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  4. Novel stochastic framework for automatic segmentation of human thigh MRI volumes and its applications in spinal cord injured individuals

Novel stochastic framework for automatic segmentation of human thigh MRI volumes and its applications in spinal cord injured individuals

PLOS ONE, 2019 · DOI: https://doi.org/10.1371/journal.pone.0216487 · Published: May 9, 2019

Spinal Cord InjuryMedical Imaging

Simple Explanation

This study introduces a new automated method to measure muscle and fat in thigh MRI scans, particularly for individuals with spinal cord injuries. The method aims to improve accuracy and speed compared to manual measurements. The approach uses a combination of statistical techniques and image analysis to identify and segment different types of tissue, including subcutaneous fat, inter-muscular fat, and various muscle groups. The method's accuracy was tested on both individuals with spinal cord injuries and those without, and its performance was compared against existing segmentation techniques.

Study Duration
Not specified
Participants
30 participants (16 with chronic SCI, 14 non-disabled)
Evidence Level
Not specified

Key Findings

  • 1
    The proposed automatic segmentation method achieved an overall accuracy of 0.93±0.06 for adipose tissue and muscle compartments segmentation based on Dice Similarity Coefficient.
  • 2
    The novel framework demonstrated higher accuracy in muscle compartment segmentation compared to ANTs and STAPLE, which are two validated atlas-based segmentation methods.
  • 3
    The framework showed comparable Dice accuracy and superior Hausdorff distance measure compared to DeepMedic, a convolutional neural network for 3-D medical image segmentation.

Research Summary

This study presents a novel automatic 3-D approach for the volumetric segmentation and quantitative assessment of thigh MRI volumes in individuals with chronic SCI and non-disabled individuals. The proposed framework segments subcutaneous adipose tissue, inter-muscular adipose tissue, and total muscle tissue using a linear combination of discrete Gaussians algorithm and segments three thigh muscle groups using a 3-D Joint Markov Gibbs Random Field model. The automatic segmentation method provides fast and accurate quantification of adipose and muscle tissues, which has important health and functional implications in the SCI population.

Practical Implications

Improved Assessment

Enables more accurate and efficient assessment of muscle and fat changes in SCI patients.

Intervention Monitoring

Facilitates monitoring the effectiveness of rehabilitation interventions on muscle and adipose tissue distribution.

Clinical Applications

Provides a tool for understanding ectopic adipose tissue-related adaptations after SCI and optimizing prevention of SCI-induced health complications.

Study Limitations

  • 1
    MRI resolution could be improved for accurate segmentation of intra-muscular adipose tissue and individual muscles.
  • 2
    The number of thigh MRI slices could be increased from the 50 central to the whole thigh for a more comprehensive assessment.
  • 3
    The study does not specify the duration for which the SCI individuals had the injury.

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