Fisher-Tippett region-merging approach to transrectal ultrasound prostate lesion segmentation

A Split-and-Merge-Based Uterine Fibroid Ultrasound Image Segmentation Method in HIFU Therapy

High-intensity focused ultrasound (HIFU) therapy has been used to treat uterine fibroids widely and successfully. Uterine fibroid segmentation plays an important role in positioning the target region for HIFU therapy. Presently, it is completed by physicians manually, reducing the efficiency of therapy. Thus, computer-aided segmentation of uterine fibroids benefits the improvement of therapy efficiency. Recently, most computer-aided ultrasound segmentation methods have been based on the framework of contour evolution, such as snakes and level sets. These methods can achieve good performance, although they need an initial contour that influences segmentation results. It is difficult to obtain the initial contour automatically; thus, the initial contour is always obtained manually in many segmentation methods. A split-and-merge-based uterine fibroid segmentation method, which needs no initial contour to ensure less manual intervention, is proposed in this paper. The method first splits the image into many small homogeneous regions called superpixels. A new feature representation method based on texture histogram is employed to characterize each superpixel. Next, the superpixels are merged according to their similarities, which are measured by integrating their Quadratic-Chi texture histogram distances with their space adjacency. Multi-way Ncut is used as the merging criterion, and an adaptive scheme is incorporated to decrease manual intervention further. The method is implemented using Matlab on a personal computer (PC) platform with Intel Pentium Dual-Core CPU E5700. The method is validated on forty-two ultrasound images acquired from HIFU therapy. The average running time is 9.54 s. Statistical results showed that SI reaches a value as high as 87.58%, and normHD is 5.18% on average. It has been demonstrated that the proposed method is appropriate for segmentation of uterine fibroids in HIFU pre-treatment imaging and planning.

Semi-automatic Fisher-Tippett guided active contour for lumbar multifidus muscle segmentation

Rehabilitative Ultrasound Imaging or diagnostic ultrasound is used to measure geometric properties of the lumbar multifidus muscle to infer muscle strength or degeneration for back pain therapy. For this purpose, a novel semi-automatic approach (FTS: Fisher-Tippett Segmentation) based upon the Decoupled Active Contour is proposed to reliably and quickly segment the lumbar multifidus muscle in diagnostic ultrasound. To overcome speckle or hardly visible region boundaries in ultrasound images, we first propose a novel external energy functional to explicitly consider the underlying Fisher-Tippett distribution of ultrasound data. We then introduce a user-guided Hidden Markov Model trellis formation for improved segmentation of weakly-defined regions. Extensive experiments have shown that our approach not only improves the segmentation performance when compared to existing methods, but also does not rely on sub-specialized knowledge for segmentation.