Wang Y, Deasy J
Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY.
Med Phys. 2012 Jun;39(6Part5):3641. doi: 10.1118/1.4734786.
Preliminary analysis shows that breast fibroglandular tissue (FGT) ratio and background parenchymal enhancement (BPE) of magnetic resonance (MR) imaging are predictive of future breast cancer risk. Adequate methods for automatic/semi-automatic breast and chest wall segmentation, and FGT histogram extraction and analysis were not available.
This method is tested on the retrospective HIPAA-compliant study, which includes 1275 women who underwent breast MR imaging between December 2002 and February 2008. The method works in user-directed stages for each image slice: 1. A straight-line and ellipse Hough transform are applied to detect chest wall boundaries and separate out the chest region if it is present. 2. Edge detection and morphology tools are deployed to segment out the breast region. Human input is required to justify and adjust the segmentation result. 3. Typical breast MRI histograms have double peaks, of fat regions and FGT content inside the segmented breast. Human input is needed here to justify and select a proper segmentation threshold value for whole breast FGT segmentation. Interactive GUIs were developed in Matlab for all the human input sections.
Various chest wall boundary lines are detected by Hough transform. Breast region is segmented out either automatically by the morphology tools or redefined by researchers if there is no proper boundaries available in the MR images. Breast region is analyzed by histogram technology to separate FGT from fat.
We have developed a semi-automatic human-guided breast segmentation method for MRI based on Hough transform, morphology tools and histogram technology. This approach enables novel breast segmentation and analysis.
初步分析表明,磁共振(MR)成像的乳腺纤维腺组织(FGT)比率和背景实质强化(BPE)可预测未来患乳腺癌的风险。但当时尚无用于自动/半自动乳腺及胸壁分割以及FGT直方图提取与分析的合适方法。
该方法在一项符合HIPAA标准的回顾性研究中进行了测试,该研究纳入了2002年12月至2008年2月期间接受乳腺MR成像检查的1275名女性。该方法针对每个图像切片按用户指导的阶段进行操作:1. 应用直线和椭圆霍夫变换来检测胸壁边界,并在存在胸壁区域时将其分离出来。2. 部署边缘检测和形态学工具来分割出乳腺区域。需要人工输入来验证和调整分割结果。3. 典型的乳腺MRI直方图有双峰,分别对应分割出的乳腺内的脂肪区域和FGT含量。在此需要人工输入来验证并选择用于全乳腺FGT分割的合适分割阈值。在Matlab中为所有人工输入部分开发了交互式图形用户界面(GUI)。
通过霍夫变换检测到了各种胸壁边界线。乳腺区域要么通过形态学工具自动分割出来,要么在MR图像中没有合适边界时由研究人员重新定义。通过直方图技术对乳腺区域进行分析,以将FGT与脂肪分离。
我们基于霍夫变换、形态学工具和直方图技术开发了一种用于MRI的半自动人工引导乳腺分割方法。这种方法实现了新颖的乳腺分割与分析。