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Publicações

Publicações por BIO

2018

3D Mapping of Choroidal Thickness from OCT B-Scans

Autores
Faria, SP; Penas, S; Mendonca, L; Silva, JA; Mendonca, AM;

Publicação
VIPIMAGE 2017

Abstract
The choroid is the middle layer of the eye globe located between the retina and the sclera. It is proven that choroidal thickness is a sign of multiple eye diseases. Optical Coherence Tomography (OCT) is an imaging technique that allows the visualization of tomographic images of near surface tissues like those in the eye globe. The automatic calculation of the choroidal thickness reduces the subjectivity of manual image analysis as well as the time of large scale measurements. In this paper, a method for the automatic estimation of the choroidal thickness from OCT images is presented. The pre-processing of the images is focused on noise reduction, shadow removal and contrast adjustment. The inner and outer boundaries of the choroid are delineated sequentially, resorting to a minimum path algorithm supported by new dedicated cost matrices. The choroidal thickness is given by the distance between the two boundaries. The data are then interpolated and mapped to an infrared image of the eye fundus. The method was evaluated by calculating the error as the distance from the automatically estimated boundaries to the boundaries delineated by an ophthalmologist. The error of the automatic segmentation was low and comparable to the differences between manual segmentations from different ophthalmologists.

2018

Fully Automatic Assessment of Mitral Valve Morphology from 3D Transthoracic Echocardiography

Autores
Pedrosa, J; Queiros, S; Vilaca, J; Badano, L; D'hooge, J;

Publicação
2018 IEEE INTERNATIONAL ULTRASONICS SYMPOSIUM (IUS)

Abstract
Quantitative assessment of mitral valve (MV) morphology is important for diagnosing MV pathology and for planning of reparative procedures. Although this is typically done using 3D transesophageal echocardiography (TEE), recent advances in the spatiotemporal resolution of 3D transthoracic echocardiography (TTE) have enabled the use of this more patient friendly modality. However, manual data analysis is time consuming and operator dependent. In this study, a fully automatic method for MV segmentation and tracking in 3D TTE is proposed and validated. The proposed framework takes advantage of a previously proposed left ventricle (LV) segmentation framework to localize the MV and performs segmentation based on the B-spline Explicit Active Surfaces (BEAS) framework. The orientation of the MV is obtained and the MV surface is cropped to the mitral annulus (MA) and divided into posterior and anterior leaflets. The segmented MV at end diastole (ED) is propagated to end systole (ES) using localized anatomical affine optical flow (lAAOF). Because the orientation and leaflet division is known, relevant clinical parameters can then be extracted from the mesh at any time point. The proposed framework shows excellent segmentation results with a mean absolute distance (MAD) and Hausdorff distance (HD) of 1.19 +/- 0.25 mm and 5.79 +/- 1.25 mm at ED and 1.39 +/- 0.32 mm and 6.70 +/- 1.97 mm at ES against manual analysis. In conclusion, an automatic method for MV segmentation is proposed which could provide valuable clinical information in a more patient-friendly manner.

2017

A diffusion-based connectivity map of the GPi for optimised stereotactic targeting in DBS

Autores
da Silva, NM; Ahmadi, SA; Tafula, SN; Silva Cunha, JPS; Botzel, K; Vollmar, C; Rozanski, VE;

Publicação
NEUROIMAGE

Abstract
Background: The GPi (globus pallidus internus) is an important target nucleus for Deep Brain Stimulation (DBS) in medically refractory movement disorders, in particular dystonia and Parkinson's disease. Beneficial clinical outcome critically depends on precise electrode localization. Recent evidence indicates that not only neurons, but also axonal fibre tracts contribute to promoting the clinical effect. Thus, stereotactic planning should, in the future, also take the individual course of fibre tracts into account. Objective: The aim of this project is to explore the GPi connectivity profile and provide a connectivity based parcellation of the GPi. Methods: Diffusion MRI sequences were performed in sixteen healthy, right-handed subjects. Connectivity-based parcellation of the GPi was performed applying two independent methods: 1) a hypothesis-driven, seed-to-target approach based on anatomic priors set as connectivity targets and 2) a purely data-driven approach based on k-means clustering of the GPi. Results: Applying the hypothesis-driven approach, we obtained five major parcellation clusters, displaying connectivity to the prefrontal cortex, the brainstem, the GPe (globus pallidus externus), the putamen and the thalamus. Parcellation clusters obtained by both methods were similar in their connectivity profile. With the data-driven approach, we obtained three major parcellation clusters. Inter individual variability was comparable with results obtained in thalamic parcellation. Conclusion: The three parcellation clusters obtained by the purely data-driven method might reflect GPi subdivision into a sensorimotor, associative and limbic portion. Clinical and physiological studies indicate greatest clinical DBS benefit for electrodes placed in the postero-ventro-lateral GPi, the region displaying connectivity to the thalamus in our study and generally attributed to the sensorimotor system. Clinical studies relating DBS electrode positions to our GPi connectivity map would be needed to complement our findings.

