Cloud Computing Service for Managing Large Medical Image Data-Sets Using Balanced Collaborative Agents

Managing large medical image collections is an increasingly demanding important issue in many hospitals and other medical settings. A huge amount of this information is daily generated, which requires robust and agile systems. In this paper we present a distributed multi-agent system capable of managing very large medical image datasets. In this approach, agents extract low-level information from images and store them in a data structure implemented in a relational database. The data structure can also store semantic information related to images and particular regions. A distinctive aspect of our work is that a single image can be divided so that the resultant sub-images can be stored and managed separately by different agents to improve performance in data accessing and processing. The system also offers the possibility of applying some region-based operations and filters on images, facilitating image classification. These operations can be performed directly on data structures in the database.

MIA - a free and open source software for gray scale medical image analysis

Background Gray scale images make the bulk of data in bio-medical image analysis, and hence, the main focus of many image processing tasks lies in the processing of these monochrome images. With ever improving acquisition devices, spatial and temporal image resolution increases, and data sets become very large. Various image processing frameworks exists that make the development of new algorithms easy by using high level programming languages or visual programming. These frameworks are also accessable to researchers that have no background or little in software development because they take care of otherwise complex tasks. Specifically, the management of working memory is taken care of automatically, usually at the price of requiring more it. As a result, processing large data sets with these tools becomes increasingly difficult on work station class computers. One alternative to using these high level processing tools is the development of new algorithms in a languages like C++, that gives the developer full control over how memory is handled, but the resulting workflow for the prototyping of new algorithms is rather time intensive, and also not appropriate for a researcher with little or no knowledge in software development. Another alternative is in using command line tools that run image processing tasks, use the hard disk to store intermediate results, and provide automation by using shell scripts. Although not as convenient as, e.g. visual programming, this approach is still accessable to researchers without a background in computer science. However, only few tools exist that provide this kind of processing interface, they are usually quite task specific, and don’t provide an clear approach when one wants to shape a new command line tool from a prototype shell script. Results The proposed framework, MIA, provides a combination of command line tools, plug-ins, and libraries that make it possible to run image processing tasks interactively in a command shell and to prototype by using the according shell scripting language. Since the hard disk becomes the temporal storage memory management is usually a non-issue in the prototyping phase. By using string-based descriptions for filters, optimizers, and the likes, the transition from shell scripts to full fledged programs implemented in C++ is also made easy. In addition, its design based on atomic plug-ins and single tasks command line tools makes it easy to extend MIA, usually without the requirement to touch or recompile existing code. Conclusion In this article, we describe the general design of MIA, a general purpouse framework for gray scale image processing. We demonstrated the applicability of the software with example applications from three different research scenarios, namely motion compensation in myocardial perfusion imaging, the processing of high resolution image data that arises in virtual anthropology, and retrospective analysis of treatment outcome in orthognathic surgery. With MIA prototyping algorithms by using shell scripts that combine small, single-task command line tools is a viable alternative to the use of high level languages, an approach that is especially useful when large data sets need to be processed.

Technical evaluation of a third generation optical pose tracker for motion analysis and image-guided surgery

Laparoscopic instrument tracking systems are an essential component in image-guided interventions and offer new possibilities to improve and automate objective assessment methods of surgical skills. In this study we present our system design to apply a third generation optical pose tracker (Micron- Tracker®) to laparoscopic practice. A technical evaluation of this design is performed in order to analyze its accuracy in computing the laparoscopic instrument tip position. Results show a stable fluctuation error over the entire analyzed workspace. The relative position errors are 1.776±1.675 mm, 1.817±1.762 mm, 1.854±1.740 mm, 2.455±2.164 mm, 2.545±2.496 mm, 2.764±2.342 mm, 2.512±2.493 mm for distances of 50, 100, 150, 200, 250, 300, and 350 mm, respectively. The accumulated distance error increases with the measured distance. The instrument inclination covered by the system is high, from 90 to 7.5 degrees. The system reports a low positional accuracy for the instrument tip.

Brain injury MRI simulator based on theoretical models of neuroanatomic damage

In order to improve the body of knowledge about brain injury impairment is essential to develop image database with different types of injuries. This paper proposes a new methodology to model three types of brain injury: stroke, tumor and traumatic brain injury; and implements a system to navigate among simulated MRI studies. These studies can be used on research studies, to validate new processing methods and as an educational tool, to show different types of brain injury and how they affect to neuroanatomic structures.

