Measuring human subcutaneous fat is useful for assessing health risks due to obesity and for monitoring athletes’ health status, body shapes and weight for various sports competitions such as gymnastics and wrestling. Our aim is to investigate the use of ultrasound imaging in automatically measuring human subcutaneous fat thickness. We proposed to use the spectrum properties extracted from the raw radio frequency (RF) signals of ultrasound for the purpose of fat boundary detection. Our fat detection framework consists of four main steps. The first step is capturing RF data from 11 beam steering angles and at four focal positions. Secondly, two spectrum properties (spectrum variance and integrated backscatter coefficient) are calculated from the local spectrum of RF data using the short time Fourier transform and moment analysis. The values of the spectrum properties are encoded as gray-scale parametric images. Thirdly, spatial compounding is used to reduce speckle noise in the parametric images and improve the visualization of the subcutaneous fat layer. Finally, we apply Rosin’s thresholding and Random Sample Consensus boundary detection on the parametric images to extract the fat boundary. The detection framework was tested on 36 samples obtained at the suprailiac, thigh and triceps of nine human participants in vivo. When compared to manual boundary detection on ultrasound images, the best result was obtained from segmenting the spatial compounded spectrum variance values averaged over multiple focuses. A reasonable result could also be obtained by using a single focus. Further, our automatic detection results were compared with the results using skinfold caliper measurements. We found that the correlation is high between our automatic detection and skinfold caliper measurement, and is similar to the previous studies which are not automatic. Our work has shown that the spatial compounded spectrum properties of RF data can be used to segment the subcutaneous fat layer. Based on our results, it is feasible to detect fat at the suprailiac, thigh and triceps sites using the spectrum variance. The values of spectrum variance change more rapidly in the fat tissue than the non-fat tissue.

Measuring human subcutaneous fat is useful for assessing health risks due to obesity and for monitoring athletes’ health status, body shapes and weight for various sports competitions such as gymnastics and wrestling. Our aim is to investigate the use of ultrasound imaging in automatically measuring human subcutaneous fat thickness. We proposed to use the spectrum properties extracted from the raw radio frequency (RF) signals of ultrasound for the purpose of fat boundary detection. Our fat detection framework consists of four main steps. The first step is capturing RF data from 11 beam steering angles and at four focal positions. Secondly, two spectrum properties (spectrum variance and integrated backscatter coefficient) are calculated from the local spectrum of RF data using the short time Fourier transform and moment analysis. The values of the spectrum properties are encoded as gray-scale parametric images. Thirdly, spatial compounding is used to reduce speckle noise in the parametric images and improve the visualization of the subcutaneous fat layer. Finally, we apply Rosin’s thresholding and Random Sample Consensus boundary detection on the parametric images to extract the fat boundary. The detection framework was tested on 36 samples obtained at the suprailiac, thigh and triceps of nine human participants in vivo. When compared to manual boundary detection on ultrasound images, the best result was obtained from segmenting the spatial compounded spectrum variance values averaged over multiple focuses. A reasonable result could also be obtained by using a single focus. Further, our automatic detection results were compared with the results using skinfold caliper measurements. We found that the correlation is high between our automatic detection and skinfold caliper measurement, and is similar to the previous studies which are not automatic. Our work has shown that the spatial compounded spectrum properties of RF data can be used to segment the subcutaneous fat layer. Based on our results, it is feasible to detect fat at the suprailiac, thigh and triceps sites using the spectrum variance. The values of spectrum variance change more rapidly in the fat tissue than the non-fat tissue.

