<p>The substantial advances of coronary CTA have resulted in a boost of use of this new technique in the last several years, which brings a big challenge to radiologists by the increasing number of exams and the large amount of data for each patient. The main goal of this study was to develop a computer tool to facilitate coronary CTA analysis by combining knowledge of medicine and image processing.Firstly, a competing fuzzy connectedness tree algorithm was developed to segment the coronary arteries and extract centerlines for each branch. The new algorithm, which is an extension of the “virtual contrast injection” method, preserves the low density soft tissue around the coronary, which reduces the possibility of introducing false positive stenoses during segmentation.Secondly, this algorithm was implemented in open source software in which multiple visualization techniques were integrated into an intuitive user interface to facilitate user interaction and provide good over¬views of the processing results. Considerable efforts were put on optimizing the computa¬tional speed of the algorithm to meet the clinical requirements.Thirdly, an automatic seeding method, that can automatically remove rib cage and recognize the aortic root, was introduced into the interactive segmentation workflow to further minimize the requirement of user interactivity during post-processing. The automatic procedure is carried out right after the images are received, which saves users time after they open the data. Vessel enhance¬ment and quantitative 2D vessel contour analysis are also included in this new version of the software. In our preliminary experience, visually accurate segmentation results of major branches have been achieved in 74 cases (42 cases reported in paper II and 32 cases in paper III) using our software with limited user interaction. On 128 branches of 32 patients, the average overlap between the centerline created in our software and the manually created reference standard was 96.0%. The average distance between them was 0.38 mm, lower than the mean voxel size. The automatic procedure ran for 3-5 min as a single-thread application in the background. Interactive processing took 3 min in average with the latest version of software. In conclusion, the presented software provides fast and automatic coron¬ary artery segmentation and visualization. The accuracy of the centerline tracking was found to be acceptable when compared to manually created centerlines.</p>

Diese Arbeit beschäftigt sich mit der Rolle von Konkordanzmarkierungen innerhalb einer Phrase für die Segmentierung eines fremden Sprachstroms. Das Merkmal der Konkordanz tritt auf, wenn alle Bestandteile einer Phrase gleichermaßen durch eine identische Markierung gekennzeichnet sind (z. B. los muchachos ricosSpanisch = die reichen Männer). Da diese wiederkehrenden Markierungen zumeist aus Affixen bestehen, kann Konkordanz als ein Sonderfall der Flexionsmorphologie betrachtet werden. Es wurde untersucht, ob die formale Korrespondenz zwischen den Bestandteilen konkordanter Phrasen als Hinweis auf die Grenzen der linguistisch relevanten Einheit Phrase im Spracherwerb fungieren kann. Zusätzlich wird auf das Zusammenspiel einzelner Hinweisreize untereinander eingegangen. Mit Kindern im Alter von zehn Monaten wurden vier Experimente mit dem Headturn Preference Paradigma (Jusczyk & Aslin, 1995) durchgeführt. Es wurde zunächst bei deutschen und englischen Kleinkindern untersucht, ob sie sensibel für gleich bleibende Suffixe innerhalb einer Phrase sind und diese für die Segmentierung nutzen können. Außerdem wurde das Zusammenspiel der Hinweise Konkordanz und Prosodie bei der Auffindung von Phrasengrenzen betrachtet. Es zeigte sich, dass deutsche Kinder in besonderer Weise auf konkordante Markierungen reagieren. Neben einer Sensitivität für Konkordanzmarkierungen zeigte das Ergebnis der deutschen Kinder auch, dass sie Flexionssuffixe im Deutschen bereits im Sprachstrom bemerken können. Ein solches Ergebnismuster ließ sich bei den Englisch lernenden Kindern nicht beobachten. Verschiedene Erklärungsmöglichkeiten für diesen Unterschied werden erläutert. Insgesamt weisen die Daten aus den Kindersprachexperimenten darauf hin, dass bereits im Alter von zehn Monaten bei Kindern eine Sensibilität für wiederholt in ähnlicher / gleicher Form auftretende sprachliche Elemente innerhalb der Domäne der Phrase vorhanden ist. Außerdem lassen die Resultate darauf schließen, dass Konkordanzmarkierungen bereits früh zur Segmentierung von kontinuierlicher Sprache verwendet werden. Diese Leistung steht in Zusammenhang mit der Beachtung von statistischen Regularitäten im Sprachstrom. Untersuchungen dazu zeigen, dass m. H. statistischer Lernmechanismen wiederkehrende Elemente im Sprachstrom erkannt werden können (Bonatti, Peña, Nespor, & Mehler, 2005; Newport & Aslin, 2004; Saffran, 2001; Saffran, Aslin & Newport, 1996). Anscheinend ist das Auftreten identischer Segmente innerhalb einer relativ kleinen Domäne im Sprachstrom für Lerner ein hervorstechendes Merkmal, das dazu beiträgt, diese Domäne aus dem Signal hervorzuheben und somit die Segmentierung des Sprachstroms in kleinere Anteile zu unterstützen. Neben den Untersuchungen mit den Kleinkindern wurden zusätzlich drei Reaktionszeitexperimente mit deutschen und englischen Erwachsenen zur Rolle von Konkordanzmarkierungen bei der Verarbeitung der Fremdsprachen Spanisch, Suaheli und (für die englischen Probanden) Deutsch durchgeführt. Das erste Experiment befasste sich mit der Stimulussprache Spanisch, in der es bei Konkordanz zum mehrfachen Auftreten von identischen Suffixen mit Vollvokalen kommt. Dabei war zu beobachten, dass deutsche und englische Muttersprachler die zu erinnernden Phrasen besser in einem kontinuierlichen spanischen Sprachstrom wieder erkannten, wenn die kritischen Phrasen konkordant waren, als wenn sie nicht konkordant waren. Das zweite Experiment verwendete die Stimulussprache Suaheli (konkordante vs. nicht konkordante Präfixe). Dabei zeigte sich ein solches Muster ausschließlich bei den englischen Muttersprachlern. Das dritte Experiment untersuchte englische Muttersprachler mit deutschem Stimulusmaterial, wobei Konkordanz durch Suffixe markiert wird, die aus einer Schwa-Silbe bestehen. Hier ergab sich kein Hinweis für eine Nutzung konkordanter Markierungen bei der Erkennung von Phrasen. Als Grund dafür wird die reduzierte Vokalqualität angenommen, die Schwa-Silben u.U. schwerer wahrnehmbar macht als Vollvokalsilben (z.B. Widera & Portele, 1999; Goméz Lacabex, García Lecumberri, & Cooke, 2005). Es werden weitere Erklärungshypothesen bzgl. der Ergebnisunterschiede bei deutschen und englischen Muttersprachlern beschrieben, die auch auf den Unterschied zwischen der Verarbeitung von konkordanten Suffixen vs. Präfixen eingehen. Zusätzlich erfolgt eine Diskussion der Ergebnisse vor dem Hintergrund von Annahmen über Arten von (nicht-)sprachlichen Ähnlichkeiten und ihren Einfluss auf die Wahrnehmung von ähnlichen Elementen. Die vorliegenden Daten stützen die Annahme von Morgan (1986), dass der Input für einen Sprachlerner bereits zahlreiche Hinweise über die Struktur der jeweiligen Sprache enthält. Sowohl Kleinkinder als auch erwachsene Sprachlerner scheinen für einen beachtlichen Teil dieser Hinweisreize sensibel zu sein. Die bislang kaum beachteten konkordante Markierungen innerhalb von Phrasen scheinen zumindest einen Teil dieser Hinweisreize auszumachen. / This thesis investigates the role of concordant markings in a phrase for the segmentation of a foreign speech stream. The feature concordance appears, when all elements of a syntactic phrase carry the same marker (e.g. los muchachos ricosSpanish = the rich men). These recurring markers are mostly affixes which means that they can be viewed as a special case in inflectional morphology. It was investigated whether the formal correspondance between the elements of concordant phrases might function as a cue to phrase boundaries in language acquisition. Four experiments were done with infants at the age of 10 months using the Headturn Preference Paradigm (Jusczyk & Aslin, 1995). At first it was investigated with German- and English-learning infants whether they are sensitive to recurring suffixes in a phrase and whether they are able to use these elements for phrase segmentation. Furthermore, the interplay between the cues concordance and prosody for the location of phrase boundaries was investigated. It was shown that German-learning infants where sensitive to concordant markings and that they notice inflectional suffixes in the speech stream. Such a result was not observed with the English-learning infants. Various possibilities to explain this difference between German- and English-learning infants are proposed. The results from the experiments with infants show that already 10-months old infants are sensitive to linguistic elements which recur in the domain of the phrase in similar or identical form. Furthermore, the results suggest that concordant markers are used for segmentation of the continuous speech stream from early on. This capacity is closely related with the attention for statistical regularities in the speech stream. Concerning this it was shown that supported by statistical learning mechanisms recurring elements in the speech stream or certain patterns of co-occurrence can be tracked (Bonatti, Peña, Nespor, & Mehler, 2005; Newport & Aslin, 2004; Saffran, 2001; Saffran, Aslin & Newport, 1996). Consequently, it seems that the occurrence of identical segments in a relatively small domain in the speech stream is