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Brain Extraction of MR Images Ruoyu Du

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제33 회 한국정보처리학회 춘계학술발표대회 논문집 제 17 권 제 1 호 (2010. 4)

Brain Extraction of MR Images

Ruoyu Du1 and Hyo Jong Lee2

Division of Computer Science and Engineering 1,2 Center for Advanced Image and Information Technique2

Chonbuk National University Jeonju, Korea

Abstract

Extracting the brain from magnetic resonance imaging head scans is an essential preprocessing step of which the accuracy greatly affects subsequent image analysis. The currently popular Brain Extraction Tool produces a brain mask which may be too smooth for practical use to reduce the accuracy. This paper presents a novel and indirect brain extraction method based on non-brain tissue segmentation. Based on ITK, the proposed method allows a non- brain contour by using region growing to match with the original image naturally and extract the brain tissue.

Experiments on two set of MRI data and 2D brain image in horizontal plane and 3D brain model indicate successful extraction of brain tissue from a head.

1. Introduction

There are many applications related to brain imaging that require the ability to accurately segment brain from non- brain tissue. Extracting the brain from Magnetic Resonance Images (MRI) is one of the most important pre-processing steps in the quantitative brain analysis, visualization, cortical mapping, and multimodal registration. However, it is still a challenging task especially for high resolution data due to the image properties of small pixel size and brains with narrow sulci and dense gyri [1]. Most MR images suffer from partial volume effects (PVE) due to the limited resolution of MRI scanners which can cause voxels on the boundary between tissues to be blurred, making accurate surface determination difficult. This problem is most pronounced in tightly folded sulci, where cerebrospinal fluid (CSF) is often hardly detected due to the fact that opposing sulcal banks can be closer than the MRI resolution, thus exhibiting a fused appearance [2][3]. In this paper, a simply and intelligent approach is introduced to assist the doctor in brain extraction.

It is indirect method based on non-brain tissue segmentation by using Region Growing algorithm [4]. Segmentation of brain/non-brain tissue is one of the most time-consuming preprocessing steps performed in neuroimaging laboratories and numerous brain extraction algorithms have been developed to perform this step automatically [5][6][7]. The non-brain tissues here include scalp and skull. Specially, the non-brain tissue segmentation is the important step before brain segmentation, which can allows us to distinguish clearly the region of background and brain. Since scalp and skull can narrow the application region of image segmentation. That means brain is what is left after taking off the scalp and skull so as to achieve the goal of brain extraction. A 3D accurate brain model is built by using the introduced approach and a precise performance represent in 2D image.

In this paper, we proposed a method of brain extraction by matching based on non-brain tissue segmentation and de-

scribed how to extract brain. Section 2 introduces the related research. Section 3 describes our proposed method.

Experimental results and discussion are described in Section 4. Finally, a conclusion is described in the Section 5.

2. Related research

A number of methods have been proposed for brain extraction from MRI over a few past decades. A tessellated deformable sphere model has been used by Smith et al [8]

and is implemented in the popular Brain Extraction Tool (BET). BET makes an intensity-based estimation of the brain/non-brain threshold, determines the center of gravity of the head, defines an initial sphere based on the center of gravity, and deforms the tessellated sphere outward toward the brain surface. Brain masks could also be generated indirectly by combining gray matter (GM) and white matter (WM) tissues segmented with tools such as Statistical Parametric Mapping (SPM) [9] which utilizes spatial templates and voxel-based morphometry for normalization and segmentation. BET and SPM perform well with synthetic data; however, results are poor and inconsistent, when applied to real MRI scans. Shattuck et al [9][10] developed a Brain Surface Extraction algorithm (BSE) based on mathematical morphology and connected component operations. BSE is an edge-based method that employs anisotropic diffusion filtering. Edge detection is implemented using a 2D Marr-Hildreth operator employing low-pass filtering with a Gaussian kernel and localization of zero crossings in the Laplacian of the filtered image; the final step is morphological processing of the edge map. However, by using BSE, the results are often too smooth for standalone application as described in his paper. Lemieux et al [11] used threshold, Gaussian fitting, and connected component operations for this task but their technique has only been tested on synthetic data. It is a fully automatic algorithm that segments T1-weighted MRI of the head. This method uses 3D morphological operations and connected component

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제33 회 한국정보처리학회 춘계학술발표대회 논문집 제 17 권 제 1 호 (2010. 4)

analysis. It chooses a threshold by incrementing the threshold by unit steps until there is a significant change in the volume found after a set of morphological and connected component operations. This method was not available to the public so the first two steps of the algorithm was re- created in an ImageJ plugin based on the descriptions by Lemieux et al. Rehm et al [12] offered a different approach by generating a consensus mask from an atlas-registered mask, a histogram-based mask and a BSE mask but the tool dependency and setup is too complex for practical use.

