CN105976384A - Human body thoracic and abdominal cavity CT image aorta segmentation method based on GVF Snake model - Google Patents
Human body thoracic and abdominal cavity CT image aorta segmentation method based on GVF Snake model Download PDFInfo
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- 210000000709 aorta Anatomy 0.000 title claims description 20
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- 210000000683 abdominal cavity Anatomy 0.000 title claims description 6
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Abstract
本发明公开了一种基于GVF Snake模型的人体胸腹腔CT图像主动脉分割方法,主要克服了传统手动分割、半自动分割工作量大,耗时长等缺点,同时本发明可重复性好,避免了人工分割造成的不确定性;其实现过程是:(1)读取CT图像,进行图像预处理;(2)在预处理后得到的图像上进行GVF Snake模型的初始轮廓设置;(3)求取预处理后得到的图像的边缘图像;(4)基于得到的边缘图像通过扩散方程求梯度矢量流GVF作为外部能量场;(5)建立内部能量模型用于保持轮廓的光滑性;(6)利用内部能量和外部能量构造能量函数E,通过迭代运算来求取能量E的极小值,最终使轮廓到达目标边界;本发明在人体胸腹腔主动脉夹层分离诊断治疗领域有着重要的应用价值。
The invention discloses a GVF Snake model-based method for aortic segmentation of CT images of the human thoracoabdominal cavity, which mainly overcomes the shortcomings of traditional manual segmentation and semi-automatic segmentation with a large workload and long time consumption. At the same time, the invention has good repeatability and avoids artificial Uncertainty caused by segmentation; the implementation process is: (1) read the CT image and perform image preprocessing; (2) set the initial contour of the GVF Snake model on the image obtained after preprocessing; (3) obtain The edge image of the image obtained after preprocessing; (4) obtain the gradient vector flow GVF as the external energy field through the diffusion equation based on the obtained edge image; (5) establish the internal energy model to maintain the smoothness of the contour; (6) use The energy function E is constructed by the internal energy and the external energy, and the minimum value of the energy E is obtained through iterative operation, and finally the contour reaches the target boundary; the present invention has important application value in the field of diagnosis and treatment of human thoracoabdominal aortic dissection.
Description
技术领域technical field
本发明属于医学图像处理技术领域;涉及一种基于GVF Snake模型的人体胸腹腔CT图像主动脉分割方法;可用于对人体胸腹腔内主动脉进行三维重建。The invention belongs to the technical field of medical image processing, and relates to a GVF Snake model-based aorta segmentation method in a CT image of a human thoracoabdominal cavity, which can be used for three-dimensional reconstruction of the aorta in a human thoracoabdominal cavity.
背景技术Background technique
针对于心脑血管疾病病人,胸腹腔主动脉夹层(Aortic Dissection,AoD)对于病人生命的威胁程度远远高于脑梗塞、心肌梗死和恶性肿瘤,其临床基本表现为由于主动脉内血管壁出现剥离夹层,从而导致人体胸腹腔内主动脉出现真腔和假腔,血液在真假腔内流动过程中对血管壁进行挤压,同时血液通过内膜中破口进入主动脉中层形成血肿,由于病人对该病情了解不够充分,因此该情况发病后48小时的死亡率可高达36%~71%,对人类生命造成极大的威胁;目前针对主动脉夹层分离治疗方法主要采用腔内隔绝术,而对于主刀医师,在手术过程中一定要对病灶局部解剖毗邻的空间关系获得尽可能地多的信息,以达到精确的诊断、手术及手术后评价,尤其是针对胸腹腔主动脉夹层位置、范围、破口及分支受累情况相关数据的测量,这是决定手术适应症和手术成败的主要因素之一;因此非常有必要开发一套医学图像处理系统以快速准确地提取胸腹腔主动脉及其夹层特征并将其三维重建供医生进行临床诊断,对提高手术的成功率具有重大意义;由于每个病人的一组CT断层图像数量较大,因此采用手工分割方式工作量非常大,对于三维图像的操作尤为如此;而另一个问题是,手动分割存在不确定性,不同医学专家的分割结果存在很大的差异,甚至同一专家在不同的时间和不同的状态下对同一幅图像的分割的结果也有不小的差异;如果能对CT图像进行自动分割,那么伴随手动分割方法存在的问题将迎刃而解;目前在临床上应用最多的基于CT断层图像的三维重建,除了少数Housfield值与周围对比明显的组织,如骨骼、肺、造影后的血管以外,其他组织器官均无法自动分割;即使是这些组织,由于受到扫描层厚和容积效应的影响,计算机自动分割的轮廓也常常不能令医学研究者满意;因此从复杂、不规则的组织器官中精确快速地自动提取出主动脉是目前一个难点。