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This paper proposes an adaptive window-setting scheme for noninvasive detection and segmentation of bladder tumor surface in T_1-weighted magnetic resonance (MR) images. The inner border of the bladder wall is first covered by a group of ball-shaped detecting windows with different radii. By extracting the candidate tumor windows and excluding the false positive (FP) candidates, the entire bladder tumor surface is detected and segmented by the remaining windows. Different from previous bladder tumor detection methods that are mostly focusing on the existence of a tumor, this paper emphasizes segmenting the entire tumor surface in addition to detecting the presence of the tumor. The presented scheme was validated by ten clinical T_1-weighted MR image datasets (five volunteers and five patients). The bladder tumor surfaces and the normal bladder wall inner borders in the ten datasets were covered by 223 and 10 491 windows, respectively. Such a large number of the detecting windows makes the validation statistically meaningful. In the FP reduction step, the best feature combination was obtained by using receiver operating characteristics or ROC analysis. The validation results demonstrated the potential of this presented scheme in segmenting the entire tumor surface with high sensitivity and low FP rate. This study inherits our previous results of automatic segmentation of the bladder wall and will be an important element in our MR-based virtual cystoscopy or MR cystography system. [ABSTRACT FROM PUBLISHER]

This paper proposes a framework for detecting the suspected abnormal region of the bladder wall via magnetic resonance (MR) cystography. Volume-based features are used. First, the bladder wall is divided into several layers, based on which a path from each voxel on the inner border to the outer border is found. By using the path length to measure the wall thickness and a bent rate (BR) term to measure the geometry property of the voxels on the inner border, the seed voxels representing the abnormalities on the inner border are determined. Then, by tracing the path from each seed, a weighted BR term is constructed to determine the suspected voxels, which are on the path and inside the bladder wall. All the suspected voxels are grouped together for the abnormal region. This work is significantly different from most of the previous computer-aided bladder tumor detection reports on two aspects. First of all, the T_1-weighted MR images are used which give better image contrast and texture information for the bladder wall, comparing with the computed tomography images. Second, while most previous reports detected the abnormalities and indicated them on the reconstructed 3-D bladder model by surface rendering, we further determine the possible region of the abnormality inside the bladder wall. This study aims at a noninvasive procedure for bladder tumor detection and abnormal region delineation, which has the potential for further clinical analysis such as the invasion depth of the tumor and virtual cystoscopy diagnosis. Five datasets including two patients and three volunteers were used to test the presented method, all the tumors were detected by the method, and the overlap rates of the regions delineated by the computer against the experts were measured. The results demonstrated the potential of the method for detecting bladder wall abnormal regions via MR cystography. [ABSTRACT FROM PUBLISHER]

The accurate and effective algorithm for segmenting image is very useful in many fields, especially in medical images. In this paper we introduced a novel method that focuses on segmenting the brain MR Image that is important for neural diseases. Because of many noises embedded in the acquiring procedure, such as eddy currents, susceptibility artifacts, rigid body motion and intensity inhomogeneity, segmenting the brain MR image is a difficult work. In this algorithm, we overcame the inhomogeneity shortage, by modifying the objective function by compensating its immediate neighborhood effect using Gaussian smooth method for decreasing the influence of the inhomogeneity and increasing the segmenting accuracy. Using simulate image and clinical MRI data, experiments show that our proposed algorithm is effective. [ABSTRACT FROM AUTHOR]

A novel scheme of external force for detecting the object boundary of medical image based on Snakes (active contours) is introduced in the paper. In our new method, an electrostatic field on a template plane above the original image plane is designed to form the map of the external force. Compared with the method of Gradient Vector Flow (GVF), our approach has clear physical meanings. It has stronger ability to conform to boundary concavities, is simple to implement, and reliable for shape segmenting. Additionally, our method has larger capture range for the external force and is useful for medical image preprocessing in various applications. Finally, by adding the balloon force to the electrostatic field model, our Snake is able to represent long tube-like shapes or shapes with significant protrusions or bifurcations, and it has the specialty to prevent Snake leaking from large gaps on image edge by using a two-stage segmentation technique introduced in this paper. The test of our models proves that our methods are robust, precise in medical image segmentation. [ABSTRACT FROM AUTHOR]

Study Design: Diagnostics., Objectives: Based on deep learning semantic segmentation model, we sought to assess pelvic tilt by area ratio of the lesser pelvic and the obturator foramen in anteroposterior (AP) radiographs., Background: Pelvic tilt is a critical factor in hip and spinal surgery, commonly evaluated by medical professionals through sagittal pelvic radiographs. The inherent pelvic asymmetry, as well as potential obstructions from clothing and musculature in roentgenography, may result in ghosting and blurring artifacts, thereby complicating precise measurement., Methods: PT directly affects the area ratio of the lesser pelvis to the obturator foramen in AP radiographs. An exponential regression analysis of simulated radiographs from ten male and ten female pelvises in specific tilt positions derived a formula correlating this area ratio with PT. Two blinded investigators evaluated this formula using 161 simulated AP pelvic radiographs. A deep learning semantic segmentation model was then fine-tuned to automatically calculate the area ratio, enabling intelligent PT evaluation. This model and the regression function were integrated for automated PT measurement and tested on a dataset of 231 clinical cases., Results: We observed no disparity between males and females in the aforementioned area ratio. The test results from two blinded investigators analyzing 161 simulated radiographs revealed a mean absolute error of 0.19° (SD±4.71°), with a correlation coefficient between them reaching 0.96. Additionally, the mean absolute error obtained from testing 231 clinical AP radiographs using the fine-tuned semantic segmentation model mentioned earlier is -0.58° (SD±5.97°)., Conclusion: We found that using deep learning neural networks enabled a more accurate and robust automatic measurement of PT through the area ratio of the lesser pelvis and obturator foramen., Competing Interests: Conflict of Interest: The authors of this manuscript declare no relationships with any companies, whose products or services may be related to the subject matter of the article., (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)