3. Methods

3.1 Region Growing

Region growing is one of the simplest region-based image segmentation methods and it can also be classified as one of the pixel-based image segmentations because it involves the selection of initial seed points [13]. This approach exploits the important fact that pixels which are close together have similar gray values. Also the basic approach of a region growing algorithm is to start from one or more pixel as a seed region. The seed region is considered to be inside the object to be segmented. The neighboring pixels are evaluated to determine if they should also be considered part of the object. The basic algorithm starts with a single pixel and adds new pixels slowly. A detailed description follows:

(1) Choose the seed pixel

(2) Check the neighboring pixels and add them to the region if they are similar to the seed

(3) Repeat step 2 for each of the newly added pixels; stop if no more pixels can be added.

Region Growing algorithms vary depending on the criteria used to determine neighbors, and the strategy used to visit neighboring pixels. The Insight Toolkit (ITK) [14] provides a basic set of region growing algorithms that can be used to develop and customize a full segmentation application, which includes several implementations such as Connected Threshold, Otsu Segmentation, Neighborhood Connected, Confidence Connected and Isolated Connected. Confidence Connected Method is one of the most representative implementations of Region Growing, which is used to achieve the non-brain tissue segmentation.

3.2 Confidence Connected Method

Evaluate intensity value inside a specific interval is a simple criterion for including pixels in a growing region. There is a ConfidenceConnectedImageFilter in ITK which based on simple statistics of the current region. First, the algorithm calculates the mean and standard deviation of intensity values for all the pixels currently included in the region. A factor provided by the user is used to multiply the standard deviation and define a range around the mean. All of the neighbor pixels whose intensity values belong to the range are accepted and included in the region. When there are no more neighbor pixels are selected that satisfy the criterion, the algorithm is considered to have finished its first iteration.

And then the mean and standard deviation of the intensity levels are recomputed using all the pixels currently included in the region [15]. This iterative process is repeated until no more pixels are added or the number of iterations is reached at the maximum number. The following equation illustrates

the inclusion criterion used by this filter, I(X)∈[m-fσ, m+fσ] (1)

Where m and σ are the mean and standard deviation of the region intensities, f is a factor, I() is the image and X is the position of the particular neighbor pixel being considered for inclusion in the region [15].

Because of there is an obvious division between the non- brain tissue part and brain part by their intensity value. By selecting the suitable parameter, a contour model of the non- brain tissue extraction is automatically separated from the original image, either 2D or 3D image. And this contour model is replaced in the saturation intensity value so that it can be easier to identify and remove. For an 8-bit MR image, the saturation intensity value is 255. Likewise, 65535 is the saturation intensity value of 16-bit MR image.

3.3 Matching

The brain extraction is a necessary process before segmentation. Indeed pixels lying outside the brain contour and which are not of interest (skin, fat, bone and air) share intensity with the structures of interest. The brain part becomes one of the most difficult areas to be properly determined. The slight inaccuracy is often missed, or sometimes misled by pixels with similar intensities.

In order to highlight such kind of slight inaccuracy, there are three steps to solve this problem. Firstly, the noise point removal in the background is a simply step to any image processing. The key of this step is the intensity value of these noise points which are far below the other objects image.

Secondly, a contour model is implemented to instead the original scalp and skull parts as a matching model. In this way, the original non-brain tissue part will be reset the intensity value to the saturation intensity value. Thirdly, if the contour model matches the scalp and skull parts of original MRI data, a brain without any useless part will be extracted after taking off the contour model from the matching model.

Otherwise, this matching model can make a tiny dilation to match the scalp and skull parts again until only brain is remained. In the last step, a series of 2D images is used to matching first. And then we can collect these processed 2D images to build a 3D brain model.

4. Results

There are two different persons as testing MRI data, two of which have 160 slices in Sagittal plane. 8-bit image is used in the first testing images, and each slice has a size of 240×240.

By programming we change the direction to obtain 240 slices of the first testing images in Horizontal plane, each of which has a size of 240×160. The second test images use 16-bit image, each slice have a size of 256×256. After changing the direction process, each of the second testing image slices has a size of 256×160.

For these two testing images, the proposed method is applied to realize brain extraction. Figure 1(a) and (b) represent 3D head models of 8-bit and 16-bit testing images. When a series 2D image of a testing MRI data are reading into a 3D model, a contour model can be achieved by using CCM and

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제33 회 한국정보처리학회 춘계학술발표대회 논문집 제 17 권 제 1 호 (2010. 4)

excluding the noise point of background automatically.

Figure 2(a) and (b) show the 3D matching model after executing CCM and matching. In the Figure 2(a), the intensity value of the lower jaw in the first test person comparatively consistent with the noise points, so when CCM is implemented to get the contour of non-brain tissue part, the lower jaw part is removed by mistake. However, the result indicted that the mistaken part did not affect the exact extent of the brain extraction.

(a) (b)

Figure 1. (a) 8-bit original testing 3D head model (b) 16- bit original testing 3D head model

(a) (b)

Figure 2. (a) 8-bit testing 3D matching model (b) 16-bit testing 3D matching model

Figure 1 and Figure 2 merely describe in general, but could not display the detailed part what we have interest in. In order to explain the proposed method how to implement, a slice is selected to illustrate the effect after executing the first two steps of the proposed method. Figure 3(a) and Figure 4(a) show one slice of the original 3D model in two testing MR images. By contrast the original slice is the same slice after matching in Figure 3(b) and Figure 4(b).

