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Medical Im age s Analysis Medical Im age s Analysis an rocess ng an rocess ng - Emad Emad Fatemizadeh Fatemizadeh Sharif University of Technology Sharif University of Technology –  E. E. Fatemizadeh Fatemizadeh

MIAP Introduction

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Medical Images AnalysisMedical Images Analysisan rocess ngan rocess ng --

EmadEmad FatemizadehFatemizadeh

Sharif University of TechnologySharif University of Technology – – E.E.FatemizadehFatemizadeh

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ur r uur r uur r uur r u

Course Information:Course Information: – –

 – – Credits: 3Credits: 3

 – –

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Reference(s):Reference(s): – –  

Practice for Segmentation,Practice for Segmentation,

Registration, and Image Analysis Registration, and Image Analysis ,,By: T. S.By: T. S. Yoo Yoo, 2004 (Hardcopy), 2004 (Hardcopy)

 – – Biomedical Images Analysis,Biomedical Images Analysis, by:by: R.R.

M.M. RangayyaRangayya, 2004, eBook., 2004, eBook. – – Some papers! Some papers! 

 – – DIP References! DIP References! 

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Course Contacts and Links:Course Contacts and Links: – – URL:URL: http:/ee.sharif.edu/~http:/ee.sharif.edu/~miapmiap

Course Lecture NotesCourse Lecture Notes

 – – Course Email:Course Email: [email protected]@gmail.com Electronic Homework submission (NOT .Electronic Homework submission (NOT .rarrar)!)!

 – – Submission rule:Submission rule:

 – – My emails:My emails: fatemizadeh@[email protected]

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SyllabusSyllabus:: – – Introduction to Medical Images/ImagingIntroduction to Medical Images/Imaging – – BrieflyBriefly

 – –

 – – Segmentation (Intro to Classification ?)Segmentation (Intro to Classification ?)

 – – Enhancement/Enhancement/DenoisingDenoising – – RegistrationRegistration

 – – InterpolationInterpolation

 – – Medical Ima e Anal sis Usin PDEMedical Ima e Anal sis Usin PDE

 – – MultilodalMultilodal Image AnalysisImage Analysis

 – – Computer Aided Diagnosis (CAD)Computer Aided Diagnosis (CAD) – – Mostly MammographyMostly Mammography

 – –

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What is a medical image:What is a medical image: – –

physical/physiological property(physical/physiological property(iesies).).

 – – Several images from a certain region!Several images from a certain region!

Sharif University of TechnologySharif University of Technology – – E.E.FatemizadehFatemizadeh

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Goal:Goal: – –

property of subject anatomy.property of subject anatomy.

 – – Procedure in nonProcedure in non--invasive.invasive.

 – – Image Geometry:Image Geometry:

Pro ectionPro ection

TomographyTomography

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Based on Interested Physical Property:Based on Interested Physical Property: – – XX--Ray (CT/Radiography)Ray (CT/Radiography)

 – – MRI (Magnetic Resonance Imaging)MRI (Magnetic Resonance Imaging)

 – – PET (Positron Emission Tomography)PET (Positron Emission Tomography) – – US (Ultra Sound)US (Ultra Sound)

 – – SPECT (Single Photon Emission CT)SPECT (Single Photon Emission CT)

 – – EIT (Electrical Impedance Tomography)EIT (Electrical Impedance Tomography) – – Video and etc. Video and etc.

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--

Concepts:Concepts: – –

acquisition.acquisition.

 – – Ima e reconstruction from raw data.Ima e reconstruction from raw data.

 – – Noise and artifact reduction in raw dataNoise and artifact reduction in raw dataspace.space.

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--

Concepts:Concepts: – –

space.space.

 – – Enhance ima es in Re ions of Interest.Enhance ima es in Re ions of Interest.

 – – Image partitioning to meaningful regions.Image partitioning to meaningful regions.

 – –

 – – Multimodality Image FusionMultimodality Image Fusion

 – –

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Medical Images Categories:Medical Images Categories: – –

Single channel (Only one property isSingle channel (Only one property is

acquired): CT , PET, USacquired): CT , PET, US Multichannel (More than one property areMultichannel (More than one property are

acquired): MRIacquired): MRI

Sharif University of TechnologySharif University of Technology – – E.E.FatemizadehFatemizadeh

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Medical Images Categories:Medical Images Categories: – –

 Anatomical: Static distribution of a certain Anatomical: Static distribution of a certain

physical property,physical property, Skeleton Skeleton .. Physiological/Functional: Functionality orPhysiological/Functional: Functionality or

Metabolism of organs,Metabolism of organs, Glucose consumption Glucose consumption ..

