Content-aware Nakagami morphing for incremental brain MRI

Abstract

Within the carcinogenesis mechanism, from the initiation of the very first tumor cell to the preneoplastic and neoplastic cancer cell groups, cancer cells omnidirectionally and unpredictably proliferate in three-dimensional (3D) space during the promotion and progression steps. Whole tumors areas, consisting of edema, necrosis, enhancing and non-enhancing tumor subareas, could easily be identified by the typical sequences of magnetic resonance imaging (MRI), mostly by FLAIR, the fluid attenuated inversion recovery sequence. Depending on the increment value of the scanner, not every scan could be contiguous though, which might create some gaps between the slices and cause some crucial loss of information. Shape-based morphing by erosion and dilation operations might be inadequate when the source or target lesions are not found on the MRI slices, which might emerge due to unpredictable shape of tumors. Furthermore, the real trajectories and genuine shapes of the tumors in spatial view might not be seen in the planar MRI slices due to approximations during the voxel-to-pixel transformations executed in MRI devices. Therefore, we propose a novel content-aware morphing procedure to generate imaginary slices by m-parametric Nakagami imaging. The mathematical and parametric design in our framework not only leads to precise segmentation of the whole tumors according to the ground truth images; but also, to realistic morphing, based on the content of tumor footprints in MRI slices. For testing purposes, a total number of 5133 morphs are created using 1831 genuine images containing at least one lesion taken from the Brats 2012 dataset. Given the average dice score coefficients (DSC), we obtained an average of 88.44% DSC with our morphing framework outperforming the conventional dilation-based morphing result which is 83.25%. Besides being a novel morphing methodology, the outcomes of this research could also be very beneficial in smoother 3D reconstruction and more realistic volumetric calculations of lesions to help the experts working on assessment of lesions.