Abstract
We propose a novel framework that applies atlas-based whole-brain segmentation methods to tumor-bearing MR images. Given a patient brain MR image where the tumor is initially segmented, we use a point-cloud deep learning method to predict a displacement field, which is meant to be the deformation (inverse) caused by the growth (mass-effect and cell-infiltration) of the tumor. It’s then used to warp and modify the brain atlas to represent the change so that existing atlas-based healthy-brain segmentation methods could be applied to these pathological images. To show the practicality of our method, we implement a pipeline with nnU-Net MRI tumor initial segmentation and SAMSEG, an atlas-based whole-brain segmentation method. To train and validate the deformation network, we synthesize pathological ground truth by simulating artificial tumors in healthy images with TumorSim. This method is evaluated with both real and synthesized data. These experiments show that segmentation accuracy can be improved by learning tumor-induced deformation before applying standard full brain segmentation. Our code is available at https://github.com/jiameng1010/Brain_MRI_Tumor.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
Notes
- 1.
We use Scaling-and-Squaring implemented in MIRTK (https://mirtk.github.io) to transform between DISP and SVF, specifically, calculate-logarithmic-map and calculate-exponential-map.
- 2.
This atlas is generated from the SAMSEG atlas comes with FreeSurfer (https://surfer.nmr.mgh.harvard.edu). We remove the non-brain labels like skull and optic-chiasm, and re-distribute the label priors because BraTS data are skull-stripped.
References
Agn, M.: A modality-adaptive method for segmenting brain tumors and organs-at-risk in radiation therapy planning. Med. Image Anal. 54, 220–237 (2019)
Atzmon, M., Maron, H., Lipman, Y.: Point convolutional neural networks by extension operators. arXiv preprint arXiv:1803.10091 (2018)
Balakrishnan, G., Zhao, A., Sabuncu, M.R., Guttag, J., Dalca, A.V.: Voxelmorph: a learning framework for deformable medical image registration. IEEE Trans. Med. Imag. 38(8), 1788–1800 (2019)
Bauer, S., Seiler, C., Bardyn, T., Buechler, P., Reyes, M.: Atlas-based segmentation of brain tumor images using a markov random field-based tumor growth model and non-rigid registration. In: 2010 Annual International Conference of the IEEE Engineering in Medicine and Biology, pp. 4080–4083, IEEE (2010)
Bauer, S., Wiest, R., Nolte, L.P., Reyes, M.: A survey of MRI-based medical image analysis for brain tumor studies. Phys. Med. & Biol. 58(13), R97 (2013)
Cocosco, C.A., Kollokian, V., Kwan, R.K.S., Pike, G.B., Evans, A.C.: Brainweb: Online interface to a 3D MRI simulated brain database. In: NeuroImage. Citeseer (1997)
Cuadra, M.B., Pollo, C., Bardera, A., Cuisenaire, O., Villemure, J.G., Thiran, J.P.: Atlas-based segmentation of pathological MR brain images using a model of lesion growth. IEEE Trans. Med. Imag. 23(10), 1301–1314 (2004)
Dalca, A.V., Balakrishnan, G., Guttag, J., Sabuncu, M.R.: Unsupervised learning of probabilistic diffeomorphic registration for images and surfaces. Med. Image Anal. 57, 226–236 (2019)
Dice, L.R.: Measures of the amount of ecologic association between species. Ecology 26(3), 297–302 (1945)
Gholami, A.: A novel domain adaptation framework for medical image segmentation. In: International MICCAI Brainlesion Workshop, pp. 289–298, Springer (2018)
Gooya, A., Pohl, K.M., Bilello, M., Cirillo, L., Biros, G., Melhem, E.R., Davatzikos, C.: GLISTR: glioma image segmentation and registration. IEEE Trans. Med. Imaging 31(10), 1941–1954 (2012)
Harpold, H.L., Alvord, E.C., Jr., Swanson, K.R.: The evolution of mathematical modeling of glioma proliferation and invasion. J. Neuropathol. Exp. Neurol. 66(1), 1–9 (2007)
Isensee, F., Jaeger, P.F., Kohl, S.A., Petersen, J., Maier-Hein, K.H.: nnU-Net: a self-configuring method for deep learning-based biomedical image segmentation. Nat. Methods 18(2), 203–211 (2021)
Isensee, F., Jäger, P.F., Full, P.M., Vollmuth, P., Maier-Hein, K.H.: nnU-Net for brain tumor segmentation. In: International MICCAI Brainlesion Workshop, pp. 118–132, Springer (2020)
