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TU‐AB‐202‐11: Tumor Segmentation by Fusion of Multi‐Tracer PET Images Using Copula Based Statistical Methods
Author(s) -
LapuyadeLahorgue J,
Ruan S,
Li H,
Vera P
Publication year - 2016
Publication title -
medical physics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.473
H-Index - 180
eISSN - 2473-4209
pISSN - 0094-2405
DOI - 10.1118/1.4957433
Subject(s) - artificial intelligence , segmentation , voxel , computer science , positron emission tomography , pattern recognition (psychology) , nuclear medicine , medicine
Purpose: Multi‐tracer PET imaging is getting more attention in radiotherapy by providing additional tumor volume information such as glucose and oxygenation. However, automatic PET‐based tumor segmentation is still a very challenging problem. We propose a statistical fusion approach to joint segment the sub‐area of tumors from the two tracers FDG and FMISO PET images. Methods: Non‐standardized Gamma distributions are convenient to model intensity distributions in PET. As a serious correlation exists in multi‐tracer PET images, we proposed a new fusion method based on copula which is capable to represent dependency between different tracers. The Hidden Markov Field (HMF) model is used to represent spatial relationship between PET image voxels and statistical dynamics of intensities for each modality. Real PET images of five patients with FDG and FMISO are used to evaluate quantitatively and qualitatively our method. A comparison between individual and multi‐tracer segmentations was conducted to show advantages of the proposed fusion method. Results: The segmentation results show that fusion with Gaussian copula can receive high Dice coefficient of 0.84 compared to that of 0.54 and 0.3 of monomodal segmentation results based on individual segmentation of FDG and FMISO PET images. In addition, high correlation coefficients (0.75 to 0.91) for the Gaussian copula for all five testing patients indicates the dependency between tumor regions in the multi‐tracer PET images. Conclusion: This study shows that using multi‐tracer PET imaging can efficiently improve the segmentation of tumor region where hypoxia and glucidic consumption are present at the same time. Introduction of copulas for modeling the dependency between two tracers can simultaneously take into account information from both tracers and deal with two pathological phenomena. Future work will be to consider other families of copula such as spherical and archimedian copulas, and to eliminate partial volume effect by considering dependency between neighboring voxels.