Transcranial direct current stimulation (tDCS), together with speech therapy, is known to relieve the symptoms of aphasia. Knowledge about amount of current to apply and stimulation location is needed to ensure the best result possible. Segmented tissues are used in a finite element method (FEM) simulation and by creating a mesh, information to guide the stimulation is gained. Thus, correct segmentation is crucial. Manual segmentation is known to produce the most accurate result, although it is not useful in the clinical setting since it currently takes weeks to manually segment one image volume. Automatic segmentation is faster, although both acute stroke lesions and nectrotic stroke lesions are known to cause problems. Three automatic segmentation routines are evaluated using default settings and two sets of tissue probability maps (TPMs). Two sets of stroke patients are used; one set with acute stroke lesions (which can only be seen as a change in image intensity) and one set with necrotic stroke lesions (which are cleared out and filled with cerebrospinal fluid (CSF)). The original segmentation routine in SPM8 does not produce correct segmentation result having problems with lesion and paralesional areas. Mohamed Seghier’s ALI, an automatic segmentation routine developed to handle lesions as an own tissue class, does not produce satisfactory result. The new segmentation routine in SPM8 produces the best results, especially if Chris Rorden’s (professor at The Georgia Institute of Technology) improved TPMs are used. Unfortunately, the layer of CSF is not continuous. The segmentation result can still be used in a FEM simulation, although the result from the simulatation will not be ideal. Neither of the automatic segmentation routines evaluated produce an acceptable result (see Figure 5.7) for stroke patients. Necrotic stroke lesions does not affect the segmentation result as much as the acute dito, especially if there is only a small amount of scar tissue present at the lesion site. The new segmentation routine in SPM8 has the brightest future, although changes need to be made to ensure anatomically correct segmentation results. Post-processing algorithms, relying on morphological prior constraints, can improve the segmentation result further.

Pulmonary artery hypertension (PAH), which is diagnosed by an abnormal increase of blood pressure in the pulmonary artery, can be a severe disease, leading to heart failure. In recent years, medical imaging, such as echocardiography, magnetic resonance imaging (MRI), and computed tomography (CT), has been widely used due to its non-invasive property. Right pulmonary artery (RPA) wall distensibility derived from CT angiography was reported to serve as a reliabile marker for the diagnosis of PAH. This study presented a robust method for automatic segmentation of artery based on CT angiography. The algorithm can be divided into two steps: generation of initial contour and refinement of edge. In the first step, a series of original images at different cardiac phases were thresholded to retrieve appropriate intensity window of vessels, followed by the determination of initial contours by a series of morphological image processing on the binary images with two simple manual initializations. Initial contours without touching can be taken as the final results of segmentation, when others need further refinement of edge. In the second step, the center of vessel was automatically located by an ellipse fitting method and then the ray casting algorithm was applied to search for possible edge. Disconnected segments of edge will be linked to complete the vessel segmentation. Furthermore, cross-sectional areas of arteries at different cardiac phases can be measured and used to obtain distensibility. In this study, artery wall distensibility of patients and healthy subjects was evaluated on four vessels, including aorta, main pulmonary artery, right and left pulmonary artery. In addition, segmentation results of five subjects were compared with those obtained by manual selection to evaluate the reliability of the proposed method.

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No description available.

Prostate segmentation is a required step in determining the volume of a prostate, which is very important in the diagnosis and the treatment of prostate cancer. In the past, radiologists manually segment the two-dimensional cross-sectional ultrasound images. Typically, it is necessary for them to outline at least a hundred of cross-sectional images in order to get an accurate estimate of the prostate's volume. This approach is very time-consuming. To be more efficient in accomplishing this task, an automated procedure has to be developed. However, because of the quality of the ultrasound image, it is very difficult to develop a computerized method for defining boundary of an object in an ultrasound image. The goal of this thesis is to find an automated segmentation algorithm for detecting the boundary of the prostate in ultrasound images. As the first step in this endeavour, a semi-automatic segmentation method is designed. This method is only semi-automatic because it requires the user to enter four initialization points, which are the data required in defining the initial contour. The discrete dynamic contour (DDC) algorithm is then used to automatically update the contour. The DDC model is made up of a set of connected vertices. When provided with an energy field that describes the features of the ultrasound image, the model automatically adjusts the vertices of the contour to attain a maximum energy. In the proposed algorithm, Mallat's dyadic wavelet transform is used to determine the energy field. Using the dyadic wavelet transform, approximate coefficients and detailed coefficients at different scales can be generated. In particular, the two sets of detailed coefficients represent the gradient of the smoothed ultrasound image. Since the gradient modulus is high at the locations where edge features appear, it is assigned to be the energy field used to drive the DDC model. The ultimate goal of this work is to develop a fully-automatic segmentation algorithm. Since only the initialization stage requires human supervision in the proposed semi-automatic initialization algorithm, the task of developing a fully-automatic segmentation algorithm is reduced to designing a fully-automatic initialization process. Such a process is introduced in this thesis. In this work, the contours defined by the semi-automatic and the fully-automatic segmentation algorithm are compared with the boundary outlined by an expert observer. Tested using 8 sample images, the mean absolute difference between the semi-automatically defined and the manually outlined boundary is less than 2. 5 pixels, and that between the fully-automatically defined and the manually outlined boundary is less than 4 pixels. Automated segmentation tools that achieve this level of accuracy would be very useful in assisting radiologists to accomplish the task of segmenting prostate boundary much more efficiently.

