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Motivation                   Method 1             Method 2              Extensions               Conclusion




                         Informative Priors for Segmentation
                                  of Medical Images

                       Matt Moores1,2 , Cathy Hargrave3 , Fiona Harden2
                                   & Kerrie Mengersen1

                 1 Discipline of Mathematical Sciences, Queensland University of Technology
             2   Discipline of Medical Radiation Sciences, Queensland University of Technology
                            3 Radiation Oncology Mater Centre, Queensland Health



                                        Bayes on the Beach, 2011
Motivation            Method 1        Method 2   Extensions   Conclusion



Outline


       1     Motivation
              Cone-Beam Computed Tomography

       2     Method 1
              k-means with posterior diffusion

       3     Method 2
              hidden Markov random field

       4     Extensions

       5     Conclusion
Motivation      Method 1       Method 2        Extensions    Conclusion



X-Ray Computed Tomography




             (a) Fan-Beam CT              (b) Cone-Beam CT
Motivation                                 Method 1                              Method 2                                  Extensions                              Conclusion



Distribution of Pixel Intensity
                    15000




                                                                                                  15000
                    10000




                                                                                                  10000
        Frequency




                                                                                      Frequency
                    5000




                                                                                                  5000
                    0




                            −1000   −800   −600        −400         −200   0   200                0       −1000   −800   −600        −400         −200   0   200

                                                  Hounsfield unit                                                               pixel intensity




                                    (a) Fan-Beam CT                                                               (b) Cone-Beam CT
Motivation                Method 1          Method 2          Extensions        Conclusion



itkBayesianClassifierImageFilter

             1   estimate µ using k-means




             2   estimate σ 2 for each cluster
                 (mixing proportions are assumed equal)
             3   create a matrix y∗ :
                 for each pixel yi and each cluster Ck ∼ N(µk , σk ),
                 yik = p(yi |µk , σk )



             6
             5
             4   classify each pixel yi according to the largest value of yik
Motivation                 Method 1          Method 2           Extensions        Conclusion



itkBayesianClassifierImageFilter

             1   estimate µ using k-means
                   1   select initial values for µ
                   2   assign each pixel y to the nearest µk
                   3   recalculate each µk by averaging over the members of k
                   4   repeat steps 2 & 3 until none of the pixel assignments change
             2   estimate σ 2 for each cluster
                 (mixing proportions are assumed equal)
             3   create a matrix y∗ :
                 for each pixel yi and each cluster Ck ∼ N(µk , σk ),
                 yik = p(yi |µk , σk )



             6
             5
             4   classify each pixel yi according to the largest value of yik
Motivation       Method 1      Method 2        Extensions    Conclusion



Result (k-means GMM)




             (a) Fan-Beam CT              (b) Cone-Beam CT
Motivation                Method 1          Method 2          Extensions       Conclusion



Prior



             4   matrix pik representing the prior probability of pixel i
                 belonging to cluster k
      then pixel classification is based on the posterior pik × yik

      but:
                 this has no effect on the number of clusters, nor on their
                 parameters µk and σk
                 can’t use the posterior from one classification as the prior for
                 another, unless the clusters are the same
Motivation    Method 1            Method 2               Extensions   Conclusion



Result (with prior)




                    (a) Prior                   (b) Likelihood




                                (c) Posterior
Motivation   Method 1              Method 2               Extensions   Conclusion



Result (with diffusion)




                (a) 5 iterations               (b) 10 iterations




               (c) 50 iterations              (d) 1000 iterations
Motivation         Method 1              Method 2                Extensions          Conclusion



hidden Markov random field
      Joint distribution of observed intensities y and unobserved labels z:

                        p(y, z|µ, τ ) ∝ p(y|µ, τ , z)p(z)                           (1)


                                                            1
                         yi |µj , τj , zi = j ∼ N µj ,                              (2)
                                                            τj
                                                                               
                                    N                                          
             p(z) = C(β)−1 exp             αi (zi ) + β         wij f (zi , zj )    (3)
                                                                               
                                     i=1                  i∼j

      simple Potts model (without external field):
                                                        
                                                        
                    p(z) = C(β)−1 exp β       I(zi = zj )                           (4)
                                                        
                                                    i∼j
Motivation                                 Method 1                    Method 2                                 Extensions                 Conclusion



informative prior for µ and τ
                         200




                                                                                              200
                         0




                                                                                              0
                         −200




                                                                                              −200
       Hounsfield unit




                                                                            pixel intensity
                         −400




                                                                                              −400
                         −600




                                                                                              −600
                         −800




                                                                                              −800
                         −1000




                                                                                              −1000
                                 0     1           2           3   4                                  0     1          2           3   4

                                            Electron Density                                                    Electron Density



                                     (a) Fan-Beam CT                                                      (b) Cone-Beam CT
Motivation         Method 1          Method 2            Extensions          Conclusion



external field
                                                 N
      In equation (3) earlier, the term exp      i=1 αi (zi )    defines an
      external field.