Jia, M., Kyan, M.: Learning occupancy function from point clouds for surface reconstruction. arXiv preprint arXiv:2010.11378 (2020)
Jia, M., Kyan, M.: Improving intraoperative liver registration in image-guided surgery with learning-based reconstruction. In: ICASSP 2021–2021 IEEE International Conference on Acoustics, Speech and Signal Processing (ICASSP), pp. 1230–1234, IEEE (2021)
Kingma, D.P., Ba, J.: Adam: A method for stochastic optimization. arXiv preprint arXiv:1412.6980 (2014)
Klein, A., Tourville, J.: 101 labeled brain images and a consistent human cortical labeling protocol. Front. Neurosci. 6, 171 (2012)
Kyriacou, S.K., Davatzikos, C., Zinreich, S.J., Bryan, R.N.: Nonlinear elastic registration of brain images with tumor pathology using a biomechanical model [MRI]. IEEE Trans. Med. Imaging 18(7), 580–592 (1999)
Lipková, J., et al.: Personalized radiotherapy design for glioblastoma: integrating mathematical tumor models, multimodal scans, and Bayesian inference. IEEE Trans. Med. Imaging 38(8), 1875–1884 (2019)
Lorensen, W.E., Cline, H.E.: Marching cubes: A high resolution 3D surface construction algorithm. In: ACM SIGGRAPH computer graphics, vol. 21, pp. 163–169, ACM (1987)
Menze, B.H., Jakab, A., Bauer, S., Kalpathy-Cramer, J., Farahani, K., Kirby, J., Burren, Y., Porz, N., Slotboom, J., Wiest, R., et al.: The multimodal brain tumor image segmentation benchmark (BRATS). IEEE Trans. Med. Imaging 34(10), 1993–2024 (2014)
Mohamed, A., Zacharaki, E.I., Shen, D., Davatzikos, C.: Deformable registration of brain tumor images via a statistical model of tumor-induced deformation. Med. Image Anal. 10(5), 752–763 (2006)
Pálsson, S., Cerri, S., Poulsen, H.S., Urup, T., Law, I., Van Leemput, K.: Predicting survival of glioblastoma from automatic whole-brain and tumor segmentation of mr images. arXiv preprint arXiv:2109.12334 (2021)
Pollo, C., Cuadra, M.B., Cuisenaire, O., Villemure, J.G., Thiran, J.P.: Segmentation of brain structures in presence of a space-occupying lesion. Neuroimage 24(4), 990–996 (2005)
Prastawa, M., Bullitt, E., Gerig, G.: Simulation of brain tumors in MR images for evaluation of segmentation efficacy. Med. Image Anal. 13(2), 297–311 (2009)
Puonti, O., Iglesias, J.E., Van Leemput, K.: Fast and sequence-adaptive whole-brain segmentation using parametric Bayesian modeling. Neuroimage 143, 235–249 (2016)
Rehman, M.U., Cho, S., Kim, J., Chong, K.T.: Brainseg-Net: Brain tumor MR image segmentation via enhanced encoder-decoder network. Diagnostics 11(2), 169 (2021)
Scheufele, K., Mang, A., Gholami, A., Davatzikos, C., Biros, G., Mehl, M.: Coupling brain-tumor biophysical models and diffeomorphic image registration. Comput. Methods Appl. Mech. Eng. 347, 533–567 (2019)
Scheufele, K., Subramanian, S., Biros, G.: Fully automatic calibration of tumor-growth models using a single mpMRI scan. IEEE Trans. Med. Imaging 40(1), 193–204 (2020)
Sederevičius, D., et al.: Reliability and sensitivity of two whole-brain segmentation approaches included in freesurfer-ASEG and SAMSEG. Neuroimage 237, 118113 (2021)
Wang, G., Li, W., Ourselin, S., Vercauteren, T.: Automatic brain tumor segmentation based on cascaded convolutional neural networks with uncertainty estimation. Front. Comput. Neurosci. 13, 56 (2019)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
1 Electronic supplementary material
Below is the link to the electronic supplementary material.
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this paper
Cite this paper
Jia, M., Kyan, M. (2022). Learning Tumor-Induced Deformations to Improve Tumor-Bearing Brain MR Segmentation. In: Wang, L., Dou, Q., Fletcher, P.T., Speidel, S., Li, S. (eds) Medical Image Computing and Computer Assisted Intervention – MICCAI 2022. MICCAI 2022. Lecture Notes in Computer Science, vol 13435. Springer, Cham. https://doi.org/10.1007/978-3-031-16443-9_24
Download citation
DOI: https://doi.org/10.1007/978-3-031-16443-9_24
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-16442-2
Online ISBN: 978-3-031-16443-9
eBook Packages: Computer ScienceComputer Science (R0)