Abstract

The creation of high-quality medical imaging reference atlas datasets with consistent dense anatomical region labels is a challenging task. Reference atlases have many uses in medical image applications and are essential components of atlas-based segmentation tools commonly used for producing personalized anatomical measurements for individual subjects. The process of manual identification of anatomical regions by experts is regarded as a so-called gold standard; however, it is usually impractical because of the labor-intensive costs. Further, as the number of regions of interest increases, these manually created atlases often contain many small inconsistently labeled or disconnected regions that need to be identified and corrected. This project proposes an efficient process to drastically reduce the time necessary for manual revision in order to improve atlas label quality. We introduce the LabelAtlasEditor tool, a SimpleITK-based open-source label atlas correction tool distributed within the image visualization software 3D Slicer. LabelAtlasEditor incorporates several 3D Slicer widgets into one consistent interface and provides label-specific correction tools, allowing for rapid identification, navigation, and modification of the small, disconnected erroneous labels within an atlas. The technical details for the implementation and performance of LabelAtlasEditor are demonstrated using an application of improving a set of 20 Huntingtons Disease-specific multi-modal brain atlases. Additionally, we present the advantages and limitations of automatic atlas correction. After the correction of atlas inconsistencies and small, disconnected regions, the number of unidentified voxels for each dataset was reduced on average by 68.48%.

Highlights

  • The study of human brain anatomy is important in clinical studies of normal brains as well as in studies on neurodegenerative disorders such as Huntingtons Disease (HD), Alzheimer’s disease, and Parkinson’s disease

  • We introduce the LabelAtlasEditor tool, a SimpleITK-based open-source label atlas correction tool distributed within the image visualization software 3D Slicer

  • Atlas-based segmentation is a commonly used approach (Cabezas et al, 2011) that identifies regions of interests (ROI) by propagating atlas labeling to a target image

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Summary

Introduction

The study of human brain anatomy is important in clinical studies of normal brains as well as in studies on neurodegenerative disorders such as Huntingtons Disease (HD), Alzheimer’s disease, and Parkinson’s disease. Label Atlas Correction the last decade, many studies have collected series of imaging data to better understand the brain These studies of structural brain magnetic resonance imaging (MRI) have provided important understanding of healthy development (Sullivan et al, 2011; Treit et al, 2013; Herting et al, 2014), normal aging (Tang et al, 2001; Resnick et al, 2003; Scahill et al, 2003; Mungas et al, 2005; Risacher et al, 2010), and disease progression (Ahdidan et al, 2011; Tabrizi et al, 2012; Takahashi et al, 2012; Weiner et al, 2012; Li et al, 2015). The performance of this atlas-based segmentation largely depends on how well the atlas structures are defined and the similarity between the atlas and the research population

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