Virtual Endoscopic Visualization of the Colon by Shape–Scale Signatures

Development of artificial intelligence technology in diagnosis, treatment, and prognosis of colorectal cancer

Artificial intelligence (AI) technology has made leaps and bounds since its invention. AI technology can be subdivided into many technologies such as machine learning and deep learning. The application scope and prospect of different technologies are also totally different. Currently, AI technologies play a pivotal role in the highly complex and wide-ranging medical field, such as medical image recognition, biotechnology, auxiliary diagnosis, drug research and development, and nutrition. Colorectal cancer (CRC) is a common gastrointestinal cancer that has a high mortality, posing a serious threat to human health. Many CRCs are caused by the malignant transformation of colorectal polyps. Therefore, early diagnosis and treatment are crucial to CRC prognosis. The methods of diagnosing CRC are divided into imaging diagnosis, endoscopy, and pathology diagnosis. Treatment methods are divided into endoscopic treatment, surgical treatment, and drug treatment. AI technology is in the weak era and does not have communication capabilities. Therefore, the current AI technology is mainly used for image recognition and auxiliary analysis without in-depth communication with patients. This article reviews the application of AI in the diagnosis, treatment, and prognosis of CRC and provides the prospects for the broader application of AI in CRC.

Development and evaluation of statistical shape modeling for principal inner organs on torso CT images

The shapes of the inner organs are important information for medical image analysis. Statistical shape modeling provides a way of quantifying and measuring shape variations of the inner organs in different patients. In this study, we developed a universal scheme that can be used for building the statistical shape models for different inner organs efficiently. This scheme combines the traditional point distribution modeling with a group-wise optimization method based on a measure called minimum description length to provide a practical means for 3D organ shape modeling. In experiments, the proposed scheme was applied to the building of five statistical shape models for hearts, livers, spleens, and right and left kidneys by use of 50 cases of 3D torso CT images. The performance of these models was evaluated by three measures: model compactness, model generalization, and model specificity. The experimental results showed that the constructed shape models have good "compactness" and satisfied the "generalization" performance for different organ shape representations; however, the "specificity" of these models should be improved in the future.

From point to local neighborhood: polyp detection in CT colonography using geodesic ring neighborhoods

Existing polyp detection methods rely heavily on curvature-based characteristics to differentiate between lesions. These assume that the discrete triangulated surface mesh or volume closely approximates a smooth continuous surface. However, this is often not the case and because curvature is computed as a local feature and a second-order differential quantity, the presence of noise significantly affects its estimation. For this reason, a more global feature is required to provide an accurate description of the surface at hand. In this paper, a novel method incorporating a local neighborhood around the centroid of a surface patch is proposed. This is done using geodesic rings which accumulate curvature information in a neighborhood around this centroid. This geodesic-ring neighborhood approximates a single smooth, continuous surface upon which curvature and orientation estimation methods can be applied. A new global shape index, S is also introduced and computed. These curvature and orientation values will be used to classify the surface as either a bulbous polyp, ridge-like fold or semiplanar structure. Experimental results show that this method is promising (100% sensitivity, 100% specificity for lesions > 10 mm) for distinguishing between bulbous polyps, folds and planar-like structures in the colon.

Glenoid and humerus bone analysis using CT transverse sections to automate gleno-humeral joint diagnoses and surgery managements

This paper describes an image analysis method that evaluates the glenoid and humerus bone morphology to automate the gleno-humeral (GH) joint diagnoses and surgical managements. This method uses radial B-spline curves to approximate ellipse-like shoulder structures including the humeral stem, tubercle and contact joint as well as the glenoid on every CT transverse section. Radius changes from structure centers to bone boundaries are recognized as convex, concave, separate and hole features that are then identified as pathological spurs, fractures and tumors. The centers and radii of these structures from the transverse sections are integrated to determine the properties of the humeral stem and contact joint with the glenoid, including the stem axis as well as the contact joint and glenoid centers, radii and attitudes. Based on the geometric evaluations of these structures and features, the GH joint surgery including tumor dissect and bone graft, open reduction using screws and plate or nails, and arthroplasty are automatically managed to achieve the normal GH joint functions including dissection of tumors, reduction of fractures or dislocations, and free GH joint motions. This prototype system can be used as a qualitative and quantitative tool for the GH joint diseases diagnoses and surgery managements. A series of examples and case studies illustrate the effectiveness of this automated method.

CAD in CT colonography without and with oral contrast agents: progress and challenges

Computed tomographic colonography (CTC), also known as virtual colonoscopy, is an emerging alternative technique for screening of colon cancers. CTC uses CT to provide a series of cross-sectional images of the colon for detection of polyps and masses. Fecal tagging is a means of labeling of residual feces by an oral contrast agent for improving the accuracy in the detection of polyps. Computer-aided diagnosis (CAD) for CTC automatically determines the locations of suspicious polyps and masses in CTC and presents them to radiologists, typically as a second opinion. Despite its relatively short history, CAD has become one of the mainstream techniques that could make CTC prime time for screening of colorectal cancer. Rapid technical developments have advanced CAD substantially during the last several years, and a fundamental scheme for the detection of polyps has been established, in which sophisticated 3D image processing, analysis, and display techniques play a pivotal role. The latest CAD systems indicate a clinically acceptable high sensitivity and a low false-positive rate, and observer studies have demonstrated the benefits of these systems in improving radiologists' detection performance. Some technical and clinical challenges, however, remain unresolved before CAD can become a truly useful tool for clinical practice. Also, new challenges are facing CAD as the methods for bowel preparation and image acquisition, such as tagging of fecal residue with oral contrast agents, and interpretation of CTC images evolve. This article reviews the current status and future challenges in CAD for CTC without and with fecal tagging.