Higher-order regularization and morphological techniques for image segmentation

La segmentación de imágenes es un campo importante de la visión computacional y una de las áreas de investigación más activas, con aplicaciones en comprensión de imágenes, detección de objetos, reconocimiento facial, vigilancia de vídeo o procesamiento de imagen médica. La segmentación de imágenes es un problema difícil en general, pero especialmente en entornos científicos y biomédicos, donde las técnicas de adquisición imagen proporcionan imágenes ruidosas. Además, en muchos de estos casos se necesita una precisión casi perfecta. En esta tesis, revisamos y comparamos primero algunas de las técnicas ampliamente usadas para la segmentación de imágenes médicas. Estas técnicas usan clasificadores a nivel de pixel e introducen regularización sobre pares de píxeles que es normalmente insuficiente. Estudiamos las dificultades que presentan para capturar la información de alto nivel sobre los objetos a segmentar. Esta deficiencia da lugar a detecciones erróneas, bordes irregulares, configuraciones con topología errónea y formas inválidas. Para solucionar estos problemas, proponemos un nuevo método de regularización de alto nivel que aprende información topológica y de forma a partir de los datos de entrenamiento de una forma no paramétrica usando potenciales de orden superior. Los potenciales de orden superior se están popularizando en visión por computador, pero la representación exacta de un potencial de orden superior definido sobre muchas variables es computacionalmente inviable. Usamos una representación compacta de los potenciales basada en un conjunto finito de patrones aprendidos de los datos de entrenamiento que, a su vez, depende de las observaciones. Gracias a esta representación, los potenciales de orden superior pueden ser convertidos a potenciales de orden 2 con algunas variables auxiliares añadidas. Experimentos con imágenes reales y sintéticas confirman que nuestro modelo soluciona los errores de aproximaciones más débiles. Incluso con una regularización de alto nivel, una precisión exacta es inalcanzable, y se requeire de edición manual de los resultados de la segmentación automática. La edición manual es tediosa y pesada, y cualquier herramienta de ayuda es muy apreciada. Estas herramientas necesitan ser precisas, pero también lo suficientemente rápidas para ser usadas de forma interactiva. Los contornos activos son una buena solución: son buenos para detecciones precisas de fronteras y, en lugar de buscar una solución global, proporcionan un ajuste fino a resultados que ya existían previamente. Sin embargo, requieren una representación implícita que les permita trabajar con cambios topológicos del contorno, y esto da lugar a ecuaciones en derivadas parciales (EDP) que son costosas de resolver computacionalmente y pueden presentar problemas de estabilidad numérica. Presentamos una aproximación morfológica a la evolución de contornos basada en un nuevo operador morfológico de curvatura que es válido para superficies de cualquier dimensión. Aproximamos la solución numérica de la EDP de la evolución de contorno mediante la aplicación sucesiva de un conjunto de operadores morfológicos aplicados sobre una función de conjuntos de nivel. Estos operadores son muy rápidos, no sufren de problemas de estabilidad numérica y no degradan la función de los conjuntos de nivel, de modo que no hay necesidad de reinicializarlo. Además, su implementación es mucho más sencilla que la de las EDP, ya que no requieren usar sofisticados algoritmos numéricos. Desde un punto de vista teórico, profundizamos en las conexiones entre operadores morfológicos y diferenciales, e introducimos nuevos resultados en este área. Validamos nuestra aproximación proporcionando una implementación morfológica de los contornos geodésicos activos, los contornos activos sin bordes, y los turbopíxeles. En los experimentos realizados, las implementaciones morfológicas convergen a soluciones equivalentes a aquéllas logradas mediante soluciones numéricas tradicionales, pero con ganancias significativas en simplicidad, velocidad y estabilidad. ABSTRACT Image segmentation is an important field in computer vision and one of its most active research areas, with applications in image understanding, object detection, face recognition, video surveillance or medical image processing. Image segmentation is a challenging problem in general, but especially in the biological and medical image fields, where the imaging techniques usually produce cluttered and noisy images and near-perfect accuracy is required in many cases. In this thesis we first review and compare some standard techniques widely used for medical image segmentation. These techniques use pixel-wise classifiers and introduce weak pairwise regularization which is insufficient in many cases. We study their difficulties to capture high-level structural information about the objects to segment. This deficiency leads to many erroneous detections, ragged boundaries, incorrect topological configurations and wrong shapes. To deal with these problems, we propose a new regularization method that learns shape and topological information from training data in a nonparametric way using high-order potentials. High-order potentials are becoming increasingly popular in computer vision. However, the exact representation of a general higher order potential defined over many variables is computationally infeasible. We use a compact representation of the potentials based on a finite set of patterns learned fromtraining data that, in turn, depends on the observations. Thanks to this representation, high-order potentials can be converted into pairwise potentials with some added auxiliary variables and minimized with tree-reweighted message passing (TRW) and belief propagation (BP) techniques. Both synthetic and real experiments confirm that our model fixes the errors of weaker approaches. Even with high-level regularization, perfect accuracy is still unattainable, and human editing of the segmentation results is necessary. The manual edition is tedious and cumbersome, and tools that assist the user are greatly appreciated. These tools need to be precise, but also fast enough to be used in real-time. Active contours are a good solution: they are good for precise boundary detection and, instead of finding a global solution, they provide a fine tuning to previously existing results. However, they require an implicit representation to deal with topological changes of the contour, and this leads to PDEs that are computationally costly to solve and may present numerical stability issues. We present a morphological approach to contour evolution based on a new curvature morphological operator valid for surfaces of any dimension. We approximate the numerical solution of the contour evolution PDE by the successive application of a set of morphological operators defined on a binary level-set. These operators are very fast, do not suffer numerical stability issues, and do not degrade the level set function, so there is no need to reinitialize it. Moreover, their implementation is much easier than their PDE counterpart, since they do not require the use of sophisticated numerical algorithms. From a theoretical point of view, we delve into the connections between differential andmorphological operators, and introduce novel results in this area. We validate the approach providing amorphological implementation of the geodesic active contours, the active contours without borders, and turbopixels. In the experiments conducted, the morphological implementations converge to solutions equivalent to those achieved by traditional numerical solutions, but with significant gains in simplicity, speed, and stability.

