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Measuring and segmentation in CT data using deformable models

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problem of energy equivalence which can not be always<br />

completely solved by parameters tun<strong>in</strong>g. We can not<br />

simply (<strong>in</strong> mean<strong>in</strong>g of l<strong>in</strong>ear relation) answer a question<br />

of how much region energy is equivalent to a unit<br />

of gradient based edge energy, length or area energy.<br />

4 B-SPLINE CURVES<br />

B-Spl<strong>in</strong>e curves are well known spl<strong>in</strong>es us<strong>in</strong>g polygonal<br />

base functions with limited support, which gives<br />

them great local control property. There are few problems<br />

we should h<strong>and</strong>le with.<br />

First is that we must use B-Spl<strong>in</strong>es <strong>in</strong> all energy functionals<br />

<strong>in</strong> place of a contour s. If we work with po<strong>in</strong>ts<br />

on the contour <strong>and</strong> their displacement dur<strong>in</strong>g the m<strong>in</strong>imization<br />

step we must use control po<strong>in</strong>ts only. It is<br />

a big advantage because there are fewer of them then<br />

contour po<strong>in</strong>ts even if sampl<strong>in</strong>g is very rough .<br />

First one - we must use B-Spl<strong>in</strong>es <strong>in</strong> all energy functionals<br />

<strong>in</strong> place of a contour s. If we are work<strong>in</strong>g with<br />

po<strong>in</strong>ts on the contour <strong>and</strong> their displacement dur<strong>in</strong>g the<br />

m<strong>in</strong>imization step we must use control po<strong>in</strong>ts only. This<br />

is a big advantage because there are fewer of them then<br />

contour po<strong>in</strong>ts, even if sampl<strong>in</strong>g is very rough.<br />

Order of B-Spl<strong>in</strong>e is another question. Cubic B-<br />

Spl<strong>in</strong>e is good enough for our purpose.<br />

Number of control po<strong>in</strong>ts or number of B-Spl<strong>in</strong>e sections<br />

depends on length of the whole closed contour.<br />

We def<strong>in</strong>e m<strong>in</strong>imal <strong>and</strong> maximal length of segment <strong>and</strong><br />

dur<strong>in</strong>g iterations we check the length. If our limits are<br />

exceeded we split segment or merge adjacent segments<br />

as necessary.<br />

The last problem relates to <strong>in</strong>tersections. Sometimes<br />

evolv<strong>in</strong>g curve happens to be self-<strong>in</strong>tersect<strong>in</strong>g. For example<br />

if we are segment<strong>in</strong>g shape with holes, curve always<br />

<strong>in</strong>tertw<strong>in</strong>es around the hole <strong>and</strong> cycles forever.<br />

One solution consists <strong>in</strong> detect<strong>in</strong>g <strong>in</strong>tersections <strong>and</strong><br />

break<strong>in</strong>g off parts of the curve. Free ends of the bigger<br />

part of the curve will be sticked together <strong>and</strong> the rest<br />

can be thrown away. We could also use the rest of the<br />

curve as an <strong>in</strong>ner structure <strong>segmentation</strong>. This can be<br />

seen when segment<strong>in</strong>g higher or lower parts of kidney,<br />

which has pelvis <strong>in</strong> the middle(pelvis has very different<br />

tissue density). We might ignore it first time <strong>and</strong> later<br />

we can segment it by simple treshold<strong>in</strong>g. Intersection<br />

detection can use convex wrapper property of B-Spl<strong>in</strong>e<br />

segments for computation speedup.<br />

In [JBU04] they use <strong>in</strong>tegration of angel changes<br />

which gives various multiples of 2π depend<strong>in</strong>g on number<br />

<strong>and</strong> direction of loops. This method is detect<strong>in</strong>g<br />

loops which implicate self-<strong>in</strong>tersections, but is <strong>in</strong>effective<br />

