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IMPROVED MODELLING OF THE HUMAN CEREBRAL VASCULATURE ZHENG WEILI (M.Eng) A THESIS SUBMITTED FOR THE DEGREE OF DOCTOR OF PHILOSOPHY DEPARTMENT OF MECHANICAL ENGINEERING NATIONAL UNIVERSITY OF SINGAPORE 2007 Acknowledgement Pursuing Ph.D is a harsh journey, the result of which reflects by no means only my efforts and dedication. First of all, I would like to express my deepest gratitude and respect to my supervisors Dr. Chau Fook Siong, Dr. Ang Marcelo H. Jr., and Dr. Wieslaw L. Nowinski for their remarkable guidance, heuristic advice and encouragement. They guided me meticulously through out my research program, and were highly supportive during my initial period of inexperience. Their continuous efforts of encouragement and support derived many benefits in my research work, even in writing this successful dissertation. I would also like to thank Dr. Aamer Aziz, Dr. Ihar Volkau and Dr. Hu Qingmao for their valuable suggestions and creative discussions, which inspired me greatly. Many thanks to the lab officer, Mr. Chiam Tow Jong, and Dr. Fu Yu in the Department of Mechanical Engineering, NUS for their selfless help and cooperation. I would also extend my heartfelt thanks to Ms. Aminah B. B. Abu Bakar, Mr. A. Anand, Mr. Ma Xin, Dr. Liu Jimin, Dr. Qiao Yu and many others in the Biomedical Imaging Lab for solving many technical and administrative problems in the course of this dissertation. Also I would like to thank all my friends who have given support and enthusiasm during the years of my Ph.D. Their friendship greatly stimulated me to carry on through difficult periods. I I would like to thank Biomedical Imaging Lab for sharing the physical vascular phantom data and volunteer data. I would also extend my sincere thanks to the Diagnostic and Interventional Neuroradiology department, University of Saarland, Homburg, Germany, for providing the 17 sets of patient data sets in this dissertation. I am particularly indebted to my parents and parents-in-law for providing constant support and encouragement during my graduate study. Very special thanks to my husband, Huabing, for always helping me to put things into the right perspective. Special thanks also to my little daughter, Tianhui, for bringing a bundle of joy into my life. Because of her, life becomes so meaningful and wonderful. It is impossible to conclude without thanking the Almighty God for all the blessings I received during my Ph.D. studies. Forever, He is the Source of peace and strength. II Table of Contents Acknowledgement………………………………………………………………I Table of contents……………………………………………………………………III Summary……………………………………………………………………VII List of tables………………………………………………………………… .X List of figures………………………………………………………………… .XI List of symbols…….…………………………………………………………… XVI 1. Introduction……………………………………………………………………1 1.1 Human cerebral vasculature……………………………………………3 1.2 Magnetic resonance angiography……………………………………… .4 1.3 Vascular image processing techniques…………………………………5 1.4 Representations of the vasculature……………………………………….6 1.5 Problems statement and contributions……………………………………9 1.5.1 A hybrid strategy………………………………………………….11 1.5.2 Locally adaptive thresholding…………………….…………… .12 1.5.3 Centerline extraction…………………………………………….…13 1.5.4 Elliptical measurement based on affine scale space…………… 14 1.6 Scope of dissertation……………………………………………………….14 2. Vascular modelling……………… …………………………………………….16 2.1 Overview……………………………… .………………………… .16 III 2.2 Deformable models………………… ………………………………18 2.3 Skeletonization strategy…………………… ….……………………20 2.3.1 Angiographic image enhancement…………………………….20 2.3.2 Vessel segmentation………………………………………… 22 2.3.3 Skeletonization……………………………………………….29 2.4 Scale space strategy……………………………………………………33 2.4.1 Scale space theory………………… ……….……… .…… .33 2.4.2 Medialness……………………………………………………35 2.4.3 Scale space centerline extraction………………………………37 2.5 Tracking strategy……………………………………………………….39 2.6 Geometric modelling ………………………………………………….40 2.7 Our solution………………………………………………………………41 3. Locally adaptive thresholding ………………………………………………….43 3.1 Background………………………………………………………… .43 3.2 Experimental Data……………….……………………………………44 3.3 Segmentation with locally adaptive thresholding…………………… .46 3.4 3.3.1 Step 1-Automatice selection of regions of interest (ROIs)….…46 3.3.2 Step 2-Local enhancement and adaptive thresholding……… 50 3.3.3 Evaluation…………………………………………………… 55 Results…………………………………………………………….….56 3.4.1 Experiments on a slice………………………………… .……57 3.4.2 Experiments on MRA data sets……………………………… 59 IV 3.4.3 Sensitivity to the width and maximum intensity of a cross section……………………………………… ……………….73 3.5 Discussion……………………………………………………………….74 3.6 Conclusion………………………………………………………….…… 79 4. Centerline model extraction by means of the wave propagation of the marching spheres………………………………………………………………….………80 4.1 Background………………………………………………………… .80 4.2 Centerline extraction procedure………………………………………83 4.3 4.2.1 Initialization………………………………………………….83 4.2.2 Marching procedure …………………………………………87 4.2.3 Procedure of building a tree structure …………………….….