Introduction: In some hospitals in remote areas, due to the lack of MRI scanners with high magnetic field intensity, only low-resolution MRI images can be obtained, hindering doctors from making correct diagnoses. In our study, higher-resolution images were obtained through low-resolution MRI images. Moreover, as our algorithm is a lightweight algorithm with a small number of parameters, it can be carried out in remote areas under the condition of the lack of computing resources. Moreover, our algorithm is of great clinical significance in providing references for doctors' diagnoses and treatment in remote areas., Methods: We compared different super-resolution algorithms to obtain high-resolution MRI images, including SRGAN, SPSR, and LESRCNN. A global skip connection was applied to the original network of LESRCNN to use global semantic information to get better performance., Results: Experiments reported that our network improved SSMI by 0.8% and also achieved an obvious increase in PSNR, PI, and LPIPS compared to LESRCNN in our dataset. Similar to LESRCNN, our network has a very short running time, a small number of parameters, low time complexity, and low space complexity while ensuring high performance compared to SRGAN and SPSR. Five MRI doctors were invited for a subjective evaluation of our algorithm. All agreed on significant improvements and that our algorithm could be used clinically in remote areas and has great value., Conclusion: The experimental results demonstrated the performance of our algorithm in super-resolution MRI image reconstruction. It allows us to obtain high-resolution images in the absence of high-field intensity MRI scanners, which have great clinical significance. The short running time, a small number of parameters, low time complexity, and low space complexity ensure that our network can be used in grassroots hospitals in remote areas that lack computing resources. We can reconstruct high-resolution MRI images in a short time, thus saving time for patients. Our algorithm can be biased towards practical applications; however, doctors have affirmed the clinical value of our algorithm., (Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.net.)

Background: Ultrasound is one of the preferred choices for early screening of dense breast cancer. Clinically, doctors have to manually write the screening report, which is time-consuming and laborious, and it is easy to miss and miswrite., Aim: We proposed a new pipeline to automatically generate AI breast ultrasound screening reports based on ultrasound images, aiming to assist doctors in improving the efficiency of clinical screening and reducing repetitive report writing., Methods: AI efficiently generated personalized breast ultrasound screening preliminary reports, especially for benign and normal cases, which account for the majority. Doctors then make simple adjustments or corrections based on the preliminary AI report to generate the final report quickly. The approach has been trained and tested using a database of 4809 breast tumor instances., Results: Experimental results indicate that this pipeline improves doctors' work efficiency by up to 90%, greatly reducing repetitive work., Conclusion: Personalized report generation is more widely recognized by doctors in clinical practice than non-intelligent reports based on fixed templates or options to fill in the blanks., (Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.net.)

Purpose: Breast cancer ranks first among cancers affecting women's health. Our goal is to develop a fast, high-precision, and fully automated breast cancer detection algorithm to improve the early detection rate of breast cancer., Methods: We compare different object detection algorithms, including anchor-based and anchor-free object detection algorithms for detecting breast lesions. Finally, we find that the fully convolutional onestage object detection (FCOS) showed the best performance in the detection of breast lesions, which is an anchor-free algorithm. 1) Considering that the detection of breast lesions requires the context information of the ultrasound images, we introduce the non-local technique, which models long-range dependency between pixels to the FCOS algorithm, providing the global context information for the detection of the breast lesions. 2) The variety of shapes and sizes of breast lesions makes detection difficult. We propose a new deformable spatial attention (DSA) module and add it to the FCOS algorithm., Results: The detection performance of the original FCOS is that the average precision (AP) for benign lesions is 0.818, and for malignant lesions is 0.888. The FCOS with a non-local module improves the performance of the breast detection; the AP of benign lesions was 0.819, and that of malignant lesions was 0.894. Combining the DSA module with the FCOS improves the performance of breast detection; the AP for benign lesions and malignant lesions is 0.840 and 0.899, respectively., Conclusion: We propose two methods to improve the FCOS algorithm from different perspectives to improve its performance in detecting breast lesions. We find that FCOS combined with DSA is beneficial in improving the localization and classification of breast tumors and can provide auxiliary diagnostic advice for ultrasound physicians, which has a certain clinical application value., (Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.net.)

Heavy-ions have the similar characteristic of depth-dose distribution with protons, but exhibit enhanced physical and radiobiological benefits. With increasing development in technical and clinical research, more facilities are being installed in the world. At the same time, many critical techniques of heavy-ion therapy facility were optimized and completed. This paper classified and reviewed the basic structure of heavy-ion system equipments, especially the accelerator, gantry, nozzle , TPS.

Four-dimensional computed tomography(4D CT) is significant in radiotherapy treatment planning for thorax and upper abdomen to take their motion induced by respiration into consideration, but its high radiation dose becomes a major concern and impedes its wide application. To solve the problem, we propose an image interpolation approach to get 4D CT simulation images. We simulate 4D CT images at arbitrary intermediate phases by B-Spline deformable model with cosine interpolation of the deformation field, which is obtained by deformable registration of two CT images at end-exhale and end-inhale phases. The mean of absolute differences computed between actual 4D CT images and simulation ones is used to evaluate the accuracy of simulation. Our experiment results show that both linear interpolation and cosine interpolation with proper parameters perform well and the latter performs a little better than the former in general.