NeuroPoly Lab, Institute of Biomedical Engineering, Polytechnique Montreal, Montreal, QC, Canada.
Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Med Image Anal. 2018 Feb;44:215-227. doi: 10.1016/j.media.2017.12.001. Epub 2017 Dec 6.
During the last two decades, MRI has been increasingly used for providing valuable quantitative information about spinal cord morphometry, such as quantification of the spinal cord atrophy in various diseases. However, despite the significant improvement of MR sequences adapted to the spinal cord, automatic image processing tools for spinal cord MRI data are not yet as developed as for the brain. There is nonetheless great interest in fully automatic and fast processing methods to be able to propose quantitative analysis pipelines on large datasets without user bias. The first step of most of these analysis pipelines is to detect the spinal cord, which is challenging to achieve automatically across the broad range of MRI contrasts, field of view, resolutions and pathologies. In this paper, a fully automated, robust and fast method for detecting the spinal cord centerline on MRI volumes is introduced. The algorithm uses a global optimization scheme that attempts to strike a balance between a probabilistic localization map of the spinal cord center point and the overall spatial consistency of the spinal cord centerline (i.e. the rostro-caudal continuity of the spinal cord). Additionally, a new post-processing feature, which aims to automatically split brain and spine regions is introduced, to be able to detect a consistent spinal cord centerline, independently from the field of view. We present data on the validation of the proposed algorithm, known as "OptiC", from a large dataset involving 20 centers, 4 contrasts (T-weighted n = 287, T-weighted n = 120, T-weighted n = 307, diffusion-weighted n = 90), 501 subjects including 173 patients with a variety of neurologic diseases. Validation involved the gold-standard centerline coverage, the mean square error between the true and predicted centerlines and the ability to accurately separate brain and spine regions. Overall, OptiC was able to cover 98.77% of the gold-standard centerline, with a mean square error of 1.02 mm. OptiC achieved superior results compared to a state-of-the-art spinal cord localization technique based on the Hough transform, especially on pathological cases with an averaged mean square error of 1.08 mm vs. 13.16 mm (Wilcoxon signed-rank test p-value < .01). Images containing brain regions were identified with a 99% precision, on which brain and spine regions were separated with a distance error of 9.37 mm compared to ground-truth. Validation results on a challenging dataset suggest that OptiC could reliably be used for subsequent quantitative analyses tasks, opening the door to more robust analysis on pathological cases.
在过去的二十年中,MRI 越来越多地用于提供有关脊髓形态计量学的有价值的定量信息,例如各种疾病中脊髓萎缩的量化。然而,尽管已经开发出了适用于脊髓的磁共振序列,但用于脊髓 MRI 数据的自动图像处理工具还不如用于大脑的工具发达。尽管如此,人们还是非常希望能够开发出全自动且快速的处理方法,以便能够在没有用户偏见的情况下针对大型数据集提出定量分析管道。这些分析管道的第一步通常是检测脊髓,这在广泛的 MRI 对比度,视野,分辨率和病理学范围内都具有挑战性。在本文中,介绍了一种用于在 MRI 体积上自动,鲁棒且快速检测脊髓中心线的方法。该算法使用全局优化方案,该方案试图在脊髓中心点的概率定位图和脊髓中心线的整体空间一致性(即脊髓的前后连续性)之间取得平衡。此外,还引入了一种新的后处理功能,旨在自动分割脑区和脊柱区,以便能够独立于视野检测一致的脊髓中心线。我们介绍了来自涉及 20 个中心,4 种对比(T 加权 n = 287,T 加权 n = 120,T 加权 n = 307,扩散加权 n = 90),501 名受试者(包括 173 名患有各种神经疾病的患者)的大型数据集的验证数据。验证涉及金本位中心线覆盖率,真实中心线和预测中心线之间的均方误差以及准确分离脑区和脊柱区的能力。总体而言,OptiC 能够覆盖 98.77%的金本位中心线,均方误差为 1.02mm。与基于霍夫变换的最先进的脊髓定位技术相比,OptiC 的结果更好,尤其是在具有平均均方误差为 1.08mm 与 13.16mm 的病理情况下(Wilcoxon 符号秩检验 p 值<.01)。包含脑区的图像的精度达到 99%,在这些图像上,脑区和脊柱区之间的距离误差为 9.37mm,与地面真实值相比。在具有挑战性的数据集上的验证结果表明,OptiC 可以可靠地用于后续的定量分析任务,为病理情况下更稳健的分析开辟了道路。
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