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A Modified U-Net Convolutional Network Featuring a Nearest-neighbor Re-sampling-based Elastic-Transformation for Brain Tissue Characterization and Segmentation. 基于最近邻重采样弹性变换的改进U-Net卷积网络用于脑组织表征和分割。
Pub Date : 2018-10-01 Epub Date: 2018-12-17 DOI: 10.1109/WNYIPW.2018.8576421
S M Kamrul Hasan, Cristian A Linte
The detection and segmentation of brain tumors from Magnetic Resonance Imaging (MRI) is a very challenging task, despite the availability of modern medical image processing tools. Neuro-radiologists still diagnose deadly brain cancers such as even glioblastoma using manual segmentation. This approach is not only tedious, but also highly variable, featuring limited accuracy and precision, and hence raising the need for more robust, automated techniques. Deep learning methods such as the U-Net deep convolutional neural networks have been widely used in biomedical image segmentation. Although this model was demonstrated to yield desirable results on the BRATS 2015 dataset by using a pixel-wise segmentation map of the input image as an auto-encoder, which assures best segmentation accuracy, the output only showed limited accuracy and robustness for a number of cases. The goal of this work was to improve the U-net model by replacing the de-convolution component with an up- sampled by the Nearest-neighbor algorithm and also employing an elastic transformation to augment the training dataset to render the model more robust, especially for the segmentation of low-grade tumors. The proposed Nearest-Neighbor Re-sampling Based Elastic-Transformed (NNRET) U-net Deep CNN framework has been trained on 285 glioma patients BRATS 2017 MR dataset available through the MICCAI 2017 grand challenge. The framework has been tested on 146 patients using Dice similarity coefficient (DSC) & Intersection over Union (IoU) performance metrics and outweighed the classic U-net model.
尽管有现代医学图像处理工具,但从磁共振成像(MRI)中检测和分割脑肿瘤是一项非常具有挑战性的任务。神经放射科医生仍然使用人工分割来诊断致命的脑癌,甚至是胶质母细胞瘤。这种方法不仅乏味,而且变化很大,具有有限的准确性和精密度,因此需要更健壮的自动化技术。深度学习方法如U-Net深度卷积神经网络已广泛应用于生物医学图像分割。尽管该模型通过使用输入图像的像素分割图作为自动编码器在BRATS 2015数据集上产生了理想的结果,从而确保了最佳的分割精度,但在许多情况下,输出仅显示出有限的准确性和鲁棒性。这项工作的目标是改进U-net模型,通过最近邻算法用上采样替换去卷积分量,并采用弹性变换来增强训练数据集,使模型更加鲁棒,特别是对于低级别肿瘤的分割。提出的基于最近邻重新采样的弹性转换(NNRET) U-net深度CNN框架已在285例胶质瘤患者BRATS 2017 MR数据集上进行了训练,这些数据集可通过MICCAI 2017大挑战获得。该框架已在146名患者身上进行了测试,使用Dice相似系数(DSC)和交集超过联盟(IoU)性能指标,并优于经典的U-net模型。
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引用次数: 36
LEFT VENTRICULAR EJECTION FRACTION: COMPARISON BETWEEN TRUE VOLUME-BASED MEASUREMENTS AND AREA-BASED ESTIMATES. 左心室射血分数:基于体积的测量和基于面积的估计之间的比较。
Pub Date : 2018-10-01 Epub Date: 2018-12-17 DOI: 10.1109/WNYIPW.2018.8576438
Dawei Liu, Isabelle Peck, Shusil Dangi, Karl Q Schwarz, Cristian A Linte

Left ventricular ejection fraction (LVEF) is a critical measure of cardiac health commonly acquired in clinical practice, which serves as the basis for cardiovascular therapeutic treatment. Ultrasound (US) imaging of the heart is the most common, least expensive, reliable and non-invasive modality to assess LVEF. Cardiologists, in practice, persistently use 2D US images to provide visual estimates of LVEF, which are based on 2D information embedded in the US images by examining the area changes in LV blood pool between diastole and systole. There has been some anecdotal evidence that visual estimation of the LVEF based on the area changes of the LV blood pool significantly underestimate true LVEF. True LVEF should be calculated based on changes in LV volumes between diastole and systole. In this project, we utilized both idealized models of the LV geometry - a truncated prolate spheroid (TPS) and a paraboloid model - to represent the LV anatomy. Cross-sectional areas and volumes of simulated LV shapes using both models were calculated to compare the LVEF. Further, a LV reconstruction algorithm was employed to build the LV blood pool volume in both systole and diastole from multi-plane 2D US imaging data. Our mathematical models yielded an area-based LVEF of 41 4.7% and a volume-based LVEF of 55 ±5.7%, while the 3D recon-struction model showed an area-based LVEF of 35 11.9% and a volume-based LVEF of 48.0 ± 14.0%. In summary, the area-based LVEF using all three models ±underestimate the volume-based LVEF using corresponding models by 13% to 14%. This preliminary study confirms both mathematically and empirically that area-based LVEF estimates indeed underestimate the true volume-based LVEF measurements and suggests that true volumetric measurements of the LV blood pool must be computed to correctly assess cardiac LVEF.

左室射血分数(Left ventricular ejection fraction, LVEF)是临床常用的衡量心脏健康状况的重要指标,是心血管疾病治疗的依据。心脏超声(US)成像是评估LVEF最常见、最便宜、可靠和无创的方法。在实践中,心脏病专家一直使用二维超声图像来提供LVEF的视觉估计,这是基于嵌入在超声图像中的二维信息,通过检查左室血池在舒张期和收缩期之间的面积变化。有一些轶事证据表明,基于左室血池面积变化的视觉估计LVEF明显低估了真实的LVEF。真实LVEF应根据左室舒张期和收缩期容积的变化来计算。在这个项目中,我们使用了两种理想的左室几何模型-截断的长形球体(TPS)和抛物面模型-来表示左室解剖。使用两种模型计算模拟LV形状的横截面积和体积,以比较LVEF。进一步,采用左室重建算法,根据多平面二维超声成像数据,构建收缩期和舒张期左室血池容量。我们的数学模型显示,基于面积的LVEF为41.4.7%,基于体积的LVEF为55±5.7%,而三维重建模型显示,基于面积的LVEF为35.11.9%,基于体积的LVEF为48.0±14.0%。总之,使用所有三种模型的基于面积的LVEF±低估了使用相应模型的基于体积的LVEF 13%至14%。这项初步研究在数学上和经验上证实,基于面积的LVEF估计确实低估了基于体积的LVEF测量结果,并表明必须计算左室血池的真实体积测量值才能正确评估心脏LVEF。
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引用次数: 2
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Proceedings. IEEE Western New York Image and Signal Processing Workshop
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