Prostate segmentation is a required step in determining the volume of a prostate, which is very important in the diagnosis and the treatment of prostate cancer. In the past, radiologists manually segment the two-dimensional cross-sectional ultrasound images. Typically, it is necessary for them to outline at least a hundred of cross-sectional images in order to get an accurate estimate of the prostate's volume. This approach is very time-consuming. To be more efficient in accomplishing this task, an automated procedure has to be developed. However, because of the quality of the ultrasound image, it is very difficult to develop a computerized method for defining boundary of an object in an ultrasound image. The goal of this thesis is to find an automated segmentation algorithm for detecting the boundary of the prostate in ultrasound images. As the first step in this endeavour, a semi-automatic segmentation method is designed. This method is only semi-automatic because it requires the user to enter four initialization points, which are the data required in defining the initial contour. The discrete dynamic contour (DDC) algorithm is then used to automatically update the contour. The DDC model is made up of a set of connected vertices. When provided with an energy field that describes the features of the ultrasound image, the model automatically adjusts the vertices of the contour to attain a maximum energy. In the proposed algorithm, Mallat's dyadic wavelet transform is used to determine the energy field. Using the dyadic wavelet transform, approximate coefficients and detailed coefficients at different scales can be generated. In particular, the two sets of detailed coefficients represent the gradient of the smoothed ultrasound image. Since the gradient modulus is high at the locations where edge features appear, it is assigned to be the energy field used to drive the DDC model. The ultimate goal of this work is to develop a fully-automatic segmentation algorithm. Since only the initialization stage requires human supervision in the proposed semi-automatic initialization algorithm, the task of developing a fully-automatic segmentation algorithm is reduced to designing a fully-automatic initialization process. Such a process is introduced in this thesis. In this work, the contours defined by the semi-automatic and the fully-automatic segmentation algorithm are compared with the boundary outlined by an expert observer. Tested using 8 sample images, the mean absolute difference between the semi-automatically defined and the manually outlined boundary is less than 2. 5 pixels, and that between the fully-automatically defined and the manually outlined boundary is less than 4 pixels. Automated segmentation tools that achieve this level of accuracy would be very useful in assisting radiologists to accomplish the task of segmenting prostate boundary much more efficiently.

