VCBM 14: Eurographics Workshop on Visual Computing for Biology and Medicine

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https://diglib.eg.org/handle/10.2312/7762

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Browsing VCBM 14: Eurographics Workshop on Visual Computing for Biology and Medicine by Subject "Applications"

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    Evaluation of Transfer Function Methods in Direct Volume Rendering of the Blood Vessel Lumen
    (The Eurographics Association, 2014) Läthén, Gunnar; Lindholm, Stefan; Lenz, Reiner; Borga, Magnus; Ivan Viola and Katja Buehler and Timo Ropinski
    Visualization of contrast enhanced blood vessels in CT angiography data presents a challenge due to varying concentration of the contrast agent. The purpose of this work is to evaluate the correctness (effectiveness) in visualizing the vessel lumen using two different 3D visualization strategies, thereby assessing the feasibility of using such visualizations for diagnostic decisions. We compare a standard visualization approach with a recent method which locally adapts to the contrast agent concentration. Both methods are evaluated in a parallel setting where the participant is instructed to produce a complete visualization of the vessel lumen, including both large and small vessels, in cases of calcified vessels in the legs. The resulting visualizations are thereafter compared in a slice viewer to assess the correctness of the visualized lumen. The results indicate that the participants generally overestimated the size of the vessel lumen using the standard visualization, whereas the locally adaptive method better conveyed the true anatomy. The participants did find the interpretation of the locally adaptive method to be less intuitive, but also noted that this did not introduce any prohibitive complexity in the work flow. The observed trends indicate that the visualized lumen strongly depends on the width and placement of the applied transfer function and that this dependency is inherently local rather than global. We conclude that methods that permit local adjustments, such as the method investigated in this study, can be beneficial to certain types of visualizations of large vascular trees.
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    The iCoCooN: Integration of Cobweb Charts with Parallel Coordinates for Visual Analysis of DCE-MRI Modeling Variations
    (The Eurographics Association, 2014) Raidou, Renata G.; Breeuwer, Marcel; Vilanova, Anna; Heide, U. A. van der; Houdt, P. J. van; Ivan Viola and Katja Buehler and Timo Ropinski
    Efficacy of radiotherapy treatment depends on the specific characteristics of tumorous tissues. For the determination of these characteristics, clinical practice uses Dynamic Contrast Enhanced (DCE) Magnetic Resonance Imaging (MRI). DCE-MRI data is acquired and modeled using pharmacokinetic modeling, to derive per voxel a set of parameters, indicative of tissue properties. Different pharmacokinetic modeling approaches make different assumptions, resulting in parameters with different distributions. A priori, it is not known whether there are significant differences between modeling assumptions and which assumption is best to apply. Therefore, clinical researchers need to know at least how different choices in modeling affect the resulting pharmacokinetic parameters and also where parameter variations appear. In this paper, we introduce iCoCooN: a visualization application for the exploration and analysis of model-induced variations in pharmacokinetic parameters.We designed a visual representation, the Cocoon, by integrating perpendicularly Parallel Coordinate Plots (PCPs) with Cobweb Charts (CCs). PCPs display the variations in each parameter between modeling choices, while CCs present the relations in a whole parameter set for each modeling choice. The Cocoon is equipped with interactive features to support the exploration of all data aspects in a single combined view. Additionally, interactive brushing allows to link the observations from the Cocoon to the anatomy. We conducted evaluations with experts and also general users. The clinical experts judged that the Cocoon in combination with its features facilitates the exploration of all significant information and, especially, enables them to find anatomical correspondences. The results of the evaluation with general users indicate that the Cocoon produces more accurate results compared to independent multiples.
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    RegistrationShop: An Interactive 3D Medical Volume Registration System
    (The Eurographics Association, 2014) Smit, Noeska N.; Haneveld, Berend Klein; Staring, Marius; Eisemann, Elmar; Botha, Charl P.; Vilanova, Anna; Ivan Viola and Katja Buehler and Timo Ropinski
    In medical imaging, registration is used to combine images containing information from different modalities or to track treatment effects over time in individual patients. Most registration software packages do not provide an easy-to-use interface that facilitates the use of registration. 2D visualization techniques are often used for visualizing 3D datasets. RegistrationShop was developed to improve and ease the process of volume registration using 3D visualizations and intuitive interactive tools. It supports several basic visualizations of 3D volumetric data. Interactive rigid and non-rigid transformation tools can be used to manipulate the volumes and immediate visual feedback for all rigid transformation tools allows the user to examine the current result in real-time. In this context, we introduce 3D comparative visualization techniques, as well as a way of placing landmarks in 3D volumes. Finally, we evaluated our approach with domain experts, who underlined the potential and usefulness of RegistrationShop.
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    Robust Cardiac Function Assessment in 4D PC-MRI Data
    (The Eurographics Association, 2014) Köhler, Benjamin; Preim, Uta; Gutberlet, Matthias; Fischbach, Katharina; Preim, Bernhard; Ivan Viola and Katja Buehler and Timo Ropinski
    Four-dimensional phase-contrast magnetic resonance imaging (4D PC-MRI) is a relatively young image modality that allows the non-invasive acquisition of time-resolved, three-dimensional blood flow information. Stroke volumes and regurgitation fractions are two of the main measures to assess the cardiac function and severity of pathologies. The flow volumes in forward and backward direction through a plane inside the vessel are required for their quantification. Unfortunately, the calculations are highly sensitive towards the plane's angulation since orthogonally passing flow is considered. This often leads to physiologically implausible results. In this work, a robust quantification method is introduced to overcome this problem. Collaborating radiologists and cardiologists were carefully observed while estimating stroke volumes in various healthy volunteer and patient datasets with conventional quantification. This facilitated the automatization of their approach which, in turn, allows to derive statistical information about the plane angulation sensitivity. Moreover, the experts expect a continuous decrease of the stroke volume along the vessel course after a peak value above the aortic valve. Conventional methods are often unable to produce this behavior. Thus, we present a procedure to fit a function that ensures such physiologically plausible results. In addition, the technique was adapted for the robust quantification of regurgitation fractions. The performed qualitative evaluation shows the capability of our method to support diagnosis, a parameter evaluation confirms the robustness. Vortex flow was identified as main cause for quantification uncertainties.
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    Towards Clinical Deployment of Automated Anatomical Regions-Of-Interest
    (The Eurographics Association, 2014) Lindholm, Stefan; Forsberg, Daniel; Ynnerman, Anders; Knutsson, Hans; Andersson, Mats; Lundström, Claes; Ivan Viola and Katja Buehler and Timo Ropinski
    The purpose of this work is to investigate, and improve, the feasibility of advanced Region Of Interest (ROI) selection schemes in clinical volume rendering. In particular, this work implements and evaluates an Automated Anatomical ROI (AA-ROI) approach based on the combination of automatic image registration (AIR) and Distance- Based Transfer Functions (DBTFs), designed for automatic selection of complex anatomical shapes without relying on prohibitive amounts of interaction. Domain knowledge and clinical experience has been included in the project through participation of practicing radiologists in all phases of the project. This has resulted in a set of requirements that are critical for Direct Volume Rendering applications to be utilized in clinical practice and a prototype AA-ROI implementation that was developed to addresses critical points in existing solutions. The feasibility of the developed approach was assessed through a study where five radiologists investigated three medical data sets with complex ROIs, using both traditional tools and the developed prototype software. Our analysis indicate that advanced, registration based ROI schemes could increase clinical efficiency in time-critical settings for cases with complex ROIs, but also that their clinical feasibility is conditional with respect to the radiologists trust in the registration process and its application to the data.