                Figure: manual contours of the organs of interest.
Motivation                Method 1       Method 2          Extensions          Conclusion



external field II

      Prior probabilities αi (zi ) for each pixel can be generated by
      simulation, based on:
               geometry of each organ, from the treatment plan
               variability in size and position, from published studies

             Axis                 prostate               seminal vesicles
             Ant-Post       x = 0.1, sd = 4.1 mm      x = 1.2, sd = 7.3 mm
             Sup-Inf       x = −0.5, sd = 2.9 mm     x = −0.7, sd = 4.5 mm
             Left-Right     x = 0.2, sd = 0.9 mm     x = −0.9, sd = 1.9 mm
      Table: Mean x and standard deviation sd of observed [5] variability in
      position, along three axes: anteroposterior (Ant-Post); superoinferior
      (Sup-Inf); & lateral (Left-Right) relative to the patient.
Motivation   Method 1              Method 2              Extensions   Conclusion



Jacobian matrix




                                                     2
                        Figure: discrete Laplacian
Motivation            Method 1              Method 2             Extensions          Conclusion



hybrid model

      Chen & Metaxas [6, 7] define the object boundary implicitly as the
      zero level set of a cost function:
       ∂φi                                   φi                                   φi
           = λ1 M i +            λ 2 Pi ·              − (λ2 Pi + λ3 )        ·
       ∂t                                    φi                                   φi
                                                                                    (5)
      where:
             Mi is the inflation force (total gradient magnitude)
             Pi is the local image force at each pixel
             (probability of pixel j belonging to object i)
                  non-overlapping constraint
                     φi
                ·    φi  is the local curvature
             (surface smoothness constraint)
Motivation           Method 1         Method 2          Extensions   Conclusion



Summary



      Two Bayesian approaches to medical image segmentation:
             k-means with posterior diffusion
             (itkBayesianClassifierImageFilter)
             hidden Markov random field
             (PyMCMC)
      Potential extensions to Potts MRF:
             external field defined by size and position of objects
             hybrid Level Set model
Motivation            Method 1           Method 2          Extensions         Conclusion



References I

             P. Teo, G. Sapiro and B. Wandell (1997) Creating connected
             representations of cortical gray matter for functional MRI
             visualization. IEEE Trans. Med. Imag. 16: 852-863.
             J. Melonakos, K. Krishnan and A. Tannenbaum (2006)
             An ITK Filter for Bayesian Segmentation:
             itkBayesianClassifierImageFilter The Insight Journal
             http://hdl.handle.net/1926/160
             Strickland, C. M., Denham, R. J., Alston, C. L., & Mengersen, K. L.
             (2011) PyMCMC : a Python package for Bayesian Estimation using
             Markov chain Monte Carlo. Journal of Statistical Software (In Press)
             C. Alston, K. Mengersen, C. Robert, J. Thompson, P. Littlefield, D.
             Perry and A. Ball (2007) Bayesian mixture models in a longitudinal
             setting for analysing sheep CAT scan images. Computational
             Statistics & Data Analysis 51(9): 4282-4296.
Motivation            Method 1           Method 2          Extensions         Conclusion



References II


             S.J. Frank, L. Dong, R. J. Kudchadker, R. De Crevoisier, A. K. Lee,
             R. Cheung, S. Choi, J. O’Daniel, S. L. Tucker, H. Wang, et al.
             (2008) Quantification of Prostate and Seminal Vesicle Interfraction
             Variation During IMRT. International Journal of Radiation
             Oncology*Biology*Physics 71(3): 813-820.
             T. Chen and D. Metaxas (2005) A hybrid framework for 3D medical
             image segmentation. Medical Image Analysis 9(6): 547-565.
             T. Chen, S. Kim, J. Zhou, D. Metaxas, G. Rajagopal & N. Yue
             (2009) 3D Meshless Prostate Segmentation and Registration in
             Image Guided Radiotherapy. In Proceedings of MICCAI 43-50.
             P. Th´venaz, T. Blu & M. Unser (2000) Interpolation Revisited.
                  e
             IEEE Trans. Medical Imaging 19(7): 739–758.
Motivation           Method 1      Method 2      Extensions   Conclusion



