Real-Time Ultrasound Segmentation, Analysis and Visualisation of Deep Cervical Muscle Structure

Despite widespread availability of ultrasound and a need for personalised muscle diagnosis (neck/back pain-injury, work related disorder, myopathies, neuropathies), robust, online segmentation of muscles within complex groups remains unsolved by existing methods. For example, Cervical Dystonia (CD) is a prevalent neurological condition causing painful spasticity in one or multiple muscles in the cervical muscle system. Clinicians currently have no method for targeting/monitoring treatment of deep muscles. Automated methods of muscle segmentation would enable clinicians to study, target, and monitor the deep cervical muscles via ultrasound. We have developed a method for segmenting five bilateral cervical muscles and the spine via ultrasound alone, in real-time. Magnetic Resonance Imaging (MRI) and ultrasound data were collected from 22 participants (age: 29.0±6.6, male: 12). To acquire ultrasound muscle segment labels, a novel multimodal registration method was developed, involving MRI image annotation, and shape registration to MRI-matched ultrasound images, via approximation of the tissue deformation. We then applied polynomial regression to transform our annotations and textures into a mean space, before using shape statistics to generate a texture-to-shape dictionary. For segmentation, test images were compared to dictionary textures giving an initial segmentation, and then we used a customized Active Shape Model to refine the fit. Using ultrasound alone, on unseen participants, our technique currently segments a single image in <inline-formula> <tex-math notation="LaTeX">{\approx } 0.45\text {s} </tex-math></inline-formula> to over 86% accuracy (Jaccard index). We propose this approach is applicable generally to segment, extrapolate and visualise deep muscle structure, and analyse statistical features online..

Medienart:

Artikel

Erscheinungsjahr:

2017

Erschienen:

2017

Enthalten in:

Zur Gesamtaufnahme - volume:36

Enthalten in:

IEEE transactions on medical imaging - 36(2017), 2, Seite 653-665

Sprache:

Englisch

Beteiligte Personen:

Cunningham, Ryan J [VerfasserIn]
Harding, Peter J [Sonstige Person]
Loram, Ian D [Sonstige Person]

Links:

Volltext
ieeexplore.ieee.org

BKL:

44.09

Themen:

Cervical dystonia
Electromyography
Generative shape model
Image segmentation
MRI
Magnetic resonance imaging
Multifidus
Muscles
Neck
Pattern recognition
Rotatores
Segmentation
Semispinalis
Shape
Shape model
Skeletal muscle
Splenius
Trapezius
Ultrasonic imaging
Ultrasonic variables measurement
Ultrasound

RVK:

RVK Klassifikation

doi:

10.1109/TMI.2016.2623819

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC1990934269