使用图像处理技术对CT结肠成像中的结肠息肉进行基于域的分析。
Domain-Based Analysis of Colon Polyp in CT Colonography Using Image-Processing Techniques.
作者信息
K N Manjunath, P C Siddalingaswamy, Prabhu G K
机构信息
Department of Computer Science and Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, India. Email:
出版信息
Asian Pac J Cancer Prev. 2019 Feb 26;20(2):629-637. doi: 10.31557/APJCP.2019.20.2.629.
Background: The purpose of the research was to improve the polyp detection accuracy in CT Colonography (CTC) through effective colon segmentation, removal of tagged fecal matter through Electronic Cleansing (EC), and measuring the smaller polyps. Methods: An improved method of boundary-based semi-automatic colon segmentation with the knowledge of colon distension, an adaptive multistep method for the virtual cleansing of segmented colon based on the knowledge of Hounsfield Units, and an automated method of smaller polyp measurement using skeletonization technique have been implemented. Results: The techniques were evaluated on 40 CTC dataset. The segmentation method was able to delineate the colon wall accurately. The submerged colonic structures were preserved without soft tissue erosion, pseudo enhanced voxels were corrected, and the air-contrast layer was removed without losing the adjacent tissues. The smaller polyp of size less than <10mm was detected correctly. The results were statistically validated qualitatively and quantitatively. Segmented colons were validated through volumetric overlap computation, and accuracy of 95.826±0.6854% was achieved. In polyp measurement, the paired t-test method was applied to compare the difference with ground truth and at α=5%, t=0.9937 and p=0.098 was achieved. The statistical values of TPR=90%, TNR=82.3% and accuracy=88.31% were achieved. Conclusion: An automated system of polyp measurement has been developed starting from colon segmentation to improve the existing CTC solutions. The analysis of domain-based approach of polyp has given good results. A prototype software, which can be used as a low-cost polyp diagnosis tool, has been developed.
背景
本研究的目的是通过有效的结肠分割、利用电子清洗(EC)去除标记的粪便物质以及测量较小的息肉,提高CT结肠成像(CTC)中息肉检测的准确性。方法:实现了一种基于边界的半自动结肠分割改进方法,该方法利用了结肠扩张的知识;一种基于Hounsfield单位知识的自适应多步方法,用于对分割后的结肠进行虚拟清洗;以及一种使用骨架化技术的较小息肉自动测量方法。结果:在40个CTC数据集上对这些技术进行了评估。分割方法能够准确勾勒出结肠壁。保留了被淹没的结肠结构,没有软组织侵蚀,校正了伪增强体素,去除了空气对比层且未损失相邻组织。正确检测出了尺寸小于10mm的较小息肉。对结果进行了定性和定量的统计验证。通过体积重叠计算对分割后的结肠进行了验证,准确率达到了95.826±0.6854%。在息肉测量中,应用配对t检验方法与真实情况进行差异比较,在α = 5%时,t = 0.9937,p = 0.098。获得了TPR = 90%、TNR = 82.3%和准确率 = 88.31%的统计值。结论:从结肠分割开始开发了一种息肉自动测量系统,以改进现有的CTC解决方案。对基于领域的息肉方法分析取得了良好结果。开发了一种原型软件,可作为低成本的息肉诊断工具使用。