Automated lesion segmentation of clinical imaging studies is of potential value for treatment monitoring and radiation treatment planning. With low spatial resolution imaging systems, such as MR Spectroscopic Imaging, segmentation based on image intensity variations must take into consideration the broad spatial response function. In addition, the relative lesion-to-background intensity variation and the object size must be considered. In this report a new automated image segmentation method is presented that accounts for these factors, which is based on a subtraction of a smoothed version of the MRSI maps from the original data.
In Figure 1 is shown a simulated one-dimensional cross-sectional profile at the edge of a high signal contrast region (black line). Also shown is the signal, D, that corresponds to the limited k-space sampling of a MRSI dataset with spatial smoothing applied (blue line) and a version of the same signal, D', (green) following additional spatial smoothing. The location of the edge coincides with the position where D=D', and the increased signal region corresponds to where D>D'. This finding must be modified in the presence of noise and Gibbs ringing, as illustrated in Figure 2, which can cause false positives in background regions and false negatives in the high-signal region. It is therefore necessary to modify D' to avoid these ambiguous signal regions, which is done by applying minimum and maximum thresholds, as illustrated by the signal shown in Figure 2 in orange.
The proposed Convolution-Difference segmentation method is therefore as follows:
When applied to 3D MRSI the amplitude of D' must be slightly increased to correct for the additive influence of the SRF in multiple dimensions, which is illustrated in Figure 3 using a 3D simulation of two spheres of differing size. In comparison with Figure 1, it can be seen that the location where D=D' no longer corresponds to the edge of the simulated object and that the error is dependent on the object size. The error is also affected by the signal-to-background ratio (SBR). To address this, a scaling factor was determined using a calibration for varying object size and SBR. Since the value of the scaling factor is also dependent on the object size this factor was applied in an iterative manner, using a scaling factor determined from a previous estimate of the object volume and SBR. Typically three iterations were required.
Performance of the proposed segmentation method was evaluated using computer simulation and volumetric MRSI data of brain tumors obtained at TE=70ms.3
This work was supported by NIH grants R01EB016064 and R01CA172210. We thank Dr. R.K. Gupta for acquisition of the data shown in Figure 5.
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