Sistemas de ayuda al diagnóstico y reconocimiento de microcalcificaciones en mamografía mediante descriptores de escala y redes jerárquicas

La presente Tesis investiga el campo del reconocimiento automático de imágenes mediante ordenador aplicado al análisis de imágenes médicas en mamografía digital. Hay un interés por desarrollar sistemas de aprendizaje que asistan a los radiólogos en el reconocimiento de las microcalcificaciones para apoyarles en los programas de cribado y prevención del cáncer de mama. Para ello el análisis de las microcalcificaciones se ha revelado como técnica clave de diagnóstico precoz, pero sin embargo el diseño de sistemas automáticos para reconocerlas es complejo por la variabilidad y condiciones de las imágenes mamográficas. En este trabajo se analizan los planteamientos teóricos de diseño de sistemas de reconocimiento de imágenes, con énfasis en los problemas específicos de detección y clasificación de microcalcificaciones. Se ha realizado un estudio que incluye desde las técnicas de operadores morfológicos, redes neuronales, máquinas de vectores soporte, hasta las más recientes de aprendizaje profundo mediante redes neuronales convolucionales, contemplando la importancia de los conceptos de escala y jerarquía a la hora del diseño y sus implicaciones en la búsqueda de la arquitectura de conexiones y capas de la red. Con estos fundamentos teóricos y elementos de diseño procedentes de otros trabajos en este área realizados por el autor, se implementan tres sistemas de reconocimiento de mamografías que reflejan una evolución tecnológica, culminando en un sistema basado en Redes Neuronales Convolucionales (CNN) cuya arquitectura se diseña gracias al análisis teórico anterior y a los resultados prácticos de análisis de escalas llevados a cabo en nuestra base de datos de imágenes. Los tres sistemas se entrenan y validan con la base de datos de mamografías DDSM, con un total de 100 muestras de entrenamiento y 100 de prueba escogidas para evitar sesgos y reflejar fielmente un programa de cribado. La validez de las CNN para el problema que nos ocupa queda demostrada y se propone un camino de investigación para el diseño de su arquitectura. ABSTRACT This Dissertation investigates the field of computer image recognition applied to medical imaging in mammography. There is an interest in developing learning systems to assist radiologists in recognition of microcalcifications to help them in screening programs for prevention of breast cancer. Analysis of microcalcifications has emerged as a key technique for early diagnosis of breast cancer, but the design of automatic systems to recognize them is complicated by the variability and conditions of mammographic images. In this Thesis the theoretical approaches to design image recognition systems are discussed, with emphasis on the specific problems of detection and classification of microcalcifications. Our study includes techniques ranging from morphological operators, neural networks and support vector machines, to the most recent deep convolutional neural networks. We deal with learning theory by analyzing the importance of the concepts of scale and hierarchy at the design stage and its implications in the search for the architecture of connections and network layers. With these theoretical facts and design elements coming from other works in this area done by the author, three mammogram recognition systems which reflect technological developments are implemented, culminating in a system based on Convolutional Neural Networks (CNN), whose architecture is designed thanks to the previously mentioned theoretical study and practical results of analysis conducted on scales in our image database. All three systems are trained and validated against the DDSM mammographic database, with a total of 100 training samples and 100 test samples chosen to avoid bias and stand for a real screening program. The validity of the CNN approach to the problem is demonstrated and a research way to help in designing the architecture of these networks is proposed.

