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Biomedical subjects

Peyton H Bland

Publications and source records attributed to Peyton H Bland.

6 recordsLinked to original sources

Evaluation of lung MDCT nodule annotation across radiologists and methods.

RATIONALE AND OBJECTIVES: Integral to the mission of the National Institutes of Health-sponsored Lung Imaging Database Consortium is the accurate definition of the spatial location of pulmonary nodules. Because the majority of small lung nodules are not resected, a reference standard from histopathology is generally unavailable. Thus assessing the source of variability in defining the spatial location of lung nodules by expert radiologists using different software tools as an alternative form of truth is necessary. MATERIALS AND METHODS: The relative differences in performance of six radiologists each applying three annotation methods to the task of defining the spatial extent of 23 different lung nodules were evaluated. The variability of radiologists' spatial definitions for a nodule was measured using both volumes and probability maps (p-map). Results were analyzed using a linear mixed-effects model that included nested random effects. RESULTS: Across the combination of all nodules, volume and p-map model parameters were found to be significant at P < .05 for all methods, all radiologists, and all second-order interactions except one. The radiologist and methods variables accounted for 15% and 3.5% of the total p-map variance, respectively, and 40.4% and 31.1% of the total volume variance, respectively. CONCLUSION: Radiologists represent the major source of variance as compared with drawing tools independent of drawing metric used. Although the random noise component is larger for the p-map analysis than for volume estimation, the p-map analysis appears to have more power to detect differences in radiologist-method combinations. The standard deviation of the volume measurement task appears to be proportional to nodule volume.

Artificial Intelligence↗

Least biased target selection in probabilistic atlas construction.

Probabilistic atlas has broad applications in medical image segmentation and registration. The most common problem building a probabilistic atlas is picking a target image upon which to map the rest of the training images. Here we present a method to choose a target image that is the closest to the mean geometry of the population under consideration as determined by bending energy. Our approach is based on forming a distance matrix based on bending energies of all pair-wise registrations and performing multidimensional scaling (MDS) on the distance matrix.

Algorithms↗

Adaptive registration using local information measures.

Rapidly advancing registration methods increasingly employ warping transforms. High degrees of freedom (DOF) warpings can be specified by manually placing control points or instantiating a regular, dense grid of control points everywhere. The former approach is laborious and prone to operator bias, whereas the latter is computationally expensive. We propose to improve upon the latter approach by adaptively placing control points where they are needed. Local estimates of mutual information (MI) and entropy are used to identify local regions requiring additional DOF.

Abdomen↗

Construction of an abdominal probabilistic atlas and its application in segmentation.

There have been significant efforts to build a probabilistic atlas of the brain and to use it for many common applications, such as segmentation and registration. Though the work related to brain atlases can be applied to nonbrain organs, less attention has been paid to actually building an atlas for organs other than the brain. Motivated by the automatic identification of normal organs for applications in radiation therapy treatment planning, we present a method to construct a probabilistic atlas of an abdomen consisting of four organs (i.e., liver, kidneys, and spinal cord). Using 32 noncontrast abdominal computed tomography (CT) scans, 31 were mapped onto one individual scan using thin plate spline as the warping transform and mutual information (MI) as the similarity measure. Except for an initial coarse placement of four control points by the operators, the MI-based registration was automatic. Additionally, the four organs in each of the 32 CT data sets were manually segmented. The manual segmentations were warped onto the "standard" patient space using the same transform computed from their gray scale CT data set and a probabilistic atlas was calculated. Then, the atlas was used to aid the segmentation of low-contrast organs in an additional 20 CT data sets not included in the atlas. By incorporating the atlas information into the Bayesian framework, segmentation results clearly showed improvements over a standard unsupervised segmentation method.

Algorithms↗

Method for quantifying volumetric lesion change in interval liver CT examinations.

We propose a method of using a relatively low degree of freedom (DOF) warping to accurately measure the interval change of lesions having homogeneous contrast. The setting presented here presupposes the use of interval computed tomography (CT) liver exams. After a 3 x 24 DOF warping of the later examination to match the liver's pose in the earlier exam of the interval pair is performed, the lesion's volume change is estimated using the computed difference volume of the two data sets via a novel method that counts partial volume contributions and is insensitive to slight misregistration. A mathematically generated phantom is used to quantify accuracy in the presence of noise. We also quantify the accuracy of our CT liver registrations using microcoils implanted for chemotherapy. A probabilistic liver atlas is used to support automatic masking and liver-focused registration.

Carcinoma, Hepatocellular↗

Evaluation of cancer therapy using diffusion magnetic resonance imaging.

Assessment of the effectiveness of cancer therapy traditionally relies on comparison of tumor images acquired before and after therapeutic intervention by inspection of gross anatomical images to evaluate changes in tumor size. The potential for imaging to provide additional insights related to the therapeutic impact would be enhanced if a specific parameter or combination of parameters could be identified that reflect tissue changes at the cellular or physiological level. This information could also provide a more sensitive and earlier indicator of treatment response in an individual animal or patient. Diffusion magnetic resonance imaging can detect relatively small changes in tissue structure at the cellular level and thus provides an opportunity to quantitatively and serially follow therapeutic-induced changes in solid tumors. This article provides an overview of the use of diffusion magnetic resonance imaging as a surrogate marker for quantitating treatment responsiveness in both preclinical and clinical studies.

Animals↗