…95 4.2.4 Evaluation…………………………………………………… …96 Results…………………………………………………………………….98 4.3.1 Experiments on the simulated data……………… .…………… .98 4.3.2 Studies on the 3D binary cerebral vasculature data sets…… 104 4.4 Discussion…………………………… …………………………………111 4.5 Conclusion…………………………….…………………………………115 5. Building an elliptical centerline model of the cerebral vasculature using model-based affine Gaussian scale space approach………… .117 5.1 Background………………………………………………………….117 5.2 Building an elliptical model of the cerebral vasculature…………….119 5.2.1 Affine medialness function………………………………….119 V 5.3 5.4 5.2.2 Shape adaptation…………………………………………………122 5.2.3 Measurement of elliptical cross sections in 3D vasculature…126 5.2.4 Geometric modelling based on the elliptical centerline model.128 Results and discussion……………………………………………….129 5.3.1 Experiments on the 2D synthetic images……………………129 5.3.2 Applications on 3D MRA data……………………………… 138 Conclusion…………………………………………………………… .143 6. Conclusion and future work….……………………………………….… 144 6.1 Conclusion………………………………………………………… .144 6.2 Future work……………………………………………………….… 146 Bibliography…………………………………………………………………….148 Appendix ….……………………………………….…………………………… .171 A. Evaluation of the segmentation result……………… …… .…… .171 B. Reconstructed 3D cerebral vascular models……………… .………… .172 C. Measured elliptical vessel cross section. ……… …………………….… 173 VI Summary Angiography is a medical imaging technique to visualize blood vessels. Many medical applications need efficient visualization of the vascular angiographic data with topological information to make diagnosis and quantitative analysis of the vasculature. The transition from the volumetric raw data to a representation with topological information which can afford efficient visualization is not trivial. It is especially difficult for cerebral vasculatures which are complicated, tortuous and contain a large number of small vessels. Vascular models generated from the centerline and radius information can provide the tree structure and smooth visualization which suits for these applications. There are generally three strategies to obtain a centerline model: skeletonization strategy, scale space strategy and tracking strategy. From the analysis, none of the strategy is a clear winner under all conditions; rather, each is potentially useful for some set of applications and implementation constraints. This dissertation describes a hybrid strategy which integrated with both skeletonization and scale space strategies. The hybrid strategy by combining the advantages of the above two strategies includes steps. Firstly, the binary data is segmented from three dimensional (3D) time of flight (TOF) magnetic resonance angiography (MRA) data. Then a centerline extraction procedure is applied to VII generate a circular centerline model. A tree structure and 3D data set with vessel voxels labeled with its branch number is also produced. Finally, an elliptical measurement procedure based on affine scale space approach is performed in the original angiographic data for each cross section of the previous circular centerline model. An elliptical centerline model is generated after this procedure. The automation and robustness of this strategy is realized by taking the circular centerline model generated in the second step as initial information for the third step. The accuracy of the final elliptical model is achieved with affine scale space measurement – measuring the size according to its shape. Therefore, it offers more robustness on going over bifurcations than pure scale space strategy and more accurate measurement than pure skeletonization strategy. To demonstrate the advantages of the hybrid strategy, it is also important to show how the image processing techniques can be implemented in each step. The main issues of segmentation, centerline extraction and scale space measurement are explored thoroughly in this dissertation. A novel locally adaptive thresholding segmentation method is proposed in the first step which offers the superiority in accuracy and extraction of finer distal vessels. In the second step, the proposed method by means of wave propagation of the marching spheres can extract the 1-voxel width branches and provide robust bifurcation detection. In the third step, the medialness based on affine Gaussian scale space is extended from the medialness based on linear Gaussian scale space to measure the vessel size. Local shape is VIII efficiently detected by iteratively computing it from the second derivative at the center of the vessel cross section. Our research shows that hybrid strategy is viable and competitive. Its strengths make it a better choice to facilitate automation, provide robust bifurcation detection and generate an elliptical centerline model as a more general and accurate description of vessels. While this dissertation clears the way for the hybrid strategy implementation in each step, there are still many opportunities for further exploration in this area. IX 73. I. Cohen, L.D. Cohen, and N. 