Abstract

Accurate and reliable segmentation of liver tissue and liver tumor is essential for the follow-up of hepatic diagnosis. In this paper, we present a method for liver segmentation and a method for liver tumor segmentation. The two methods are grounded on a novel unified level set method (LSM), which incorporates both region information and edge information to evolve the contour. This level set framework is more resistant to edge leakage than the single-information driven LSMs for liver segmentation and surpasses many other models for liver tumor segmentation. Specifically, for liver segmentation, a hybrid image preprocessing scheme is used first to convert an input CT image into a binary image. Then with manual setting of a few seed points on the obtained binary image, the following region-growing is performed to extract a rough liver region with no leakage. The unified LSM is proposed at last to refine the segmentation result. For liver tumor segmentation, a local intensity clustering based LSM coupled with hidden Markov random field and expectation-maximization (HMRF-EM) algorithm is applied to construct an enhanced edge indicator for the unified LSM. With this development, expected segmentation results can be obtained via the unified LSM, even for complex tumors. The two methods were evaluated with various datasets containing a local hospital dataset, the public datasets SLIVER07, 3Dircadb, and MIDAS via five measures. The proposed liver segmentation method outperformed other previous semiautomatic methods on the SLIVER07 dataset and required less interaction. The proposed liver tumor segmentation method was also competitive with other state-of-the-art methods in both accuracy and efficiency on the 3Dircadb database. Our methods are evaluated to be accurate and efficient, which allows their adoptions in clinical practice.

Highlights

  • Segmentation is an image processing operation for identifying an anatomical structure from the surrounding tissues

  • Columns from left to right indicate, respectively, the original region of interest (ROI), the enhanced indicators, the segmentation results denoted by red lines, and the results shown in full images

  • Columns from left to right indicate the results of, respectively, the C-V model, the hidden Markov random field and expectation-maximization (HMRF-EM) algorithm, the region-distance regularized level set evolution (DRLSE) driven by the Signed Pressure Force (SPF), the edgeDRLSE driven by the original g, the edge-DRLSE driven by the enhanced edge indicator genhanced, and our level set method (LSM) driven by both the SPF and the genhanced

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Summary

Introduction

Segmentation is an image processing operation for identifying an anatomical structure from the surrounding tissues. In the area of computed tomography (CT) based clinical hepatic diagnosis, accurate and reliable segmentation of liver tissue and liver tumor is essential for the follow-up treatment planning and evaluation and computer-aided surgery. The segmentation of liver tumor encounters the same problem due to the low contrast, ambiguous boundaries, and intensity inhomogeneities. The development of sophisticated segmentation algorithms has become a major research focus in medical image computing with the potential to provide accurate, effective, and robust approaches for clinical practice. Many remarkable liver and liver tumor segmentation methods have been presented with varying degrees of success. These methods can be roughly classified into two categories: automatic and semiautomatic methods, depending on whether the user interaction is required

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