RESUMEN
This paper presents a model-based technique for lesion detection in colon CT scans that uses analytical shape models to map the local shape curvature at individual voxels to anatomical labels. Local intensity profiles and curvature information have been previously used for discriminating between simple geometric shapes such as spherical and cylindrical structures. This paper introduces novel analytical shape models for colon-specific anatomy, viz. folds and polyps, built by combining parts with simpler geometric shapes. The models better approximate the actual shapes of relevant anatomical structures while allowing the application of model-based analysis on the simpler model parts. All parameters are derived from the analytical models, resulting in a simple voxel labeling scheme for classifying individual voxels in a CT volume. The algorithm's performance is evaluated against expert-determined ground truth on a database of 42 scans and performance is quantified by free-response receiver-operator curves.
Asunto(s)
Inteligencia Artificial , Pólipos del Colon/diagnóstico por imagen , Colonografía Tomográfica Computarizada/métodos , Imagenología Tridimensional/métodos , Modelos Biológicos , Reconocimiento de Normas Patrones Automatizadas/métodos , Interpretación de Imagen Radiográfica Asistida por Computador/métodos , Algoritmos , Simulación por Computador , Humanos , Intensificación de Imagen Radiográfica/métodos , Reproducibilidad de los Resultados , Sensibilidad y EspecificidadRESUMEN
Thin-slice computer tomography provides high-resolution images that facilitate the diagnosis of early-stage lung cancer. However, the sheer size of the CT volumes introduces variability in radiological readings, driving the need for automated detection systems. The main contribution of this paper is a technique for combining geometric and intensity models with the analysis of local curvature for detecting pulmonary lesions in CT. The local shape at each voxel is represented via the principal curvatures of its associated isosurface without explicitly extracting the isosurface. The comparison of these curvatures to values derived from analytical shape models is then used to label the voxel as belonging to particular anatomical structures, e.g., nodules or vessels. The algorithm was evaluated on 242 CT exams with expert-determined ground truth. The performance of the algorithm is quantified by free-response receiver-operator characteristic curves, as well as by its potential for improvement in radiologist sensitivity.