Interactive Segmentation For Image Guided Therapy Ohad Shitrit & Tsachi Hershkovich Superviser: Dr....

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Interactive Segmentation For Image Guided Therapy Ohad Shitrit & Tsachi Hershkovich Superviser: Dr. Tammy Ben-Gurion University of the Ne

Transcript of Interactive Segmentation For Image Guided Therapy Ohad Shitrit & Tsachi Hershkovich Superviser: Dr....

Page 1: Interactive Segmentation For Image Guided Therapy Ohad Shitrit & Tsachi Hershkovich Superviser: Dr. Tammy Riklin Raviv Ben-Gurion University of the Negev.

Interactive Segmentation For

Image Guided Therapy

Ohad Shitrit & Tsachi Hershkovich

Superviser: Dr. Tammy Riklin Raviv

Ben-Gurion University of the Negev

Page 2: Interactive Segmentation For Image Guided Therapy Ohad Shitrit & Tsachi Hershkovich Superviser: Dr. Tammy Riklin Raviv Ben-Gurion University of the Negev.

What are we going to speak about?

Tsachi H. & Ohad S.

Computed Tomography

Motivation

Mathematical introduction

Problem definition

Energy

Gradient Descent

The system

Results

Conclusion & Future work

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Tsachi H. & Ohad S.

Computed Tomography (CT)

Spiral Cone-Beam Scanning for Computed Tomography. Ge Wang, 2003 (All rights reserved)

Page 4: Interactive Segmentation For Image Guided Therapy Ohad Shitrit & Tsachi Hershkovich Superviser: Dr. Tammy Riklin Raviv Ben-Gurion University of the Negev.

Tsachi H. & Ohad S.

Computed Tomography (CT)

Spiral Cone-Beam Scanning for Computed Tomography. Ge Wang, 2003 (All rights reserved)

X-Ray Projection using radon

transform( , ) ,

attenuation

, polar axes

sP r x y ds

r

Page 5: Interactive Segmentation For Image Guided Therapy Ohad Shitrit & Tsachi Hershkovich Superviser: Dr. Tammy Riklin Raviv Ben-Gurion University of the Negev.

Tsachi H. & Ohad S.

Computed Tomography (CT)

Radon transform as one dimensional Fourier transform

Reconstructing the image with the inverse Fourier transform

2 ( x y)

2

{ , }( , ) (x, y)

{ , }( ,0) ( ( , )dy)

x y

x

j

x y

j xx

radon transform

x y e dxdy

x y x y e dx

2 2{ , }( ,0) (r,0) { , }( ,0) (x)x xj x j xx xx y P e dx x y P e dx

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Why is there any need for interactive segmentation

?Tsachi H. & Ohad S.

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Tsachi H. & Ohad S.

Page 8: Interactive Segmentation For Image Guided Therapy Ohad Shitrit & Tsachi Hershkovich Superviser: Dr. Tammy Riklin Raviv Ben-Gurion University of the Negev.

Why is there any need for interactive segmentation?

Volume estimation is critical for further treatment

Therapist knowledge is essential for final decisions

Fast and accurate analysis might save life

Tsachi H. & Ohad S.

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Tsachi H. & Ohad S.

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Tsachi H. & Ohad S.

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“Active Contour”

But first things first…

Tsachi H. & Ohad S.

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0 20 40 60 80 100 120 140 160 180 2000

0.2

0.4

0.6

0.8

1

1.2

1.4

Probabilistic Model Based on Gaussian Mixture(GM)

Tsachi H. & Ohad S.0 20 40 60 80 100 120 140 160 180 200

0

0.2

0.4

0.6

0.8

1

1.2

1.4

Background

Object

2

22

in

in

I x

ObjectP x e

2

22

k

k

I x

Back kk

P x e

We will define the Probability of a Voxel (3D pixel) to belong to the Object Or to the Background:

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A CT scan Histogram of a brain with Cerebral

hemorrhage

Tsachi H. & Ohad S.