<strong>in</strong> cases described above.<br />

5 SEGMENTATION PROCEDURE<br />

We are try<strong>in</strong>g to segment 3D volume us<strong>in</strong>g separate <strong>segmentation</strong><br />

of each slice. Shape similarity measure is<br />

used as <strong>in</strong>ter-slice relation which b<strong>in</strong>ds adjacent slices<br />

together. Reasons for our preference to this scheme<br />

(compared to pure 3D <strong>deformable</strong> model technique like<br />

Active Surfaces) are <strong>in</strong>homogeous <strong>data</strong> <strong>and</strong> computational<br />

efficiency which is far better <strong>in</strong> the case of 2D<br />

techniques. We are work<strong>in</strong>g with <strong>data</strong>sets of voxels<br />

which are larger <strong>in</strong> one dimension then <strong>in</strong> other two.<br />

In case of pure 3D technique, evolution <strong>in</strong> two different<br />

directions could be <strong>in</strong>comparable. This approach<br />

offers almost <strong>in</strong>teractive response <strong>and</strong> better user control(better<br />

then edit<strong>in</strong>g 3D surface control po<strong>in</strong>ts).<br />

Our <strong>segmentation</strong> procedure starts specify<strong>in</strong>g top <strong>and</strong><br />

bottom end po<strong>in</strong>ts of segmented organ by a user. Optionally<br />

user can set other po<strong>in</strong>ts <strong>in</strong> slices between top<br />

<strong>and</strong> bottom ends, which can help to determ<strong>in</strong>e start<strong>in</strong>g<br />

positions. Start<strong>in</strong>g positions on other slices are placed<br />

automatically between these which were set manually<br />

by the user. Initial shape is def<strong>in</strong>ed as small circle<br />

around these po<strong>in</strong>ts. Probability distribution is estimated<br />

from area <strong>in</strong>side these circles. It is important to<br />

put them <strong>in</strong> the right place <strong>in</strong>side segmented organ. The<br />

user can optionally supply probability distribution from<br />

manually segmented shape <strong>in</strong> one slice.<br />

Iteration starts after shape <strong>in</strong>itialization <strong>and</strong> placement<br />

on each slice. In each iteration of the procedure<br />

we perform one step of snake energy m<strong>in</strong>imization.<br />

Thanks to this scheme the whole object is chang<strong>in</strong>g<br />

its shape dur<strong>in</strong>g <strong>segmentation</strong> process <strong>and</strong> thus can<br />

be observed <strong>and</strong> possibly corrected by the user. After<br />

one of slices converges it became steady po<strong>in</strong>t for<br />

its neighbors <strong>and</strong> is available for use <strong>in</strong> similarity term<br />

<strong>in</strong> equation (2). Neighbors of already converged slices<br />

are restricted by similarity <strong>in</strong> their further evolution.<br />

This scheme works well for rounded organs whose axial<br />

slices do not change topology <strong>and</strong> shape variation<br />

too rapidly.<br />

6 RESULTS<br />

Convergence of the basic model (2) is strongly dependent<br />

on parameters α,β,γ. The model (3), if supplied<br />

with proper probability distribution, gives very promis<strong>in</strong>g<br />

results. Our improvement with similarity measure<br />

can help to hold a curve <strong>in</strong> correct shape as can be seen<br />

<strong>in</strong> Figure 2.<br />

We are work<strong>in</strong>g with native images of a kidney<br />

checkup <strong>and</strong> also with images of the same checkup with<br />

an contrast agent <strong>in</strong> several phases of satiation. In each<br />

case different strategy <strong>in</strong> parameter sett<strong>in</strong>g <strong>and</strong> probability<br />

distribution should be used to obta<strong>in</strong> optimal result.<br />

Native images work well with approximation by<br />

normal distribution. But <strong>in</strong> a case of th<strong>in</strong> patient lack<strong>in</strong>g<br />

of contrast <strong>in</strong>ter-organ fat, it is almost impossible to f<strong>in</strong>d<br />

a distribution which prevents overflow<strong>in</strong>g to neigbour<strong>in</strong>g<br />

organs without los<strong>in</strong>g too much tissue on the surface<br />

of segmented organ. Us<strong>in</strong>g this scheme on slightly satiated<br />

kidney we are able to segment the whole organ <strong>and</strong><br />

determ<strong>in</strong>e its volume well. Figure 4 shows f<strong>in</strong>al results

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