Title
Semi-automatic 3D segmentation of costal cartilage in CT data from Pectus Excavatum patients
Abstract
One of the current frontiers in the clinical management of Pectus Excavatum (PE) patients is the prediction of the surgical outcome prior to the intervention. This can be done through computerized simulation of the Nuss procedure, which requires an anatomically correct representation of the costal cartilage. To this end, we take advantage of the costal cartilage tubular structure to detect it through multi-scale vesselness filtering. This information is then used in an interactive 2D initialization procedure which uses anatomical maximum intensity projections of 3D vesselness feature images to efficiently initialize the 3D segmentation process. We identify the cartilage tissue centerlines in these projected 2D images using a livewire approach. We finally refine the 3D cartilage surface through region-based sparse field level-sets. We have tested the proposed algorithm in 6 noncontrast CT datasets from PE patients. A good segmentation performance was found against reference manual contouring, with an average Dice coefficient of 0.75 +/- 0.04 and an average mean surface distance of 1.69 +/- 0.30mm. The proposed method requires roughly 1 minute for the interactive initialization step, which can positively contribute to an extended use of this tool in clinical practice, since current manual delineation of the costal cartilage can take up to an hour.
Year
DOI
Venue
2015
10.1117/12.2082531
Proceedings of SPIE
Keywords
Field
DocType
3D Cartilage Segmentation,Multi-scale Vesselness,Interactive Method,Level-sets
Computer vision,Nuss procedure,Costal cartilage,Segmentation,Sørensen–Dice coefficient,Pectus excavatum,Image segmentation,Artificial intelligence,Initialization,Contouring,Physics
Conference
Volume
ISSN
Citations 
9413
0277-786X
0
PageRank 
References 
Authors
0.34
3
5
Name
Order
Citations
PageRank
Daniel Barbosa112913.33
Sandro Queirós2299.05
Nuno M. M. Rodrigues39419.35
Jorge Correia-Pinto4115.98
Joao L. Vilaca584.47