2017

Real-time anatomical imaging of the heart on an experimental ultrasound system

Autores
Pedrosa, J; Komini, V; Duchenne, J; D'Hooge, J;

Publicação
IEEE International Ultrasonics Symposium, IUS

Abstract
Fast cardiac imaging requires a reduction of the number of transmit events. This is typically achieved through multi-line-transmission (MLT) and/or multi-line-acquisition (MLA) techniques. However, restricting the field-of-view (FOV) to the anatomically relevant domain, e.g. the myocardium, can increase frame rate (FR) further. Using computer simulations, we previously proposed an anatomical scan sequence by performing automatic myocardial segmentation on conventional B-mode images and feeding this information back to the scanner in order to define a fast myocardial scan sequence. The aim of this study was to implement and test this approach experimentally. © 2017 IEEE.

2017

Real-time anatomical imaging of the heart on an experimental ultrasound system

Autores
Pedrosa, J; Komini, V; Duchenne, J; D'Hooge, J;

Publicação
IEEE International Ultrasonics Symposium, IUS

Abstract
Fast cardiac imaging requires a reduction of the number of transmit events. This is typically achieved through multiline-transmission and/or multiline-acquisition techniques but restricting the field-of-view to the anatomically relevant domain, e.g. the myocardium, can increase frame rate further. In the present work, an anatomical scan sequence was implemented and tested experimentally by performing real-time segmentation of the myocardium on conventional B-mode and feeding this information back to the scanner in order to define a fast myocardial scan sequence. Ultrasound imaging was performed using HD-PULSE, an experimental fully programmable 256 channel ultrasound system equipped with a 3.5MHz phased array. A univentricular polyvinyl alcohol phantom was connected to a pump to simulate the cardiac cycle to perform in vitro validation of this approach. Three volunteers were also imaged from an apical 4-chamber view to analyse the feasibility of this method in vivo. It is shown that this method is feasible to be applied in real-time and in vivo giving a minimum frame rate gain of 1.5. Although the anatomical image preferably excludes the apical cap of the ventricle, this region is often unanalyzable due to near field clutter anyway. The advantage of this method is that spatial resolution is maintained when compared to conventional ultrasound in contrast to other fast imaging approaches. © 2017 IEEE.

2017

Fast and Fully Automatic Left Ventricular Segmentation and Tracking in Echocardiography Using Shape-Based B-Spline Explicit Active Surfaces

Autores
Pedrosa, J; Queiros, S; Bernard, O; Engvall, J; Edvardsen, T; Nagel, E; D'hooge, J;

Publicação
IEEE TRANSACTIONS ON MEDICAL IMAGING

Abstract
Cardiac volume/function assessment remains a critical step in daily cardiology, and 3-D ultrasound plays an increasingly important role. Fully automatic left ventricular segmentation is, however, a challenging task due to the artifacts and low contrast-to-noise ratio of ultrasound imaging. In this paper, a fast and fully automatic framework for the full-cycle endocardial left ventricle segmentation is proposed. This approach couples the advantages of the B-spline explicit active surfaces framework, a purely image information approach, to those of statistical shape models to give prior information about the expected shape for an accurate segmentation. The segmentation is propagated throughout the heart cycle using a localized anatomical affine optical flow. It is shown that this approach not only outperforms other state-of-the-art methods in terms of distance metrics with a mean average distances of 1.81 +/- 0.59 and 1.98 +/- 0.66 mm at end-diastole and end-systole, respectively, but is computationally efficient (in average 11 s per 4-D image) and fully automatic.

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