This invention is directed to the analysis of digital images, particularly digital medical images.
Analysis of vascular structures acquired by computerized tomographic angiography (CTA) or magnetic resonance angiography (MRA) is commonly performed for clinical diagnosis of vascular disease, e.g. assessing and monitoring stenosis secondary to atherosclerosis, for surgery planning, etc. Vessels can be evaluated using computerized tomographic (CT) and magnetic resonance (MRI) imaging modalities quantitatively—for example, stenosis can be calculated by ratios of minimum to normalized diameter or cross-sectional area. Blood vessels can also be evaluated qualitatively using volume and surface rendering post-processing. Based on the tubular shape of vessels, a geometric model for vascular quantification utilizes a centerline and a series of cross-sections perpendicular to the centerline. Cross-sectional diameters and areas can then be calculated. An automatic reproducible vascular quantification relies on an automatic, reproducible and accurate centerline.
The process to extract vessel centerline and its associated cross-sections is called vessel skeletonization. Skeletonization simplifies the shape of a vessel to the closest set of centers of maximal inscribed disks, which can fit within the object. The central locus of the centers is made the centerline.
There exists a wide variety of 3D skeletonization algorithms based on different definitions and extraction approaches. In the context of vessel skeletonization, many centerline extraction methods have been developed. There are three basic approaches to centerline extraction based on input data: (1) binary data; (2) distance map; and (3) raw data. A good skeletonization preserves the topology of the original shape, and approximates the central axis. The resulting central axis should be thin, smooth and continuous, and allow full object recovery.
A vessel centerline extraction technique should be able to handle noisy data, branches, and complex blood vessel anatomy. Generally speaking, centerline algorithms detect bright objects on dark background. But due to calcification, there are some high intensity spots (known as plaques) within vessels in CTA data sets, particularly in elderly patients due to advanced atherosclerosis. Plaques are located within vessel walls and thus change the profile of local signal intensities. They can be mistaken as part of the vessel lumen (missing the real lumen) or as part of bones (missing the plaques). A centerline should be centered based on the vessel walls and should also not break or twist due to obstructions caused by plaques and/or high-grade stenoses. Most of the current centerline algorithms have difficulties overcoming plaques in CTA studies.
Another reason that the normal, discrete one-voxel-wide (some half-voxel-wide) centerline is not satisfactory in clinical applications is the non-reproducibility of vessel quantification. Quantification relies on an accurate and reproducible centerline. In fact, when one vessel is measured by different users or measured at different times or measured by different algorithms, the centerline may vary. This non-reproducibility or inaccuracy of quantification weakens its clinical application. Hence, in order to attain reproducible quantification, centerlines need to be optimized to approximate the central axes, i.e., a good skeletonization. Most current algorithms use smoothing after centerline extraction in order to remove the jagged changes in the centerline. But smoothing does not maintain centralization of the vessel skeleton in extracting the true centerlines in CTA studies. In some cases non-perpendicular cross-sections result in a twisted or crooked centerline by changing the connecting order of center points. This correlation between orientation and center of a cross-section is one of the main drawbacks in vessel tracking. The centerline also needs to be refined after being extracted. Refinement is an optimization process to approximate the centerline to the central axis, called the optimal centerline and also known as the good skeletonization.
Exemplary embodiments of the invention as described herein generally include methods and systems for extracting and refining centerlines using a distance map, referred to herein as the distance to boundary (DTB) volume, where the centerline is defined to be the center of vessel's walls, including lumen and plaque, rather than only its lumen.
In accordance with the invention, there is provided a method of optimizing a vessel centerline in a digital image including the steps of providing a digital image of a vessel wherein said image comprises a plurality of intensities corresponding to a domain of points in a D-dimensional space, initializing a centerline comprising a plurality of points in the vessel, determining a cross section of the vessel at each point in the centerline, evaluating a center point for each cross section of the vessel, and determining a refined centerline from the center points of each cross section.
In a further aspect of the invention, the steps of determining a cross section, evaluating a center point, and determining the refined centerline are repeated until the difference between each pair of successive refined centerlines is less than a predetermined quantity.
In a further aspect of the invention, the cross section at a point in the centerline is determined by finding a cross section intersecting the centerline with a minimal area.
