A hybrid framework for registration of carotid ultrasound images combining iconic and geometric features

Integrating Morphological Edge Detection and Mutual Information for Nonrigid Registration of Medical Images

Background:

Medical images are widely used within healthcare and medical research. There is an increased interest in precisely correlating information in these images through registration techniques for investigative and therapeutic purposes. This work proposes and evaluates an improved measure function for registration of carotid ultrasound and magnetic resonance images (MRI) taken at different times.

Methods:

To achieve this, a morphological edge detection operator has been designed to extract the vital edge information from images which is integrated with the Mutual Information (MI) to carry out the registration process. The improved performance of proposed registration measure function is demonstrated using four quality metrics: Correlation Coefficient (CC), Structural Similarity Index (SSIM), Visual Information Fidelity (VIF) and Gradient Magnitude Similarity Deviation (GMSD). The qualitative validation has also been done through visual inspection of the registered image pairs by clinical radiologists.

Results:

The experimental results showed that the proposed method outperformed the existing method (based on integrated MI and standard edge detection) for both ultrasound and MR images in terms of CC by about 4.67%, SSIM by 3.21%, VIF by 18.5%, and decreased GMSD by 37.01%. Whereas, in comparison to the standard MI based method, the proposed method has increased CC by 16.29%, SSIM by 16.13%, VIF by 52.56% and decreased GMSD by 66.06%, approximately.

Conclusion:

Thus, the proposed method improves the registration accuracy when the original images are corrupted by noise, have low intensity values or missing data.

Breast biopsy navigation system with an assisted needle holder tool and 2D graphical user interface

Objective

This paper proposes the development of a breast biopsy navigation system with an assisted needle holder tool for a coaxial needle and a graphical user interface, which utilizes an optical tracking device to localize the needle position relative to the ultrasound image with the aim to improve performance especially for a new radiologist or an inexperienced group.

Materials and methods

The system consists of an assisted needle holder tool, which as an attachment for the 2D ultrasound transducer and the graphical user interface (GUI) that shows the needle pathway, needle line and warning signs. An optical tracking system is used to track the needle motion, ultrasound image and transform all information to with respect to the technique. The system is evaluated using a phantom made from gel candle. There were nine experienced and eight inexperienced participants who performed the breast biopsy intervention, using three methods: the freehand method, only the needle holder tool guidance, and the whole navigation guidance (GUI + assisted needle holder).

Results

The results demonstrate a success rate of over 90% using only assisted needle holder and the whole system to perform breast biopsy for the experienced and inexperienced groups, whereas for the inexperienced group a success rate of 57.5% was achieved using the freehand method. The use of only assisted needle holder for breast biopsy reduces the time for a procedure in the inexperienced group by 6 s when compared to the freehand method.

Conclusion

The authors believe that this navigation system can be applied in a clinical setting and give an advantage to inexperienced radiologists who must successfully perform clinical breast biopsy.

A novel contour-based registration of lateral cephalogram and profile photograph

A contour-based automatic registration method of lateral cephalograms and profile photographs is proposed to facilitate the accurate measurement of anteroposterior (AP) position of maxillary central incisors relative to the forehead. There are mainly three steps in the proposed method. First, a hierarchical contour detection algorithm is employed to obtain contours of forehead and nose in lateral cephalograms and profile photographs, respectively. Curve deviation around Nasion of Soft Tissue (Ns) is further corrected using an iterative polynomial curve fitting algorithm according to the characteristics of cephalograms. Second, the coarse registration is performed based on four landmark pairs using a routine least squares method for each image pair, and then the contours are roughly matched. Finally, the coarse registration is further refined by applying the coherent point drift (CPD) algorithm to all the contour points. Using image pairs of lateral cephalograms and profile photographs from 49 Chinese patients, we show that the proposed method achieves higher performance in terms of accuracy and robustness than the existing methods.

3-D registration on carotid artery imaging data: MRI for different timesteps

A common problem which is faced by the researchers when dealing with arterial carotid imaging data is the registration of the geometrical structures between different imaging modalities or different timesteps. The use of the "Patient Position" DICOM field is not adequate to achieve accurate results due to the fact that the carotid artery is a relatively small structure and even imperceptible changes in patient position and/or direction make it difficult. While there is a wide range of simple/advanced registration techniques in the literature, there is a considerable number of studies which address the geometrical structure of the carotid artery without using any registration technique. On the other hand the existence of various registration techniques prohibits an objective comparison of the results using different registration techniques. In this paper we present a method for estimating the statistical significance that the choice of the registration technique has on the carotid geometry. One-Way Analysis of Variance (ANOVA) showed that the p-values were <;0.0001 for the distances of the lumen from the centerline for both right and left carotids of the patient case that was studied.

