Regional Pulmonary Function Analysis Using Image Registration and 4DCT PDF Download

Author: Kaifang Du
Publisher:
ISBN:
Category : Image registration
Languages : en
Pages : 196

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Book Description
Current radiation therapy (RT) planning for limiting lung toxicity is based on a uniform lung function with little consideration to the spatial and temporal pattern of lung function. Establishment of relationships between radiation dose and changes in pulmonary function can help predict and reduce the RT-induced pulmonary toxicity. Baseline measurement uncertainty of pulmonary function across scans needs to be assessed, and there is a great interest to compensate the pulmonary function for respiratory effort variations. Respiratory-gated 4DCT imaging and image registration can be used to estimate the regional lung volume change by a transformation-based ventilation metric which is computed directly from the deformation field, or a intensity-based metric which is based on CT density change in the registered image pair.

Author: Kaifang Du
Publisher:
ISBN:
Category : Image registration
Languages : en
Pages : 105

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Book Description
Lung function depends on the expansion and contraction of lung tissue during the respiratory cycle. The measurement of regional pulmonary function is of great interest and importance since many lung diseases can cause changes in biomechanical or material properties. It is also significant to study the radiation-induced changes in pulmonary function following radiation therapy. In this thesis, we propose a technique that uses four-dimensional (3D+time) CT imaging (4DCT), 3D non-rigid image registration to estimate regional lung function. Lung images reconstructed at different inflation levels are analyzed for dynamic lung function development during a breath cycle. We demonstrate local pulmonary function can be reproducibly measured using 4DCT in human subjects prior to RT. The image registration accuracy is validated using semi-automatic anatomic landmark picking system. The major contributions of this thesis include: 1) demonstrating the robustness and reproducibility of regional pulmonary function measurement using 4DCT in both sheep and human subjects, 2) developing approaches to improve the measurement reproducibility by dynamic lung volume matching and Jacobian normalization, 3) development and comparison four cubic metrics for reproducibility analysis, 4) research on time-varying lung ventilation in different breathing phases in both sheep and human subjects. Our contributions in this thesis are useful for diagnosis and assessment of lung diseases, useful for qualifying radiation induced changes in pulmonary function in irradiated and non-irradiated lung tissue.

Author: Alexander Schmidt-Richberg
Publisher: Springer Science & Business Media
ISBN: 3658016620
Category : Computers
Languages : en
Pages : 179

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Book Description
Various applications in the field of pulmonary image analysis require a registration of CT images of the lung. For example, a registration-based estimation of the breathing motion is employed to increase the accuracy of dose distribution in radiotherapy. Alexander Schmidt-Richberg develops methods to explicitly model morphological and physiological knowledge about respiration in algorithms for the registration of thoracic CT images. The author focusses on two lung-specific issues: on the one hand, the alignment of the interlobular fissures and on the other hand, the estimation of sliding motion at the lung boundaries. He shows that by explicitly considering these aspects based on a segmentation of the respective structure, registration accuracy can be significantly improved.

Author: Yoshiharu Ohno
Publisher: Springer Nature
ISBN: 3030435393
Category : Medical
Languages : en
Pages : 363

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Book Description
This book reviews the basics of pulmonary functional imaging using new CT and MR techniques and describes the clinical applications of these techniques in detail. The intention is to equip readers with a full understanding of pulmonary functional imaging that will allow optimal application of all relevant techniques in the assessment of a variety of diseases, including COPD, asthma, cystic fibrosis, pulmonary thromboembolism, pulmonary hypertension, lung cancer and pulmonary nodule. Pulmonary functional imaging has been promoted as a research and diagnostic tool that has the capability to overcome the limitations of morphological assessments as well as functional evaluation based on traditional nuclear medicine studies. The recent advances in CT and MRI and in medical image processing and analysis have given further impetus to pulmonary functional imaging and provide the basis for future expansion of its use in clinical applications. In documenting the utility of state-of-the-art pulmonary functional imaging in diagnostic radiology and pulmonary medicine, this book will be of high value for chest radiologists, pulmonologists, pulmonary surgeons, and radiation technologists.

Author: Youbing Yin
Publisher:
ISBN:
Category : Image registration
Languages : en
Pages : 140

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Book Description
Computational fluid dynamics (CFD) has become an attractive tool in understanding the characteristic of air flow in the human lungs. Inter-subject variations make subject-specific simulations essential for understanding structure-function relationship, assessing lung function and improving drug delivery. However, currently the subject-specific CFD analysis remains challenging due, in large part to, two issues: construction of realistic deforming airway geometry and imposition of physiological boundary conditions. To address these two issues, we develop subject-specific, dynamic lung models by utilizing two or multiple volume multi-detector row computed tomography (MDCT) data sets and image registrations in this thesis. A mass-preserving nonrigid image registration algorithm is first proposed to match a pair of three-dimensional (3D) MDCT data sets with large deformations. A novel similarity criterion, the sum of squared tissue volume difference (SSTVD), is introduced to account for changes in intensity with lung inflation. We then demonstrate the ability to develop dynamic lung models by using a pair of lung volumes to account for deformations of airway geometries and subject-specific boundary conditions. The deformation of the airway geometry is derived by the registration-derived deformation field and subject-specific boundary condition is estimated from regional ventilation in a 3D and one-dimensional (1D) coupled multi-scale framework. Improved dynamic lung models are then proposed from three lung volumes by utilizing nonlinear interpolations. The improved lung models account for nonlinear geometry motions and time-varying boundary conditions during breathing. The capability of the proposed dynamic lung model is expected to move the CFD-based interrogation of lung function to the next plateau.