Acknowledgements



      Bayesian Research & Applications Group at QUT

      Radiation Oncology Mater Centre:
             Emmanuel Baveas
             Rebecca Owen
             Timothy Deegan
             Steven Sylvander
             John Baines
             Dr. Michael Poulsen

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Informative Priors for Segmentation of Medical Images

  • 1. Motivation Method 1 Method 2 Extensions Conclusion Informative Priors for Segmentation of Medical Images Matt Moores1,2 , Cathy Hargrave3 , Fiona Harden2 & Kerrie Mengersen1 1 Discipline of Mathematical Sciences, Queensland University of Technology 2 Discipline of Medical Radiation Sciences, Queensland University of Technology 3 Radiation Oncology Mater Centre, Queensland Health Bayes on the Beach, 2011
  • 2. Motivation Method 1 Method 2 Extensions Conclusion Outline 1 Motivation Cone-Beam Computed Tomography 2 Method 1 k-means with posterior diffusion 3 Method 2 hidden Markov random field 4 Extensions 5 Conclusion
  • 3. Motivation Method 1 Method 2 Extensions Conclusion X-Ray Computed Tomography (a) Fan-Beam CT (b) Cone-Beam CT
  • 4. Motivation Method 1 Method 2 Extensions Conclusion Distribution of Pixel Intensity 15000 15000 10000 10000 Frequency Frequency 5000 5000 0 −1000 −800 −600 −400 −200 0 200 0 −1000 −800 −600 −400 −200 0 200 Hounsfield unit pixel intensity (a) Fan-Beam CT (b) Cone-Beam CT
  • 5. Motivation Method 1 Method 2 Extensions Conclusion itkBayesianClassifierImageFilter 1 estimate µ using k-means 2 estimate σ 2 for each cluster (mixing proportions are assumed equal) 3 create a matrix y∗ : for each pixel yi and each cluster Ck ∼ N(µk , σk ), yik = p(yi |µk , σk ) 6 5 4 classify each pixel yi according to the largest value of yik
  • 6. Motivation Method 1 Method 2 Extensions Conclusion itkBayesianClassifierImageFilter 1 estimate µ using k-means 1 select initial values for µ 2 assign each pixel y to the nearest µk 3 recalculate each µk by averaging over the members of k 4 repeat steps 2 & 3 until none of the pixel assignments change 2 estimate σ 2 for each cluster (mixing proportions are assumed equal) 3 create a matrix y∗ : for each pixel yi and each cluster Ck ∼ N(µk , σk ), yik = p(yi |µk , σk ) 6 5 4 classify each pixel yi according to the largest value of yik
  • 7. Motivation Method 1 Method 2 Extensions Conclusion Result (k-means GMM) (a) Fan-Beam CT (b) Cone-Beam CT
  • 8. Motivation Method 1 Method 2 Extensions Conclusion Prior 4 matrix pik representing the prior probability of pixel i belonging to cluster k then pixel classification is based on the posterior pik × yik but: this has no effect on the number of clusters, nor on their parameters µk and σk can’t use the posterior from one classification as the prior for another, unless the clusters are the same
  • 9. Motivation Method 1 Method 2 Extensions Conclusion Result (with prior) (a) Prior (b) Likelihood (c) Posterior
  • 10. Motivation Method 1 Method 2 Extensions Conclusion Result (with diffusion) (a) 5 iterations (b) 10 iterations (c) 50 iterations (d) 1000 iterations
  • 11. Motivation Method 1 Method 2 Extensions Conclusion hidden Markov random field Joint distribution of observed intensities y and unobserved labels z: p(y, z|µ, τ ) ∝ p(y|µ, τ , z)p(z) (1) 1 yi |µj , τj , zi = j ∼ N µj , (2) τj    N  p(z) = C(β)−1 exp αi (zi ) + β wij f (zi , zj ) (3)   i=1 i∼j simple Potts model (without external field):     p(z) = C(β)−1 exp β I(zi = zj ) (4)   i∼j
  • 12. Motivation Method 1 Method 2 Extensions Conclusion informative prior for µ and τ 200 200 0 0 −200 −200 Hounsfield unit pixel intensity −400 −400 −600 −600 −800 −800 −1000 −1000 0 1 2 3 4 0 1 2 3 4 Electron Density Electron Density (a) Fan-Beam CT (b) Cone-Beam CT
