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Seminar Series: Technology Trends 2005

Automatic segmentation of anatomical structures from medical images.

Dr Sébastien Ourselin, Project leader, Biomedical Imaging, CSIRO ICT Centre

In this talk we will describe some of the past and current work in BioMedIA Lab at the CSIRO ICT Centre, with a focus on medical image segmentation. Segmentation is the process of delineating and assigning a label to a biological structure. In the last two decades, a wide variety of segmentation techniques have been proposed but no single method can be applied successfully for every medical imaging applications. We will illustrate our work through different clinical applications.

First, we will describe an application we have developed for the planning of surgery for abdominal aortic aneurysm (AAA). In the planning stage surgeons often need to mentally evaluate multiple CT slices in order to formulate a 3D representation of the vessels. This must be taken into account when obtaining critical measurements and planning the surgery. We proposed a semi-automatic approach to fully segment and accurately design a patient specific AAA model using knowledge-based vessel identification. Then, we will describe some of our current work on the segmentation of soft tissues, especially for the cartilages of the knee. Soft tissues are highly variable in shape, their boundaries poorly defined and as a result usually difficult to accurately segment using existing techniques. Having an accurate estimation of the size and shape of the cartilages is critical for a large number of clinical applications, such as drug effect trials, cartilage grafting, and osteoarthritis study. The aim of our work is to develop automatic segmentation based on statistical shape model (SSM) of the different part of its articular anatomy. We will then embed a priori knowledge of the anatomical environment into the SSM to drive our segmentation. We will also present our research in the accurate estimation of the thickness of the cortex, and its applications to the study of neurodegenerative disease, with a current clinical focus on early stage of schizophrenia.

All these different tools have been developed in a common software platform called MILX (TM), based on ITK and VTK. We will give a brief overview of our software platform, and highlight the need of a robust and stable software environment, critical for successful clinical transfer of our technology.

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