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[0001] The present invention relates generally to the field of imaging, and image processing and analysis techniques, such as those used in medical diagnostics and other fields. More particularly, the invention relates to a technique for rapidly segmenting and identifying features of interest in discrete pixel images and processing data extracted from the images following identification of the features.
[0002] A great number of applications have arisen in recent years employing discrete pixel images of various types. In general, such images are comprised of an array of picture elements organized in rows and columns of an image matrix. Each element in the matrix may be characterized by various parameters, such as intensity, color, shade, and so forth. These characteristics are most often associated with or defined by information expressed in digital terms and stored in data files defining the image. By organizing and displaying the matrix of picture elements with reference to the parameters, a recognizable and useful reconstructed image may be obtained. The resulting image is typically displayed on a computer monitor or printed on a tangible medium such as paper or photographic film.
[0003] A number of modalities are known for acquiring discrete pixel images, particularly in the medical diagnostics field. For example, magnetic resonance imaging (MRI) systems have been developed which permit high-quality images of anatomies of interest in a subject. Such systems make use of controllable magnetic fields which affect precession of gyromagnetic material within the subject. By exciting the gyromagnetic material in the presence of specific fields, the materials can be made to emit signals which are captured and processed. The signals can be transformed to identify the particular intensity of the emissions at specific locations within the subject. By further processing the digitized signals corresponding to these intensities, image data is obtained which can be analyzed, stored, transmitted, and further processed to create a reconstructed image. Other modalities in the medical diagnostics field include computed tomography (CT) systems, digital x-ray systems, positron emission tomography (PET) systems, ultrasound systems, and so forth. In modem systems of all of these types, data sets may be obtained directly, or indirectly, which define features of interest within a subject patient for image reconstruction and processing.
[0004] Many applications exist for analysis of identifiable structures within discrete pixel images. In conventional images, the features are typically recognizable by contrasts, outlines, expected shapes, and other somewhat intuitive boundaries or characteristics recognizable to the experienced viewer. Depending upon the image quality, a qualified viewer may identify these features and even take measurements of the structures. However, conventional techniques for manually doing so are quite cumbersome, time-consuming, and imprecise. In the medical diagnostics field, for example, measurements of internal anatomies such as structures of the heart, brain, and other organs and tissues, have conventionally been made by hand or through software requiring substantial user interaction. Due to the drawbacks of these techniques, however, attempts have been made to automate the process.
[0005] Techniques which have been advanced for automating feature identification and measurement are not entirely satisfactory. A key aspect of this is the “segmentation problem” which refers to the identification of homogeneous regions in a given image, defined by a set of edges or boundaries. Processes have been developed that use mathematical constructs to deform candidate boundaries to correspond to the limits of a feature of interest. Such deformable boundaries are sometimes referred to as “snakes.” However, the methods employed for segmentation based upon these techniques are particularly susceptible to error due to noise present in the image data. Such noise, which may be visible as bright or dark spots or regions on the reconstructed image, may cause the candidate boundary to stop its expansion or contraction before reaching the limits of the feature, or may cause other anomalies in the result. While such noise may be eliminated or reduced by smoothing and other filtering techniques, these also tend to reduce the resolution of the feature of interest, thereby reducing the likelihood that the snake will converge accurately on the feature.
[0006] Another serious drawback of heretofore known techniques for automatic segmentation via snakes is the extremely demanding computational requirements involved. In particular, known techniques adopt algorithms which require sequential calculation of a very large number of parameters as the boundary expands or contracts towards the feature of interest. As a result, to be carried out in a reasonable amount of time, very sophisticated and powerful computers are required, particularly for noisy images, and those including a large number of picture elements.
[0007] Further drawbacks in existing techniques for automatic segmentation are rooted in the particular algorithms used to generate the candidate boundary and to deform the boundary toward the feature of interest. In particular, the algorithms typically include mechanisms for converging and stopping the evolution of the candidate boundary. Depending upon the techniques employed, the boundary may not fully conform to the feature of interest, particularly where the feature includes concavities and similar contours. Also, where adjacent features are present, the boundaries may not recognize distinctions between the adjacent features and, again, fail to conform accurately to the feature of interest. In either case, the resulting analysis is unreliable due to the failure to accurately recognize the boundary (and hence the surface area, volume or other parameter) of the feature of interest.
[0008] There is a need, therefore, for an improved technique for performing segmentation on discrete pixel images. There is, at present, an increasing need for a technique which will permit such segmentation on a series of images, such as images acquired over a three-dimensional space or over time, or both. Such techniques would be particularly useful in analyzing moving tissues, such as those of the heart. The technique would also find useful applications in still structures such as the brain, and so forth.