Page 14: Interactive Segmentation For Image Guided Therapy Ohad Shitrit & Tsachi Hershkovich Superviser: Dr. Tammy Riklin Raviv Ben-Gurion University of the Negev.

Segmentation 2D

50 100 150 200 250 300 350 400 450 500

50

100

150

200

250

300

350

400

450

500

Tsachi H. & Ohad S.

Level Set Function - x

| 0 x x x

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Tsachi H. & Ohad S.

H

Mathematical Issues

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Tsachi H. & Ohad S.

1 11 tanh

2 21

xH p x

e

0.5

21sech

4 2

dH

d

Mathematical Issues

[Riklin Raviv, Van Leemput, Menze, Wells, Golland, Medical Image Analysis, 2011]

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Tsachi H. & Ohad S.

Problem Definition

Tsachi H. & Ohad S.

To achieve the optimized segmentation we maximize the joint distribution:

Prior

Image Likelihood User Input Smoothness

assuming conditional independence and using bayes theorm:

, ; | ; ;

ˆ log | ; log ; logarg

Parameters user

Parameters user

P I P I P

P I P U Pmax

ˆ log , ;arg P Imax

[Riklin Raviv, Van Leemput, Menze, Wells, Golland, Medical Image Analysis, 2011]

Segmentation

Parameters

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Tsachi H. & Ohad S.

Energy Functional

Using the following relationship:

logE P P-Probability

E-Energy

Allows us to formulate our problem as an energy minimization problem

ˆ arg max log arg min log arg minP P E

Summing all contributions from each voxel

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Tsachi H. & Ohad S.

Image Likelihood Term

log 1 logLIKELIHOODE H P H P d

x x x

,Object ObjectP N

,i ii Back Back

i

P N

Assuming Gaussian Mixtures Model (GMM)

Cost

Cost 0

Cost 0Cost

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Tsachi H. & Ohad S.

Smoothness Term

SMOOTHNESSE H d

x x

Objects in nature are continuous

Trade off between smoothness and sensitivity

Fine tuning is needed

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Tsachi H. & Ohad S.

User Interaction Term

1

1

Lets define user interaction clicks inside the forground and background :

L

L (1 )

; 1

; 1

obj obj kk

back back kk

obj back

L L

u

L L

u

G

G

L L L

p U p p

p U p p

x x

x x

x x

x x

x x x

x x x

log ; 1 log ;USER u uE H p U H p U d

x x x x x

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Tsachi H. & Ohad S.

Gradient Descent

The gradient descent is an iterative process which leads to the minimum of the Energy term.

ˆ arg min E

USER LIKELIHOOD LENGTHTotalE E E E

, ,t t t tt

x x

Segmentation

Parameters

0Adaptive step size t= t

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Tsachi H. & Ohad S.

Block Diagram – Entire System

Image

Parameters Segmentation

User

[Riklin Raviv, Van Leemput, Menze, Wells, Golland, Medical Image Analysis, 2011]

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Entire System 3D

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Tsachi H. & Ohad S.

Entire System 3D

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Tsachi H. & Ohad S.

Entire System 3D

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Tsachi H. & Ohad S.

Entire System 3D

Page 28: Interactive Segmentation For Image Guided Therapy Ohad Shitrit & Tsachi Hershkovich Superviser: Dr. Tammy Riklin Raviv Ben-Gurion University of the Negev.

Tsachi H. & Ohad S.

Entire System 3D

Page 29: Interactive Segmentation For Image Guided Therapy Ohad Shitrit & Tsachi Hershkovich Superviser: Dr. Tammy Riklin Raviv Ben-Gurion University of the Negev.

Tsachi H. & Ohad S.

Entire System 3D

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Tsachi H. & Ohad S.

Entire System 3D

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Tsachi H. & Ohad S.

Entire System 3D

Page 32: Interactive Segmentation For Image Guided Therapy Ohad Shitrit & Tsachi Hershkovich Superviser: Dr. Tammy Riklin Raviv Ben-Gurion University of the Negev.