In a further aspect of the invention, the cross section with minimal area is the cross section with the shortest lines intersecting the point in the centerline.
In a further aspect of the invention, the cross section at a point on the centerline is perpendicular to a tangent vector of the centerline at the point on the centerline.
In a further aspect of the invention, the method further comprises associating a reference frame to each cross section, wherein each said reference frame is defined by the centerline point in the cross section, and three orthogonal vectors that define an orientation of the reference frame, wherein the three orthogonal vectors include a tangent to the centerline at the centerline point, and two other orthogonal vectors in the plane of the cross section.
In a further aspect of the invention, a first referenced frame can be determined from the centerline point in the cross section and the three orthogonal vectors, and a next reference frame can be determined by displacing the first reference frame to a next centerline point and rotating the displaced reference frame to align with the three orthogonal vectors of the cross section associated with the next centerline point.
In a further aspect of the invention, evaluating a center point of each cross section comprises finding the contour of the cross section and using the contour to locate the centerpoint of the cross section.
In a further aspect of the invention, evaluating a center point of each cross section comprises calculating a centroid of each cross section.
In a further aspect of the invention, the method further comprises calculating the covariance matrix for each cross section, and calculating the eigenvalues and eigenvectors of the covariance matrix to determine the shape of the cross section.
In a further aspect of the invention, determining a refined centerline further includes connecting each successive pair of center points by a virtual spring whose force depends on the difference of the orientations of the pair of center points, applying a stochastic perturbation to each virtual spring, determining an optimized cross section of minimal area for each point on the centerline, finding a center point of the optimized cross section, and forming a refined centerline by connecting the center points of each optimized cross section.
In a further aspect of the invention, the refined centerline is approximated by a least square cubic curve.
In a further aspect of the invention, finding a center point of the optimized cross section comprises calculating a centroid of each optimized cross section.
In a further aspect of the invention, the spring force connecting two successive centerpoint is defined by ƒ=k (1.0−T0•T1), wherein k is a constant and T0 and T1 are the tangent vectors of two successive center points.
In a further aspect of the invention, the method further comprises the step of refining the centerline until it has converged to an optimal centerline, wherein convergence is determined from the displacement of each center point and the deviation of the orientation of each reference plane.
In a further aspect of the invention, convergence is determined by considering a maximum of the displacement and orientation as defined by
(DSmaxkDVmaxk)=maxi=1n(|Cik−Pik|,1−Tik•Nik),
where DSmaxk is the maximum displacement and DVmaxk is the maximum deviation of tangent vector at the kth iteration, Cik is the ith updated center point, Pik is the position of the ith reference frame, Tik is the ith updated tangent direction and Nik is the normal of the ith reference frame at the kth iteration.
In a further aspect of the invention, convergence is determined by considering an average of the displacement and orientation as defined by
where DSavgk is the average displacement and DVavgk is the average deviation of tangent vector at the kth iteration, Cik is the ith updated center point, Pik is the position of the ith reference frame, Tik is the ith updated tangent direction and Nik is the normal of the ith reference frame at the kth iteration.
In a further aspect of the invention, the method further includes calculating the lumen and wall contours on each cross-section, as well as other geometric information about these two contours.
In a further aspect of the invention, the method further comprises the step of providing an endoluminal flight along the centerline of a vessel object, displaying hard plaque and soft plaque in different colors for differentiation from the vessel wall.
In a further aspect of the invention, the method further comprises moving back and forth along the centerline by direct manipulation of a mechanism.
In a further aspect of the invention, the mechanism includes clicking or dragging a mouse along an overview of the entire vessel or scrolling a mouse wheel to scroll along the centerline of the vessel.
In a further aspect of the invention, the mechanism includes interactively tilting a viewpoint without leaving the centerline of the vessel.
In another aspect of the invention, there is provided a program storage device readable by a computer, tangibly embodying a program of instructions executable by the computer to perform the method steps for optimizing a vessel centerline in a digital image.
These and other exemplary embodiments, features, aspects, and advantages of the present invention will be described and become more apparent from the detailed description of exemplary embodiments when read in conjunction with accompanying drawings.