  • 13. Motivation Method 1 Method 2 Extensions Conclusion external field N In equation (3) earlier, the term exp i=1 αi (zi ) defines an external field. Figure: manual contours of the organs of interest.
  • 14. Motivation Method 1 Method 2 Extensions Conclusion external field II Prior probabilities αi (zi ) for each pixel can be generated by simulation, based on: geometry of each organ, from the treatment plan variability in size and position, from published studies Axis prostate seminal vesicles Ant-Post x = 0.1, sd = 4.1 mm x = 1.2, sd = 7.3 mm Sup-Inf x = −0.5, sd = 2.9 mm x = −0.7, sd = 4.5 mm Left-Right x = 0.2, sd = 0.9 mm x = −0.9, sd = 1.9 mm Table: Mean x and standard deviation sd of observed [5] variability in position, along three axes: anteroposterior (Ant-Post); superoinferior (Sup-Inf); & lateral (Left-Right) relative to the patient.
  • 15. Motivation Method 1 Method 2 Extensions Conclusion Jacobian matrix 2 Figure: discrete Laplacian
  • 16. Motivation Method 1 Method 2 Extensions Conclusion hybrid model Chen & Metaxas [6, 7] define the object boundary implicitly as the zero level set of a cost function: ∂φi φi φi = λ1 M i + λ 2 Pi · − (λ2 Pi + λ3 ) · ∂t φi φi (5) where: Mi is the inflation force (total gradient magnitude) Pi is the local image force at each pixel (probability of pixel j belonging to object i) non-overlapping constraint φi · φi is the local curvature (surface smoothness constraint)
  • 17. Motivation Method 1 Method 2 Extensions Conclusion Summary Two Bayesian approaches to medical image segmentation: k-means with posterior diffusion (itkBayesianClassifierImageFilter) hidden Markov random field (PyMCMC) Potential extensions to Potts MRF: external field defined by size and position of objects hybrid Level Set model
  • 18. Motivation Method 1 Method 2 Extensions Conclusion References I P. Teo, G. Sapiro and B. Wandell (1997) Creating connected representations of cortical gray matter for functional MRI visualization. IEEE Trans. Med. Imag. 16: 852-863. J. Melonakos, K. Krishnan and A. Tannenbaum (2006) An ITK Filter for Bayesian Segmentation: itkBayesianClassifierImageFilter The Insight Journal http://hdl.handle.net/1926/160 Strickland, C. M., Denham, R. J., Alston, C. L., & Mengersen, K. L. (2011) PyMCMC : a Python package for Bayesian Estimation using Markov chain Monte Carlo. Journal of Statistical Software (In Press) C. Alston, K. Mengersen, C. Robert, J. Thompson, P. Littlefield, D. Perry and A. Ball (2007) Bayesian mixture models in a longitudinal setting for analysing sheep CAT scan images. Computational Statistics & Data Analysis 51(9): 4282-4296.
  • 19. Motivation Method 1 Method 2 Extensions Conclusion References II S.J. Frank, L. Dong, R. J. Kudchadker, R. De Crevoisier, A. K. Lee, R. Cheung, S. Choi, J. O’Daniel, S. L. Tucker, H. Wang, et al. (2008) Quantification of Prostate and Seminal Vesicle Interfraction Variation During IMRT. International Journal of Radiation Oncology*Biology*Physics 71(3): 813-820. T. Chen and D. Metaxas (2005) A hybrid framework for 3D medical image segmentation. Medical Image Analysis 9(6): 547-565. T. Chen, S. Kim, J. Zhou, D. Metaxas, G. Rajagopal & N. Yue (2009) 3D Meshless Prostate Segmentation and Registration in Image Guided Radiotherapy. In Proceedings of MICCAI 43-50. P. Th´venaz, T. Blu & M. Unser (2000) Interpolation Revisited. e IEEE Trans. Medical Imaging 19(7): 739–758.
  • 20. Motivation Method 1 Method 2 Extensions Conclusion Acknowledgements Bayesian Research & Applications Group at QUT Radiation Oncology Mater Centre: Emmanuel Baveas Rebecca Owen Timothy Deegan Steven Sylvander John Baines Dr. Michael Poulsen