论文标题

多对比计算机断层扫描健康肾脏

Multi-Contrast Computed Tomography Healthy Kidney Atlas

论文作者

Lee, Ho Hin, Tang, Yucheng, Xu, Kaiwen, Bao, Shunxing, Fogo, Agnes B., Harris, Raymond, de Caestecker, Mark P., Heinrich, Mattias, Spraggins, Jeffrey M., Huo, Yuankai, Landman, Bennett A.

论文摘要

三维多模式组织图的构建为通过信息整合跨越时间和空间尺度跨学科创新提供了机会。虽然将大量的努力分配给细胞级别并探索细胞相互作用和组织的变化,但在器官和系统中的上下文化发现对于可视化和解释跨量表的更高分辨率链接至关重要。在腹部计算机断层扫描(CT)中,肾脏形态法和外观跨体型,性别和成像方案的外观存在很大的正常变化。需要一个体积地图集框架来整合和可视化范围内的可变性。但是,没有用于多对比CT的腹部和腹膜后器官框架。因此,我们提出了一个高分辨率的CT CT腹膜腹膜,专门针对非对比度CT和早期动脉,晚动脉,静脉和延迟对比度增强的CT进行了优化。简而言之,我们引入了基于深度学习的兴趣提取方法和自动化的两阶段层次登记管道,以将腹部量注册到高分辨率的CT ATLAS模板上。为了产生和评估地图集,处理了500名受试者(没有报道的肾脏疾病史,年龄:15-50岁,250名男性和250名女性)的多控制模态CT扫描。我们证明了Atlas模板的稳定性,可以整合从小型到大的肾脏变异,这些变化跨越了对比度和人群的差异,人口统计学差异很大。地图集和人口统计学的联系提供了对种群肾脏解剖结构的变化的更好理解。

The construction of three-dimensional multi-modal tissue maps provides an opportunity to spur interdisciplinary innovations across temporal and spatial scales through information integration. While the preponderance of effort is allocated to the cellular level and explore the changes in cell interactions and organizations, contextualizing findings within organs and systems is essential to visualize and interpret higher resolution linkage across scales. There is a substantial normal variation of kidney morphometry and appearance across body size, sex, and imaging protocols in abdominal computed tomography (CT). A volumetric atlas framework is needed to integrate and visualize the variability across scales. However, there is no abdominal and retroperitoneal organs atlas framework for multi-contrast CT. Hence, we proposed a high-resolution CT retroperitoneal atlas specifically optimized for the kidney across non-contrast CT and early arterial, late arterial, venous and delayed contrast enhanced CT. Briefly, we introduce a deep learning-based volume of interest extraction method and an automated two-stage hierarchal registration pipeline to register abdominal volumes to a high-resolution CT atlas template. To generate and evaluate the atlas, multi-contrast modality CT scans of 500 subjects (without reported history of renal disease, age: 15-50 years, 250 males & 250 females) were processed. We demonstrate a stable generalizability of the atlas template for integrating the normal kidney variation from small to large, across contrast modalities and populations with great variability of demographics. The linkage of atlas and demographics provided a better understanding of the variation of kidney anatomy across populations.

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