A grid overlay framework for analysis of medical images and its application to the measurement of stroke lesions.

Objectives: To create and evaluate an interactive software tool for measuring imaging data in situations where hand-drawn region-of-interest measurements are unfeasible, for example, when the structure of interest is patchy with ill-defined boundaries.Methods: An interactive grid overlay software to...

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Published in:European Radiology Vol. 22; no. 3; pp. 625 - 633
Main Authors: Armitage PA, Rivers CS, Karaszewski B, Thomas RG, Lymer GK, Morris Z, Wardlaw JM, Armitage, Paul A, Rivers, C S, Karaszewski, B, Thomas, R G R, Lymer, G K, Morris, Z, Wardlaw, J M
Format: research Journal Article
Published: Springer Nature Mar2012
Online Access:View this record in EBSCOhost
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      dt: Mar2012
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      pub: Springer Nature
      place: New York, New York
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        atl: A grid overlay framework for analysis of medical images and its application to the measurement of stroke lesions.
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          Armitage PA
          Rivers CS
          Karaszewski B
          Thomas RG
          Lymer GK
          Morris Z
          Wardlaw JM
          Armitage, Paul A
          Rivers, C S
          Karaszewski, B
          Thomas, R G R
          Lymer, G K
          Morris, Z
          Wardlaw, J M
        affil: Division of Clinical Neurosciences, School of Molecular and Clinical Medicine, University of Edinburgh, Western General Hospital, Crewe Road, Edinburgh, EH4 2XU, Scotland, UK
      sug:
        subj:
          Image Interpretation, Computer Assisted Methods
          Magnetic Resonance Imaging
          Software
          Stroke Pathology
          Aged
          Aged, 80 and Over
          Contrast Media Diagnostic Use
          Female
          Human
          Male
          Sorbitol Diagnostic Use
          Organometallic Compounds Diagnostic Use
          Prospective Studies
          Reproducibility of Results
          User-Computer Interface
          Aged: 65+ years
          Aged, 80 & over
          Female
          Male
      ab: Objectives: To create and evaluate an interactive software tool for measuring imaging data in situations where hand-drawn region-of-interest measurements are unfeasible, for example, when the structure of interest is patchy with ill-defined boundaries.Methods: An interactive grid overlay software tool was implemented that enabled coding of voxels dependent on their imaging appearance with a series of user-defined classes. The Grid Analysis Tool (GAT) was designed to automatically extract quantitative imaging data, grouping the results by tissue class. Inter- and intra-observer reproducibility was evaluated by six observers of various backgrounds in a study of acute stroke patients.Results: The software tool enabled a more detailed classification of the stroke lesion than would be possible with a region-of-interest approach. However, inter-observer coefficients of variation (CVs) were relatively high, reaching 70% in "possibly abnormal" tissue and around 15-20% in normal appearing tissues, while intra-observer CVs were no more than 13% in "possibly abnormal" tissue and generally less than 1% in normal-appearing tissues.Conclusions: The grid-overlay method overcomes some of the limitations of conventional Region Of Interest (ROI) approaches, providing a viable alternative for segmenting patchy lesions with ill-defined boundaries, but care is required to ensure acceptable reproducibility if the method is applied by multiple observers.Key Points: Computer software developed to overcome limitations of conventional regions of interest measurements • This software is suitable for patchy lesions with ill-defined borders • Allows a more detailed assessment of imaging data.
      pubtype: Academic Journal
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        research
        Journal Article
      ougenre: Article
    language: English
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