Abstract

One of the obstacles that prevent the accurate delineation of vessel boundaries is the presence of pathologies, which results in obscure boundaries and vessel-like structures. Targeting this limitation, we present a novel segmentation method based on multiple Hidden Markov Models. This method works with a vessel axis + cross-section model, which constrains the classifier around the vessel. The vessel axis constraint gives our method the potential to be both physiologically accurate and computationally effective. Focusing on pathological vessels, we reap the benefits of the redundant information embedded in multiple vessel-specific features and the good statistical properties coming with Hidden Markov Model, to cover the widest possible spectrum of complex situations. The performance of our method is evaluated on synthetic complex-structured datasets, where we achieve a 91% high overlap ratio. We also validate the proposed method on a real challenging case, segmentation of pathological abdominal arteries. The performance of our method is promising, since our method yields better results than two state-of-the-art methods on both synthetic datasets and real clinical datasets.

Highlights

  • Automatic vessel segmentation in three-dimensional (3-D) medical computed tomography (CT) images plays a fundamental role in many clinical fields: study of anatomical structure [1], quantification of vascular diseases for clinical diagnosis [2], surgery planning [3], and patient-specific flow simulations [1]

  • Several good reviews can be found in [1,2,3]. Addressing these unsolved challenges, we propose a Multiple Hidden Markov Model (MHMM) for pathological vessels, by taking the advantages of the redundant information embedded in multiple vessel-specific features and the good statistical properties coming with the Hidden Markov Model (HMM)

  • This paper describes a Multiple Hidden Markov Model (MHMM) for abdominal artery with the presence of pathologies, which takes two advantages: (1) the redundant information included in multiple vessel features and (2) the good statistical properties of Hidden Markov Model (HMM) [25]

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Summary

Introduction

Automatic vessel segmentation in three-dimensional (3-D) medical computed tomography (CT) images plays a fundamental role in many clinical fields: study of anatomical structure [1], quantification of vascular diseases (stenosis, occlusion, and calcification) for clinical diagnosis [2], surgery planning [3], and patient-specific flow simulations [1]. Based on the vessel segmentation, clinical workers can establish the patients’ response to treatment and determine the stage of diseases, to further plan a minimally invasive surgery. All these applications ask for a competent segmentation technique, which has the capability of segmenting vessels accurately, for normal vessels and for vessels with the presence of pathologies. These methods can be roughly classified into three categories: (a) feature based segmentation approaches [4, 5], which have been proven to be efficient in detecting vessels at different scales; (b) tracking based segmentation approaches [6,7,8], which have the capability to be robust against noise; and (c) model based approaches [9,10,11,12], which resolve subsequent two-dimensional (2-D) slices of vessels using tubular shape priors

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