Level Set Segmentation of Breast Masses in Contrast-Enhanced Dedicated Breast CT and Evaluation of Stopping Criteria.

Dedicated breast CT (bCT) produces high-resolution 3D tomographic images of the breast, fully resolving fibroglandular tissue structures within the breast and allowing for breast lesion detection and assessment in 3D. In order to enable quantitative analysis, such as volumetrics, automated lesion se...

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Published in:Journal of Digital Imaging Vol. 27; no. 2; pp. 237 - 248
Main Authors: Kuo, Hsien-Chi, Giger, Maryellen, Reiser, Ingrid, Boone, John, Lindfors, Karen, Yang, Kai, Edwards, Alexandra
Format: diagnostic images research tables/charts Journal Article
Published: Springer Nature Apr2014
Online Access:View this record in EBSCOhost
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      dt: Apr2014
      vid: 27
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      pid: 237
      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-013-9652-1
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        atl: Level Set Segmentation of Breast Masses in Contrast-Enhanced Dedicated Breast CT and Evaluation of Stopping Criteria.
      aug:
        au:
          Kuo, Hsien-Chi
          Giger, Maryellen
          Reiser, Ingrid
          Boone, John
          Lindfors, Karen
          Yang, Kai
          Edwards, Alexandra
        affil: Department of Radiology, The University of Chicago, 5841 S. Maryland Avenue MC2026 Chicago 60637 USA
      sug:
        subj:
          Breast Radiography
          Tomography, X-Ray Computed
          Diagnosis, Computer Assisted
          Radiographic Image Enhancement Methods
          Radiographic Image Interpretation, Computer-Assisted Methods
          Contrast Media
          Algorithms
          Evaluation Research
          Human
          Funding Source
      ab: Dedicated breast CT (bCT) produces high-resolution 3D tomographic images of the breast, fully resolving fibroglandular tissue structures within the breast and allowing for breast lesion detection and assessment in 3D. In order to enable quantitative analysis, such as volumetrics, automated lesion segmentation on bCT is highly desirable. In addition, accurate output from CAD (computer-aided detection/diagnosis) methods depends on sufficient segmentation of lesions. Thus, in this study, we present a 3D lesion segmentation method for breast masses in contrast-enhanced bCT images. The segmentation algorithm follows a two-step approach. First, 3D radial-gradient index segmentation is used to obtain a crude initial contour, which is then refined by a 3D level set-based active contour algorithm. The data set included contrast-enhanced bCT images from 33 patients containing 38 masses (25 malignant, 13 benign). The mass centers served as input to the algorithm. In this study, three criteria for stopping the contour evolution were compared, based on (1) the change of region volume, (2) the average intensity in the segmented region increase at each iteration, and (3) the rate of change of the average intensity inside and outside the segmented region. Lesion segmentation was evaluated by computing the overlap ratio between computer segmentations and manually drawn lesion outlines. For each lesion, the overlap ratio was averaged across coronal, sagittal, and axial planes. The average overlap ratios for the three stopping criteria ranged from 0.66 to 0.68 (dice coefficient of 0.80 to 0.81), indicating that the proposed segmentation procedure is promising for use in quantitative dedicated bCT analyses.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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