pivotal to faithful 3D medical image segmentation tasks, is unfortunately neglected. In this work, we present the 3D Medical SAM-Adapter (3DMedSAM), a pioneer cross-dimensional adaptation, leveraging SAM’s pre-trained knowledge while accommodating the unique characteristics of 3D medical data. Firstly, to bridge the dimensional gap from 2D to 3D, we design a novel module to replace SAM’s patch embedding, ensuring a seamless transition into 3D image processing and recognition. Besides, we incorporate a 3D Adapter while maintaining the majority of pre-training parameters frozen, enriching deep features with abundant 3D spatial information and achieving efficient fine-tuning. Given the diverse scales of anomalies present in medical images, we also devised a multi-scale 3D mask decoder to elevate the network’s proficiency in medical image segmentation. Through various experiments, we showcase the effectiveness of 3DMedSAM in achieving accurate and robust 3D segmentation on both single-target segmentation and multi-organ segmentation tasks, surpassing the limitations of current methods.
基于交互式学习机制的任意分割模型(SAM)在不同领域表现出卓越的泛化能力。然而,将SAM应用于非分布域,特别是在三维医学图像分割中,面临着挑战。现有的将二维分割模型用于三维医疗数据的方法将三维体仅仅视为二维切片的堆栈。重要的切片间信息,这是关键的忠实的三维医学图像分割任务,不幸的是被忽略了。在这项工作中,我们提出了3D医疗SAM适配器(3DMedSAM),这是一种跨维度适应的先驱,利用SAM的预训练知识,同时适应3D医疗数据的独特特征。首先,为了弥补从2D到3D的尺寸差距,我们设计了一个新的模块来取代SAM的补丁嵌入,确保无缝过渡到3D图像处理和识别。此外,我们在保持大部分预训练参数冻结的同时,加入了一个3D适配器,以丰富的3D空间信息丰富深度特征,实现了高效的微调。鉴于医学图像中存在不同尺度的异常,我们还设计了一个多尺度的3D掩模解码器,以提高网络对医学图像分割的熟练程度。通过各种实验,我们证明了3DMedSAM在单目标分割和多器官分割任务上实现准确和鲁棒的3D分割的有效性,超越了现有方法的局限性。
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引用次数: 0
Impact of aging on anterior segment morphology and aqueous humor dynamics in human Eyes: Advanced imaging and computational techniques 老化对人眼前段形态学和房水动力学的影响:先进的成像和计算技术
IF 5.3 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-01-01 DOI: 10.1016/j.bbe.2025.01.004
Alireza Karimi , Marie Darche , Ansel Stanik , Reza Razaghi , Iman Mirafzal , Kamran Hassani , Mojtaba Hassani , Elizabeth White , Ivana Gantar , Stéphane Pagès , Laura Batti , Ted S. Acott , Michel Paques

Objective

Aging results in significant structural and functional changes in the anterior segment of the eye, influencing intraocular pressure (IOP) and overall ocular health. Although aging is a well-established risk factor for primary open-angle glaucoma, a leading cause of irreversible blindness, the specific mechanisms through which aging drives morphological changes in anterior segment tissues and affects aqueous humor dynamics remain incompletely understood.

Methods

In this study, we employed cutting-edge light sheet fluorescence microscopy (LSFM) to capture high-resolution, volumetric images of cleared human donor eyes’ anterior segment tissues. This advanced imaging enabled a comprehensive morphological analysis of key parameters, including central and peripheral corneal thickness (CCT and PCT), iris thickness, anterior chamber area (ACA), and ciliary body area (CBA). By integrating these morphological parameters with computational fluid dynamics (CFD) models, we analyzed aqueous humor dynamics across n = 6 female human donor eyes, spanning a wide age range of 5 to 94 years (all of Caucasian descent).

Results

The CCT and PCT demonstrated thinning with age, accompanied by a reduction in ACA. In contrast, the CBA remained relatively stable across all age groups. Computational fluid dynamics analysis showed a decline in aqueous humor velocity and wall shear stress, with younger eyes exhibiting higher velocities and shear stress, compared to older eyes.

Conclusion

These findings emphasize the value of integrating LSFM and CFD approaches to provide a detailed understanding of how aging impacts the anterior segment and its fluid dynamics. This study contributes to the understanding of age-related ocular changes, highlighting the importance of considering these changes in the diagnosis and management of age-related eye diseases.
目的衰老导致眼前段结构和功能发生显著变化,影响眼内压(IOP)和整体眼部健康。虽然衰老是原发性开角型青光眼(不可逆失明的主要原因)的一个公认的危险因素,但衰老驱动前节组织形态变化和影响房水动力学的具体机制仍不完全清楚。方法在本研究中,我们采用先进的光片荧光显微镜(LSFM)捕获清除后的人供眼前段组织的高分辨率、体积图像。这种先进的成像技术能够对关键参数进行全面的形态学分析,包括角膜中央和周围厚度(CCT和PCT)、虹膜厚度、前房面积(ACA)和睫状体面积(CBA)。通过将这些形态学参数与计算流体动力学(CFD)模型相结合,我们分析了n = 6个女性人类供体眼睛的房水动力学,这些眼睛的年龄范围从5岁到94岁不等(全部为高加索血统)。结果CCT和PCT随年龄的增长而变薄,并伴有ACA的减少。相比之下,CBA在所有年龄段都保持相对稳定。计算流体动力学分析显示,房水流速和壁面剪应力下降,年轻的眼睛比年长的眼睛表现出更高的速度和剪应力。结论这些发现强调了LSFM和CFD方法相结合的价值,可以详细了解衰老如何影响前段及其流体动力学。这项研究有助于理解与年龄相关的眼部变化,强调了在诊断和治疗与年龄相关的眼病时考虑这些变化的重要性。
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引用次数: 0
IF 6.6 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-01-01
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引用次数: 0
IF 6.6 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-01-01
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引用次数: 0
IF 6.6 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-01-01
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引用次数: 0
IF 6.6 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-01-01
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引用次数: 0
IF 6.6 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-01-01
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引用次数: 0
IF 6.6 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-01-01
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引用次数: 0
IF 6.6 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-01-01
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引用次数: 0
IF 6.6 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-01-01
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引用次数: 0
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