Exemplary embodiments of the invention are described below. In the interest of clarity, not all features of an actual implementation which are well known to those of skill in the art are described in detail herein.
It is to be understood that the present invention may be implemented in various forms of hardware, software, firmware, special purpose processors, or a combination thereof. Preferably, the present invention is implemented as a combination of both hardware and software, the software being an application program tangibly embodied on a program storage device. The application program may be uploaded to, and executed by, a machine comprising any suitable architecture. Preferably, the machine is implemented on a computer platform having hardware such as one or more central processing units (CPU), a random access memory (RAM), and input/output (I/O) interface(s). The computer platform also includes an operating system and microinstruction code. The various processes and functions described herein may either be part of the microinstruction code or part of the application program (or a combination thereof) which is executed via the operating system. In addition, various other peripheral devices may be connected to the computer platform such as an additional data storage device.
It is to be further understood that, because some of the constituent system components depicted in the accompanying Figures may be implemented in software, the actual connections between the system components may differ depending upon the manner in which the present invention is programmed. Given the teachings herein, one of ordinary skill in the related art will be able to contemplate these and similar implementations or configurations of the present invention.
However, this definition of centerline is recursive: (1) A centerline is a closure set of centers of the cross-sections of the object; and (2) A cross-section is a cut plane that is perpendicular to the centerline. A cross-section is needed to compute a center point, but the position and orientation of a cross-section is defined by a segment of centerline, which is approximated or interpolated by a set of center points.
To compute a cross section given a center point, consider a vessel segment that is a cylinder. In this case, the cross-section at a center point is defined by the position (P) and the orientation (or tangent vector) (α) at this point. Thus, the area (S) of cross-sections within this segment is a function of P and α, i.e. S(P, α). The cross-section that is perpendicular to the centerline has the minimum area, i.e. minα{S(P, α)}. The tangent vector of a centerline at a center point is always perpendicular to the cross-section through the center point that has the minimal cross-sectional area. The local minimum area ensures a unique convergent position. Therefore, the centerline refinement is an optimization process to find the orientation of minimum cross-sectional area within each segment, i.e. a cylinder with the centerline having n segments, where Si is the cross-sectional area at segment i.
In order to see why the appropriate cross section is the cross section with minimal cross sectional area, consider a 2D case.
The shortest intersection line is found when β=0.
An analogous result can be obtained in the 3D case.
This concept of minimal cross-sectional area is reasonable in clinical practice. There are many possible orientations and positions of an oblique cut plane within a small segment of a vessel. In terms of stenosis detection, the plane of most interest is the one with minimum cross-sectional area.
The centerline is divided into a number of line segments, for each of which a minimum cross-sectional area is evaluated. This division is done via parameterization of the initial centerline. The initial discrete centerline is first approximated by a cubic spline. In one embodiment of the invention, the splines are NURBS curves. Then, the approximated curve is re-sampled equidistantly with a pre-defined arc-length λ to create a new discrete set of center points. In one embodiment of the invention, the arc length is 2 mm. Each re-sampled center point represents a small centerline segment of length λ. The tangent vector of the centerline is the initial orientation of the cross-section at that point.
A next step 102 is to compute a cross section at each point on the centerline, and an associated reference frame. Assuming that the vessels are not severely twisted, a vessel can be constructed by extruding a reference frame among cross-sections along the centerline.
Each reference frame F0, F1, corresponds to a cross-section of a centerline. A generalized cylinder can be constructed from the cross-sections, which are properly centered on the central axis.
Referring again to
The x and y components (μx, μy) of the mean can be defined by
(μx, μy)=(m01, m10),
so that (μx, μy) is the centroid point C, where point P is the center of the reference frame. As shown in
Furthermore, the central moments μij can be defined as below:
The covariance matrix is
where moments μ20 and μ02 are the variance of x and y, μ11 is the covariance between x and y. By finding the eigenvalues and eigenvectors of the covariance matrix, one can estimate the shape of a cross-section, including the short axis, the long axis, the eccentricity, the elongation, and the orientation of the shape, assuming it is in general an ellipse. Using these shape parameters, a local cylinder can be constructed on the current cross-section and its neighbors.
