Automatic segmentation of cerebrospinal fluid, white and gray matter in unenhanced computed tomography images.

Rationale and Objectives: Although segmentation algorithms for cerebrospinal fluid (CSF), white matter (WM), and gray matter (GM) on unenhanced computed tomographic (CT) images exist, there is no complete research in this area. To take into account poor image contrast and intensity variability on CT...

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Publicado en:Academic Radiology Vol. 17; no. 11; pp. 1350 - 1359
Autores principales: Gupta V, Ambrosius W, Qian G, Blazejewska A, Kazmierski R, Urbanik A, Nowinski WL, Gupta, Varsha, Ambrosius, Wojciech, Qian, Guoyu, Blazejewska, Anna, Kazmierski, Radoslaw, Urbanik, Andrzej, Nowinski, Wieslaw L
Formato: research Journal Article
Publicado: Elsevier B.V. Nov2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2010
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      pub: Elsevier B.V.
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        atl: Automatic segmentation of cerebrospinal fluid, white and gray matter in unenhanced computed tomography images.
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          Gupta V
          Ambrosius W
          Qian G
          Blazejewska A
          Kazmierski R
          Urbanik A
          Nowinski WL
          Gupta, Varsha
          Ambrosius, Wojciech
          Qian, Guoyu
          Blazejewska, Anna
          Kazmierski, Radoslaw
          Urbanik, Andrzej
          Nowinski, Wieslaw L
        affil: Biomedical Imaging Lab, Agency for Science, Technology and Research, 30 Biopolis Street, #07-01 Matrix, Singapore, 138671
      sug:
        subj:
          Brain Radiography
          Cerebrospinal Fluid Radiography
          Image Interpretation, Computer Assisted Methods
          Nerve Fibers Radiography
          Neurons Radiography
          Information Science Methods
          Tomography, X-Ray Computed Methods
          Adult
          Aged
          Aged, 80 and Over
          Algorithms
          Artificial Intelligence
          Contrast Media
          Female
          Human
          Image Enhancement Methods
          Male
          Middle Age
          Reproducibility of Results
          Sensitivity and Specificity
          Subtraction Technique
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: Rationale and Objectives: Although segmentation algorithms for cerebrospinal fluid (CSF), white matter (WM), and gray matter (GM) on unenhanced computed tomographic (CT) images exist, there is no complete research in this area. To take into account poor image contrast and intensity variability on CT scans, the aim of this study was to derive and validate a novel, automatic, adaptive, and robust algorithm. Materials and Methods: Unenhanced CT scans of normal subjects from two different centers were used. The algorithm developed uses adaptive thresholding, connectivity, and domain knowledge and is based on heuristics on the shape of CT histogram. The slope of the intensity histogram corresponding to the three-dimensional largest connected region in a variable CSF intensity range is tracked to determine the critical intensity, which serves as an initial classifier of CSF-WM. Thresholds of CSF, WM, and GM are then optimally derived to minimize classification overlap. Multiple, null, and erroneous classifications are resolved by applying domain knowledge. Results: The ground-truth regions with the minimal partial volume effect were used to evaluate segmentation results using the statistical markers. Average sensitivity, Dice index, and specificity, respectively, for the first center were 95.7%, 97.0%, and 98.6% for CSF; 96.1%, 97.3%, and 98.8% for WM; and 95.2%, 94.3%, and 92.8% for GM. The results were consistent for the second data center. Conclusions: The algorithm automatically identifies CSF, WM, and GM on unenhanced CT images with high accuracy, is robust to data from different scanners, does not require any parameter setting, and takes about 5 minutes in MATLAB to process a 512 × 512 × 30 scan. The algorithm has potential use in research and clinical applications.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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