A Novel Extension to Fuzzy Connectivity for Body Composition Analysis: Applications in Thigh, Brain, and Whole Body Tissue Segmentation

Adipose Tissue Segmentation after Lung Slice Localization in Chest CT Images Based on ConvBiGRU and Multi-Module UNet

The distribution of adipose tissue in the lungs is intricately linked to a variety of lung diseases, including asthma, chronic obstructive pulmonary disease (COPD), and lung cancer. Accurate detection and quantitative analysis of subcutaneous and visceral adipose tissue surrounding the lungs are essential for effectively diagnosing and managing these diseases. However, there remains a noticeable scarcity of studies focusing on adipose tissue within the lungs on a global scale. Thus, this paper introduces a ConvBiGRU model for localizing lung slices and a multi-module UNet-based model for segmenting subcutaneous adipose tissue (SAT) and visceral adipose tissue (VAT), contributing to the analysis of lung adipose tissue and the auxiliary diagnosis of lung diseases. In this study, we propose a bidirectional gated recurrent unit (BiGRU) structure for precise lung slice localization and a modified multi-module UNet model for accurate SAT and VAT segmentations, incorporating an additive weight penalty term for model refinement. For segmentation, we integrate attention, competition, and multi-resolution mechanisms within the UNet architecture to optimize performance and conduct a comparative analysis of its impact on SAT and VAT. The proposed model achieves satisfactory results across multiple performance metrics, including the Dice Score (92.0% for SAT and 82.7% for VAT), F1 Score (82.2% for SAT and 78.8% for VAT), Precision (96.7% for SAT and 78.9% for VAT), and Recall (75.8% for SAT and 79.1% for VAT). Overall, the proposed localization and segmentation framework exhibits high accuracy and reliability, validating its potential application in computer-aided diagnosis (CAD) for medical tasks in this domain.

Masseter muscle volume as a disease marker in adult-onset myotonic dystrophy type 1

The advent of clinical trials in myotonic dystrophy type 1 (DM1) necessitates the identification of reliable outcome measures to quantify different disease manifestations using minimal number of assessments. In this study, clinical correlations of mean masseter volume (mMV) were explored to evaluate its potential as a marker of muscle involvement in adult-onset DM1 patients. We utilised data from a preceding study, pertaining to 39 DM1 patients and 20 age-matched control participants. In this study participants had undergone MRI of the brain, completed various clinical outcome measures and had CTG repeats measured by small-pool PCR. Manual segmentation of masseter muscles was performed by a single rater to estimate mMV. The masseter muscle was atrophied in DM1 patients when compared to controls (p<0.001). Significant correlations were found between mMV and estimated progenitor allele length (p = 0.001), modal allele length (p = 0.003), disease duration (p = 0.009) and and the Muscle Impairment Rating Scale (p = 0.008). After correction for lean body mass, mMV was also inversely correlated with self-reported myotonia (p = 0.014). This study demonstrates that changes in mMV are sensitive in reflecting the underlying disease process. Quantitative MRI methods demonstrate that data concerning both central and peripheral disease could be acquired from MR brain imaging studies in DM1 patients.

Application of Clustering-Based Analysis in MRI Brain Tissue Segmentation

The segmentation of brain tissue by MRI not only contributes to the study of the function and anatomical structure of the brain, but it also offers a theoretical foundation for the diagnosis and treatment of brain illnesses. When discussing the anatomy of the brain in a clinical setting, the terms “white matter,” “gray matter,” and “cerebrospinal fluid” are the ones most frequently used (CSF). However, due to the fact that the human brain is highly complicated in its structure and that there are many different types of brain tissues, the human brain structure of each individual has its own set of distinctive qualities. Because of these several circumstances, the process of segmenting brain tissue will be challenging. In this article, several different clustering algorithms will be discussed, and their performance and effects will be compared to one another. The goal of this comparison is to determine which algorithm is most suited for segmenting MRI brain tissue. Based on the clustering method, the primary emphasis of this research is placed on the segmentation approach that is appropriate for medical brain imaging. The qualitative and quantitative findings of the experiment reveal that the FCM algorithm has more steady performance and better universality, but it is necessary to include the additional auxiliary conditions in order to achieve more ideal outcomes.