For patients with cardiovascular and cerebrovascular diseases, thoracoabdominal aortic dissection (AoD) is much more life-threatening than cerebral infarction, myocardial infarction and malignant tumors. The dissection is peeled off, resulting in the appearance of true lumen and false lumen in the aorta in the human thoracoabdominal cavity. When the blood flows in the true and false lumen, the blood vessel wall is squeezed, and at the same time, the blood enters the middle layer of the aorta through the intima to form a hematoma. Patients do not fully understand the condition, so the mortality rate within 48 hours after the onset of the condition can be as high as 36% to 71%, which poses a great threat to human life; currently, the main treatment for aortic dissection is endovascular isolation. As for the chief surgeon, it is necessary to obtain as much information as possible about the spatial relationship between the local anatomy and adjacency of the lesion during the operation, so as to achieve accurate diagnosis, operation and postoperative evaluation, especially for the location and extent of thoracoabdominal aortic dissection. It is one of the main factors that determine the indications of surgery and the success of the operation; therefore, it is very necessary to develop a medical image processing system to quickly and accurately extract the thoracoabdominal aorta and its dissection It is of great significance to improve the success rate of the operation; because each patient has a large number of CT tomographic images, the workload of manual segmentation is very large. For the three-dimensional image This is especially true for operations; another problem is that there is uncertainty in manual segmentation, and there are great differences in the segmentation results of different medical experts, and even the segmentation results of the same image by the same expert at different times and in different states are also different. Not a small difference; if the CT image can be automatically segmented, then the problems associated with the manual segmentation method will be solved; currently the most clinically used 3D reconstruction based on CT tomographic images, except for a few tissues with obvious contrast between the Housfield value and the surrounding , such as bones, lungs, and blood vessels after angiography, other tissues and organs cannot be automatically segmented; even for these tissues, due to the influence of scanning layer thickness and volume effect, the contours of automatic computer segmentation are often unsatisfactory to medical researchers; Therefore, it is currently a difficult point to extract the aorta accurately and quickly from complex and irregular tissues and organs.
发明内容Contents of the invention
本方法突出优点是能实现全自动、精确、快速地从复杂的人体胸腹腔中单独提取出主动脉,避免了手工分割的不精确以及工作量庞大等问题;本发明采用的技术方案为一种基于GVF Snake模型的人体胸腹腔CT图像主动脉分割方法,包括下列步骤:The outstanding advantage of this method is that it can realize the automatic, accurate and rapid extraction of the aorta from the complex human thoracic and abdominal cavity, avoiding the problems of inaccurate manual segmentation and huge workload; the technical solution adopted in the present invention is a A method for aortic segmentation of human thoracoabdominal CT images based on the GVF Snake model, comprising the following steps:
(1)读取CT图像,进行图像预处理;(1) Read the CT image and perform image preprocessing;
(2)在步骤(1)中处理后的图像上进行GVF Snake模型的初始化轮廓设置;(2) carry out the initialization profile setting of GVF Snake model on the image after processing in step (1);
(3)对由步骤(1)中处理后得到的图像求其边缘图像;(3) to obtain its edge image to the image obtained after processing in step (1);
(4)基于步骤(3)中得到的边缘图像通过扩散方程求梯度矢量流GVF作为外部能量场;(4) seek the gradient vector flow GVF as the external energy field by the diffusion equation based on the edge image obtained in the step (3);
(5)建立内部能量模型用于保持轮廓的光滑性;(5) Establish an internal energy model to maintain the smoothness of the contour;
(6)基于步骤(4)和步骤(5)构造能量函数E,通过迭代运算来求取能量E的极小值,最终使轮廓到达目标边界;(6) Construct the energy function E based on steps (4) and (5), and obtain the minimum value of the energy E through iterative operations, and finally make the contour reach the target boundary;