Video analysis based vehicle detection and tracking using an MCMC sampling framework

This article presents a probabilistic method for vehicle detection and tracking through the analysis of monocular images obtained from a vehicle-mounted camera. The method is designed to address the main shortcomings of traditional particle filtering approaches, namely Bayesian methods based on importance sampling, for use in traffic environments. These methods do not scale well when the dimensionality of the feature space grows, which creates significant limitations when tracking multiple objects. Alternatively, the proposed method is based on a Markov chain Monte Carlo (MCMC) approach, which allows efficient sampling of the feature space. The method involves important contributions in both the motion and the observation models of the tracker. Indeed, as opposed to particle filter-based tracking methods in the literature, which typically resort to observation models based on appearance or template matching, in this study a likelihood model that combines appearance analysis with information from motion parallax is introduced. Regarding the motion model, a new interaction treatment is defined based on Markov random fields (MRF) that allows for the handling of possible inter-dependencies in vehicle trajectories. As for vehicle detection, the method relies on a supervised classification stage using support vector machines (SVM). The contribution in this field is twofold. First, a new descriptor based on the analysis of gradient orientations in concentric rectangles is dened. This descriptor involves a much smaller feature space compared to traditional descriptors, which are too costly for real-time applications. Second, a new vehicle image database is generated to train the SVM and made public. The proposed vehicle detection and tracking method is proven to outperform existing methods and to successfully handle challenging situations in the test sequences.

Automatic motion compensation of free breathing acquired myocardial perfusion data by using independent component analysis

Images acquired during free breathing using first-pass gadolinium-enhanced myocardial perfusion magnetic resonance imaging (MRI) exhibit a quasiperiodic motion pattern that needs to be compensated for if a further automatic analysis of the perfusion is to be executed. In this work, we present a method to compensate this movement by combining independent component analysis (ICA) and image registration: First, we use ICA and a time?frequency analysis to identify the motion and separate it from the intensity change induced by the contrast agent. Then, synthetic reference images are created by recombining all the independent components but the one related to the motion. Therefore, the resulting image series does not exhibit motion and its images have intensities similar to those of their original counterparts. Motion compensation is then achieved by using a multi-pass image registration procedure. We tested our method on 39 image series acquired from 13 patients, covering the basal, mid and apical areas of the left heart ventricle and consisting of 58 perfusion images each. We validated our method by comparing manually tracked intensity profiles of the myocardial sections to automatically generated ones before and after registration of 13 patient data sets (39 distinct slices). We compared linear, non-linear, and combined ICA based registration approaches and previously published motion compensation schemes. Considering run-time and accuracy, a two-step ICA based motion compensation scheme that first optimizes a translation and then for non-linear transformation performed best and achieves registration of the whole series in 32 ± 12 s on a recent workstation. The proposed scheme improves the Pearsons correlation coefficient between manually and automatically obtained time?intensity curves from .84 ± .19 before registration to .96 ± .06 after registration

Mejoras en el procesamiento de imágenes de TC para el tratamiento con radioterapia adaptativa del cáncer de próstata

