Application Results Automatic segmentation of liver tumors from MRI images. Rune Petter Sørlie Department of Informatics University of Oslo IVS student presentations, spring 2005 Summary Application Results Outline 1 Application Treating liver tumors Guidance of probes Monitoring the process 2 Results Segmentation Results Evaluation of segmentation Summary Application Results Methods to destroy a tumor. We will show two probe based methods which allow minimum invasive treatment. Cryoablation RF ablation Pros and cons Less risk of infections. Patient quicker back in business. Not suitable for tumors >3cm. High rate of metastases reoccurances (Cryo). Fails to damage cells near major vessels. Summary Application Results Cryoablation Cryoablation uses liquid nitrogen to freeze the tisse surrounding the probe. At about -40◦ C the cell membrane cracks and the cells are damaged. Summary Application Results Cryoablation Typical tumor is 2-3cm and a rim of 1cm around the tumor is frozen. Summary Application Results Summary RF ablation Makes use of Radio Frequency electro magnetic waves to heat up tissue. Cures tumors <3cm. Application Results Summary Guidance and probes Both methods make use of probes. The surgeon want guidance when inserting the probe into the tumor. Different modalities are used A combination of CT and ultrasound Fluoroscopy(X-ray) IVS use the Open MR scanner. Application Principal of RF ablation Results Summary Application Diagnostic image/pre surgery Results Summary Application Guidance of the RF-probe Results Summary Application 24 hours after treatment Results Summary Application Results 9 months later, complete treatment Summary Application Watershed segmentation Results Summary Application Level set segmentation Results Summary Application Results Summary Improved preprocessing Conventional preprocessing by smoothing with a 3x3 mean filter. Important edges are perpendicular to the radius. By filtering the radial line in polarcoordinates we may focus on the edge of interest. Application Results Summary ...cont. Improved preprocessing Z ~ F (x) = f (~k ) e−j2πk ·~x d 3~k , −∞ ≤ k ≤ ∞ (1) kφ T ~k = kθ kr (2) R3 φ ~x = θ r Z F (x) = F (x) = f (kr ) e−j2πkr ·r dkr , −∞ ≤ k ≤ ∞ X i f (kr ) e−j2πkr ·ri dkr , 0 ≤ k ≤ π (3) (4) Application Results Summary The segmentation evaluation method. For evaluaton of the segmentation I used Dice Similarity Coefficient (DSC). The method finds relative overlap. The improved preprocessing provided no more than similar results as traditional methods. Application Results Summary Summary Most cases possible to segment automatic. Quality of segmentation close to manual segmentation. Outlook Make adaptive parametersettings. Apply morphological dilation to improve segmentation. Evaluate segmentation with a probe inserted into the tumor (requires preprocessing). Application Results Questions? Summary