Faculty Bibliography

A computerized system for processing spin-echo magnetic resonance (MR) imaging data was implemented to estimate whole brain (gray and white matter) and cerebrospinal fluid volumes and to display three-dimensional surface reconstructions of specified tissue classes. The techniques were evaluated by assessing the radiometric variability of MR volume data and by comparing automated and manual procedures for measuring tissue volumes. Results showed (a) the homogeneity of the MR data and (b) that automated techniques were consistently superior to manual techniques. Both techniques, however, were affected by the complexity of the structure, with simpler structures (eg, the intracranial cavity) showing less variability and better spatial correlation of segmentation results between raters. Moreover, the automated techniques were completed for whole brain in a fraction of the time required to complete the equivalent segmentation manually. Additional evaluations included interrater reliability and an evaluation that included longitudinal measurement, in which one subject was imaged sequentially 24 times, with reliability computed from data collected by three raters over 1 year. Results showed good reliability for the automated segmentation procedures.

The visualization of 3D phenomena and the extraction of quantitative information from magnetic resonance (MR) image data require efficient semiautomated or automated segmentation techniques. The application of multivariate statistical classification to the segmentation of dual-echo volume data of the human head into tissue types (grey matter, white matter and fluid spaces) is studied in this paper. Tests of the radiometric variability of tissue classes within the data volume demonstrate the improvement of the image acquisition technology and the suitability of statistical methods to perform brain tissue segmentation. Supervised classification is successfully applied to a study of 16 MR volume images of the human head, illustrating the robustness of this method in segmenting brain (white and grey matter) and cerebrospinal fluid (CSF). To avoid subjective criteria involved in the supervised approach, ISODATA clustering as well as clustering based on nonparametric probability density estimation were tested. Both methods performed well (success rates 93.8% and 87.5%, respectively), indicating that the classification procedure can be completely automated. The reproducibility and reliability of supervised and unsupervised classification were studied by comparing results of segmentation performed by five expert operators. Results suggest that the interoperator and intraoperator variations could be reduced using automated clustering techniques. The accuracy of the volume calculations was quantified by applying the MR imaging and segmentation process to a phantom resembling shape and tissue characteristics of brain tissue. The segmented brain objects are displayed using 3D surface rendering.

In contrast to acquisition-based noise reduction methods a postprocess based on anisotropic diffusion is proposed. Extensions of this technique support 3-D and multiecho magnetic resonance imaging (MRI), incorporating higher spatial and spectral dimensions. The procedure overcomes the major drawbacks of conventional filter methods, namely the blurring of object boundaries and the suppression of fine structural details. The simplicity of the filter algorithm permits an efficient implementation, even on small workstations. The efficient noise reduction and sharpening of object boundaries are demonstrated by applying this image processing technique to 2-D and 3-D spin echo and gradient echo MR data. The potential advantages for MRI, diagnosis, and computerized analysis are discussed in detail.