El cáncer de próstata es el tipo de cáncer con mayor prevalencia entre los hombres del mundo occidental y, pese a tener una alta tasa de supervivencia relativa, es la segunda mayor causa de muerte por cáncer en este sector de la población. El tratamiento de elección frente al cáncer de próstata es, en la mayoría de los casos, la radioterapia externa. Las técnicas más modernas de radioterapia externa, como la radioterapia modulada en intensidad, permiten incrementar la dosis en el tumor mientras se reduce la dosis en el tejido sano. Sin embargo, la localización del volumen objetivo varía con el día de tratamiento, y se requieren movimientos muy pequeños de los órganos para sacar partes del volumen objetivo fuera de la región terapéutica, o para introducir tejidos sanos críticos dentro. Para evitar esto se han desarrollado técnicas más avanzadas, como la radioterapia guiada por imagen, que se define por un manejo más preciso de los movimientos internos mediante una adaptación de la planificación del tratamiento basada en la información anatómica obtenida de imágenes de tomografía computarizada (TC) previas a la sesión terapéutica. Además, la radioterapia adaptativa añade la información dosimétrica de las fracciones previas a la información anatómica. Uno de los fundamentos de la radioterapia adaptativa es el registro deformable de imágenes, de gran utilidad a la hora de modelar los desplazamientos y deformaciones de los órganos internos. Sin embargo, su utilización conlleva nuevos retos científico-tecnológicos en el procesamiento de imágenes, principalmente asociados a la variabilidad de los órganos, tanto en localización como en apariencia. El objetivo de esta tesis doctoral es mejorar los procesos clínicos de delineación automática de contornos y de cálculo de dosis acumulada para la planificación y monitorización de tratamientos con radioterapia adaptativa, a partir de nuevos métodos de procesamiento de imágenes de TC (1) en presencia de contrastes variables, y (2) cambios de apariencia del recto. Además, se pretende (3) proveer de herramientas para la evaluación de la calidad de los contornos obtenidos en el caso del gross tumor volumen (GTV). Las principales contribuciones de esta tesis doctoral son las siguientes: _ 1. La adaptación, implementación y evaluación de un algoritmo de registro basado en el flujo óptico de la fase de la imagen como herramienta para el cálculo de transformaciones no-rígidas en presencia de cambios de intensidad, y su aplicabilidad a tratamientos de radioterapia adaptativa en cáncer de próstata con uso de agentes de contraste radiológico. Los resultados demuestran que el algoritmo seleccionado presenta mejores resultados cualitativos en presencia de contraste radiológico en la vejiga, y no distorsiona la imagen forzando deformaciones poco realistas. 2. La definición, desarrollo y validación de un nuevo método de enmascaramiento de los contenidos del recto (MER), y la evaluación de su influencia en el procedimiento de radioterapia adaptativa en cáncer de próstata. Las segmentaciones obtenidas mediante el MER para la creación de máscaras homogéneas en las imágenes de sesión permiten mejorar sensiblemente los resultados de los algoritmos de registro en la región rectal. Así, el uso de la metodología propuesta incrementa el índice de volumen solapado entre los contornos manuales y automáticos del recto hasta un valor del 89%, cercano a los resultados obtenidos usando máscaras manuales para el registro de las dos imágenes. De esta manera se pueden corregir tanto el cálculo de los nuevos contornos como el cálculo de la dosis acumulada. 3. La definición de una metodología de evaluación de la calidad de los contornos del GTV, que permite la representación de la distribución espacial del error, adaptándola a volúmenes no-convexos como el formado por la próstata y las vesículas seminales. Dicha metodología de evaluación, basada en un nuevo algoritmo de reconstrucción tridimensional y una nueva métrica de cuantificación, presenta resultados precisos con una gran resolución espacial en un tiempo despreciable frente al tiempo de registro. Esta nueva metodología puede ser una herramienta útil para la comparación de distintos algoritmos de registro deformable orientados a la radioterapia adaptativa en cáncer de próstata. En conclusión, el trabajo realizado en esta tesis doctoral corrobora las hipótesis de investigación postuladas, y pretende servir como cimiento de futuros avances en el procesamiento de imagen médica en los tratamientos de radioterapia adaptativa en cáncer de próstata. Asimismo, se siguen abriendo nuevas líneas de aplicación futura de métodos de procesamiento de imágenes médicas con el fin de mejorar los procesos de radioterapia adaptativa en presencia de cambios de apariencia de los órganos, e incrementar la seguridad del paciente. I.2 Inglés Prostate cancer is the most prevalent cancer amongst men in the Western world and, despite having a relatively high survival rate, is the second leading cause of cancer death in this sector of the population. The treatment of choice against prostate cancer is, in most cases, external beam radiation therapy. The most modern techniques of external radiotherapy, as intensity modulated radiotherapy, allow increasing the dose to the tumor whilst reducing the dose to healthy tissue. However, the location of the target volume varies with the day of treatment, and very small movements of the organs are required to pull out parts of the target volume outside the therapeutic region, or to introduce critical healthy tissues inside. Advanced techniques, such as the image-guided radiotherapy (IGRT), have been developed to avoid this. IGRT is defined by more precise handling of internal movements by adapting treatment planning based on the anatomical information obtained from computed tomography (CT) images prior to the therapy session. Moreover, the adaptive radiotherapy adds dosimetric information of previous fractions to the anatomical information. One of the fundamentals of adaptive radiotherapy is deformable image registration, very useful when modeling the displacements and deformations of the internal organs. However, its use brings new scientific and technological challenges in image processing, mainly associated to the variability of the organs, both in location and appearance. The aim of this thesis is to improve clinical processes of automatic contour delineation and cumulative dose calculation for planning and monitoring of adaptive radiotherapy treatments, based on new methods of CT image processing (1) in the presence of varying contrasts, and (2) rectum appearance changes. It also aims (3) to provide tools for assessing the quality of contours obtained in the case of gross tumor volume (GTV). The main contributions of this PhD thesis are as follows: 1. The adaptation, implementation and evaluation of a registration algorithm based on the optical flow of the image phase as a tool for the calculation of non-rigid transformations in the presence of intensity changes, and its applicability to adaptive radiotherapy treatment in prostate cancer with use of radiological contrast agents. The results demonstrate that the selected algorithm shows better qualitative results in the presence of radiological contrast agents in the urinary bladder, and does not distort the image forcing unrealistic deformations. 2. The definition, development and validation of a new method for masking the contents of the rectum (MER, Spanish acronym), and assessing their impact on the process of adaptive radiotherapy in prostate cancer. The segmentations obtained by the MER for the creation of homogenous masks in the session CT images can improve significantly the results of registration algorithms in the rectal region. Thus, the use of the proposed methodology increases the volume overlap index between manual and automatic contours of the rectum to a value of 89%, close to the results obtained using manual masks for both images. In this way, both the calculation of new contours and the calculation of the accumulated dose can be corrected. 3. The definition of a methodology for assessing the quality of the contours of the GTV, which allows the representation of the spatial distribution of the error, adapting it to non-convex volumes such as that formed by the prostate and seminal vesicles. Said evaluation methodology, based on a new three-dimensional reconstruction algorithm and a new quantification metric, presents accurate results with high spatial resolution in a time negligible compared to the registration time. This new approach may be a useful tool to compare different deformable registration algorithms oriented to adaptive radiotherapy in prostate cancer In conclusion, this PhD thesis corroborates the postulated research hypotheses, and is intended to serve as a foundation for future advances in medical image processing in adaptive radiotherapy treatment in prostate cancer. In addition, it opens new future applications for medical image processing methods aimed at improving the adaptive radiotherapy processes in the presence of organ’s appearance changes, and increase the patient safety.

