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Groupwise Multi-Atlas Segmentation of the Spinal Cord’s Internal Structure.

Posted by on Tuesday, April 15, 2014 in Spinal Cord Imaging.

Andrew J. Asman, Frederick W. Bryan, Seth A. Smith, Daniel S. Reich, Bennett A. Landman. “Groupwise Multi-Atlas Segmentation of the Spinal Cord’s Internal Structure.” Medical Image Analysis (MedIA). 2014 Feb 5;18(3):460-471. PMC24556080†

Full Text:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4009677/

 

Abstract

The spinal cord is an essential and vulnerable component of the central nervous system. Differentiating and localizing the spinal cord internal structure (i.e., gray matter vs. white matter) is critical for assessment of therapeutic impacts and determining prognosis of relevant conditions. Fortunately, new magnetic resonance imaging (MRI) sequences enable clinical study of the in vivo spinal cord’s internal structure. Yet, low contrast-to-noise ratio, artifacts, and imaging distortions have limited the applicability of tissue segmentation techniques pioneered elsewhere in the central nervous system. Additionally, due to the inter-subject variability exhibited on cervical MRI, typical deformable volumetric registrations perform poorly, limiting the applicability of a typical multi-atlas segmentation framework. Thus, to date, no automated algorithms have been presented for the spinal cord’s internal structure. Herein, we present a novel slice-based groupwise registration framework for robustly segmenting cervical spinal cord MRI. Specifically, we provide a method for (1) pre-aligning the slice-based atlases into a groupwise-consistent space, (2) constructing a model of spinal cord variability, (3) projecting the target slice into the low-dimensional space using a model-specific registration cost function, and (4) estimating robust segmentations using geodesically appropriate atlas information. Moreover, the proposed framework provides a natural mechanism for performing atlas selection and initializing the free model parameters in an informed manner. In a cross-validation experiment using 67 MR volumes of the cervical spinal cord, we demonstrate sub-millimetric accuracy, significant quantitative and qualitative improvement over comparable multi-atlas frameworks, and provide insight into the sensitivity of the associated model parameters.

Keywords: Cervical Spinal Cord Segmentation, Groupwise Registration, Multi-Atlas Segmentation, Spinal Cord Internal Structure
Volumetric qualitative comparison of the accuracy of the segmented gray matter for the pairwise slice-based framework, and the proposed groupwise slice-based framework. The proposed registration framework consistently estimates the complex shape of the GM horn more accurately than its pairwise counterpart. Note the different axes for the two different registration frameworks.
Volumetric qualitative comparison of the accuracy of the segmented gray matter for the pairwise slice-based framework, and the proposed groupwise slice-based framework. The proposed registration framework consistently estimates the complex shape of the GM horn more accurately than its pairwise counterpart. Note the different axes for the two different registration frameworks.

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