Abstract
MR Imaging is being increasingly used in radiation treatment planning as well as for staging and assessing tumor response. Leksell Gamma Knife® is a device for stereotactic neuro-radiosurgery to deal with inaccessible or insufficiently treated lesions with traditional surgery or radiotherapy. The target to be treated with radiation beams is currently contoured through slice-by-slice manual segmentation on MR images. This procedure is time consuming and operator-dependent. Segmentation result repeatability may be ensured only by using automatic/semi-automatic methods with the clinicians supporting the planning phase. In this paper a semi-automatic segmentation method, based on an unsupervised Fuzzy C-Means clustering technique, is proposed. The presented approach allows for the target segmentation and its volume calculation. Segmentation tests on 5 MRI series were performed, using both area-based and distance-based metrics. The following average values have been obtained: DS = 95.10, JC = 90.82, TPF = 95.86, FNF = 2.18, MAD = 0.302, MAXD = 1.260, H = 1.636.
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References
Beavis, A.W., Gibbs, P., Dealey, R.A., Whitton, V.J.: Radiotherapy treatment planning of brain tumours using MRI alone. British J. Radiol. 71(845), 544–548 (1998). doi:10.1259/bjr.71.845.9691900
Joe, B.N., Fukui, M.B., Meltzer, C.C., Huang, Q.S., Day, R.S., Greer, P.J., Bozik, M.E.: Brain tumor volume measurement: comparison of manual and semiautomated methods. Radiology 212(3), 811–816 (1999). doi:10.1148/radiology.212.3.r99se22811
Leksell, L.: Stereotact. Radiosurgery. J. Neurol. Neurosurg. Psychiatry 46, 797–803 (1983). doi:10.1136/jnnp.46.9.797
Luxton, G., Petrovich, Z., Jozsef, G., Nedzi, L.A., Apuzzo, M.L.: Stereotactic radiosurgery: principles and comparison of treatment methods. Neurosurgery 32(2), 241–259 (1993). doi:10.1227/00006123-199302000-00014
Militello, C., Rundo, L., Gilardi, M.C.: Applications of imaging processing to MRgFUS treatment for fibroids: a review. Transl. Cancer Res. 3(5), 472–482 (2014). doi:10.3978/j.issn.2218-676X.2014.09.06
Salerno, S., Gagliardo, C., Vitabile, S., Militello, C., La Tona, G., Giuffrè, M., Lo Casto, A., Midiri, M.: Semi-automatic volumetric segmentation of the upper airways in patients with pierre robin sequence. Neuroradiol. J. (NRJ) 27(4), 487–494 (2014). doi:10.15274/NRJ-2014-10067
Militello, C., Vitabile, S., Russo, G., Candiano, G., Gagliardo, C., Midiri, M., Gilardi, M.C.: A semi-automatic multi-seed region-growing approach for uterine fibroids segmentation in MRgFUS treatment. In: 7th International Conference on Complex, Intelligent, and Software Intensive Systems, CISIS 2013, art. no. 6603885, pp. 176–182
Aslian, H., Sadeghi, M., Mahdavi, S.R., Babapour Mofrad, F., Astarakee, M., Khaledi, N., Fadavi, P.: Magnetic resonance imaging-based target volume delineation in radiation therapy treatment planning for brain tumors using localized region-based active contour. Int. J. Radiat. Oncol. Biol. Phys. 87(1), 195–201 (2013). doi:10.1016/j.ijrobp.2013.04.049. ISSN: 0360-3016
Xie, K., Yang, J., Zhang, Z.G., Zhu, Y.M.: Semi-automated brain tumor and edema segmentation using MRI. Eur. J. Radiol. 56(1), 12–19. (2005). doi:10.1016/j.ejrad.2005.03.028. ISSN: 0720-048X
Mazzara, G.P., Velthuizen, R.P., Pearlman, J.L., Greenberg, H.M., Wagner, H.: Brain tumor target volume determination for radiation treatment planning through automated MRI segmentation. Int. J. Radiat. Oncol. Biol. Phys. 59(1), 300–312 (2004). doi:10.1016/j.ijrobp.2004.01.026. ISSN: 0360-3016