Multi-Contrast MRI Segmentation Trained on Synthetic Images

In our comprehensive experiments and evaluations, we show that it is possible to generate multiple contrast (even all synthetically) and use synthetically generated images to train an image segmentation engine. We showed promising segmentation results tested on real multi-contrast MRI scans when delineating muscle, fat, bone and bone marrow, all trained on synthetic images. Based on synthetic image training, our segmentation results were as high as 93.91%, 94.11%, 91.63%, 95.33%, for muscle, fat, bone, and bone marrow delineation, respectively. Results were not significantly different from the ones obtained when real images were used for segmentation training: 94.68%, 94.67%, 95.91%, and 96.82%, respectively. Clinical relevance- Synthetically generated images could potentially be used in large-scale training of deep networks for segmentation purpose. Small data set problem of many clinical imaging problems can potentially be addressed with the proposed algorithm.

An improved density-based approach to risk assessment on railway investment

Purpose

Density-based spatial clustering of applications with noise (DBSCAN) is the most commonly used density-based clustering algorithm, while it cannot be directly applied to the railway investment risk assessment. To overcome the shortcomings of calculation method and parameter limits of DBSCAN, this paper proposes a new algorithm called Improved Multiple Density-based Spatial clustering of Applications with Noise (IM-DBSCAN) based on the DBSCAN and rough set theory.

Design/methodology/approach

First, the authors develop an improved affinity propagation (AP) algorithm, which is then combined with the DBSCAN (hereinafter referred to as AP-DBSCAN for short) to improve the parameter setting and efficiency of the DBSCAN. Second, the IM-DBSCAN algorithm, which consists of the AP-DBSCAN and a modified rough set, is designed to investigate the railway investment risk. Finally, the IM-DBSCAN algorithm is tested on the China–Laos railway's investment risk assessment, and its performance is compared with other related algorithms.

Findings

The IM-DBSCAN algorithm is implemented on China–Laos railway's investment risk assessment and compares with other related algorithms. The clustering results validate that the AP-DBSCAN algorithm is feasible and efficient in terms of clustering accuracy and operating time. In addition, the experimental results also indicate that the IM-DBSCAN algorithm can be used as an effective method for the prospective risk assessment in railway investment.

Originality/value

This study proposes IM-DBSCAN algorithm that consists of the AP-DBSCAN and a modified rough set to study the railway investment risk. Different from the existing clustering algorithms, AP-DBSCAN put forward the density calculation method to simplify the process of optimizing DBSCAN parameters. Instead of using Euclidean distance approach, the cutoff distance method is introduced to improve the similarity measure for optimizing the parameters. The developed AP-DBSCAN is used to classify the China–Laos railway's investment risk indicators more accurately. Combined with a modified rough set, the IM-DBSCAN algorithm is proposed to analyze the railway investment risk assessment. The contributions of this study can be summarized as follows: (1) Based on AP, DBSCAN, an integrated methodology AP-DBSCAN, which considers improving the parameter setting and efficiency, is proposed to classify railway risk indicators. (2) As AP-DBSCAN is a risk classification model rather than a risk calculation model, an IM-DBSCAN algorithm that consists of the AP-DBSCAN and a modified rough set is proposed to assess the railway investment risk. (3) Taking the China–Laos railway as a real-life case study, the effectiveness and superiority of the proposed IM-DBSCAN algorithm are verified through a set of experiments compared with other state-of-the-art algorithms.