A perda volumétrica cerebral ou atrofia é um importante índice de destruição tecidual e pode ser usada para apoio ao diagnóstico e para quantificar a progressão de diversas doenças com componente degenerativo, como a esclerose múltipla (EM), por exemplo. Nesta doença ocorre perda tecidual regional, com reflexo no volume cerebral total. Assim, a presença e a progressão da atrofia podem ser usadas como um indexador da progressão da doença. A quantificação do volume cerebral é um procedimento relativamente simples, porém, quando feito manualmente é extremamente trabalhoso, consome grande tempo de trabalho e está sujeito a uma variação muito grande inter e intra-observador. Portanto, para a solução destes problemas há necessidade de um processo automatizado de segmentação do volume encefálico. Porém, o algoritmo computacional a ser utilizado deve ser preciso o suficiente para detectar pequenas diferenças e robusto para permitir medidas reprodutíveis a serem utilizadas em acompanhamentos evolutivos. Neste trabalho foi desenvolvido um algoritmo computacional baseado em Imagens de Ressonância Magnética para medir atrofia cerebral em controles saudáveis e em pacientes com EM, sendo que para a classificação dos tecidos foi utilizada a teoria da entropia generalizada de Tsallis. Foram utilizadas para análise exames de ressonância magnética de 43 pacientes e 10 controles saudáveis pareados quanto ao sexo e idade para validação do algoritmo. Os valores encontrados para o índice entrópico q foram: para o líquido cerebrorraquidiano 0,2; para a substância branca 0,1 e para a substância cinzenta 1,5. Nos resultados da extração do tecido não cerebral, foi possível constatar, visualmente, uma boa segmentação, fato este que foi confirmado através dos valores de volume intracraniano total. Estes valores mostraram-se com variações insignificantes (p>=0,05) ao longo do tempo. Para a classificação dos tecidos encontramos erros de falsos negativos e de falsos positivos, respectivamente, para o líquido cerebrorraquidiano de 15% e 11%, para a substância branca 8% e 14%, e substância cinzenta de 8% e 12%. Com a utilização deste algoritmo foi possível detectar um perda anual para os pacientes de 0,98% o que está de acordo com a literatura. Desta forma, podemos concluir que a entropia de Tsallis acrescenta vantagens ao processo de segmentação de classes de tecido, o que não havia sido demonstrado anteriormente. / The loss of brain volume or atrophy is an important index of tissue destruction and it can be used to diagnosis and to quantify the progression of neurodegenerative diseases, such as multiple sclerosis. In this disease, the regional tissue loss occurs which reflects in the whole brain volume. Similarly, the presence and the progression of the atrophy can be used as an index of the disease progression. The objective of this work was to determine a statistical segmentation parameter for each single class of brain tissue using generalized Tsallis entropy. However, the computer algorithm used should be accurate and robust enough to detect small differences and allow reproducible measurements in following evaluations. In this work we tested a new method for tissue segmentation based on pixel intensity threshold. We compared the performance of this method using different q parameter range. We could find a different optimal q parameter for white matter, gray matter, and cerebrospinal fluid. The results support the conclusion that the differences in structural correlations and scale invariant similarities present in each single tissue class can be accessed by the generalized Tsallis entropy, obtaining the intensity limits for these tissue class separations. Were used for analysis of magnetic resonance imaging examinations of 43 patients and 10 healthy controls matched on the sex and age for validation of the algorithm. The values found for the entropic index q were: for the cerebrospinal fluid 0.2; for the white matter 0.1 and for gray matter 1.5. The results of the extraction of the tissue not brain can be seen, visually, a good target, which was confirmed by the values of total intracranial volume. These figures showed itself with variations insignificant (p >= 0.05) over time. For classification of the tissues find errors of false negatives and false positives, respectively, for cerebrospinal fluid of 15% and 11% for white matter 8% and 14%, and gray matter of 8% and 12%. With the use of this algorithm could detect an annual loss for the patients of 0.98% which is in line with the literature. Thus, we can conclude that the entropy of Tsallis adds advantages to the process of target classes of tissue, which had not been demonstrated previously.

Radiation therapy seeks to effectively irradiate the tumor cells while minimizing the dose to adjacent normal cells. Prior research found that the low success rates for treating brain tumors would be improved with higher radiation doses to the tumor area. This is feasible only if the target volume can be precisely identified. However, the definition of tumor volume is still based on time-intensive, highly subjective manual outlining by radiation oncologists. In this study the effectiveness of two automated Magnetic Resonance Imaging (MRI) segmentation methods, k-Nearest Neighbors (kNN) and Knowledge-Guided (KG), in determining the Gross Tumor Volume (GTV) of brain tumors for use in radiation therapy was assessed. Three criteria were applied: accuracy of the contours; quality of the resulting treatment plan in terms of dose to the tumor; and a novel treatment plan evaluation technique based on post-treatment images. The kNN method was able to segment all cases while the KG method was limited to enhancing tumors and gliomas with clear enhancing edges. Various software applications were developed to create a closed smooth contour that encompassed the tumor pixels from the segmentations and to integrate these results into the treatment planning software. A novel, probabilistic measurement of accuracy was introduced to compare the agreement of the segmentation methods with the weighted average physician volume. Both computer methods under-segment the tumor volume when compared with the physicians but performed within the variability of manual contouring (28% plus/minus12% for inter-operator variability). Computer segmentations were modified vertically to compensate for their under-segmentation. When comparing radiation treatment plans designed from physician-defined tumor volumes with treatment plans developed from the modified segmentation results, the reference target volume was irradiated within the same level of conformity. Analysis of the plans based on post- treatment MRI showed that the segmentation plans provided similar dose coverage to areas being treated by the original treatment plans. This research demonstrates that computer segmentations provide a feasible route to automatic target volume definition. Because of the lower variability and greater efficiency of the automated techniques, their use could lead to more precise plans and better prognosis for brain tumor patients.