步骤(1)中,由于人体胸腹腔内部结构的复杂性,以及CT图像的整体亮度偏暗,各组织、器官之间的对比度较低,因此需要对读入的CT图像的亮度进行适当调整;此外,若对整幅CT图像进行后续运算,计算量会非常大,降低了运算效率,而且其它组织器官也会对主动脉的自动分割产生一定干扰,因此应选取适当大小的感兴趣区域用于后续的运算处理;In step (1), due to the complexity of the internal structure of the human chest and abdominal cavity, and the overall brightness of the CT image is dark, and the contrast between various tissues and organs is low, it is necessary to properly adjust the brightness of the read-in CT image; In addition, if the subsequent calculation is performed on the entire CT image, the amount of calculation will be very large, which will reduce the calculation efficiency, and other tissues and organs will also interfere with the automatic segmentation of the aorta. Therefore, an appropriate size region of interest should be selected for Subsequent operation processing;
步骤(2)中,由于此GVF Snake模型对轮廓初始化位置较传统Snake模型的灵活性高,因此初始轮廓设置在目标边界的内部、外部或者是与目标边界相交,最终均能正确收敛到主动脉的边界上;In step (2), since this GVF Snake model is more flexible in initializing the position of the contour than the traditional Snake model, the initial contour is set inside, outside or intersecting with the target boundary, and finally converges to the aorta correctly. on the border of
步骤(3)中,定义f(x,y)为经预处理后得到的图像I(x,y)的边缘图像;边缘图像f(x,y)具有在靠近目标边界处取值较大的性质;In step (3), define f(x, y) as the edge image of the image I(x, y) obtained after preprocessing; the edge image f(x, y) has a larger value near the target boundary nature;
步骤(4)中,将梯度矢量场定义为:V(x,y)=(u(x,y),v(x,y)),则梯度矢量流是使如下能量泛函最小的矢量场: In step (4), the gradient vector field is defined as: V(x, y) = (u(x, y), v(x, y)), then the gradient vector flow is the vector field that minimizes the following energy functional :
步骤(5)中,弹性能量和弯曲能量合称内部能量,用于控制轮廓线的弹性形变,起到保持轮廓连续性和平滑性的作用;In step (5), the elastic energy and the bending energy are collectively referred to as internal energy, which is used to control the elastic deformation of the contour line and play a role in maintaining the continuity and smoothness of the contour;
步骤(6)中,轮廓曲线在来自模型自身的内力和来自模型以外的外力的共同约束下,进行“主动”地变形和位移;其中内力约束轮廓曲线的形状特性,外力引导曲线的行为;通过多次迭代运算不断更新模型轮廓曲线的位置,最终使轮廓到达目标边界;本发明与现有的手动、半自动分割主动脉方法相比较具有如下优点:In step (6), the contour curve is "actively" deformed and displaced under the joint constraints of the internal force from the model itself and the external force from outside the model; the internal force constrains the shape characteristics of the contour curve, and the external force guides the behavior of the curve; through Multiple iterative operations continuously update the position of the model contour curve, and finally make the contour reach the target boundary; compared with the existing manual and semi-automatic methods for segmenting the aorta, the present invention has the following advantages:
1.本发明避免了传统手动分割、半自动分割工作量大,耗时长等缺点,实现了快速全自动地将主动脉从复杂的人体胸腹腔中单独分割出来;1. The present invention avoids the disadvantages of traditional manual segmentation and semi-automatic segmentation, such as large workload and long time consumption, and realizes the rapid and automatic segmentation of the aorta from the complicated human chest and abdominal cavity;
2.本发明可重复性好,避免了人工分割造成的不确定性,由于不同医学专家的分割结果存在很大的差异,甚至同一专家在不同的时间和不同的状态下对同一幅图像的分割的结果也有不小的差异;此发明由于是全自动分割,不存在人为干预,故分割结果将避免这种不确定性的发生,提高了分割精度。2. The present invention has good repeatability and avoids the uncertainty caused by manual segmentation. Since the segmentation results of different medical experts are very different, even the same expert can segment the same image at different times and in different states. There are also not small differences in the results; because this invention is fully automatic segmentation, there is no human intervention, so the segmentation results will avoid the occurrence of this uncertainty and improve the segmentation accuracy.
