Search

Background: Parameters from diffusion-weighted imaging (DWI) have been increasingly used as imaging biomarkers for the diagnosis and monitoring of treatment responses in cancer. The consistency of DWI measurements across different centers remains uncertain, which limits the widespread use of quantitative DWI in clinical settings. Purpose: To investigate the consistency of quantitative metrics derived from DWI between different scanners in a multicenter clinical setting. Material and Methods: A total of 193 patients with cervical cancer from four scanners (MRI1, MRI2, MRI3, and MRI4) at three centers were included in this retrospective study. DWI data were processed using the mono-exponential and intravoxel incoherent motion (IVIM) model, yielding the following parameters: apparent diffusion coefficient (ADC); true diffusion coefficient (D); pseudo-diffusion coefficient (D*); perfusion fraction (f); and the product of f and D* (fD*). Various parameters of cervical cancer obtained from different scanners were compared. Results: The parameters D and ADC derived from MRI1 and MRI2 were significantly different from those derived from MRI3 or MRI4 (P <0.01 for all comparisons). However, there was no significant difference in cervical cancer perfusion parameters (D* and fD*) between the different scanners (P >0.05). The P values of comparisons of all DWI parameters (D, D*, fD*, and ADC) between MRI3 and MRI4 (same vendor in different centers) for cervical cancer were all >0.05, except for f (P = 0.05). Conclusion: Scanners of the same model by the same vendor can yield close measurements of the ADC and IVIM parameters. The perfusion parameters showed higher consistency among the different scanners. [ABSTRACT FROM AUTHOR]

Background: Patients with early endometrial carcinoma (EC) have a good prognosis, but it is difficult to distinguish from endometrial polyps (EPs). Purpose: To develop and assess magnetic resonance imaging (MRI)-based radiomics models for discriminating Stage I EC from EP in a multicenter setting. Material and Methods: Patients with Stage I EC (n = 202) and EP (n = 99) who underwent preoperative MRI scans were collected in three centers (seven devices). The images from devices 1–3 were utilized for training and validation, and the images from devices 4–7 were utilized for testing, leading to three models. They were evaluated by the area under the receiver operating characteristic curve (AUC) and metrics including accuracy, sensitivity, and specificity. Two radiologists evaluated the endometrial lesions and compared them with the three models. Results: The AUCs of device 1, 2_ada, device 1, 3_ada, and device 2, 3_ada for discriminating Stage I EC from EP were 0.951, 0.912, and 0.896 for the training set, 0.755, 0.928, and 1.000 for the validation set, and 0.883, 0.956, and 0.878 for the external validation set, respectively. The specificity of the three models was higher, but the accuracy and sensitivity were lower than those of radiologists. Conclusion: Our MRI-based models showed good potential in differentiating Stage I EC from EP and had been validated in multiple centers. Their specificity was higher than that of radiologists and may be used for computer-aided diagnosis in the future to assist clinical diagnosis. [ABSTRACT FROM AUTHOR]

Background: Most commonly used diffusion-weighted imaging (DWI) models include intravoxel incoherent motion (IVIM), diffusion kurtosis imaging (DKI), stretched exponential model (SEM), and mono-exponential model (MEM). Previous studies of the four models were inconsistent on which model was more effective in distinguishing cervical cancer from normal cervical tissue. Purpose: To assess the performance of four DWI models in characterizing cervical cancer and normal cervical tissue. Material and Methods: Forty-seven women with suspected cervical carcinoma underwent DWI using eight b-values before treatment. Imaging parameters, calculated using IVIM, SEM, DKI, and MEM, were compared between cervical cancer and normal cervical tissue. The diagnostic performance of the models was evaluated using independent t -test, Mann–Whitney U test, receiver operating characteristic (ROC) curve analysis, and multivariate logistic regression analysis. Results: All parameters except pseudo-diffusion coefficient (D*) differed significantly between cervical cancer and normal cervical tissue (P < 0.001). Through logistic regression analysis, all combined models showed a significant improvement in area under the ROC curve (AUC) compared to individual DWI parameters. The model with combined IVIM parameters had a larger AUC value compared to those of other combined models (P < 0.05). Conclusion: All four DWI models are useful for differentiating cervical cancer from normal cervical tissue and IVIM may be the optimal model. [ABSTRACT FROM AUTHOR]

