Abstract

In computed tomography imaging, brain hematoma (BH) segmentation is a very challenging process due to a high variability of BH morphology, low contrast and noisy images. Because of this, BH segmentation is an open problem. In order to approach this problem, we propose an automatic technique, named nonlinear technique (NLT), based on a thresholding method, noise suppression filters, intelligent operators, a clustering strategy and a binary morphological operator. NLT performance is assessed by Jaccard’s similarity index (JSI) used to compare automatic and manual BH segmentations. This assessment allows developing a tuning process for establishing the optimal parameters of each of the algorithms which constitute the proposed technique. The results indicate a good correlation, based on JSI, between the manual segmentations and the automatic ones. Finally, the BH volume is generated considering the automatic segmentation. This volume indicates whether or not the patient must undergo a surgical intervention for BH treatment.

Highlights

  • Brain hematomas (BH) can be classified in several ways

  • The Generalized Hough Transform (GHT) allowed the automatic identification of the “seed points” for correct Region growing (RG) initialization

  • The Jaccard's index of similarity (JIS) value reported in this paper suggests that the nonlinear technique (NLT) has an excellent performance

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Summary

Introduction

Brain hematomas (BH) can be classified in several ways. For example, a very simple brain hematoma classification is presented in Figure 1 [1]. Li-Hong and Wu [3] report lesion image detection, based on k-means segmentation, in magnetic resonance imaging (MRI) They point at a very high score linked to BH segmentation. Roy et al [4] show an automatic technique for segmentation of brain hemorrhages using thresholding method, wavelet transform, convex hull technique and gamma transform in MRI. Their results are promising since they get a good similarity index value. An automatic technique based on convolutional neural networks [5] is reported They apply deep learning for the BH segmentation in MSCT and MRI images and they report a mean Dice score (Ds) of 0.90. The contributions are a) Incorporation of borders detector based on a gradient filter. b) Use of Generalized Hough Transform in order to detect the coordinates of seed points. c) Precise segmentation of epidural, intraparenchymatous and subdural hematomas

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