Faculty Publications

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    Carotid inter-adventitial diameter is more strongly related to plaque score than lumen diameter: An automated tool for stroke analysis
    (John Wiley and Sons Inc. P.O.Box 18667 Newark NJ 07191-8667, 2016) Saba, L.; Araki, T.; Krishna Kumar, P.; Rajan, J.; Lavra, F.; Ikeda, N.; Sharma, A.M.; Shafique, S.; Nicolaïdes, A.; Laird, J.R.; Gupta, A.; Suri, J.S.
    Purpose: To compare the strength of correlation between automatically measured carotid lumen diameter (LD) and interadventitial diameter (IAD) with plaque score (PS). Methods: Retrospective study on a database of 404 common carotid artery B-mode sonographic images from 202 diabetic patients. LD and IAD were computed automatically using an advanced computerized edge detection method and compared with two distinct manual measurements. PS was computed by adding the maximal thickness in millimeters of plaques in segments taken from the internal carotid artery, bulb, and common carotid artery on both sides. Results: The coefficient of correlation was 0.19 (p < 0.007) between LD and PS, and 0.25 (p < 0.0006) between IAD and PS. After excluding 10 outliers, coefficient of correlation was 0.25 (p < 0.0001) between LD and PS, and 0.38 (p < 0.0001) between IAD and PS. The precision of merit of automated versus the two manual measurements was 96.6% and 97.2% for LD, and 97.7% and 98.1%, for IAD, respectively. Conclusions: Our automated measurement system gave satisfying results in comparison with manual measurements. Carotid IAD was more strongly correlated to PS than carotid LD in this population sample of Japanese diabetic patients. © 2016 Wiley Periodicals, Inc.
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    Two Automated Techniques for Carotid Lumen Diameter Measurement: Regional versus Boundary Approaches
    (Springer New York LLC barbara.b.bertram@gsk.com, 2016) Araki, T.; Kumar, P.K.; Suri, H.S.; Ikeda, N.; Gupta, A.; Saba, L.; Rajan, J.; Lavra, F.; Sharma, A.M.; Shafique, S.; Nicolaïdes, A.; Laird, J.R.; Suri, J.S.
    The degree of stenosis in the carotid artery can be predicted using automated carotid lumen diameter (LD) measured from B-mode ultrasound images. Systolic velocity-based methods for measurement of LD are subjective. With the advancement of high resolution imaging, image-based methods have started to emerge. However, they require robust image analysis for accurate LD measurement. This paper presents two different algorithms for automated segmentation of the lumen borders in carotid ultrasound images. Both algorithms are modeled as a two stage process. Stage one consists of a global-based model using scale-space framework for the extraction of the region of interest. This stage is common to both algorithms. Stage two is modeled using a local-based strategy that extracts the lumen interfaces. At this stage, the algorithm-1 is modeled as a region-based strategy using a classification framework, whereas the algorithm-2 is modeled as a boundary-based approach that uses the level set framework. Two sets of databases (DB), Japan DB (JDB) (202 patients, 404 images) and Hong Kong DB (HKDB) (50 patients, 300 images) were used in this study. Two trained neuroradiologists performed manual LD tracings. The mean automated LD measured was 6.35 ± 0.95 mm for JDB and 6.20 ± 1.35 mm for HKDB. The precision-of-merit was: 97.4 % and 98.0 % w.r.t to two manual tracings for JDB and 99.7 % and 97.9 % w.r.t to two manual tracings for HKDB. Statistical tests such as ANOVA, Chi-Squared, T-test, and Mann-Whitney test were conducted to show the stability and reliability of the automated techniques. © 2016, Springer Science+Business Media New York.
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    Recent Advancements in Retinal Vessel Segmentation
    (Springer New York LLC barbara.b.bertram@gsk.com, 2017) Srinidhi, C.L.; Aparna., P.; Rajan, J.
    Retinal vessel segmentation is a key step towards the accurate visualization, diagnosis, early treatment and surgery planning of ocular diseases. For the last two decades, a tremendous amount of research has been dedicated in developing automated methods for segmentation of blood vessels from retinal fundus images. Despite the fact, segmentation of retinal vessels still remains a challenging task due to the presence of abnormalities, varying size and shape of the vessels, non-uniform illumination and anatomical variability between subjects. In this paper, we carry out a systematic review of the most recent advancements in retinal vessel segmentation methods published in last five years. The objectives of this study are as follows: first, we discuss the most crucial preprocessing steps that are involved in accurate segmentation of vessels. Second, we review most recent state-of-the-art retinal vessel segmentation techniques which are classified into different categories based on their main principle. Third, we quantitatively analyse these methods in terms of its sensitivity, specificity, accuracy, area under the curve and discuss newly introduced performance metrics in current literature. Fourth, we discuss the advantages and limitations of the existing segmentation techniques. Finally, we provide an insight into active problems and possible future directions towards building successful computer-aided diagnostic system. © 2017, Springer Science+Business Media New York.