Use of artificial intelligence in the imaging of sarcopenia: A narrative review of current status and perspectives

Sarcopenia is a muscle disease which previously was associated only with aging, but in recent days it has been gaining more attention for its predictive value in a vast range of conditions and its potential link with overall health. Up to this point, evaluating sarcopenia with imaging methods has been time-consuming and dependent on the skills of the physician. The solution for this problem may be found in artificial intelligence, which may assist radiologists in repetitive tasks such as muscle segmentation and body-composition analysis. The major aim of this review was to find and present the current status and future perspectives of artificial intelligence in the imaging of sarcopenia. We searched the PubMed database to find articles concerning the use of artificial intelligence in diagnostic imaging and especially in body-composition analysis in the context of sarcopenia. We found that artificial-intelligence systems could potentially help with evaluating sarcopenia and better predicting outcomes in a vast range of clinical situations, which could get us closer to the true era of precision medicine.

Capsules for biomedical image segmentation

Our work expands the use of capsule networks to the task of object segmentation for the first time in the literature. This is made possible via the introduction of locally-constrained routing and transformation matrix sharing, which reduces the parameter/memory burden and allows for the segmentation of objects at large resolutions. To compensate for the loss of global information in constraining the routing, we propose the concept of "deconvolutional" capsules to create a deep encoder-decoder style network, called SegCaps. We extend the masked reconstruction regularization to the task of segmentation and perform thorough ablation experiments on each component of our method. The proposed convolutional-deconvolutional capsule network, SegCaps, shows state-of-the-art results while using a fraction of the parameters of popular segmentation networks. To validate our proposed method, we perform experiments segmenting pathological lungs from clinical and pre-clinical thoracic computed tomography (CT) scans and segmenting muscle and adipose (fat) tissue from magnetic resonance imaging (MRI) scans of human subjects' thighs. Notably, our experiments in lung segmentation represent the largest-scale study in pathological lung segmentation in the literature, where we conduct experiments across five extremely challenging datasets, containing both clinical and pre-clinical subjects, and nearly 2000 computed-tomography scans. Our newly developed segmentation platform outperforms other methods across all datasets while utilizing less than 5% of the parameters in the popular U-Net for biomedical image segmentation. Further, we demonstrate capsules' ability to generalize to unseen handling of rotations/reflections on natural images.

Hierarchical Image Segmentation Based on Nonsymmetry and Anti-Packing Pattern Representation Model

Image segmentation is the foundation of high-level image analysis and image understanding. How to effectively segment an image into regions that are "meaningful" to the human visual perception and ensure that the segmented regions are consistent at different resolutions is still a very challenging issue. Inspired by the idea of the Nonsymmetry and Anti-packing pattern representation Model in the Lab color space (NAMLab) and the "global-first" invariant perceptual theory, in this paper, we propose a novel framework for hierarchical image segmentation. Firstly, by defining the dissimilarity between two pixels in the Lab color space, we propose an NAMLab-based color image representation approach that is more in line with the human visual perception characteristics and can make the image pixels fast and effectively merge into the NAMLab blocks. Then, by defining the dissimilarity between two NAMLab-based regions and iteratively executing NAMLab-based merging algorithm of adjacent regions into larger ones to progressively generate a segmentation dendrogram, we propose a fast NAMLab-based algorithm for hierarchical image segmentation. Finally, the complexities of our proposed NAMLab-based algorithm for hierarchical image segmentation are analyzed in details. The experimental results presented in this paper show that our proposed algorithm when compared with the state-of-the-art algorithms not only can preserve more details of the object boundaries, but also it can better identify the foreground objects with similar color distributions. Also, our proposed algorithm can be executed much faster and takes up less memory and therefore it is a better algorithm for hierarchical image segmentation.

ABCNet: A new efficient 3D dense-structure network for segmentation and analysis of body tissue composition on body-torso-wide CT images

PURPOSE

Quantification of body tissue composition is important for research and clinical purposes, given the association between the presence and severity of several disease conditions, such as the incidence of cardiovascular and metabolic disorders, survival after chemotherapy, etc., with the quantity and quality of body tissue composition. In this work, we aim to automatically segment four key body tissues of interest, namely subcutaneous adipose tissue, visceral adipose tissue, skeletal muscle, and skeletal structures from body-torso-wide low-dose computed tomography (CT) images.

