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This study compares the segmentation of human and M-rep kidneys from CT images. The comparison metrics include volume overlap and mean surface separation. The limitations and results of the comparison are discussed.
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Comparison of Human and M-rep Kidneys Segmented from CT Images James Chen, Gregg Tracton, Manjari Rao, Sarang Joshi, Steve Pizer, Joshua Stough, and Ed Chaney University of North Carolina Chapel Hill University of North Carolina
Methods Target Images: 12 planning CT images from archives (24 kidneys) Human (A and B) segmentation: Careful slice-by-slice pixel painting (voxel-based) Computer segmentation: Deformable m-reps (yields smooth surface) Comparison metrics reported here: Volume overlap and mean surface separation
The median volume overlap is measured by the overlap volume divided by the union of the two volumes being compared. University of North Carolina
Image Challenges Poor contrast (no contrast agent) Crowded soft tissue environment
Image Challenges Motion artifacts
Image Challenges Three human segmentations of renal pelvis Image variability near renal pelvis
Three Stages of M-rep Segmentation Similarity + elongation Atom deformation Boundary displacement Implied surface after each scale of segmentation
Result after Final Stage University of North Carolina
Limitations of Comparison Segmented structures represented as collections of whole 2 mm3 voxels Conversion of m-rep surfaces to voxels introduces a bias that favors humans Sensitivity of distance ~ 2 mm Best possible volume overlap is ~ 95%
Results: Volume Overlap Human A to Human B: 90%-96% M-rep to Human A or B: 85%-95%
Human A vs B volume overlap Kidney Number Case University of North Carolina
1 0.9 0.8 0.7 0.6 Volume Overlap (%) 0.5 0.4 0.3 0.2 0.1 0 First Atom Boundary M-rep vs Human A volume overlap Case University of North Carolina
Results: Average Surface Separation Human A to Human B: Within one voxel M-rep to Human A or B: Within one voxel* *with one exception
Outlier Case Image Human M-rep M-rep Image Human University of North Carolina
Who is right (Human or M-rep)? Movie Loop
Conclusions In this study m-reps compared with humans A and B as well as A compared with B.
Sunset at Portsmouth Island University of North Carolina