Implicit active contours for automatic brachytherapy seed segmentation in fluoroscopy

Eric Moult; Clif Burdette; Danny Song; Gabor Fichtinger; Pascal Fallavollita

doi:10.1117/12.911153

17 February 2012 Implicit active contours for automatic brachytherapy seed segmentation in fluoroscopy

Eric Moult, Clif Burdette, Danny Song, Gabor Fichtinger, Pascal Fallavollita

Proceedings Volume 8316, Medical Imaging 2012: Image-Guided Procedures, Robotic Interventions, and Modeling; 831611 (2012) https://doi.org/10.1117/12.911153
Event: SPIE Medical Imaging, 2012, San Diego, California, United States

Abstract

Motivation: In prostate brachytherapy, intra-operative dosimetry would be ideal to allow for rapid evaluation of the implant quality while the patient is still in the treatment position. Such a mechanism, however, requires 3-D visualization of the currently deposited seeds relative to the prostate. Thus, accurate, robust, and fully-automatic seed segmentation is of critical importance in achieving intra-operative dosimetry. Methodology: Implanted brachytherapy seeds are segmented by utilizing a region-based implicit active contour approach. Overlapping seed clusters are then resolved using a simple yet effective declustering technique. Results: Ground-truth seed coordinates were obtained via a published segmentation technique. A total of 248 clinical C-arm images from 16 patients were used to validate the proposed algorithm resulting in a 98.4% automatic detection rate with a corresponding 2.5% false-positive rate. The overall mean centroid error between the ground-truth and automatic segmentations was measured to be 0.42 pixels, while the mean centroid error for overlapping seed clusters alone was measured to be 0.67 pixels. Conclusion: Based on clinical data evaluation and validation, robust, accurate, and fully-automatic brachytherapy seed segmentation can be achieved through the implicit active contour framework and subsequent seed declustering method.

Citation Download Citation

Eric Moult, Clif Burdette, Danny Song, Gabor Fichtinger, and Pascal Fallavollita "Implicit active contours for automatic brachytherapy seed segmentation in fluoroscopy", Proc. SPIE 8316, Medical Imaging 2012: Image-Guided Procedures, Robotic Interventions, and Modeling, 831611 (17 February 2012); https://doi.org/10.1117/12.911153

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