Organ-focused mutual information for nonrigid multimodal registration of liver CT and Gd–EOB–DTPA-enhanced MRI

Accurate detection of liver lesions is of great importance in hepatic surgery planning. Recent studies have shown that the detection rate of liver lesions is significantly higher in gadoxetic acid-enhanced magnetic resonance imaging (Gd–EOB–DTPA-enhanced MRI) than in contrast-enhanced portal-phase computed tomography (CT); however, the latter remains essential because of its high specificity, good performance in estimating liver volumes and better vessel visibility. To characterize liver lesions using both the above image modalities, we propose a multimodal nonrigid registration framework using organ-focused mutual information (OF-MI). This proposal tries to improve mutual information (MI) based registration by adding spatial information, benefiting from the availability of expert liver segmentation in clinical protocols. The incorporation of an additional information channel containing liver segmentation information was studied. A dataset of real clinical images and simulated images was used in the validation process. A Gd–EOB–DTPA-enhanced MRI simulation framework is presented. To evaluate results, warping index errors were calculated for the simulated data, and landmark-based and surface-based errors were calculated for the real data. An improvement of the registration accuracy for OF-MI as compared with MI was found for both simulated and real datasets. Statistical significance of the difference was tested and confirmed in the simulated dataset (p < 0.01).

Diseño e implementación de un módulo para la anotación de imágenes médicas

Desde hace tiempo ha habido mucho interés en la automatización de todo tipo de tareas en las que la intervención humana es esencial para que sean completadas con éxito. Esto es de especial interés si además se ciertas tareas que pueden ser perfectamente reproducibles y, o bien requieren mucha formación, o bien consumen mucho tiempo. Este proyecto está dirigido a la búsqueda de métodos para automatizar la anotación de imágenes médicas. En concreto, se centra en el apartado de delimitación de las regiones de interés (ROIs) en imágenes de tipo PET siendo éstas usadas con frecuencia junto con las imágenes de tipo CT en el campo de oncología para delinear volúmenes afectados por cáncer. Se pretende con esto ayudar a los hospitales a organizar y estructurar las imágenes de sus pacientes y relacionarlas con las notas clínicas. Esto es lo que llamaremos el proceso de anotación de imágenes y la integración con la anotación de notas clínicas respectivamente. En este documento nos vamos a centrar en describir cuáles eran los objetivos iniciales, los pasos dados para su consecución y las dificultades encontradas durante el proceso. De todas las técnicas existentes en la literatura, se han elegido 4 técnicas de segmentación, 2 de ellas probadas en pacientes reales y las otras 2 probadas solo en phantoms según la literatura. En nuestro caso, las pruebas, se han realizado en imágenes PET de 6 pacientes reales diagnosticados de cáncer. Los resultados han sido analizados y presentados. ---ABSTRACT---For a long period of time, there has been an increasing interest in automation of tasks where human intervention is needed in order to succeed. This interest is even greater if those tasks must be solved by qualifed specialists in the area and the task is reproducible or if the task is too time consuming. The main objective of this project is to find methods which can help to automate medical image annotation processes. In our specific case, we are willing to delineate regions of interest (ROIs) in PET images which are frequently used simultaneaously ith CT images in oncology to determine those volumes that are afected by cancer. With this process we want to help hospitals organize and have from their patient studies and to relate these images to the corpus annotations. We may call this the image annotation process and the integration with the corpus annotation respectively. In this document we are going to concentrate in the description of the initial objectives, the steps we had to go through and the di�culties we had to face during this process. From all existing techniques in the literature, 4 segmentation techniques have been chosen, 2 of them were tested in real patients and the other 2 were tested using phantoms according to the literature. In our case, the tests have been done using PET images from 6 real patients diagnosed with cancer. The results have been analyzed and presented.

