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Segmentation of 3D Tubular Tree Structures in Medical Images ...

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114 Chapter 7. Airway <strong>Tree</strong> <strong>Segmentation</strong><br />

(a) (b) (c)<br />

(d) (e) (f)<br />

Figure 7.4: Illustration <strong>of</strong> the process<strong>in</strong>g steps <strong>of</strong> the airway tree reconstruction approach.<br />

(a) Volume render<strong>in</strong>g <strong>of</strong> the utilized dataset. (b) Tube detection filter response. (c) Centerl<strong>in</strong>es<br />

<strong>of</strong> <strong>in</strong>itially extracted tubular structures. (d) Initially extracted tubular structures<br />

with associated radii/tangent directions. (e) Group<strong>in</strong>g and l<strong>in</strong>kage step show<strong>in</strong>g the identified<br />

tubular structures belong<strong>in</strong>g the airway tree (blue), the discarded tubular structures<br />

(red), and the closed gaps (green). (f) Reconstructed airway tree.<br />

associated radius and tangent direction are <strong>in</strong>dicated us<strong>in</strong>g a cyl<strong>in</strong>der with appropriate<br />

orientation and radius. As can be seen, major parts <strong>of</strong> the airway tree can be extracted<br />

with this approach. However, two problems rema<strong>in</strong> that have to be addressed. First, the<br />

centerl<strong>in</strong>es <strong>of</strong> the tubular structures may break up at junctions or <strong>in</strong> disturbed regions<br />

(e.g., motion artifacts). Second, some false positive responses caused by other low density<br />

(dark) tube-like structures that are not airways are also present.

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