Then we make extraction of brain by taking off the matching part for each slice of testing MR images, and get two set of 2D brain images. Base on these 2D images, we build 3D brain image for each testing person. These images are shown in Figure 4 and Figure 5. Figure 5(a) and Figure 6(a) illustrate the 3D model of brain extraction. The 2D image is shown the 65th slice of 8-bit MRI data and the 80th slice of 16-bit MRI data in the Figure 5(b) and Figure 6(b).

(a) (b)

Figure 3. (a)The 65th slice of 8-bit testing images (b) The 65th slice of 8-bit matching images

(a) (b)

Figure 4. (a)The 80th slice of 16-bit testing images (b) The 80th slice of 16-bit matching images

(a) (b)

Figure 5. (a) The 8-bit 3D brain model (b) The 65th slice of 8-bit brain extraction

(a) (b)

Figure 6. (a) The 16-bit 3D brain model (b) The 80th slice of 16-bit brain extraction

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제33 회 한국정보처리학회 춘계학술발표대회 논문집 제 17 권 제 1 호 (2010. 4)

5. Conclusion

In this paper, brain extraction is to represent non-brain tissue segmentation by using CCM of Region Growing and to replace the non-brain tissue part of original image with the matching model. Then we can check whether the non-brain tissue part is replaced reasonably or not and make a proper adjustment. Finally, by taking off the replaced part, the brain tissue part is extracted successfully.

The proposed method based on a simply indirect way to demonstrates high accuracy of brain extraction. However, it is necessary to improve extracting brain in detail with adjusting the segmentation region of non-brain tissue or applying more sophisticated brain extraction algorithms. The current brain extraction is first depicted in 2D image, although building 3D model was available later. The 3D brain extraction can be implemented directly based on 3D head model applying our proposed method as a future work.

Reference

[1] Rehm, K., Schaper, K., Anderson, J., Woods, R., Stoltzner, S., and Rottenberg, D., Putting our heads to- gether: a consensus approach to brain/non-brain segmentation in T1-weighted MR volumes. Neuroimage, 2004, vol. 22, no.3, pp. 1262-1270, 2004.

[2] Kim JS, Singh V, Lee JK, Lerch J, Ad-Dab’bagh Y, MacDonald D, Lee JM, Kim SI, Evans AC: Automated 3-D extraction and evaluation of the inner and outer cortical surfaces using a Laplacian map and partial volume effect classification. Neuroimage 2005, vol. 27, pp. 210–221, 2005.

[3] X. Zeng, L. H. Staib, R. T. Schultz and J. S. Duncan , Segmentation and measurement of the cortex from 3-d mr images. Proceedings of Medical Image Computing and Computer-Assisted Intervention—MICCAI’98, pp.

519–530, 1998.

[4] Regina Pohle, Klaus D. Toennies, “Segmentation of medical images using adaptive region growing,” Medical Imaging 2001: Image Processing, Proc. SPIE, vol.4322, pp.1337-1346, 2001.

[5] Chang YL, Li X. “Adaptive Image Region-Growing,”

IEEE Trans. on Image Processing, vol. 3, no. 6, pp. 868- 872, 1994.

[6] Guoyu Qian, Suhuai Luo, Jesse Jin, Mira Park, Wieslaw L. Nowinski, "Interactive and Intelligent Approach for Brain Extraction from High-Resolution Volumetric MR Neuroimages," iita, Second International Symposium on Intelligent Information Technology Application, vol. 2, pp.885-889, 2008.

[7] Ashburner.J., Friston, K.J., “Voxl-basedmorphometry:

themethods”, NeuroImage, vol.11, pp.805–821, 2000.

[8] S.M. Smith, “Robust Automated Brain Extraction,”

Human Brain Mapping, vol 17, no. 3, pp. 143-155, 2002.

[9] J. Ashburner and K.J. Friston "Voxel-based

morphometry--the methods," Neuroimage, vol. 11, no. 6, pt. 1, pp. 805-821, 2000.

[10] D.W. Shattuck et al., "Magnetic resonance image tissue classification using a partial volume model," Neuroimage, v. 13, no. 5, pp. 856-876, 2001.

[11] L. Lemieux et al., "Fast, accurate, and reproducible automatic segmentation of the brain in T1-weighted volume MRI data," Magn Reson Med, vol. 42, no. 1, pp.

127-135, 1999.

[12] K. Rehm et al., "Putting our heads together: a consensus approach to brain/non-brain segmentation in T1-weighted MR volumes," Neuroimage, vol. 22, no. 3, pp. 1262- 1270, 2004.

[13] http://en.wikipedia.org/wiki/Region_growing, Region growing

[14] Luis Ib´a˜nez, Will Schroeder, Lydia Ng, Josh Cates,

“The ITK Software Guide Second Edition-Updated for ITK version 2.4,” the Insight Software Consortium, vol.

9, pp.503-524, 2005.

[15] http://www.itk.org, Insight Segmentation and Registration Toolkit (ITK)

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