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    A benchmark study of automated intra-retinal cyst segmentation algorithms using optical coherence tomography B-scans
    (Elsevier Ireland Ltd, 2018) Girish, G.N.; Anima, V.A.; Kothari, A.R.; Sudeep, P.V.; Roychowdhury, S.; Rajan, J.
    (Background and objectives) Retinal cysts are formed by accumulation of fluid in the retina caused by leakages from inflammation or vitreous fractures. Analysis of the retinal cystic spaces holds significance in detection and treatment of several ocular diseases like age-related macular degeneration, diabetic macular edema etc. Thus, segmentation of intra-retinal cysts and quantification of cystic spaces are vital for retinal pathology and severity detection. In the recent years, automated segmentation of intra-retinal cysts using optical coherence tomography B-scans has gained significant importance in the field of retinal image analysis. The objective of this paper is to compare different intra-retinal cyst segmentation algorithms for comparative analysis and benchmarking purposes. (Methods) In this work, we employ a modular approach for standardizing the different segmentation algorithms. Further, we analyze the variations in automated cyst segmentation performances and method scalability across image acquisition systems by using the publicly available cyst segmentation challenge dataset (OPTIMA cyst segmentation challenge). (Results) Several key automated methods are comparatively analyzed using quantitative and qualitative experiments. Our analysis demonstrates the significance of variations in signal-to-noise ratio (SNR), retinal layer morphology and post-processing steps on the automated cyst segmentation processes. (Conclusion) This benchmarking study provides insights towards the scalability of automated processes across vendor-specific imaging modalities to provide guidance for retinal pathology diagnostics and treatment processes. © 2017 Elsevier B.V.
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    Segmentation of intra-retinal cysts from optical coherence tomography images using a fully convolutional neural network model
    (Institute of Electrical and Electronics Engineers Inc., 2019) Girish, G.N.; Thakur, B.; Chowdhury, S.R.; Kothari, A.R.; Rajan, J.
    Optical coherence tomography (OCT) is an imaging modality that is used extensively for ophthalmic diagnosis, near-histological visualization, and quantification of retinal abnormalities such as cysts, exudates, retinal layer disorganization, etc. Intra-retinal cysts (IRCs) occur in several macular disorders such as, diabetic macular edema, retinal vascular disorders, age-related macular degeneration, and inflammatory disorders. Automated segmentation of IRCs poses challenges owing to variations in the acquisition system scan intensities, speckle noise, and imaging artifacts. Several segmentation methods have been proposed in the literature for IRC segmentation on vendor-specific OCT images that lack generalizability across imaging systems. In this paper, we propose a fully convolutional network (FCN) model for vendor-independent IRC segmentation. The proposed method counteracts image noise variabilities and trains FCN models on OCT sub-images from the OPTIMA cyst segmentation challenge dataset (with four different vendor-specific images, namely, Cirrus, Nidek, Spectralis, and Topcon). Further, optimal data augmentation and model hyperparametrization are shown to prevent over-fitting for IRC area segmentation. The proposed method is evaluated on the test dataset with a recall/precision rate of 0.66/0.79 across imaging vendors. The Dice correlation coefficient of the proposed method outperforms that of the published algorithms in the OPTIMA cyst segmentation challenge with a Dice rate of 0.71 across the vendors. © 2013 IEEE.
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    Multi-Res-Attention UNet: A CNN Model for the Segmentation of Focal Cortical Dysplasia Lesions from Magnetic Resonance Images
    (Institute of Electrical and Electronics Engineers Inc., 2021) Thomas, E.; Pawan, S.J.; Kumar, S.; Horo, A.; Niyas, S.; Vinayagamani, S.; Kesavadas, C.; Rajan, J.