Tsachi H. & Ohad S.

Entire System 3D

Page 33: Interactive Segmentation For Image Guided Therapy Ohad Shitrit & Tsachi Hershkovich Superviser: Dr. Tammy Riklin Raviv Ben-Gurion University of the Negev.

Tsachi H. & Ohad S.

Entire System 3D

Page 34: Interactive Segmentation For Image Guided Therapy Ohad Shitrit & Tsachi Hershkovich Superviser: Dr. Tammy Riklin Raviv Ben-Gurion University of the Negev.

Tsachi H. & Ohad S.

Entire System 3D

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Tsachi H. & Ohad S.

Entire System 3D

Page 36: Interactive Segmentation For Image Guided Therapy Ohad Shitrit & Tsachi Hershkovich Superviser: Dr. Tammy Riklin Raviv Ben-Gurion University of the Negev.

Tsachi H. & Ohad S.

Entire System 3D

Page 37: Interactive Segmentation For Image Guided Therapy Ohad Shitrit & Tsachi Hershkovich Superviser: Dr. Tammy Riklin Raviv Ben-Gurion University of the Negev.

Tsachi H. & Ohad S.

Entire System 3D

Page 38: Interactive Segmentation For Image Guided Therapy Ohad Shitrit & Tsachi Hershkovich Superviser: Dr. Tammy Riklin Raviv Ben-Gurion University of the Negev.

Tsachi H. & Ohad S.

Entire System 3D

Page 39: Interactive Segmentation For Image Guided Therapy Ohad Shitrit & Tsachi Hershkovich Superviser: Dr. Tammy Riklin Raviv Ben-Gurion University of the Negev.

Tsachi H. & Ohad S.

2 M GD

M G

M G

M G

Performance

M-Machine Segmentation

G-Ground Truth

DiceSensitivitySpecificityAccuracy

Automatic0.874±0.03

40.864±0.073

0.998±0.0019

0.996±0.0033

With user interaction

0.905±0.027

0.870±0.0630.999±0.000

30.997±0.002

2

ScorePhase

Page 40: Interactive Segmentation For Image Guided Therapy Ohad Shitrit & Tsachi Hershkovich Superviser: Dr. Tammy Riklin Raviv Ben-Gurion University of the Negev.

Tsachi H. & Ohad S.

Data

Provided by Dr. Ilan Shelef, Department of Radiology, Soroka University Medical Center and Zlotowski Center for Neuroscience, Ben-Gurion University of the Negev.

Modality: CT Brilliance 64 Resolution: 512x512xZ (Z = 90-

100)X x Y x Z = 0.48 x 0.48 x

3 [mm]

Z axis with 1.5[mm] overlap

Page 41: Interactive Segmentation For Image Guided Therapy Ohad Shitrit & Tsachi Hershkovich Superviser: Dr. Tammy Riklin Raviv Ben-Gurion University of the Negev.

Conclusion

Semi-automatic segmentation tool

Probabilistic model

User Interface

Collaboration with Soroka Medical

Center

Tsachi H. & Ohad S.

Page 42: Interactive Segmentation For Image Guided Therapy Ohad Shitrit & Tsachi Hershkovich Superviser: Dr. Tammy Riklin Raviv Ben-Gurion University of the Negev.

Future work

Adjustments to other modalities (MRI)

Handle with various of structures

User-Machine dialog in the medical

world

Tsachi H. & Ohad S.

Page 43: Interactive Segmentation For Image Guided Therapy Ohad Shitrit & Tsachi Hershkovich Superviser: Dr. Tammy Riklin Raviv Ben-Gurion University of the Negev.

Tsachi H. & Ohad S.

User Interface

Page 44: Interactive Segmentation For Image Guided Therapy Ohad Shitrit & Tsachi Hershkovich Superviser: Dr. Tammy Riklin Raviv Ben-Gurion University of the Negev.

Questions?

Thank you.

Demo -http://youtu.be/Jb-6VDid37s