Purpose Investigate and evaluate the accuracy of deep learning (DL)-based segmentation and deformable image registration (DIR) for the automatization of recurrence risk map atlas definition. Materials and methods Twelve patients with visible recurrence on 18F-DCFPyL PET/CT after prostatectomy were retrospectively analyzed. The bladder, rectum, iliac arteries and veins, and recurrence sites were manually delineated. A previously trained DL model for female pelvic anatomy was re-optimized for male to automatically segment the anatomical regions of interest (ROI). Inter-patient registration was investigated using 4 registration methods: rigid, B-Spline Plastimatch, intensity DIR, and a hybrid intensity-based DIR with varying number of controlling ROI. Performance of the methods were reported using contour-based metrics, determinant of the Jacobian, contour variability in term of volume and position, and probability of overlap with the template organs. Results Transfer learning of the DL model provided greater accuracy for the bladder and rectum than for new structures such as iliac arteries and veins with average Dice similarity coefficient ranges of 0.82-0.96 and 0.63-0.77, respectively. Compared to intensity only DIR, hybrid intensity-based DIR with controlling ROI provided better contour-based metrics, determinant of Jacobian, and less incidence of overlap between recurrence sites and template organs. Centroid position variability between the registration approaches were reported with average range of 1.6-11.3 mm and up to 5.7-30 mm. Conclusion DL and hybrid DIR models can be used to automatize inter-patient registration in the definition of population-based recurrence risk map. DIR uncertainties in the propagation of the recurrence between patients need to be carefully verified before being used in population-based model.
KEYWORDS: Arteries, Image segmentation, Spherical lenses, Visualization, Magnetic resonance imaging, Computed tomography, 3D modeling, Visual process modeling, Ultrasonography, Ray tracing
It is standard practice for physicians to rely on empirical, population based models to define the relationship
between regions of left ventricular (LV) myocardium and the coronary arteries which supply them with
blood. Physicians use these models to infer the presence and location of disease within the coronary arteries
based on the condition of the myocardium within their distribution (which can be established non-invasively
using imaging techniques such as ultrasound or magnetic resonance imaging). However, coronary artery
anatomy often varies from the assumed model distribution in the individual patient; thus, a non-invasive
method to determine the correspondence between coronary artery anatomy and LV myocardium would have
immediate clinical impact. This paper introduces an image-based rendering technique for visualizing maps of
coronary distribution in a patient-specific approach. From an image volume derived from computed
tomography (CT) images, a segmentation of the LV epicardial surface, as well as the paths of the coronary
arteries, is obtained. These paths form seed points for a competitive region growing algorithm applied to the
surface of the LV. A ray casting procedure in spherical coordinates from the center of the LV is then
performed. The cast rays are mapped to a two-dimensional circular based surface forming our coronary
distribution map. We applied our technique to a patient with known coronary artery disease and a qualitative
evaluation by an expert in coronary cardiac anatomy showed promising results.
Access to the requested content is limited to institutions that have purchased or subscribe to SPIE eBooks.
You are receiving this notice because your organization may not have SPIE eBooks access.*
*Shibboleth/Open Athens users─please
sign in
to access your institution's subscriptions.
To obtain this item, you may purchase the complete book in print or electronic format on
SPIE.org.
INSTITUTIONAL Select your institution to access the SPIE Digital Library.
PERSONAL Sign in with your SPIE account to access your personal subscriptions or to use specific features such as save to my library, sign up for alerts, save searches, etc.