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Reconstructed 3D cerebral vascular models Figure B-1 3D cerebral vascular models reconstructed from 1T (raw and 2) and1.5T (raw and 4) MRA data. Column is MIP images of original data; column is reconstructed from ground truth edited by an anatomist; column is reconstructed from our segmented data; column is reconstructed from W-N result. 172 C. Measured elliptical vessel cross section Figure C-1. The circular cross section (green) after centerline extraction procedure and the elliptical cross section (red) after elliptical measurement 173 [...]... arteries in the chest Two carotids cerebral circulations consist of connected sets of vessels that supply the front and top of the head The vertebral arterial circulation supplies the rest of the brain such as brainstem, cerebellum, the occipital, lobe of the cerebrum, and parts of the thalamus At the base of the brain, the carotid and vertebral arteries form a circle referred to as the circle of Willis... Characteristic of 3D TOF MRA data of a healthy volunteer………….60 Figure 3-8 MIPs from a sagittal view of the complete vasculature of the healthy volunteer………………………………………………………………61 Figure 3-9 MIPs of the volunteer’s vasculature after manually removing part of the venous system and vessels in the skull……………………………… 62 Figure 3-10 Difference of the left internal carotid artery (ICA) siphon and some distal vessels of. .. skeleton (or centerline) of vasculature from the binary data as concise representation of the vasculature [16] The skeleton of a 3D object could be defined as the locus of centers 5 of all maximal spheres inscribed in the object, thus touching its boundary at least at 2 points [1] The major difficulties in processing the cerebral vascular angiographic data can be listed as the following [17]: 1) Vessel... efficient than the previous methods Local shape is detected by iteratively computing it from the second derivative at the center of the vessel cross section Thus, the size of the vessel can be more accurately measured according to its shape than using the linear medialness The convergence of the iterative procedure is proven in this dissertation The superiority of the elliptical model generated from the angiographic... into animations, thus creating the illusion of rotation 3D volume model represents the vasculature with volume data The vasculature firstly needs to be segmented from the angiography data [16] Then it may be viewed by directly rendering the volume as a block of data or by rendering the isosurface extracted from the volume with a fixed threshold determining the locations of the surface Volume rendering... Figure 4-19 Anterior cerebral arteries (ACAs) (1) and the Circle of Willis (2) in the 3D displays………………………………………………………… 108 Figure 4-20 Internal carotid arteries (ICA) (1) and the vertebral arteries (2)….…109 Figure 4-21 3D displays of the cerebral vasculature of a patient (Data ID: GD_1T_05) scanned under 1T Siemens scanner……………… ….110 Figure 4-22 3D displays of the cerebral vasculature of a patient (Data... through three communicating arteries It is an important anatomy of the cerebral vasculature If one of the main arteries (carotids or vertebral) is occluded, the brain can still function normally, since the distal smaller arteries, supplied by the occluded arteries can still receive blood from the other two circulations Figure 1-2 Anatomy of human cerebral vaculature 3 1.2 Magnetic Resonance Angiography Main... further accurate measurement Then, the hybrid strategy goes back to the Gray-scale image to measure the cross section with scale space method under the guidance of previous circular centerline model It takes advantage of the tree structure produced by the skeletonization approach, so that the elliptical measurement procedure in the third step could stably go over bifurcation and go through the whole vasculature. .. processing techniques (the shaded block in Figure 1-1) to generate a representation of cerebral vasculature for efficient visualization in medical applications Figure 1-1 Procedures to generate a visualization of vasculature 2 1.1 Human Cerebral Vasculature The brain receives blood from two pairs of large vessels [14]: the internal carotid arteries, which arise from arteries in the neck, and the vertebral arteries,... images to the circular model generated from binary data is demonstrated 1.6 Scope of Dissertation The dissertation begins with a literature review of the geometric models of vasculature in Chapter 2 It categorizes the related works in two groups based on deformable models and the centerline models In each group, the fundamental theories and the state of art techniques are reviewed in detail 14 The main . IMPROVED MODELLING OF THE HUMAN CEREBRAL VASCULATURE ZHENG WEILI (M.Eng) A THESIS SUBMITTED FOR THE DEGREE OF DOCTOR OF PHILOSOPHY DEPARTMENT OF MECHANICAL. from the 3D TOF MRA data of a volunteer…58 Figure 3-7 Characteristic of 3D TOF MRA data of a healthy volunteer………….60 Figure 3-8 MIPs from a sagittal view of the complete vasculature of the. 4-21 3D displays of the cerebral vasculature of a patient (Data ID: GD_1T_05) scanned under 1T Siemens scanner……………… ….110 Figure 4-22 3D displays of the cerebral vasculature of a patient (Data