Abstract

Magnetic Resonance Imaging (MRI) plays a significant role in the current characterization and diagnosis of multiple sclerosis (MS) in radiological imaging. However, early detection of MS lesions from MRI still remains a challenging problem. In the present work, an information theoretic approach to cluster the voxels in MS lesions for automatic segmentation of lesions of various sizes in multi-contrast (T1, T2, PD-weighted) MR images, is applied. For accurate detection of MS lesions of various sizes, the skull-stripped brain data are rescaled and histogram manipulated prior to mapping the multi-contrast data to pseudo-color images. For automated segmentation of multiple sclerosis (MS) lesions in multi-contrast MRI, the improved jump method (IJM) clustering method has been enhanced via edge suppression for improved segmentation of white matter (WM), gray matter (GM), cerebrospinal fluid (CSF) and MS lesions if present. From this preliminary clustering, a pseudo-color to grayscale conversion is designed to equalize the intensities of the normal brain tissues, leaving the MS lesions as outliers. Binary discrete and 8-bit fuzzy labels are then assigned to segment the MS lesions throughout the full brain. For validation of the proposed method, three brains, with mild, moderate and severe hyperintense MS lesions labeled as ground truth, were selected. The MS lesions of mild, moderate and severe categories were detected with a sensitivity of 80%, and 96%, and 94%, and with the corresponding Dice similarity coefficient (DSC) of 0.5175, 0.8739, and 0.8266 respectively. The MS lesions can also be clearly visualized in a transparent pseudo-color computer rendered 3D brain.

Highlights

  • Automated segmentation of brain pathologies, such as multiple sclerosis (MS) lesions, fromMagnetic Resonance (MR) images with high accuracy remains a challenging problem [1]

  • The MS lesions are strikingly brighter than the normal tissue types; this slice 95 is one of the overall brightest slices

  • This suggests that the grayscale image, derived from the proposed transformation of the pseudo-RGB image, might be adequate to segment the MS

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Summary

Introduction

Automated segmentation of brain pathologies, such as multiple sclerosis (MS) lesions, fromMagnetic Resonance (MR) images with high accuracy remains a challenging problem [1]. Automated segmentation of brain pathologies, such as multiple sclerosis (MS) lesions, from. A simple dual-echo T2-weighted image may allow the assessment of the type, number, position and shape of MS lesions in the brain. Labor intensive manual segmentation of MS lesions is clinically done most commonly by outlining the boundary of the lesions slice-by-slice on a computer display. Such manual segmentation is prone to variability among radiologists, even variability with the same radiologist analyzing the same study at different times. Automated methods applied to real data yield sensitivities between 65%–88%

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