Author: Tessa A. Sundaram
Publisher:
ISBN: 9781109985849
Category :
Languages : en
Pages : 156

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Book Description
The lung is a highly elastic organ, composed of an intricate network of blood vessels and airways that terminate in alveoli---the site of gas exchange. Normal alveolar walls are extremely thin and highly compliant, allowing the lung to deform easily as air passes through. Various pathological processes interfere with the normal respiratory deformation of the lung, either by disrupting the alveolar architecture or affecting the resistance and makeup of the airways. Characterization of normal lung motion patterns seeks to further the understanding of the changes brought about by these diseases.

Author: Jan Ehrhardt
Publisher: Springer Science & Business Media
ISBN: 3642364411
Category : Science
Languages : en
Pages : 352

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Book Description
Respiratory motion causes an important uncertainty in radiotherapy planning of the thorax and upper abdomen. The main objective of radiation therapy is to eradicate or shrink tumor cells without damaging the surrounding tissue by delivering a high radiation dose to the tumor region and a dose as low as possible to healthy organ tissues. Meeting this demand remains a challenge especially in case of lung tumors due to breathing-induced tumor and organ motion where motion amplitudes can measure up to several centimeters. Therefore, modeling of respiratory motion has become increasingly important in radiation therapy. With 4D imaging techniques spatiotemporal image sequences can be acquired to investigate dynamic processes in the patient’s body. Furthermore, image registration enables the estimation of the breathing-induced motion and the description of the temporal change in position and shape of the structures of interest by establishing the correspondence between images acquired at different phases of the breathing cycle. In radiation therapy these motion estimations are used to define accurate treatment margins, e.g. to calculate dose distributions and to develop prediction models for gated or robotic radiotherapy. In this book, the increasing role of image registration and motion estimation algorithms for the interpretation of complex 4D medical image sequences is illustrated. Different 4D CT image acquisition techniques and conceptually different motion estimation algorithms are presented. The clinical relevance is demonstrated by means of example applications which are related to the radiation therapy of thoracic and abdominal tumors. The state of the art and perspectives are shown by an insight into the current field of research. The book is addressed to biomedical engineers, medical physicists, researchers and physicians working in the fields of medical image analysis, radiology and radiation therapy.

Author: Sandeep Bodduluri
Publisher:
ISBN:
Category : Lungs
Languages : en
Pages : 143

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Book Description
Chronic obstructive pulmonary disease (COPD) is a growing health concern associated with high morbidity and mortality, and is currently the third-ranked cause of death in the United States. COPD is characterized by airflow limitation that is not fully reversible and includes chronic bronchitis, functional small airway disease, and emphysema. The interrelationship between emphysema and airway disease in COPD makes it a highly complex and heterogeneous disorder. Appropriate diagnosis of COPD is vital to administer targeted therapy strategies that can improve patient's quality of life and reduce the frequency of COPD associated exacerbations. Although spirometry or pulmonary function tests are currently the gold standard for the diagnosis and staging of the disease, their lack of reproducibility and minimal information on regional characterization of the lung tissue destruction makes it hard to rely on to phenotype COPD population and predict disease progression. Quantification of COPD, as done by computed tomography (CT) methods has seen significant advancements, helping us understand the complex pathophysiology of this disease. The prospective and established techniques that are derived from CT imaging such as densitometry, texture, airway, and pulmonary vasculature-based analyses have been successful in regional characterization of emphysema related lung tissue destruction and airway disease related morphological changes in COPD patients. Although, these measures enriched our diagnostic and treating capability of COPD, they lack information on patient specific alterations in lung mechanics and regional parenchymal stresses. This valuable information can be achieved through the use of image registration protocols. Our main goal of this research work is to examine and evaluate the role of lung mechanical measures derived from CT image registration techniques in COPD diagnosis, phenotyping, and progression.

Author: Danail Stoyanov
Publisher: Springer
ISBN: 3030009467
Category : Computers
Languages : en
Pages : 350

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Book Description
This book constitutes the refereed joint proceedings of the Third International Workshop on Reconstruction and Analysis of Moving Body Organs, RAMBO 2018, the Fourth International Workshop on Breast Image Analysis, BIA 2018, and the First International Workshop on Thoracic Image Analysis, TIA 2018, held in conjunction with the 21st International Conference on Medical Imaging and Computer-Assisted Intervention, MICCAI 2018, in Granada, Spain, in September 2018. The 5 full papers (out of 10 submissions) presented at RAMBO, the 9 full papers (out of 18 submissions) presented at BIA, and the 20 full papers (out of 21 submissions) presented at TIA were carefully reviewed and selected. The RAMBO papers cover aspects of medical imaging where motion plays a role in the image formation or analysis. The BIA papers deal with topics such as computer-aided detection and diagnosis of breast cancer, quantitative analysis of breast imaging modalities, and large scale breast image screening and analysis. The TIA papers cover aspects of image analysis research for lung and cardiac diseases including segmentation, registration, quantification, modeling of the image acquisition process, visualization, validation, statistical modeling, biophysical lung modeling (computational anatomy), deep learning and novel applications.

Author: Joseph M. Reinhardt
Publisher: Frontiers Media SA
ISBN: 2832547974
Category : Science
Languages : en
Pages : 143

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Book Description
Imaging techniques have been used for decades to detect anomalies, study organ function and for diagnostic purposes. Advances in imaging techniques and image processing as well as a wider availability of lung imaging is providing an increasing amount of data and new insights into lung structure and function and their alterations in common lung diseases. Functional imaging biomarkers have the potential to better characterize individual patient phenotypes, predict disease trajectories, and help personalize therapy. The wealth of new data also confronts us with new challenges in terms of identifying, quantifying, deciphering, and standardizing image-based parameters pertaining to regional lung function.