Fingerprint orientation plays important roles in fingerprint enhancement, fingerprint classification, and fingerprint recognition. This paper critically reviews the primary advances on fingerprint orientation estimation. Advantages and limitations of existing methods have been addressed. Issues on future development have been discussed. Copyright © 2010 John Wiley & Sons, Ltd. The paper reviews the advances on fingerprint orientation estimation and discusses the issues on future development. [ABSTRACT FROM AUTHOR]

Glioma is the most common type of primary malignant tumor of the central nervous system (CNS), and is characterized by high malignancy, high recurrence rate and poor survival. Conventional imaging techniques only provide information regarding the anatomical location, morphological characteristics, and enhancement patterns. In contrast, advanced imaging techniques such as dynamic contrast-enhanced (DCE) MRI or DCE CT can reflect tissue microcirculation, including tumor vascular hyperplasia and vessel permeability. Although several studies have used DCE imaging to evaluate gliomas, the results of data analysis using conventional tracer kinetic models (TKMs) such as Tofts or extended-Tofts model (ETM) have been ambiguous. More advanced models such as Brix's conventional two-compartment model (Brix), tissue homogeneity model (TH) and distributed parameter (DP) model have been developed, but their application in clinical trials has been limited. This review attempts to appraise issues on glioma studies using conventional TKMs, such as Tofts or ETM model, highlight advancement of DCE imaging techniques and provides insights on the clinical value of glioma management using more advanced TKMs., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Zhou, Hou, Tian, Zhu, Ye, Chen, Yang, Zhang and Zhang.)

Physiological parameters can be estimated from dynamic contrast enhanced magnetic resonance imaging (DCEMRI) data using pharmacokinetic models. This work evaluates the performance of various pharmacokinetic models through a retrospective study on cervix cancer, including two generalized kinetic models and three 2-compartment exchange models (2CXMs). In the current clinical practice, region of interest (ROI) is treated as a whole and the models are assessed by their top pharmacokinetic parameters. We explore the intervoxel relationship in the pharmacokinetic parameter maps and demonstrate that, for those insignificant parameters, texture descriptors can largely improve their discriminative power. Multi-parametric classifiers are developed to fuse the information carried by physiological parameters and the descriptors. Assessed merely by the top parameter, the DP (distributed parameter) model is the best one with an area under the ROC (receiver operating characteristic) curve (AUC) of 0.80; by combining multiple pharmacokinetic parameters, the ExTofts model is the winner with an AUC of 0.837. Finally, the classifier of the AATH (adiabatic approximation to the tissue homogeneity) model build on combined features achieves an AUC of 0.92.Clinical Relevance - Using data from 36 cervical cancer patients and 17 normal subjects, this work quantitatively compared the various pharmacokinetic models and provided recommendations for model selection in cervical cancer diagnosis.

A novel thresholding approach to confine the intensity frequency range of the object based on supervision is introduced. It consists of three steps. First, the region of interest (ROI) is determined in the image. Then, from the histogram of the ROI, the frequency range in which the proportion of the background to the ROI varies is estimated through supervision. Finally, the threshold is determined by minimizing the classification error within the constrained variable background range. The performance of the approach has been validated against 54 brain MR images, including images with severe intensity inhomogeneity and/or noise, CT chest images, and the Cameraman image. Compared with nonsupervised thresholding methods, the proposed approach is substantially more robust and more reliable. It is also computationally efficient and can be applied to a wide class of computer vision problems, such as character recognition, fingerprint identification, and segmentation of a wide variety of medical images.

This paper presents a method to segment brain tissue from T1-weighted Magnetic Resonance (MR) images. A modified BayesShrink method is utilized to filter the image in wavelet transform domain before segmentation, where the shrinkage strength is automatically adjusted with respect to noise level. Then the fuzzy c-means clustering is applied to segment brain tissue into cerebrospinal fluid, gray matter and white matter. Comparison with other methods for brain tissue segmentation that remove noise using wavelet or non-wavelet based methods is made on phantom or real data and the advantage of the proposed method is demonstrated.