[0009] The present invention provides a technique for segmenting features of interest in discrete pixel images designed to respond to these needs. The technique makes use of a computationally efficient algorithm for initiating and expanding or contracting a candidate boundary for the feature. In accordance with certain aspects of the technique, a candidate boundary or snake is initialized and evolved by reference to mean curvature-weighted normals. Gradients of intensities within the image may be calculated before this evolution to greatly simplify the computational demands during the evolution. The candidate boundary thus converges extremely rapidly toward the feature and stops upon reaching the feature. The technique is particularly robust and tolerant of noise within the image. However, a diffused or smooth gradients may be used during the evolution to improve the tolerance to noise.
[0010] The technique may be used to segment both static and dynamic (or changing) structures. In both cases, the approach may be applied to a series of data sets representing individual images or slices of a subject. Over space, the technique may thus be used to reconstruct a three-dimensional representation of the feature. Over time, the technique may be used to analyze changes in the feature.
[0011] In a presently preferred implementation, the segmentation technique is used to measure and analyze features of the heart, such as the endocardium and the myocardium. By time analysis of this information, important characteristics of the heart may be evaluated, such as the ejection fraction. In other structures, both two-dimensional and three-dimensional, and time dependent or independent measurements may be made.
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[0025] Turning now to the drawings, and referring first to
[0026] In system
[0027] Within housing
[0028] The coils of scanner
[0029] The scanner control circuitry
[0030] System control circuitry
[0031] As will be appreciated by those skilled in the art, when the present technique is employed in systems other than MRI diagnostic systems, the particular circuitry involved will be adapted accordingly. For example, in x-ray, computed tomography or ultrasound systems, data acquisition circuitry will be adapted to acquire image data sets in accordance with the particular physics of those systems. In general, however, the data sets will include a series of values descriptive of pixel characteristics in an image matrix. This image data is analyzed as described below to identify particular features of interest either in an automated or semi-automated fashion.
[0032] The present technique is particularly well suited to analysis of anatomical features of interest. These features may be included in both static and dynamic tissues of a patient, and may be defined in three dimensions as well as in time.
[0033] The particular features measured in this exemplary process are the endocardium and the myocardium. To permit these features to be imaged and measured through the technique described below, a series of images are acquired in the image set
[0034] It should be noted that the particular orientation, composition, number and sequence of images may be adapted for any desired feature of interest. In particular, in a presently preferred configuration, images acquired for a cardiac cycle comprise 14 separate slices along axis
[0035] The present technique is based upon a mathematical construct in which one or more candidate boundaries are established in an image data set and evolved (i.e. expanded, contracted or conformed) toward a feature of interest. The feature may be defined by any one of a variety of characteristics, such as pixel intensity values. The characteristic used to define the feature provide a transition which sufficiently identifies the feature to permit the evolving boundary to rapidly converge on and stop at the feature. Subsequent data processing can then be performed based upon the configuration of the evolved boundary, such as by determining the number of pixels within the boundary, the boundary length, and so forth.
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[0037] As illustrated in
[0038] As will be appreciated by those skilled in the art, the present technique is based upon the grouping of parts of an image into units which are homogeneous with respect to one or more features. The candidate boundary, which may also be referred to as an active contour, is permitted to evolve, once initiated, under the influence of image-dependent factors, and certain parameters which may be set by the user. In the present technique, for example, rapid evolution is provided by computation of mean curvatures and mean curvature-weighted normals as described below, in the discrete domain. Moreover, the computations involved in the evolution may be greatly simplified by a single computation of gradients prior to the evolution of the candidate boundary. Where desired, additional tolerance to noise is provided by smoothing or diffusion of these gradients. However, the original image is not smoothed, but rather, the gradient direction along which the candidate boundary is evolved is diffused, preserving original image features and resolution.
[0039] The continuous domain implementation of the technique will now be described, followed by a description of the discrete domain implementation. The technique is based upon identification of a characteristic, denoted herein “φ” which is an image-based function considered to be small for the feature of interest. For example, φ may represent intensity values or the inverse of intensity values for individual pixels, depending upon the nature of the image data and its intended presentation. The feature, which is identifiable in any one of a series of spatially and temporally defined images, as illustrated in
[0040] where S(x
[0041] As a first step in the analysis, φ is defined to be a positive image-dependent function which is small near the boundary of the feature of interest. In this implementation, the function φ (x
[0042] where I is the n-dimensional gray-scale image and G
[0043] where S(x
[0044] In implementing the technique based upon equation 3, the equation is suitably discretized on a triangulated surface so as to move the vertices of the candidate boundary to decrease the energy of which equation 3 is Euler-Lagrange derivative at each step. This technique entails the computation of the mean curvature, the normal, and the Gaussian curvature (which informs the method of the concavity or convexity of the surface at any given point in its evolution).
