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Simulation of Brain Tumors in MR Images for Evaluation of Segmentation Efficacy

Institution:
1Scientific Computing and Imaging Institute, University of Utah, 72 S. Campus Drive, WEB 3750, Salt Lake City, UT 84112, USA.
2Department of Surgery, University of North Carolina, Chapel Hill, NC 27599, USA
Publication Date:
Apr-2009
Journal:
Med Image Anal
Volume Number:
13
Issue Number:
2
Pages:
297-311
Citation:
Med Image Anal. 2009 Apr;13(2):297-311.
PubMed ID:
19119055
PMCID:
PMC2660387
Keywords:
Brain MRI, segmentation validation, tumor simulation, simulation of tumor infiltration, diffusion tensor imaging, ground truth, gold standard
Appears in Collections:
NA-MIC
Sponsors:
R01 EB000219 (EB) funded by NIBIB NIH HHS
R01 EB000219-11 (EB) funded by NIBIB NIH HHS
Generated Citation:
Prastawa M., Bullitt E., Gerig G. Simulation of Brain Tumors in MR Images for Evaluation of Segmentation Efficacy. Med Image Anal. 2009 Apr;13(2):297-311. PMID: 19119055. PMCID: PMC2660387.
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Obtaining validation data and comparison metrics for segmentation of magnetic resonance images (MRI) are difficult tasks due to the lack of reliable ground truth. This problem is even more evident for images presenting pathology, which can both alter tissue appearance through infiltration and cause geometric distortions. Systems for generating synthetic images with user-defined degradation by noise and intensity inhomogeneity offer the possibility for testing and comparison of segmentation methods. Such systems do not yet offer simulation of sufficiently realistic looking pathology. This paper presents a system that combines physical and statistical modeling to generate synthetic multi-modal 3D brain MRI with tumor and edema, along with the underlying anatomical ground truth, Main emphasis is placed on simulation of the major effects known for tumor MRI, such as contrast enhancement, local distortion of healthy tissue, infiltrating edema adjacent to tumors, destruction and deformation of fiber tracts, and multi-modal MRI contrast of healthy tissue and pathology. The new method synthesizes pathology in multi-modal MRI and diffusion tensor imaging (DTI) by simulating mass effect, warping and destruction of white matter fibers, and infiltration of brain tissues by tumor cells. We generate synthetic contrast enhanced MR images by simulating the accumulation of contrast agent within the brain. The appearance of the the brain tissue and tumor in MRI is simulated by synthesizing texture images from real MR images. The proposed method is able to generate synthetic ground truth and synthesized MR images with tumor and edema that exhibit comparable segmentation challenges to real tumor MRI. Such image data sets will find use in segmentation reliability studies, comparison and validation of different segmentation methods, training and teaching, or even in evaluating standards for tumor size like the RECIST criteria (response evaluation criteria in solid tumors).

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