Sharif University of TechnologySharif University of Technology – – E.E.FatemizadehFatemizadeh

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Medical Images Categories:Medical Images Categories: – – Geometry:Geometry:

Projective: A Straight line in the object will beProjective: A Straight line in the object will bemapped to a single point at images,mapped to a single point at images,

Tomography: Cross section of object will beTomography: Cross section of object will beimaged,imaged, Computerized Tomography Computerized Tomography ..

 – – mens ona y:mens ona y: 2D2D

Sharif University of TechnologySharif University of Technology – – E.E.FatemizadehFatemizadeh

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Major Properties in Medical Images:Major Properties in Medical Images: – – --

 – – Ultrasound Waves ReflectionUltrasound Waves Reflection

 – –

 – – Spin Density and Relaxation TimesSpin Density and Relaxation Times

 – – -- – – Electrical ConductanceElectrical Conductance

Sharif University of TechnologySharif University of Technology – – E.E.FatemizadehFatemizadeh

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XX--Ray Transmission:Ray Transmission: – – Simple Physics:Simple Physics:

 – – -- --0

 L

T   I I e

=

 are displayed as image.are displayed as image.

 – – Projection and Tomography are possible.Projection and Tomography are possible.

 – – Hazard: Yes!Hazard: Yes!

 – – Resolution: Very Good.Resolution: Very Good.

 – – SNR: Good.SNR: Good.

 – –

,Functional CT.,Functional CT. – – Good contrast for hard tissue (Bones)Good contrast for hard tissue (Bones)

 – – Low Contrast for soft tissue Muscle TumorsLow Contrast for soft tissue Muscle Tumors

Sharif University of TechnologySharif University of Technology – – E.E.FatemizadehFatemizadeh

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XX--Ray Transmission:Ray Transmission: – – Examples:Examples: onven ona a ograp yonven ona a ograp y

Computerized Tomography (CT)Computerized Tomography (CT)

 Angiography: Some organs like as blood vessels Angiography: Some organs like as blood vessels

Digital Subtraction Angiography (DSA): Difference of Digital Subtraction Angiography (DSA): Difference of two images of a single organs in the differenttwo images of a single organs in the different

two different Xtwo different X--Ray energy) are displayed.Ray energy) are displayed. Fluoroscopy: Watch oranges while the body is under XFluoroscopy: Watch oranges while the body is under X--

Ray exposure.Ray exposure.

Sharif University of TechnologySharif University of Technology – – E.E.FatemizadehFatemizadeh

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Ultrasound Wave Reflection:Ultrasound Wave Reflection: – – Ultrasound Waves: Above 20KHz.Ultrasound Waves: Above 20KHz. – – Reflection times of incident ultrasound beam are related toReflection times of incident ultrasound beam are related to

position of the walls.position of the walls. – – Simple Physics:Simple Physics:

 – – Physical Characteristic in TomographyPhysical Characteristic in Tomography

  x ct  =

 – – – – Resolutions: Average (Different in two dimension)Resolutions: Average (Different in two dimension) – – SNR: BadSNR: Bad – –

metabolismmetabolism – – Problem with objects behind bone and air (lung)Problem with objects behind bone and air (lung) – – Need to access to the organs only from one sideNeed to access to the organs only from one side

Sharif University of TechnologySharif University of Technology – – E.E.FatemizadehFatemizadeh

e ec one ec on

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Ultrasound Wave Reflection:Ultrasound Wave Reflection: – – Examples:Examples: -- : , y y r .: , y y r . BB--mode (Sonography): 2D imaging, fetus,mode (Sonography): 2D imaging, fetus,

Bladder, kidney, Prostate .Bladder, kidney, Prostate . --mo e: ssue aracter zat on, esearcmo e: ssue aracter zat on, esearc Application. Application. Doppler/Color Doppler: Blood Flow and HeartDoppler/Color Doppler: Blood Flow and Heart

a ve an av y on or ng.a ve an av y on or ng.

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Radioactive annihilation:Radioactive annihilation: – – Source imaging: Source of radiation is locatedSource imaging: Source of radiation is located

 – – Source radiation (consumption) distribution areSource radiation (consumption) distribution areimaged.imaged.

 – – 133133  – – Projection and Tomography are possibleProjection and Tomography are possible – – Hazard: Yes.Hazard: Yes.

 –  – eso u on: ow.eso u on: ow. – – SNR: Low.SNR: Low. – – Functional (Metabolism)Functional (Metabolism)

Sharif University of TechnologySharif University of Technology – – E.E.FatemizadehFatemizadeh

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Radioactive annihilation:Radioactive annihilation: – –

Gamma Camera: Projection ImagingGamma Camera: Projection Imaging

SPECT (Single Photon Emission ComputerizedSPECT (Single Photon Emission Computerizedomography): Tomographyomography): Tomography

PET (Positron Emission Tomography): VeryPET (Positron Emission Tomography): Very..

