Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA 30329, USA.
Med Phys. 2012 Jun;39(6):2972-84. doi: 10.1118/1.4709607.
Transrectal ultrasound (TRUS) imaging is clinically used in prostate biopsy and therapy. Segmentation of the prostate on TRUS images has many applications. In this study, a three-dimensional (3D) segmentation method for TRUS images of the prostate is presented for 3D ultrasound-guided biopsy.
This segmentation method utilizes a statistical shape, texture information, and intensity profiles. A set of wavelet support vector machines (W-SVMs) is applied to the images at various subregions of the prostate. The W-SVMs are trained to adaptively capture the features of the ultrasound images in order to differentiate the prostate and nonprostate tissue. This method consists of a set of wavelet transforms for extraction of prostate texture features and a kernel-based support vector machine to classify the textures. The voxels around the surface of the prostate are labeled in sagittal, coronal, and transverse planes. The weight functions are defined for each labeled voxel on each plane and on the model at each region. In the 3D segmentation procedure, the intensity profiles around the boundary between the tentatively labeled prostate and nonprostate tissue are compared to the prostate model. Consequently, the surfaces are modified based on the model intensity profiles. The segmented prostate is updated and compared to the shape model. These two steps are repeated until they converge. Manual segmentation of the prostate serves as the gold standard and a variety of methods are used to evaluate the performance of the segmentation method.
The results from 40 TRUS image volumes of 20 patients show that the Dice overlap ratio is 90.3% ± 2.3% and that the sensitivity is 87.7% ± 4.9%.
The proposed method provides a useful tool in our 3D ultrasound image-guided prostate biopsy and can also be applied to other applications in the prostate.
经直肠超声(TRUS)成像临床上用于前列腺活检和治疗。在 TRUS 图像上对前列腺进行分割有许多应用。本研究提出了一种用于三维(3D)超声引导活检的前列腺 TRUS 图像的 3D 分割方法。
该分割方法利用统计形状、纹理信息和强度轮廓。一组小波支持向量机(W-SVM)应用于前列腺的各个子区域的图像。W-SVM 经过训练可以自适应地捕获超声图像的特征,以区分前列腺和非前列腺组织。该方法包括一组小波变换,用于提取前列腺纹理特征,以及基于核的支持向量机来对纹理进行分类。在矢状面、冠状面和横断面平面上对前列腺表面周围的体素进行标记。在每个平面和每个区域的模型上为每个标记的体素定义权重函数。在 3D 分割过程中,将暂时标记的前列腺和非前列腺组织之间边界周围的强度轮廓与前列腺模型进行比较。因此,根据模型强度轮廓修改表面。更新分割的前列腺并与形状模型进行比较。重复这两个步骤,直到收敛。前列腺的手动分割作为金标准,并使用多种方法来评估分割方法的性能。
来自 20 名患者的 40 个 TRUS 图像体积的结果表明,重叠比为 90.3%±2.3%,灵敏度为 87.7%±4.9%。
该方法为我们的 3D 超声图像引导前列腺活检提供了一种有用的工具,也可应用于前列腺的其他应用。