A proposal of Texture Features for interactive CTA Segmentation by Active Learning.

Our objective is to create an interactive image segmentation system of the abdominal area for quick volumetric segmentation of the aorta requiring minimal intervention of the human operator. The aforementioned goal is to be achieved by an Active Learning image segmentation system over enhanced image texture features, obtained from the standard Gray Level Co-occurrence Matrix (GLCM) and the Local Binary Patterns (LBP). The process iterates the following steps: first, image segmentation is produced by a Random Forest (RF) classifier trained on a set of image texture features for labeled voxels. The human operator is presented with the most uncertain unlabeled voxels to select some of them for inclusion in the training set, retraining the RF classifier. The approach will be applied to the segmentation of the thrombus in Computed Tomography Angiography (CTA) data of Abdominal Aortic Aneurysm (AAA) patients. A priori knowledge on the expected shape of the target structures is used to filter out undesired detections. On going preliminary experiments on datasets containing diverse number of CT slices (between 216 and 560), each one consisting a real human contrast-enhanced sample of the abdominal area, are underway. The segmentation results obtained with simple image features were promising and highlight the capacity of the used texture features to describe the local variation of the AAA thrombus and thus to provide useful information to the classifier.

Detection of type II endoleaks in abdominal aortic aneurysms after endovascular repair.

Abdominal aortic aneurysm (AAA) is a condition where the weakening of the aortic wall leads to its widening and the generation of a thrombus. To prevent a possible rupture of the aortic wall, AAA can be treated non-invasively by means of the endovascular aneurysm repair technique (EVAR), consisting of placing a stent-graft inside the aorta by a cateter to exclude the aneurysm sac from the blood circulation. A major complication is the presence of liquid blood turbulences, called endoleaks, in the thrombus formed in the space between the aortic wall and the stent-graft. In this paper we propose an automatic method for the detection of type II endoleaks in computer tomography angiography (CTA) images. The lumen and thrombus in the aneurysm area are first segmented using a radial model approach. Then, these regions are split into Thrombus Connected Components (TCCs) using a watershed-based segmentation and geometric and image content-based characteristics are obtained for each TCC. Finally, TCCs are classified into endoleaks and non-endoleaks using a multilayer Perceptron (MLP) trained on manual labeled sample TCCs provided by experts.