RESUMEN
The standard procedure for diagnosing lung cancer involves two stages: three-dimensional (3D) computed-tomography (CT) image assessment, followed by interventional bronchoscopy. In general, the physician has no link between the 3D CT image assessment results and the follow-on bronchoscopy. Thus, the physician essentially performs bronchoscopic biopsy of suspect cancer sites blindly. We have devised a computer-based system that greatly augments the physician's vision during bronchoscopy. The system uses techniques from computer graphics and computer vision to enable detailed 3D CT procedure planning and follow-on image-guided bronchoscopy. The procedure plan is directly linked to the bronchoscope procedure, through a live registration and fusion of the 3D CT data and bronchoscopic video. During a procedure, the system provides many visual tools, fused CT-video data, and quantitative distance measures; this gives the physician considerable visual feedback on how to maneuver the bronchoscope and where to insert the biopsy needle. Central to the system is a CT-video registration technique, based on normalized mutual information. Several sets of results verify the efficacy of the registration technique. In addition, we present a series of test results for the complete system for phantoms, animals, and human lung-cancer patients. The results indicate that not only is the variation in skill level between different physicians greatly reduced by the system over the standard procedure, but that biopsy effectiveness increases.
RESUMEN
Three-dimensional (3-D) high-resolution coronary angiograms offer a means for visualizing the entire coronary arterial tree from any orientation and for detecting and quantitating coronary arterial stenoses. Previously, a skilled operator had to perform several hours of tedious manual analysis using an interactive graphical user-interface (GUI) system (Tree Trace) to analyze a 3-D angiogram. The authors have devised an improved GUI system, consisting of three tools for analyzing 3-D angiograms. The Artery Extractor first performs automatic image-analysis operations to extract the central axes of the arterial tree. Next, using the Artery Display tool and results from the Artery Extractor, the operator can visualize structures in the angiogram and compute various measurements. Finally, the aforementioned Tree Trace tool can be used to manually correct irregularities in the automatically generated results of the Artery Extractor. The system greatly reduces operator analysis time, gives exactly reproducible results, uses true 3-D image-processing operations, and provides a comprehensive interface for visualizing and quantifying features of the 3-D coronary arteries.
RESUMEN
Three-dimensional (3-D) images are now common in radiology. A 3-D image is formed by stacking a contiguous sequence of two-dimensional cross-sectional images, or slices. Typically, the spacing between known slices is greater than the spacing between known points on a slice. Many visualization and image-analysis tasks, however, require the 3-D image to have equal sample spacing in all directions. To meet this requirement, one applies an interpolation technique to the known 3-D image to generate a new uniformly sampled 3-D image. The authors propose a nonlinear-filter-based approach to gray-scale interpolation of 3-D images. The method, referred to as column-fitting interpolation, is reminiscent of the maximum-homogeneity filter used for image enhancement. The authors also draw upon the paradigm of relaxation labeling to devise an improved column-fitting interpolator. Both methods are typically more effective than traditional gray-scale interpolation techniques.
RESUMEN
Mathematical morphology is well suited to capturing geometric information. Hence, morphology-based approaches have been popular for object shape representation. The two primary morphology-based approaches-the morphological skeleton and the morphological shape decomposition (MSD)-each represent an object as a collection of disjoint sets. A practical shape representation scheme, though, should give a representation that is computationally efficient to use. Unfortunately, little work has been done for the morphological skeleton and the MSD to address efficiency. We propose a flexible search-based shape representation scheme that typically gives more efficient representations than the morphological skeleton and MSD. Our method decomposes an object into a number of simple components based on homothetics of a set of structuring elements. To form the representation, the components are combined using set union and set difference operations. We use three constituent component types and a thorough cost-based search strategy to find efficient representations. We also consider allowing object representation error, which may yield even more efficient representations.
RESUMEN
Texture segmentation involves subdividing an image into differently textured regions. Many texture segmentation schemes are based on a filter-bank model, where the filters, called Gabor filters, are derived from Gabor elementary functions. The goal is to transform texture differences into detectable filter-output discontinuities at texture boundaries. By locating these discontinuities, one can segment the image into differently textured regions. Distinct discontinuities occur, however, only if the Gabor filter parameters are suitably chosen. Some previous analysis has shown how to design filters for discriminating simple textures. Designing filters for more general natural textures, though, has largely been done ad hoc. We have devised a more rigorously based method for designing Gabor filters. It assumes that an image contains two different textures and that prototype samples of the textures are given a priori. We argue that Gabor filter outputs can be modeled as Rician random variables (often approximated well as Gaussian rv's) and develop a decision-theoretic algorithm for selecting optimal filter parameters. To improve segmentations for difficult texture pairs, we also propose a multiple-filter segmentation scheme, motivated by the Rician model. Experimental results indicate that our method is superior to previous methods in providing useful Gabor filters for a wide range of texture pairs.
RESUMEN
Many three-dimensional (3-D) medical images have lower resolution in the z direction than in the x or y directions. Before extracting and displaying objects in such images, an interpolated 3-D gray-scale image is usually generated via a technique such as linear interpolation to fill in the missing slices. Unfortunately, when objects are extracted and displayed from the interpolated image, they often exhibit a blocky and generally unsatisfactory appearance, a problem that is particularly acute for thin treelike structures such as the coronary arteries. Two methods for shape-based interpolation that offer an improvement to linear interpolation are presented. In shape-based interpolation, the object of interest is first segmented (extracted) from the initial 3-D image to produce a low-z-resolution binary-valued image, and the segmented image is interpolated to produce a high-resolution binary-valued 3-D image. The first method incorporates geometrical constraints and takes as input a segmented version of the original 3-D image. The second method builds on the first in that it also uses the original gray-scale image as a second input. Tests with 3-D images of the coronary arterial tree demonstrate the efficacy of the methods.
RESUMEN
A semiautomatic method is described for extracting the volume and shape of the left ventricular (LV) chamber from a dynamic spatial reconstructor cardiac volume. For a given volume, the operator first performs some simple manual edits. Then, an automated stage, which incorporates concepts from 3-D mathematical morphology and technology, the maximum-homogeneity filter, and an adaptive 3-D thresholder, extracts the LV chamber. The method gives more consistent measurements and demands considerably less operator time than manual slice-editing.