Spleen Segmentation and Assessment in CT Images for Traumatic Abdominal Injuries.

Spleen segmentation is especially challenging as the majority of solid organs in the abdomen region have similar gray level range. Physician analysis of computed tomography (CT) images to assess abdominal trauma could be very time consuming and hence, automating this process can reduce time to treatment. The proposed method presented in this paper is a fully automated and knowledge based technique that employs anatomical information to accurately segment the spleen in CT images. The spleen detection procedure is proposed to locate the spleen in both healthy and injured cases. In the presence of hemorrhage and laceration, the edge merging technique is used. The accuracy of the method is measured by some criteria such as mis-segmented area, accuracy, specificity and sensitivity. The results show that the proposed spleen segmentation method performs well and outperforms other methods.

Hemorrhage detection and segmentation in traumatic pelvic injuries.

Automated hemorrhage detection and segmentation in traumatic pelvic injuries is vital for fast and accurate treatment decision making. Hemorrhage is the main cause of deaths in patients within first 24 hours after the injury. It is very time consuming for physicians to analyze all Computed Tomography (CT) images manually. As time is crucial in emergence medicine, analyzing medical images manually delays the decision-making process. Automated hemorrhage detection and segmentation can significantly help physicians to analyze these images and make fast and accurate decisions. Hemorrhage segmentation is a crucial step in the accurate diagnosis and treatment decision-making process. This paper presents a novel rule-based hemorrhage segmentation technique that utilizes pelvic anatomical information to segment hemorrhage accurately. An evaluation measure is used to quantify the accuracy of hemorrhage segmentation. The results show that the proposed method is able to segment hemorrhage very well, and the results are promising.

Fracture Detection in Traumatic Pelvic CT Images.

Fracture detection in pelvic bones is vital for patient diagnostic decisions and treatment planning in traumatic pelvic injuries. Manual detection of bone fracture from computed tomography (CT) images is very challenging due to low resolution of the images and the complex pelvic structures. Automated fracture detection from segmented bones can significantly help physicians analyze pelvic CT images and detect the severity of injuries in a very short period. This paper presents an automated hierarchical algorithm for bone fracture detection in pelvic CT scans using adaptive windowing, boundary tracing, and wavelet transform while incorporating anatomical information. Fracture detection is performed on the basis of the results of prior pelvic bone segmentation via our registered active shape model (RASM). The results are promising and show that the method is capable of detecting fractures accurately.

A new hierarchical method for multi-level segmentation of bone in pelvic CT scans.

Pelvic bone segmentation is a vital step in analyzing pelvic CT images and assisting physicians with diagnostic decisions in traumatic pelvic injuries. A new hierarchical segmentation algorithm is proposed using a template-based best shape matching method and Registered Active Shape Model (RASM) to automatically extract pelvic bone tissues from multi-level pelvic CT images. A novel hierarchical initialization process for RASM is proposed. 449 CT images across seven patients are used to test and validate the reliability and robustness of the proposed method. The segmentation results show that the proposed method performs better with higher accuracy than standard ASM method.

An automated method for hemorrhage detection in traumatic pelvic injuries.

Hemorrhage is the main cause of deaths that occurs within first 24 hours after a traumatic pelvic injury. Therefore, it is very important to determine hemorrhage quickly. Hemorrhages are detected using a CT scan. However, it is very time consuming for physicians to look for hemorrhage in all CT slices. Therefore, an automated system is needed. This paper proposes an automated hemorrhage detection technique by incorporating anatomical information of pelvic region. The results showed method performs comparably to manual methods. A statistical test is conducted to see if the volume of hemorrhage detected using this technique is significantly different from the volume assessed manually.