    In this work, we have focused on the segmentation of Focal Cortical Dysplasia (FCD) regions from MRI images. FCD is a congenital malformation of brain development that is considered as the most common causative of intractable epilepsy in adults and children. To our knowledge, the latest work concerning the automatic segmentation of FCD was proposed using a fully convolutional neural network (FCN) model based on UNet. While there is no doubt that the model outperformed conventional image processing techniques by a considerable margin, it suffers from several pitfalls. First, it does not account for the large semantic gap of feature maps passed from the encoder to the decoder layer through the long skip connections. Second, it fails to leverage the salient features that represent complex FCD lesions and suppress most of the irrelevant features in the input sample. We propose Multi-Res-Attention UNet; a novel hybrid skip connection-based FCN architecture that addresses these drawbacks. Moreover, we have trained it from scratch for the detection of FCD from 3 T MRI 3D FLAIR images and conducted 5-fold cross-validation to evaluate the model. FCD detection rate (Recall) of 92% was achieved for patient wise analysis. © 2013 IEEE.
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    Capsule Network–based architectures for the segmentation of sub-retinal serous fluid in optical coherence tomography images of central serous chorioretinopathy
    (Springer Science and Business Media Deutschland GmbH, 2021) Pawan, S.J.; Sankar, R.; Jain, A.; Jain, M.; Darshan, D.V.; Anoop, B.N.; Kothari, A.R.; Venkatesan, M.; Rajan, J.
    Central serous chorioretinopathy (CSCR) is a chorioretinal disorder of the eye characterized by serous detachment of the neurosensory retina at the posterior pole of the eye. CSCR results from the accumulation of subretinal fluid (SRF) due to idiopathic defects at the level of the retinal pigment epithelial (RPE) that allows serous fluid from the choriocapillaris to diffuse into the subretinal space between RPE and neurosensory retinal layers. This condition is presently investigated by clinicians using invasive angiography or non-invasive optical coherence tomography (OCT) imaging. OCT images provide a representation of the fluid underlying the retina, and in the absence of automated segmentation tools, currently only a qualitative assessment of the same is used to follow the progression of the disease. Automated segmentation of the SRF can prove to be extremely useful for the assessment of progression and for the timely management of CSCR. In this paper, we adopt an existing architecture called SegCaps, which is based on the recently introduced Capsule Networks concept, for the segmentation of SRF from CSCR OCT images. Furthermore, we propose an enhancement to SegCaps, which we have termed as DRIP-Caps, that utilizes the concepts of Dilation, Residual Connections, Inception Blocks, and Capsule Pooling to address the defined problem. The proposed model outperforms the benchmark UNet architecture while reducing the number of trainable parameters by 54.21%. Moreover, it reduces the computation complexity of SegCaps by reducing the number of trainable parameters by 37.85%, with competitive performance. The experiments demonstrate the generalizability of the proposed model, as evidenced by its remarkable performance even with a limited number of training samples. [Figure not available: see fulltext.]. © 2021, International Federation for Medical and Biological Engineering.
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    Semi-supervised structure attentive temporal mixup coherence for medical image segmentation
    (Elsevier B.V., 2022) Pawan, S.J.; Jeevan, G.; Rajan, J.
    Deep convolutional neural networks have shown eminent performance in medical image segmentation in supervised learning. However, this success is predicated on the availability of large volumes of pixel-level labeled data, making these approaches impractical when labeled data is scarce. On the other hand, semi-supervised learning utilizes pertinent information from unlabeled data along with minimal labeled data, alleviating the demand for labeled data. In this paper, we leverage the mixup-based risk minimization operator in a student–teacher-based semi-supervised paradigm along with structure-aware constraints to enforce consistency coherence among the student predictions for unlabeled samples and the teacher predictions for the corresponding mixup sample by significantly diminishing the need for labeled data. Besides, due to the intrinsic simplicity of the linear combination operation used for generating mixup samples, the proposed method stands at a computational advantage over existing consistency regularization-based SSL methods. We experimentally validate the performance of the proposed model on two public benchmark datasets, namely the Left Atrial (LA) and Automatic Cardiac Diagnosis Challenge (ACDC) datasets. Notably, on the LA dataset's lowest labeled data set-up (5%), the proposed method significantly improved the Dice Similarity Coefficient and the Jaccard Similarity Coefficient by 1.08% and 1.46%, respectively. Furthermore, we demonstrate the efficacy of the proposed method with a consistent improvement across various labeled data proportions on the aforementioned datasets. © 2022 Nalecz Institute of Biocybernetics and Biomedical Engineering of the Polish Academy of Sciences