a salient feature for learners which points out this domain from the signal and therfore supports the segmentation of the speech stream into smaller units. Besides the experiments with infants also three reaction time experiments with German and English adults where carried out. These experiments were concerned with the role of concordant markings for the processing of the foreign languages Spanish, Swahili and (for English participants) German. The first experment used Spanish as the stimulus language. In Spanish concordant phrases each element carries an identical suffix containing a full vowel. For German and English participants it was observed that they recognized a critical phrase form a continuous speech stream significantly better when this phrase was concordant than when it was non-concordant. In the second experiment with adults Swahili stimuli were used where concordant vs. non-concordant prefixes occur. Now, for English but not for German participants an advantage for the recognition of concordant phrases was observed. In the third experiment English participants were tested with German stimuli where concordance is marked by suffixes containing a Schwa-vowel (reduced vowel). The results of this experiments were not significant, suggesting no use of German concordant markings for the recognition of phrases by native English speakers. One reason that might be proposed to explain this result is the reduced vowel appearing in German concordant suffixes which might make them less perceptually salient than syllables containing a full vowel (e.g. Widera & Portele, 1999; Goméz Lacabex, García Lecumberri, & Cooke, 2005). More possiblities to explain the differences in the results between the German and the English participants are given. Furthermore, there is a discussion of the results against the backround of assumptions about kinds of (non-)linguistic similarities and their influence of the perception of similar elements. Altogether the experimental results of this thesis support the assumption of Morgan (1986) that the linguistic input for a learner already contains various cues about the structure of the target language. Infants as well as adults seem to be sensitve for a considerable amount of these cues. Concordant markings in the domain of a phrase seem to be one of these cues.

The substantial advances of coronary CTA have resulted in a boost of use of this new technique in the last several years, which brings a big challenge to radiologists by the increasing number of exams and the large amount of data for each patient. The main goal of this study was to develop a computer tool to facilitate coronary CTA analysis by combining knowledge of medicine and image processing.Firstly, a competing fuzzy connectedness tree algorithm was developed to segment the coronary arteries and extract centerlines for each branch. The new algorithm, which is an extension of the “virtual contrast injection” method, preserves the low density soft tissue around the coronary, which reduces the possibility of introducing false positive stenoses during segmentation.Secondly, this algorithm was implemented in open source software in which multiple visualization techniques were integrated into an intuitive user interface to facilitate user interaction and provide good over¬views of the processing results. Considerable efforts were put on optimizing the computa¬tional speed of the algorithm to meet the clinical requirements.Thirdly, an automatic seeding method, that can automatically remove rib cage and recognize the aortic root, was introduced into the interactive segmentation workflow to further minimize the requirement of user interactivity during post-processing. The automatic procedure is carried out right after the images are received, which saves users time after they open the data. Vessel enhance¬ment and quantitative 2D vessel contour analysis are also included in this new version of the software. In our preliminary experience, visually accurate segmentation results of major branches have been achieved in 74 cases (42 cases reported in paper II and 32 cases in paper III) using our software with limited user interaction. On 128 branches of 32 patients, the average overlap between the centerline created in our software and the manually created reference standard was 96.0%. The average distance between them was 0.38 mm, lower than the mean voxel size. The automatic procedure ran for 3-5 min as a single-thread application in the background. Interactive processing took 3 min in average with the latest version of software. In conclusion, the presented software provides fast and automatic coron¬ary artery segmentation and visualization. The accuracy of the centerline tracking was found to be acceptable when compared to manually created centerlines.