Bauer, S., Nolte, L.P., Reyes, M.: Fully automatic segmentation of brain tumor images using support vector machine classification in combination with hierarchical conditional random field regularization. In: Medical Image Computing and Computer-Assisted Intervention—MICCAI 2011. Lecture Notes in Computer Science, vol. 6893, pp. 354–361 (2011). doi:10.1007/978-3-642-23626-6_44
Hall, L.O., Bensaid, A.M., Clarke, L.P., Velthuizen, R.P., Silbiger, M.S., Bezdek, J.C.: A comparison of neural network and fuzzy clustering techniques in segmenting magnetic resonance images of the brain. IEEE Trans. Neural Netw. 3(5), 672–682 (1992). doi:10.1109/72.159057
Militello, C., Vitabile, S., Rundo, L., Russo, G., Midiri, M., Gilardi, M.C.: A fully automatic 2D segmentation method for uterine fibroid in MRgFUS treatment evaluation. Computers in Biology and Medicine, 62, 277–292 (2015). doi:10.1016/j.compbiomed.2015.04.030
Chuang, K.S., Tzeng, H.L., Chen, S., Wu, J., Chen, T.J.: Fuzzy c-means clustering with spatial information for image segmentation. Comput. Med. Imaging Graph. 30(1), 9–15 (2006). doi:10.1016/j.compmedimag.2005.10.001. ISSN: 0895-6111
Pal, N.R., Bezdek, J.C.: On cluster validity for the fuzzy c-means model. IEEE Trans. Fuzzy Syst. 3(3), 370–379 (1995). doi:10.1109/91.413225
Ambrosini, R.D., Wang, P., O’Dell, W.G.: Computer-aided detection of metastatic brain tumors using automated three-dimensional template matching. J. Magn. Reson. Imaging 31(1), 85–93 (2010). doi:10.1002/jmri.22009
Zimmer, Y., Tepper, R., Akselrod, S.: An improved method to compute the convex hull of a shape in a binary image. Pattern Recogn. 30(3), 397–402 (1997) doi:10.1016/S0031-3203(96)00085-4. ISSN: 0031-3203
Fenster, A., Chiu, B.: Evaluation of segmentation algorithms for medical imaging. In: 27th Annual International Conference of the Engineering in Medicine and Biology Society, IEEE-EMBS 2005, pp. 7186–7189 (2005). doi:10.1109/IEMBS.2005.1616166
Cárdenes, R., de Luis-García, R., Bach-Cuadra, M: A multidimensional segmentation evaluation for medical image data. Comput. Methods Prog. Biomed. 96(2), 108–124 (2009). doi:10.1016/j.cmpb.2009.04.009. ISSN: 0169-2607
Levivier, M., Wikler Jr., D., Massager, N., David, P., Devriendt, D., Lorenzoni, J., et al.: The integration of metabolic imaging in stereotactic procedures including radiosurgery: a review. J. Neurosurg. 97, 542–550 (2002). doi:10.3171/jns.2002.97.supplement5.0542
Stefano, A., Vitabile, S., Russo, G., Ippolito, M., Sardina, D., Sabini, M.G., et al. A graph-based method for PET image segmentation in radiotherapy planning: a pilot study. In: Petrosino, A. (ed.) Image Analysis and Processing, vol. 8157, pp. 711–720. Springer, Berlin (2013). doi:10.1007/978-3-642-41184-7_72
Acknowledgments
This work was supported by “Smart Health 2.0” MIUR project (PON 04a2_C), approved by MIUR D.D. 626/Ric and 703/Ric.
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Rundo, L. et al. (2016). Semi-automatic Brain Lesion Segmentation in Gamma Knife Treatments Using an Unsupervised Fuzzy C-Means Clustering Technique. In: Bassis, S., Esposito, A., Morabito, F., Pasero, E. (eds) Advances in Neural Networks. WIRN 2015. Smart Innovation, Systems and Technologies, vol 54. Springer, Cham. https://doi.org/10.1007/978-3-319-33747-0_2
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