附图说明Description of drawings
图1为本发明的算法流程图;Fig. 1 is the algorithm flowchart of the present invention;
图2为输入的CT图像和经过预处理后得到的图I(x,y);(a)为输入的原始CT图像;(b)为经过预处理后得到的图I(x,y);Fig. 2 is the CT image of input and the graph I (x, y) that obtains after preprocessing; (a) is the original CT image of input; (b) is the graph I (x, y) that obtains after preprocessing;
图3为在I(x,y)上设置GVF Snake模型初始轮廓的情况;Fig. 3 is the situation of setting the initial profile of the GVF Snake model on I(x, y);
图4为I(x,y)的边缘图像;Fig. 4 is the edge image of I (x, y);
图5为梯度矢量流GVF的分布情况;Figure 5 is the distribution of the gradient vector flow GVF;
图6为基于GVF Snake的活动轮廓模型最终的演化结果以及对应的主动脉分割结果;(a)为轮廓最终的演化结果;(b)为主动脉分割结果。Figure 6 shows the final evolution result of the active contour model based on GVF Snake and the corresponding aorta segmentation result; (a) is the final evolution result of the contour; (b) the aorta segmentation result.
具体实施方式detailed description
本发明的算法流程图如图1所示,首先读取CT图像,进行图像预处理;然后在预处理后得到的图像上进行GVF Snake模型的初始轮廓设置;然后求取预处理后得到的图像的边缘图像;基于得到的边缘图像再通过扩散方程求梯度矢量流GVF作为外部能量场;然后建立内部能量模型用于保持轮廓的光滑性;最后利用内部能量和外部能量构造能量函数E,通过迭代运算来求取能量E的极小值,最终使轮廓到达目标边界。下面结合附图,对本发明技术方案的具体实施过程进行详细描述。The algorithm flow chart of the present invention is as shown in Figure 1, at first read CT image, carry out image preprocessing; Then carry out the initial contour setting of GVF Snake model on the image obtained after preprocessing; Then ask for the image obtained after preprocessing Based on the obtained edge image, the gradient vector flow GVF is obtained as the external energy field through the diffusion equation; then the internal energy model is established to maintain the smoothness of the contour; finally, the energy function E is constructed by using the internal energy and external energy, through iteration Calculate the minimum value of energy E, and finally make the contour reach the target boundary. The specific implementation process of the technical solution of the present invention will be described in detail below in conjunction with the accompanying drawings.
1.读取CT图像,进行图像预处理1. Read CT images and perform image preprocessing
由于人体胸腹腔内部结构的复杂性,以及CT图像的整体亮度偏暗,各组织、器官之间的对比度较低,因此需要对读入的CT图像的亮度进行适当调整,输入的原始CT图像如图2(a)所示;首先根据先验知识了解到CT图像中有用信息所在的灰度范围,再将其映射到整个灰度空间上,从而将整幅图像亮度提升;又由于若对整幅CT图像进行后续运算,计算量会非常大,同时为了尽量排除其它组织器官对主动脉分割产生干扰,应选取适当大小的感兴趣区域用于后续的运算处理,这里采取128*128大小的区域作为感兴区域,且主动脉可完整地显示在此区域中;经过以上预处理操作最终得到的图像如图2(b)所示;Due to the complexity of the internal structure of the human thoracic and abdominal cavity, the overall brightness of the CT image is dark, and the contrast between various tissues and organs is low, it is necessary to properly adjust the brightness of the read-in CT image. The input original CT image is as follows: As shown in Figure 2(a); firstly, according to the prior knowledge, the gray scale range of the useful information in the CT image is known, and then it is mapped to the entire gray scale space, thereby improving the brightness of the entire image; The amount of calculation will be very large, and at the same time, in order to eliminate the interference of other tissues and organs on the aorta segmentation, an appropriate size region of interest should be selected for subsequent calculation and processing. Here, the size of 128*128 is used. As the region of interest, and the aorta can be completely displayed in this region; the final image obtained after the above preprocessing operations is shown in Figure 2(b);
2.在预处理后得到的图像上进行GVF Snake模型的初始轮廓设置2. Perform the initial contour setting of the GVF Snake model on the image obtained after preprocessing
