Faculty Publications
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Item 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.Item Accurate lumen diameter measurement in curved vessels in carotid ultrasound: an iterative scale-space and spatial transformation approach(Springer Verlag service@springer.de, 2017) Krishna Kumar, P.; Araki, T.; Rajan, J.; Saba, L.; Lavra, F.; Ikeda, N.; Sharma, A.M.; Shafique, S.; Nicolaïdes, A.; Laird, J.R.; Gupta, A.; Suri, J.S.Monitoring of cerebrovascular diseases via carotid ultrasound has started to become a routine. The measurement of image-based lumen diameter (LD) or inter-adventitial diameter (IAD) is a promising approach for quantification of the degree of stenosis. The manual measurements of LD/IAD are not reliable, subjective and slow. The curvature associated with the vessels along with non-uniformity in the plaque growth poses further challenges. This study uses a novel and generalized approach for automated LD and IAD measurement based on a combination of spatial transformation and scale-space. In this iterative procedure, the scale-space is first used to get the lumen axis which is then used with spatial image transformation paradigm to get a transformed image. The scale-space is then reapplied to retrieve the lumen region and boundary in the transformed framework. Then, inverse transformation is applied to display the results in original image framework. Two hundred and two patients’ left and right common carotid artery (404 carotid images) B-mode ultrasound images were retrospectively analyzed. The validation of our algorithm has done against the two manual expert tracings. The coefficient of correlation between the two manual tracings for LD was 0.98 (p < 0.0001) and 0.99 (p < 0.0001), respectively. The precision of merit between the manual expert tracings and the automated system was 97.7 and 98.7%, respectively. The experimental analysis demonstrated superior performance of the proposed method over conventional approaches. Several statistical tests demonstrated the stability and reliability of the automated system. © 2016, International Federation for Medical and Biological Engineering.Item A novel deep classifier framework for automated molecular subtyping of breast carcinoma using immunohistochemistry image analysis(Elsevier Ltd, 2022) Mathew, T.; Niyas, S.; Johnpaul, C.I.; Kini, J.; Rajan, J.Breast carcinoma has various subtypes based on the genetic factors involved in the pathogenesis of the malignancy. Identifying the exact subtype and providing targeted treatment to the patient can improve the survival chances. Molecular subtyping through immunohistochemistry analysis is a pathology procedure to determine the subtype of breast cancer. The existing manual procedure is tedious and involves assessing the status of the four vital molecular biomarkers present in the tumor tissues. In this paper, a deep learning-based framework for automated molecular subtyping of breast cancer is proposed. Digital slide images of the four biomarkers are separately processed by the proposed framework. In the preprocessing stage, the non-informative background regions from the images are separated. The patches extracted from the foreground regions are classified into target classes using convolutional neural network models trained for this purpose. Classification results are post-processed to predict the status of all the four biomarkers. The predictions for the individual biomarkers are finally consolidated as per clinical guidelines to determine the subtype of the cancer. The proposed system is evaluated for the performance of individual biomarker status prediction and patient-level subtype classification.For patient-level evaluation of biomarkers ER, PR, K67, and HER2, the proposed method gives F1 Scores 1.00, 1.00, 0.90, and 0.94 respectively, whereas for molecular subtyping an F1 score of 0.89 is obtained. In both these aspects, the proposed framework has given significant results that show the effectiveness of our approach. © 2022 Elsevier LtdItem 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