151. A fully automatic 2D segmentation method for uterine fibroid in MRgFUS treatment evaluation
- Author
-
Giorgio Ivan Russo, Salvatore Vitabile, Maria Carla Gilardi, Carmelo Militello, Leonardo Rundo, Massimo Midiri, Militello, C, Vitabile, S, Rundo, L, Russo, G, Midiri, M, Gilardi, M, and Gilardi, MC
- Subjects
medicine.medical_specialty ,Databases, Factual ,Uterine fibroids ,Computer science ,Adaptive thresholding ,Image Processing ,Automatic segmentation ,Fuzzy C-Means clustering ,MRgFUS treatment ,Female ,Humans ,Image Processing, Computer-Assisted ,Leiomyoma ,Radiography ,Algorithms ,Magnetic Resonance Imaging ,Ultrasonography, Interventional ,Health Informatics ,Fuzzy logic ,Databases ,Computer-Assisted ,medicine ,Segmentation ,Cluster analysis ,Factual ,Ultrasonography ,Settore ING-INF/05 - Sistemi Di Elaborazione Delle Informazioni ,Interventional ,Pixel ,business.industry ,Pattern recognition ,medicine.disease ,Computer Science Applications ,Surgery ,Treatment evaluation ,Fully automatic ,Manual segmentation ,Artificial intelligence ,Adaptive thresholding, Automatic segmentation, Fuzzy C-Means clustering, MRgFUS treatment, Uterine fibroids ,business - Abstract
PurposeMagnetic Resonance guided Focused UltraSound (MRgFUS) represents a non-invasive surgical approach that uses thermal ablation to treat uterine fibroids. After the MRgFUS treatment, an operator must manually segment the treated fibroid areas to evaluate the NonPerfused Volume (NPV). This manual approach is operator-dependent, introducing issues of result reproducibility, which could lead to errors in the subsequent follow-up phase. Moreover, manual segmentation is time-consuming, and can have a negative impact on the optimization of both machine-time and operator-time. MethodTo address these issues, in this paper a novel fully automatic method based on the unsupervised Fuzzy C-Means clustering and iterative optimal threshold selection algorithms for uterus and fibroid segmentation is proposed. The developed method could be used to enhance the current manual methodology performed by healthcare operators for post-operative NPV evaluation in uterine fibroid MRgFUS treatments. ResultsThe proposed method was tested on 15 MR datasets of 15 different patients with uterine fibroids and evaluated using area-based and distance-based metrics. A comparison of extracted volume was also performed. Average values for fibroid (ROT) segmentation are SDI=88.67%, JI=80.70%, SE=89.79%, SP=88.73%, MAD=2.200 pixels], MAXD=6.233 pixels] and HD=2.988 pixels]. Moreover, to make a quantitative evaluation of this method, our experimental results were compared with similar literature approaches. ConclusionsThe proposed method provides a practical approach for the automatic evaluation of the boundary and volume of ablated fibroid regions, without any external user input. The achieved segmentation results show the validity and the effectiveness of the proposed solution. Display Omitted The proposed method performs a fully automatic uterus and fibroids segmentation.We provide the boundary and volume of ablated fibroid regions and uterus.Our approach is based on FCM and iterative optimal threshold selection algorithms.This solution could optimize the current operative MRgFUS methodology.Our approach can improve the follow-up of patients undergone MRgFUS treatments.
- Published
- 2015