Optimización de una energía mediante cortes de grafos. Segmentación de imágenes

La segmentación de imágenes puede plantearse como un problema de minimización de una energía discreta. Nos enfrentamos así a una doble cuestión: definir una energía cuyo mínimo proporcione la segmentación buscada y, una vez definida la energía, encontrar un mínimo absoluto de la misma. La primera parte de esta tesis aborda el segundo problema, y la segunda parte, en un contexto más aplicado, el primero. Las técnicas de minimización basadas en cortes de grafos permiten obtener el mínimo de una energía discreta en tiempo polinomial mediante algoritmos de tipo min-cut/max-flow. Sin embargo, estas técnicas solo pueden aplicarse a energías que son representabas por grafos. Un importante reto es estudiar qué energías son representabas así como encontrar un grafo que las represente, lo que equivale a encontrar una función gadget con variables adicionales. En la primera parte de este trabajo se estudian propiedades de las funciones gadgets que permiten acotar superiormente el número de variables adicionales. Además se caracterizan las energías con cuatro variables que son representabas, definiendo gadgets con dos variables adicionales. En la segunda parte, más práctica, se aborda el problema de segmentación de imágenes médicas, base en muchas ocasiones para la diagnosis y el seguimiento de terapias. La segmentación multi-atlas es una potente técnica de segmentación automática de imágenes médicas, con tres aspectos importantes a destacar: el tipo de registro entre los atlas y la imagen objetivo, la selección de atlas y el método de fusión de etiquetas. Este último punto puede formularse como un problema de minimización de una energía. A este respecto introducimos dos nuevas energías representables. La primera, de orden dos, se utiliza en la segmentación en hígado y fondo de imágenes abdominales obtenidas mediante tomografía axial computarizada. La segunda, de orden superior, se utiliza en la segmentación en hipocampos y fondo de imágenes cerebrales obtenidas mediante resonancia magnética. ABSTRACT The image segmentation can be described as the problem of minimizing a discrete energy. We face two problems: first, to define an energy whose minimum provides the desired segmentation and, second, once the energy is defined we must find its global minimum. The first part of this thesis addresses the second problem, and the second part, in a more applied context, the first problem. Minimization techniques based on graph cuts find the minimum of a discrete energy in polynomial time via min-cut/max-flow algorithms. Nevertheless, these techniques can only be applied to graph-representable energies. An important challenge is to study which energies are graph-representable and to construct graphs which represent these energies. This is the same as finding a gadget function with additional variables. In the first part there are studied the properties of gadget functions which allow the number of additional variables to be bounded from above. Moreover, the graph-representable energies with four variables are characterised and gadgets with two additional variables are defined for these. The second part addresses the application of these ideas to medical image segmentation. This is often the first step in computer-assisted diagnosis and monitoring therapy. Multiatlas segmentation is a powerful automatic segmentation technique for medical images, with three important aspects that are highlighted here: the registration between the atlas and the target image, the atlas selection, and the label fusion method. We formulate the label fusion method as a minimization problem and we introduce two new graph-representable energies. The first is a second order energy and it is used for the segmentation of the liver in computed tomography (CT) images. The second energy is a higher order energy and it is used for the segmentation of the hippocampus in magnetic resonance images (MRI).

Clasificación de imágenes dermatoscópicas

Este proyecto presenta un software para el análisis de imágenes dermatoscópicas correspondiente a lesiones melanocíticas, con el fin de clasificarlas entre lesiones benignas y melanoma. El sistema realiza una segmentación automática de la lesión y la procesa en varas etapas, extrayendo características de relevancia diagnóstica: asimetría, colores, irregularidad del borde, y la presencia de estructuras como redes pigmentadas atípicas o velo azul-blanquecino. Proporciona además una herramienta para el etiquetado manual de estructuras adicionales. La clasificación automática de las lesiones se realiza en base a los métodos de diagnóstico más comúnmente utilizados: las reglas ABCD, Menzies, 7-point checklist, CASH y CHAOS & CLUES. El sistema de clasificación se evalúa sobre una base de datos de imágenes dermatoscópicas, y se realiza una comparativa de los resultados obtenidos por cada método de diagnóstico. ABSTRACT. This project presents a software for the analysis of dermoscopic images of melanocytic lesions, and their classification into benign lesions and melanoma. The system performs automatic segmentation of the lesion and goes through several stages of extraction of certain characteristics relevant to the diagnosis, such as asymmetry, border irregularity, or presence of structures like atypical pigmented network or blue-whitish veil. Automatic classification of the lesions is accomplished by means of the most commonly used diagnostic methods, such as ABCD and Menzies's rules, the 7-point checklist, CASH, and CHAOS & CLUES. The classification system is evaluated by using a dermoscopic image database, and a comparison of the results yielded by the different diagnostic methods is performed.

