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Medical Image Analysis Introduction Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. Modalities X-ray Computed Tomography (X-ray CT) Magnetic Resonance Imaging (MRI) Single Photon Emission Computed Tomography (SPECT) Positron Emission Tomography (PET) Ultrasound Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. An X-ray mammogram Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. An X-ray CT Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. A PET Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. An MRI Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. An ultrasound Figure comes from the Wikipedia, www.wikipedia.org. Medical image modalities ◦ Energy ◦ Anatomical, physiological, or functional ◦ External, internal, or combination Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. TV Waves Radio Waves 103 102 Radar Waves 101 1 10-1 10-2 Microwaves Infrared Rays 10-3 10-5 10-4 Visible Light 10-6 Ultraviolet Rays 10-7 10-8 Gamma Rays X-rays Cosmic Rays 10-9 10-10 10-11 10-12 10-13 10-14 1017 1018 1020 1021 Wavelength in meters 105 106 107 108 109 1010 1011 1012 1013 1014 1015 1016 1019 1022 Frequency in Hz 10-10 10-9 10-8 10-7 10-6 10-5 10-4 10-3 10-2 10-1 1 101 102 103 104 105 106 107 Energy in eV MRI X-ray Imaging Gamma-ray Imaging Figure 1.2: Different sources of imaging modality in the electromagnetic spectrum. Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. Medical Imaging Modalities Source of Energy Used for Imaging Internal External Nuclear Medicine: Single Photon Emission Tomography (SPECT) X-Ray Radiographs X-Ray Mammography Nuclear Medicine: Positron Emission Tomography (PET) X-Ray Computed Tomography Ultrasound Imaging and Tomography Combination: External and Internal Magnetic Resonance Imaging: MRI, PMRI, FMRI Optical Fluorescence Imaging Electrical Impedance Imaging Optical Transmission and Transillumination Imaging Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. Physiology and Current Understanding Physics of Imaging Applications and Intervention Instrumentation and Image Acquisition Computer Processing, Analysis and Modeling Figure 1.1. A collaborative multidisciplinary paradigm of medical imaging research and applications. Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. From Physiology to Information Processing Understanding image medium ◦ Tissue density, blood flow, perfusion, cardiac motion Physics of imaging ◦ Transmission of X-rays, emission of gamma rays, MR imaging Imaging instrumentation ◦ Collecting the data, signal-to-noise ratio, resolution Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. Data acquisition methods for image formation ◦ Active filtering, post-processing methods ◦ Back-projection, iterative and Fourier transform methods Imaging processing and analysis ◦ Enhancement, transformations, features of interest Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. General Performance Measures Positive: Object was observed Negative: Object was not observed True Positive False Negative True Negative False Positive Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. True Condition Object is observed. Object is Object is present. NOT present. True Positive False Positive False Negative True Negative Observed Information Object is NOT observed. Figure 1.4. A conditional matrix for defining four basic performance measures as defined in the text. Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. TPF a b c TNF Figure 1.5: ROC curves with curve “a” indicating better overall classification ability than the curve “b” while the curve “c” shows the random probability. Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. Sensitivity Specificity Accuracy Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. An example of feature-adaptive contrast enhancement processing as applied to a mammogram to enhance microcalcification areas ◦ Histogram equalization Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. Figure 1.6. (a) A part of the digitized breast film-mammogram with microcalcification areas. (b): Enhanced image through feature adaptive contrast enhancement algorithm. (c): Enhanced image through histogram equalization method. Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. MATLAB Image Processing Toolbox Basic MATLAB image toolbox commands pic = imread(f); pic = rgb2gray(pic); imagesc(pic); qb = fftshift(log(abs(fft2(pic)))); Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. Imagepro Interface in MATLAB Environment and Image Databases ImageJ and Other Image Processing Software Packages ImageJ 3D Slicer Mango MRIcro Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. Selected slices for the course Chapters 2-12 Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. Figure 2.7. (a) An image with a square region at the center and (b) the logarithmic magnitude image of its Fourier transform. Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. Radiation Interaction with Matter m/r (cm2/g) 1. 0 Compton Scattering Total Mass Attenuation Coefficient Photoelectric Absorption Scattering Rayleigh Scattering 0 Photon Energy (keV) 0 10 0 50 0 Figure 3.1. The mass attenuation coefficients of water under the 511 keV energy range. Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. Figure 4.7: The translate-rotate parallel-beam geometry of first generation CT scanners. Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. S Lower Energy Level H0 Higher Energy Level N Figure 4.15 (a). Nuclei aligned under thermal equilibrium in the presence of an external magnetic field. (b). A non-zero net longitudinal vector and a zero transverse vector provided by the nuclei precessing in the presence of an external magnetic field. Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. Z1 Z3 Z2 Z4 Z5 I0 T1,2 T2,3 T3,4 T5,4 T4,3 T3,2 T2,1 R0 x1 x2 x3 Figure 4.39. A path of a reflected sound wave in a multilayered structure. Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. y q p f(x,y) q x p P(p,q) q Figure 2.8. Line integral projection P(p,q) of the two-dimensional Radon transform. Figures come from the textbook: Medical Image Analysis, Second Edition, by Atam P. Dhawan, IEEE Press, 2011. Figure 6.1. An X-ray CT image (top left) and T-2 weighted proton density image (top right) of human brain cross-sections with their respective histograms at the bottom. The MR image shows a brain lesion. Figure 7.4. Two segmented MR brain images using a gray value Figures come from textbook: Medical Image Analysis, Second Edition, threshold T=166 (top) andthe T=225 (bottom). by Atam P. Dhawan, IEEE Press, 2011. Figure 8.10. Example of morphological operations on MR brain image using a structuring element of 1 0 0 1 (a) the original MR brain image; (b) the thresholded MR brain image for morphological operations; (c) dilation of the thesholded MR brain image; (d) resultant image after 5 successive dilations of the thresholded brain image; (e) erosion of the thresholded MR brain image; (f) closing of the thesholded MR brain image; (g) opening of the thresholded MR brain image; and (h) morphological boundary detection on the thresholded MR brain image. Figures 9.7 a, b and c: Sequential slices of MR (middle rows) and PET (bottom rows) and the registered MR-PET brain images (top row) of the corresponding slices using the IPAR method.