Referring once again to
Referring to
In each iteration step, the cross-sectional orientations are adjusted by the spring forces. Step 105 stochastically perturbs each spring, and searches for a local minimum area. A minimal area cross section MS for cross section i is indicated by dashed circle in
At step 107 the preceding steps are repeated for each point on the centerline. The steps depicted in
A next step 108 is to examine convergence of centerline. The criteria of convergence are the displacement of the center point and the deviation of the orientation (normal vector) of the reference frame. Although the minimum cross-sectional area is used to optimize the local center point, the sum of all cross-sectional areas cannot be taken as the global property of the optimum due to the following facts. First, the reference frame is equidistantly positioned on the centerline. During optimization, center points are adjusted and the curve length of the centerline varies. Thus the number and the position of the reference frames may vary at each iteration step. Second, since the position of the frame varies at each iteration step and the local cross-sectional area of the object is inconsistent, the local minimum cross-sectional area has no consistency among different iterations.
For these reasons, both the displacement of the center points and the deviation of the tangent vector of a centerline are taken as the factors of convergence. If both are less than a pre-defined threshold after the iteration steps, the centerline can be considered convergent. Both the maximum and average of the displacement and deviation are considered. These convergence factors can be expressed as
where, for the kth iteration, DS is the ith displacement and DV is the deviation of the ith tangent vector, C is the ith updated center point, P is the position of the ith reference frame, T is the ith updated tangent direction and N is the normal of the ith reference frame.
If, at step 2209, it is determined that that centerline has not converged, the refinement process is repeated.
The methods discloses herein have evaluated using both phantom data sets and clinical data sets. Phantom data sets are used to evaluate the expected properties of the methods as well as their accuracy. The clinical data sets are used to evaluate the methods in practice, mainly for their reproducibility. These tests have demonstrated the effectiveness, reproducibility and stability of the methods herein disclosed for determining a vessel centerline.
It is to be understood that the present invention can be implemented in various forms of hardware, software, firmware, special purpose processes, or a combination thereof. In one embodiment, the present invention can be implemented in software as an application program tangible embodied on a computer readable program storage device. The application program can be uploaded to, and executed by, a machine comprising any suitable architecture.
It is to be understood that the methods described above may be implemented using various forms of hardware, software, firmware, special purpose processors, or a combination thereof. Preferably, the present invention is implemented as a combination of both hardware and software, the software being an application program tangibly embodied on a program storage device. The application program may be uploaded to, and executed by, a machine comprising any suitable architecture. Preferably, the machine is implemented on a computer platform having hardware such as one or more central processing units (CPU), a random access memory (RAM), and input/output (I/O) interface(s). The computer platform also includes an operating system and microinstruction code. The various processes and functions described herein may either be part of the microinstruction code or part of the application program (or a combination thereof) which is executed via the operating system. In addition, various other peripheral devices may be connected to the computer platform such as an additional data storage device.
It is to be further understood that since the exemplary systems and methods described herein can be implemented in software, the actual method steps may differ depending upon the manner in which the present invention is programmed. Given the teachings herein, one of ordinary skill in the related art will be able to contemplate these and similar implementations or configurations of the present invention.
Indeed, while the invention is susceptible to various modifications and alternative forms, specific embodiments thereof have been shown by way of example in the drawings and are herein described in detail. It should be understood, however, that the description herein of specific embodiments is not intended to limit the invention to the particular forms disclosed, but on the contrary, the intention is to cover all modifications, equivalents, and alternatives falling within the spirit and scope of the invention as defined by the appended claims.
The particular embodiments disclosed above are illustrative only, as the invention may be modified and practiced in different but equivalent manners apparent to those skilled in the art having the benefit of the teachings herein. Furthermore, no limitations are intended to the details of construction or design herein shown, other than as described in the claims below. It is therefore evident that the particular embodiments disclosed above may be altered or modified and all such variations are considered within the scope and spirit of the invention. Accordingly, the protection sought herein is as set forth in the claims below.
This application claims priority to U.S. Provisional Application Ser. No. 60/525,603 filed Nov. 26, 2003, the contents of which are fully incorporated herein by reference.
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/US04/39895 | 11/24/2004 | WO | 4/16/2007 |
Number | Date | Country | |
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60525603 | Nov 2003 | US |