[0045] The triangulated surface employed in the technique is defined by a series of flat surfaces, edges and points as illustrated in
[0046] Assuming a three dimensional implementation of the technique (defining a three dimensional surface), a maximum curvature k
[0047] If S:[0,1] X [0,1]→R
[0048] The infinitesimal area on S is then given by the relationship (eq.6):
[0049] It is noted in the present technique that the gradient flow associated with the area functional for such surfaces (ie., the direction in which the area is changing most rapidly) is given by the relationship (eq. 7):
[0050] Thus, the mean curvature vector HN on a triangulated surface may be determined by taking the direction in which the area is changing most rapidly, and, given the length of this vector, the normal direction can be computed. This technique is employed in the present procedure as a basis for computing the mean curvature on a triangulated surface. In particular, if p is a vertex as described above, and each vertex has a star of faces surrounding it of area A
[0051] Because each face has three such vertices, the area associated with p is A
[0052] Moreover, the Gaussian curvature K may be defined as (eq. 10):
[0053] where the values of k
[0054] where the sum is taken over the adjacent angles θ to the given vertex. This provides an indication of whether the surface is convex or concave at a given point (convex being defined as a quantity <π, and concave >π).
[0055] As noted above, the foregoing technique may be employed with diffused gradients to enhance the tolerance of the technique to image artifacts and noise. While the tolerance to noise may be provided by pre-processing smoothing, this may have the undesired effect or removing salient features, including the definition of the feature of interest. In a presently preferred technique, enhanced tolerance to noise is provided by smoothing or diffusing a gradient term ∇φ, which represents the actual vector field. In particular, for the desired vector field (eq. 12):
[0056] (representing the desired smooth vector field), v(x
[0057] This minimization problem may be solved by using gradient descent associated Euler-Lagrange equations (eq. 14):
[0058] noting that for a function f: R
[0059] In the relationship defined above, the value α acts as a scale space parameter, the magnitude of which is directly related to the degree of smoothing effect on the gradient vector field. Moreover, the term (eq. 16):
[0060] defines the mean curvature on the isophotes of v
[0061] for a constant c.
[0062] The foregoing technique provides a robust and rapid mechanism for evolving a candidate boundary toward a boundary of a feature of interest. To facilitate implementation of the technique with discrete pixel image data, differences between values of image characteristics φ (eg. intensity values) for adjacent pixels (or voxels) are divided by pixel spacing to approximate the derivative of values described above. This technique may be employed in three spatial dimensions for three-dimensional implementation. The same technique may be employed in only two dimensions for two-dimensional implementations as illustrated in
[0063] As mentioned above, intensity differences may be defined by comparing intensities of adjacent pixels in both the x direction
[0064] For smoothing the gradient, and thereby enhancing the tolerance to image noise, a “time” parameter is added to equation 14 above to define the relationship (eq. 18):
[0065] To simplify the nomenclature, in the discrete embodiment two dimensions in a two-dimensional implementation may be defined as x=x
[0066] The discretization in a temporal direction is introduced and the time step Δt is used to compute the temporal intensity gradient change at each pixel. These discretizations are then employed to compute gradients at each point (iΔx, jΔy), as follows (eq's 20, 21):
[0067] In this implementation, the characteristic of interest in the pixels is considered to be a pixel intensity. As noted above, however, other characteristics such as color, and so forth may be employed. It should also be noted that in the foregoing relationships, the base relationship (eq. 22):
[0068] is employed, as is a similar base relationship in the y direction.
[0069] As a subsequent step in the discretization of the system, the value of v
[0070] Based upon this relationship, the shock derivative may be defined as (eq. 24):
[0071] where (eq. 25):
[0072] and (eq. 26):
[0073] In these relationships, the following definitions are held (eq. 27):
[0074] and (eq. 28):
[0075] Moreover, the function m is defined as (eq. 29):
[0076] In a preferred implementation, a current Courant-Friedrichs-Lewy (CFL) step size restriction is imposed which may take the following form (eq. 30):
[0077] The technique may be expressed as a sequence of logical steps as defined in
[0078] At step
[0079] At step
[0080] At step
[0081] Post feature identification processing may take a number of forms, including calculation of scalar and vector quantities, and reconstruction of two and three-dimensional images. Moreover, images may be reconstructed based upon several dimensions, including time. By way of example,
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[0083] Further processing may be provided to identify particular parameters of interest both in space, time, or both.
[0084] As noted above, the foregoing technique may be employed for identifying and measuring features of interest in any of a variety of contacts. Moreover, the technique is equally applicable to static and dynamic structures or tissues.
[0085] While the invention may be susceptible to various modifications and alternative forms, specific embodiments have been shown in the drawings and have been described in detail herein by way of example only. However, it should be understood that the invention is not intended to be limited to the particular forms disclosed. Rather, the invention is to cover all modifications, equivalents, and alternatives falling within the spirit and scope of the invention as defined by the following appended claims.