传统Snake模型对于初始轮廓的位置非常敏感,要求初始轮廓的位置必须与目标边界尽可能接近,否则将得到错误的收敛结果;而在这一点上GVF Snake模型则显得更加灵活,它的初始轮廓可以设置在目标边界的内部、外部或者是与目标边界相交,最终均能正确收敛到主动脉的边界上;在设置初始轮廓时首先选取至少4个点,同时要严格按照顺时针的方向进行取点,再通过向预先选取好的几个点之间插入若干新的点,从而对初始化的轮廓进行更完整地描述,也使得轮廓更加平滑;GVF Snake模型的初始轮廓设置如图3所示;The traditional Snake model is very sensitive to the position of the initial contour, requiring that the position of the initial contour must be as close as possible to the target boundary, otherwise a wrong convergence result will be obtained; at this point, the GVF Snake model is more flexible, and its initial contour can be If it is set inside, outside or intersecting with the target boundary, it can eventually converge to the boundary of the aorta correctly; when setting the initial contour, first select at least 4 points, and at the same time, take points strictly in a clockwise direction , and then insert several new points between the pre-selected points, so as to describe the initialized contour more completely and make the contour smoother; the initial contour setting of the GVF Snake model is shown in Figure 3;
3.求取预处理后得到的图像的边缘图像3. Find the edge image of the image obtained after preprocessing
由于GVF力场是由边缘图像的负梯度矢量通过扩散方程得到的,所以要想得到GVF力场,就需要先定义f(x,y)为经预处理后得到的图像I(x,y)的边缘图像;边缘图像f(x,y)具有在靠近目标边界处取值较大的性质,它可以定义为以下四种形式的任意一种:Since the GVF force field is obtained by the negative gradient vector of the edge image through the diffusion equation, in order to obtain the GVF force field, it is necessary to define f(x, y) as the preprocessed image I(x, y) Edge image; the edge image f(x, y) has the property of taking a larger value near the target boundary, and it can be defined as any of the following four forms:
f(x,y)=-I(x,y)f(x,y)=-I(x,y)
f(x,y)=-(Gσ(x,y)*I(x,y))f(x,y)=-(G σ (x,y)*I(x,y))
可以认为边缘图像f(x,y)由图像I(x,y)获得,十分接近图像的真实边缘,求得的边缘图像如图4所示;It can be considered that the edge image f(x, y) is obtained from the image I(x, y), which is very close to the real edge of the image, and the obtained edge image is shown in Figure 4;
4.基于边缘图像通过扩散方程求梯度矢量流GVF作为外部能量场4. Calculate the gradient vector flow GVF as the external energy field through the diffusion equation based on the edge image
梯度矢量流是一种静态的图像力,它不会随着时间的变化而改变;将梯度矢量场定义为:V(x,y)=(u(x,y),v(x,y)),则梯度矢量流是使如下能量泛函最小的矢量场:The gradient vector flow is a static image force that does not change over time; the gradient vector field is defined as: V(x, y) = (u(x, y), v(x, y) ), then the gradient vector flow is the vector field that minimizes the following energy functional:
其中右端第一项为平滑项,第二项为数据项;μ为加权系数,它的取值需根据图像的噪声来设定,噪声越大,μ值也相应增加;再采用变分方法,利用下面的Euler方程组求解能量泛函的极小化过程:Among them, the first item on the right end is the smoothing item, and the second item is the data item; μ is the weighting coefficient, and its value needs to be set according to the noise of the image. The greater the noise, the corresponding increase in the value of μ; then using the variational method, Use the following Euler equations to solve the minimization process of the energy functional:
其中表示拉普拉斯算子,fx、fy、是边缘图关于x、y的一阶导数、二阶导数,利用上式求解过程可得到GVF场,如图5所示;in Represents the Laplacian operator, f x , f y , is the first-order derivative and second-order derivative of the edge graph with respect to x and y, and the GVF field can be obtained by using the above formula to solve the process, as shown in Figure 5;
5.建立内部能量模型用于保持轮廓的光滑性5. Build the internal energy model to maintain the smoothness of the contour
