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用于 T1 加权和 T2-FLAIR MR 图像胶质母细胞瘤反应监测的稳健纹理特征:在识别和分割方面的初步研究。

Robust texture features for response monitoring of glioblastoma multiforme on T1-weighted and T2-FLAIR MR images: a preliminary investigation in terms of identification and segmentation.

机构信息

Department of Radiation Oncology, Radiation Medicine Program, Princess Margaret Hospital, University of Toronto, 610 University Avenue, Rm. 5-612, Toronto, Ontario M5G 2M9, Canada.

出版信息

Med Phys. 2010 Apr;37(4):1722-36. doi: 10.1118/1.3357289.


DOI:10.1118/1.3357289
PMID:20443493
Abstract

PURPOSE: Image texture has recently attracted much attention in providing quantitative features that are unique to various different tissue types, in particular, in MR images of the brain. Such image features may be useful for tumor response quantification. As a first step, one needs to establish if these features are sensitive to different tissues of clinical relevance. Here, a novel method of texture analysis based on the Hartley transform has been investigated and applied to MR images of glioblastoma multiforme (GBM). METHODS: Contrast-enhanced T1-weighted gradient-echo and T2-FLAIR spin-echo MR images of 27 GBM patients acquired prior to radiation therapy were available for analysis. Before computing texture features on these images, a novel image transformation was employed in the form of a power map computed from the localized Hartley transform of the image. Haralick statistical texture features were then computed based on the power map. This method was compared to the standard approach of obtaining texture features directly from the image. Twelve different features were computed on different resolution levels. On a regional resolution level, image texture features were identified that are able to correctly classify entire regions within T1-weighted and T2-FLAIR brain MR images of GBM patients into abnormal (containing contrast-enhancing GBM tumor) and brain tissue. Various metrics [area under the ROC curve (AUC), maximum accuracy, and Canberra distance] have been computed to quantify the usefulness of these features. On a local resolution level, it was investigated which of these features are able to provide a voxel-by-voxel enhancement that could be used for assisting the segmentation of the gross tumor volume on T1 images. The "gold standard" for this analysis was a gross tumor volume corresponding to the contrast-enhancing lesion visualized on T1-weighted images as segmented by a radiation oncologist. RESULTS: The Sum-mean and Variance features demonstrated the best performance overall. For the T1-weighted images, the identification performance of Sum-mean and Variance features computed from the power map was higher (AUC = 0.9959 and AUC = 0.9918, respectively) and with higher Canberra distances as compared to features computed directly from the images (AUC = 0.8930 and AUC = 0.9163, respectively). These results in T2-FLAIR images were even superior. The features computed from the power map showed an unequivocal identification (AUC = 1) with higher Canberra distances, whereas the performance of the features from the original images was slightly lower (AUC = 0.9739 and AUC = 0.9904, respectively). The same features computed on the power map of the T1-weighted images also provided superior enhancement in individual tumor voxels as compared to the features computed on the original images. CONCLUSIONS: The Sum-mean and Variance features are both useful for identifying and segmenting GBM tumors on localized Hartley transformed MR images.

摘要

目的:图像纹理最近引起了人们的极大关注,因为它提供了独特的定量特征,这些特征与各种不同的组织类型有关,特别是在脑的磁共振成像中。这些图像特征可能对肿瘤反应的定量有帮助。作为第一步,人们需要确定这些特征是否对具有临床意义的不同组织敏感。在这里,研究了一种基于哈特利变换的新纹理分析方法,并将其应用于多形性胶质母细胞瘤(GBM)的磁共振图像。

方法:27 名接受放射治疗前的 GBM 患者的对比增强 T1 加权梯度回波和 T2-FLAIR 自旋回波磁共振图像可用于分析。在对这些图像计算纹理特征之前,采用了一种新的图像变换形式,即通过图像的局部哈特利变换计算功率图。然后根据功率图计算哈拉里克统计纹理特征。将这种方法与直接从图像获取纹理特征的标准方法进行了比较。在不同的分辨率水平上计算了 12 种不同的特征。在局部区域分辨率水平上,识别出能够正确分类 GBM 患者 T1 加权和 T2-FLAIR 脑磁共振图像中整个区域的图像纹理特征,将其分为异常(含有对比增强的 GBM 肿瘤)和脑组织。计算了各种指标[ROC 曲线下面积(AUC)、最大准确性和堪培拉距离]来量化这些特征的有用性。在局部分辨率水平上,研究了这些特征中的哪些特征能够提供可以用于辅助 T1 图像上大体肿瘤体积分割的体素增强。该分析的“金标准”是由放射肿瘤学家在 T1 加权图像上可视化的对比增强病变的大体肿瘤体积。

结果:和方差特征的总体性能最佳。对于 T1 加权图像,从功率图计算的和方差特征的识别性能更高(AUC = 0.9959 和 AUC = 0.9918),并且堪培拉距离也高于从图像直接计算的特征(AUC = 0.8930 和 AUC = 0.9163)。T2-FLAIR 图像中的结果甚至更好。从功率图计算的特征具有明确的识别(AUC = 1),并且堪培拉距离更高,而原始图像特征的性能略低(AUC = 0.9739 和 AUC = 0.9904)。与从原始图像计算的特征相比,从 T1 加权图像的功率图计算的相同特征也为单个肿瘤体素提供了更好的增强。

结论:均值和方差特征对于在局部哈特利变换的磁共振图像上识别和分割 GBM 肿瘤都很有用。

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