Sharif University of TechnologySharif University of Technology – – E.E.FatemizadehFatemizadeh

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Spin Density and Relaxation Times:Spin Density and Relaxation Times: – – Based on Magnetic Resonance Properties.Based on Magnetic Resonance Properties. – – Properties of Proton (HProperties of Proton (H++) spin are imaged.) spin are imaged. – –

PD (Proton Density)PD (Proton Density) T1: SpinT1: Spin--Lattice Relaxation Time.Lattice Relaxation Time.

T2: SpinT2: Spin--Spin Relaxation Time.Spin Relaxation Time. – – a a cqu s on s parame r c:a a cqu s on s parame r c:

Several Protocols for imaging are possible.Several Protocols for imaging are possible.

 – – Projection and Tomography are possible.Projection and Tomography are possible. – – Resolution: GoodResolution: Good

 – – SNR: GoodSNR: Good – – Hazard: Very Low (But banned for patients withHazard: Very Low (But banned for patients with

ferromagnetic/Electrical/Magnetic Devices in their body)ferromagnetic/Electrical/Magnetic Devices in their body) – –

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  – – Static and Functional, both.Static and Functional, both.

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Spin Density and Relaxation Times:Spin Density and Relaxation Times: – –

MRI: Magnetic Resonance Imaging, BrainMRI: Magnetic Resonance Imaging, Brain

Studies, Spin cord, Knee.Studies, Spin cord, Knee. fMRI: Functional MRI, Blood flow, brain.fMRI: Functional MRI, Blood flow, brain.

MRA: Magnetic Resonance Angiography,MRA: Magnetic Resonance Angiography,..

Sharif University of TechnologySharif University of Technology – – E.E.FatemizadehFatemizadeh

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Optical:Optical: – – Optical ReflectionOptical Reflection

 – – Hazar : None Patient Uncon ormityHazar : None Patient Uncon ormity

 – – Resolution: HighResolution: High

 – –

 – – Examples:Examples: EndoscopyEndoscopy

aryngoscopyaryngoscopy ColonoscopyColonoscopy

 – – Optical Tomography found in research filesOptical Tomography found in research files

Sharif University of TechnologySharif University of Technology – – E.E.FatemizadehFatemizadeh

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Electrical Conductance:Electrical Conductance: – – Electrical Impedance Tomography (EIT)Electrical Impedance Tomography (EIT)

 – – Electrical Conductance (Resistance) is imaged.Electrical Conductance (Resistance) is imaged.

 – – Low ResolutionLow Resolution – – Low SNR Low SNR 

 – – Hazard: Electrical Safety Problem.Hazard: Electrical Safety Problem.

 – –

 – – TomographyTomography

Sharif University of TechnologySharif University of Technology – – E.E.FatemizadehFatemizadeh

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Return to MedicalReturn to MedicalImagingImaging

Concepts:Concepts: – –

body, nonbody, non--invasively.invasively.

 – – Ima e ModalitiesIma e Modalities – – PrePre--processingprocessing

 – – --

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Goal:Goal: – –

property of subject anatomy.property of subject anatomy.

 – – Procedure in nonProcedure in non--invasive.invasive. – – Image Geometry:Image Geometry:

Pro ectionPro ection

TomographyTomography

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Based on Interested Physical Property:Based on Interested Physical Property: – – XX--Ray (CT/Radiography)Ray (CT/Radiography)

 – – MRI (Magnetic Resonance Imaging)MRI (Magnetic Resonance Imaging)

 – – PET (Positron Emission Tomography)PET (Positron Emission Tomography) – – US (Ultra Sound)US (Ultra Sound)

 – – SPECT (Single Photon Emission CT)SPECT (Single Photon Emission CT)

 – – EIT (Electrical Impedance Tomography)EIT (Electrical Impedance Tomography) – – Video and etc. Video and etc.

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--

Concepts:Concepts: – –

acquisition.acquisition.

 – – Ima e reconstruction from raw data.Ima e reconstruction from raw data. – – Noise and artifact reduction in raw dataNoise and artifact reduction in raw data

space.space.

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--

Concepts:Concepts: – –

space.space.

 – – Enhance ima es in Re ions of Interest.Enhance ima es in Re ions of Interest. – – Image partitioning to meaningful regions.Image partitioning to meaningful regions.

 – –

 – – Multimodality Image FusionMultimodality Image Fusion

 – –