A hybrid registration-based method for whole-body micro-CT mice images

The widespread use of whole-body small animal in vivo imaging in preclinical research has proposed the new demands on imaging processing and analysis. Micro-CT provides detailed anatomical structural information for continuous detection and different individual comparison, but the body deformation happened during different data acquisition needs sophisticated registration. In this paper, we propose a hybrid method for registering micro-CT mice images, which combines the strengths of point-based and intensity-based registration methods. Point-based non-rigid method using thin-plate spline robust point matching algorithm is utilized to acquire a coarse registration. And then intensity-based non-rigid method using normalized mutual information, Halton sampling and adaptive stochastic gradient descent optimization is used to acquire precise registration. Two accuracy metrics, Dice coefficient and average surface distance are used to do the quantitative evaluation. With the intra- and intersubject micro-CT mice images registration assessment, the hybrid method has been proven capable of excellent performance on micro-CT mice images registration.

A comparative approach of four different image registration techniques for quantitative assessment of coronary artery calcium lesions using intravascular ultrasound

In IVUS imaging, constant linear velocity and a constant angular velocity of 1800 rev/min causes displacement of the calcium in subsequent image frames. To overcome this error in intravascular ultrasound video, IVUS image frames must be registered prior to the lesion quantification. This paper presents a comprehensive comparison of four registration methods, namely: Rigid, Affine, B-Splines and Demons on five set of calcium lesion quantification parameters namely: (i) the mean lesion area, (ii) mean lesion arc, (iii) mean lesion span, (iv) mean lesion length, and (v) mean lesion distance from catheter. Using our IRB approved data of 100 patient volumes, our results shows that all four registrations showed a decrease in five calcium lesion parameters as follows: for Rigid registration, the values were: 4.92%, 5.84%, 5.89%, 5.27%, and 4.57%, respectively, for Affine registration the values were: 6.06%, 6.51%, 7.28%, 6.50%, and 5.94%, respectively, for B-Splines registration the values were: 7.35%, 8.03%, 9.54%, 8.18%, and 7.62%, respectively, and for Demons registration the five parameters were 7.32%, 8.02%, 10.11%, 7.94%, and 8.92% respectively. The relative overlap of identified lesions decreased by 5.91% in case of Rigid registration, 6.23% in case of Affine registration, 4.48% for Demons registration, whereas it increased by 3.05% in case of B-Splines registration. Rigid and Affine transformation-based registration took only 0.1936 and 0.2893 s per frame, respectively. Demons and B-Splines framework took only 0.5705 and 0.9405 s per frame, respectively, which were significantly slower than Rigid and Affine transformation based image registration.

Comparative evaluation of registration algorithms in different brain databases with varying difficulty: results and insights

Evaluating various algorithms for the inter-subject registration of brain magnetic resonance images (MRI) is a necessary topic receiving growing attention. Existing studies evaluated image registration algorithms in specific tasks or using specific databases (e.g., only for skull-stripped images, only for single-site images, etc.). Consequently, the choice of registration algorithms seems task- and usage/parameter-dependent. Nevertheless, recent large-scale, often multi-institutional imaging-related studies create the need and raise the question whether some registration algorithms can 1) generally apply to various tasks/databases posing various challenges; 2) perform consistently well, and while doing so, 3) require minimal or ideally no parameter tuning. In seeking answers to this question, we evaluated 12 general-purpose registration algorithms, for their generality, accuracy and robustness. We fixed their parameters at values suggested by algorithm developers as reported in the literature. We tested them in 7 databases/tasks, which present one or more of 4 commonly-encountered challenges: 1) inter-subject anatomical variability in skull-stripped images; 2) intensity homogeneity, noise and large structural differences in raw images; 3) imaging protocol and field-of-view (FOV) differences in multi-site data; and 4) missing correspondences in pathology-bearing images. Totally 7,562 registrations were performed. Registration accuracies were measured by (multi-)expert-annotated landmarks or regions of interest (ROIs). To ensure reproducibility, we used public software tools, public databases (whenever possible), and we fully disclose the parameter settings. We show evaluation results, and discuss the performances in light of algorithms' similarity metrics, transformation models and optimization strategies. We also discuss future directions for the algorithm development and evaluations.