弹性能量和弯曲能量合称内部能量,用于控制轮廓线的弹性形变,起到保持轮廓连续性和平滑性的作用;在能量函数E极小化过程中,弹性能量迅速把轮廓线压缩成一个光滑的圆,弯曲能量驱使轮廓线成为光滑曲线;Snake模型可以表示为定义在s∈(0,1)上的参数曲线,即X(s)=(x(s),y(s)),则内部能量函数可以定义为:Elastic energy and bending energy are collectively referred to as internal energy, which is used to control the elastic deformation of the contour and maintain the continuity and smoothness of the contour; in the process of minimizing the energy function E, the elastic energy quickly compresses the contour into a A smooth circle, the bending energy drives the contour line into a smooth curve; the Snake model can be expressed as a parametric curve defined on s∈(0, 1), that is, X(s)=(x(s), y(s)), Then the internal energy function can be defined as:
其中α是施加于轮廓曲线上相邻两点的连续约束项系数,作用是调节轮廓的伸缩力;β控制轮廓的刚度;它们的取值与图像噪声分布有关,噪声越大,α和β的值也应该越大,以使轮廓曲线可以跨越噪声所造成的局部极小值位置;同时,α和β的值又决定着轮廓收敛的性能;由于α控制着轮廓曲线一阶导矢模分量,α越大,轮廓收缩的速度越快;而β控制着轮廓曲线二阶导矢模分量,β越大,轮廓越平滑;因此,通过合理地选择α和β的值,可以使轮廓收敛至图像中比较合理的位置;Among them, α is the continuous constraint coefficient applied to two adjacent points on the contour curve, and its function is to adjust the stretching force of the contour; β controls the stiffness of the contour; their values are related to the image noise distribution, the greater the noise, the greater the value of α and β The value should also be larger so that the contour curve can cross the local minimum position caused by noise; at the same time, the values of α and β determine the performance of the contour convergence; since α controls the first-order derivative vector mode component of the contour curve, The larger α is, the faster the contour shrinks; while β controls the second-order derivative vector mode component of the contour curve, the larger β is, the smoother the contour is; therefore, by choosing the values of α and β reasonably, the contour can converge to the image A more reasonable position in
6.构造能量函数E,通过迭代运算来求取能量E的极小值,最终使轮廓到达目标边界能量函数E应同时包含内部能量和外部能量,定义为:6. Construct the energy function E, and obtain the minimum value of the energy E through iterative operations, and finally make the contour reach the target boundary. The energy function E should contain both internal energy and external energy, defined as:
当活动轮廓在向目标边界靠近的过程中,其实质就是在寻找能量函数E的极小值的过程;由变分原理可知,使能量泛函取极小值的必要条件是其转化后满足以下的Euler方程:When the active contour is approaching the target boundary, its essence is the process of finding the minimum value of the energy function E; from the variational principle, the necessary condition for the energy functional to take the minimum value is that it satisfies the following after transformation Euler's equation:
为了求解上述Euler方程,可将X(s)看成是关于时间t和自变量s的函数,即X(s)=X(s,t);此时,上述Euler方程的解就可通过求解下式的数值解得到:In order to solve the above-mentioned Euler equation, X(s) can be regarded as a function of time t and independent variable s, that is, X(s)=X(s, t); at this time, the solution of the above-mentioned Euler equation can be obtained by solving The numerical solution of the following formula gives:
其中,Xt(s,t)是X(s,t)关于时间t的偏导数,当方程解X(s,t)稳定时,Xt(s,t)=0,方便求得Euler方程的解;通过离散化以及不断地迭代计算进行方程求解,最终使能量E达到极小值,相应地轮廓到达目标边界。in, X t (s, t) is the partial derivative of X (s, t) with respect to time t. When the equation solution X (s, t) is stable, X t (s, t) = 0, which is convenient for obtaining the solution of the Euler equation ; Solve the equation through discretization and continuous iterative calculation, and finally make the energy E reach the minimum value, and the contour reaches the target boundary accordingly.
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