METHOD

Based on the idea of residual Encoder-Decoder architecture, a novel neural network design named ABCNet is proposed. The proposed system makes full use of multiscale features from four resolution levels to improve the segmentation accuracy. This network is built on a uniform convolutional unit and its derived units, which makes the ABCNet easy to implement. Several parameter compression methods, including Bottleneck, linear increasing feature maps in Dense Blocks, and memory-efficient techniques, are employed to lighten the network while making it deeper. The strategy of dynamic soft Dice loss is introduced to optimize the network in coarse-to-fine tuning. The proposed segmentation algorithm is accurate, robust, and very efficient in terms of both time and memory.

RESULTS

A dataset composed of 38 low-dose unenhanced CT images, with 25 male and 13 female subjects in the age range 31-83 yr and ranging from normal to overweight to obese, is utilized to evaluate ABCNet. We compare four state-of-the-art methods including DeepMedic, 3D U-Net, V-Net, Dense V-Net, against ABCNet on this dataset. We employ a shuffle-split fivefold cross-validation strategy: In each experimental group, 18, 5, and 15 CT images are randomly selected out of 38 CT image sets for training, validation, and testing, respectively. The commonly used evaluation metrics - precision, recall, and F1-score (or Dice) - are employed to measure the segmentation quality. The results show that ABCNet achieves superior performance in accuracy of segmenting body tissues from body-torso-wide low-dose CT images compared to other state-of-the-art methods, reaching 92-98% in common accuracy metrics such as F1-score. ABCNet is also time-efficient and memory-efficient. It costs about 18 h to train and an average of 12 sec to segment four tissue components from a body-torso-wide CT image, on an ordinary desktop with a single ordinary GPU.

CONCLUSIONS

Motivated by applications in body tissue composition quantification on large population groups, our goal in this paper was to create an efficient and accurate body tissue segmentation method for use on body-torso-wide CT images. The proposed ABCNet achieves peak performance in both accuracy and efficiency that seems hard to improve any more. The experiments performed demonstrate that ABCNet can be run on an ordinary desktop with a single ordinary GPU, with practical times for both training and testing, and achieves superior accuracy compared to other state-of-the-art segmentation methods for the task of body tissue composition analysis from low-dose CT images.

Novel stochastic framework for automatic segmentation of human thigh MRI volumes and its applications in spinal cord injured individuals

Severe spinal cord injury (SCI) leads to skeletal muscle atrophy and adipose tissue infiltration in the skeletal muscle, which can result in compromised muscle mechanical output and lead to health-related complications. In this study, we developed a novel automatic 3-D approach for volumetric segmentation and quantitative assessment of thigh Magnetic Resonance Imaging (MRI) volumes in individuals with chronic SCI as well as non-disabled individuals. In this framework, subcutaneous adipose tissue, inter-muscular adipose tissue and total muscle tissue are segmented using linear combination of discrete Gaussians algorithm. Also, three thigh muscle groups were segmented utilizing the proposed 3-D Joint Markov Gibbs Random Field model that integrates first order appearance model, spatial information, and shape model to localize the muscle groups. The accuracy of the automatic segmentation method was tested both on SCI (N = 16) and on non-disabled (N = 14) individuals, showing an overall 0.93±0.06 accuracy for adipose tissue and muscle compartments segmentation based on Dice Similarity Coefficient. The proposed framework for muscle compartment segmentation showed an overall higher accuracy compared to ANTs and STAPLE, two previously validated atlas-based segmentation methods. Also, the framework proposed in this study showed similar Dice accuracy and better Hausdorff distance measure to that obtained using DeepMedic Convolutional Neural Network structure, a well-known deep learning network for 3-D medical image segmentation. The automatic segmentation method proposed in this study can provide fast and accurate quantification of adipose and muscle tissues, which have important health and functional implications in the SCI population.