Procesado de imágenes médicas en MATLAB

La relación entre la ingeniería y la medicina cada vez se está haciendo más estrecha, y debido a esto se ha creado una nueva disciplina, la bioingeniería, ámbito en el que se centra el proyecto. Este ámbito cobra gran interés debido al rápido desarrollo de nuevas tecnologías que en particular permiten, facilitan y mejoran la obtención de diagnósticos médicos respecto de los métodos tradicionales. Dentro de la bioingeniería, el campo que está teniendo mayor desarrollo es el de la imagen médica, gracias al cual se pueden obtener imágenes del interior del cuerpo humano con métodos no invasivos y sin necesidad de recurrir a la cirugía. Mediante métodos como la resonancia magnética, rayos X, medicina nuclear o ultrasonidos, se pueden obtener imágenes del cuerpo humano para realizar diagnósticos. Para que esas imágenes puedan ser utilizadas con ese fin hay que realizar un correcto tratamiento de éstas mediante técnicas de procesado digital. En ése ámbito del procesado digital de las imágenes médicas es en el que se ha realizado este proyecto. Gracias al desarrollo del tratamiento digital de imágenes con métodos de extracción de información, mejora de la visualización o resaltado de rasgos de interés de las imágenes, se puede facilitar y mejorar el diagnóstico de los especialistas. Por todo esto en una época en la que se quieren automatizar todos los procesos para mejorar la eficacia del trabajo realizado, el automatizar el procesado de las imágenes para extraer información con mayor facilidad, es muy útil. Actualmente una de las herramientas más potentes en el tratamiento de imágenes médicas es Matlab, gracias a su toolbox de procesado de imágenes. Por ello se eligió este software para el desarrollo de la parte práctica de este proyecto, su potencia y versatilidad simplifican la implementación de algoritmos. Este proyecto se estructura en dos partes. En la primera se realiza una descripción general de las diferentes modalidades de obtención de imágenes médicas y se explican los diferentes usos de cada método, dependiendo del campo de aplicación. Posteriormente se hace una descripción de las técnicas más importantes de procesado de imagen digital que han sido utilizadas en el proyecto. En la segunda parte se desarrollan cuatro aplicaciones en Matlab para ejemplificar el desarrollo de algoritmos de procesado de imágenes médicas. Dichas implementaciones demuestran la aplicación y utilidad de los conceptos explicados anteriormente en la parte teórica, como la segmentación y operaciones de filtrado espacial de la imagen, así como otros conceptos específicos. Las aplicaciones ejemplo desarrolladas han sido: obtención del porcentaje de metástasis de un tejido, diagnóstico de las deformidades de la columna vertebral, obtención de la MTF de una cámara de rayos gamma y medida del área de un fibroadenoma de una ecografía de mama. Por último, para cada una de las aplicaciones se detallará su utilidad en el campo de la imagen médica, los resultados obtenidos y su implementación en una interfaz gráfica para facilitar su uso. ABSTRACT. The relationship between medicine and engineering is becoming closer than ever giving birth to a recently appeared science field: bioengineering. This project is focused on this subject. This recent field is becoming more and more important due to the fast development of new technologies that provide tools to improve disease diagnosis, with regard to traditional procedures. In bioengineering the fastest growing field is medical imaging, in which we can obtain images of the inside of the human body without need of surgery. Nowadays by means of the medical modalities of magnetic resonance, X ray, nuclear medicine or ultrasound, we can obtain images to make a more accurate diagnosis. For those images to be useful within the medical field, they should be processed properly with some digital image processing techniques. It is in this field of digital medical image processing where this project is developed. Thanks to the development of digital image processing providing methods for data collection, improved visualization or data highlighting, diagnosis can be eased and facilitated. In an age where automation of processes is much sought, automated digital image processing to ease data collection is extremely useful. One of the most powerful image processing tools is Matlab, together with its image processing toolbox. That is the reason why that software was chosen to develop the practical algorithms in this project. This final project is divided into two main parts. Firstly, the different modalities for obtaining medical images will be described. The different usages of each method according to the application will also be specified. Afterwards we will give a brief description of the most important image processing tools that have been used in the project. Secondly, four algorithms in Matlab are implemented, to provide practical examples of medical image processing algorithms. This implementation shows the usefulness of the concepts previously explained in the first part, such as: segmentation or spatial filtering. The particular applications examples that have been developed are: calculation of the metastasis percentage of a tissue, diagnosis of spinal deformity, approximation to the MTF of a gamma camera, and measurement of the area of a fibroadenoma in an ultrasound image. Finally, for each of the applications developed, we will detail its usefulness within the medical field, the results obtained, and its implementation in a graphical user interface to ensure ease of use.

DAEDALUS at ImageCLEF Medical Retrieval 2011: Textual, Visual and Multimodal Experiments

This paper describes the participation of DAEDALUS at ImageCLEF 2011 Medical Retrieval task. We have focused on multimodal (or mixed) experiments that combine textual and visual retrieval. The main objective of our research has been to evaluate the effect on the medical retrieval process of the existence of an extended corpus that is annotated with the image type, associated to both the image itself and also to its textual description. For this purpose, an image classifier has been developed to tag each document with its class (1st level of the hierarchy: Radiology, Microscopy, Photograph, Graphic, Other) and subclass (2nd level: AN, CT, MR, etc.). For the textual-based experiments, several runs using different semantic expansion techniques have been performed. For the visual-based retrieval, different runs are defined by the corpus used in the retrieval process and the strategy for obtaining the class and/or subclass. The best results are achieved in runs that make use of the image subclass based on the classification of the sample images. Although different multimodal strategies have been submitted, none of them has shown to be able to provide results that are at least comparable to the ones achieved by the textual retrieval alone. We believe that we have been unable to find a metric for the assessment of the relevance of the results provided by the visual and textual processes