The automatic extraction and labeling of the rib centerlines is a useful yet challenging task in many clinical applications. In this paper, we propose a new approach integrating rib seed point detection and template matching to detect and identify each rib in chest CT scans. The bottom-up learning based detection exploits local image cues and top-down deformable template matching imposes global shape constraints. To adapt to the shape deformation of different rib cages whereas maintain high computational efficiency, we employ a Markov Random Field (MRF) based articulated rigid transformation method followed by Active Contour Model (ACM) deformation. Compared with traditional methods that each rib is individually detected, traced and labeled, the new approach is not only much more robust due to prior shape constraints of the whole rib cage, but removes tedious post-processing such as rib pairing and ordering steps because each rib is automatically labeled during the template matching. For experimental validation, we create an annotated database of 112 challenging volumes with ribs of various sizes, shapes, and pathologies such as metastases and fractures. The proposed approach shows orders of magnitude higher detection and labeling accuracy than state-of-the-art solutions and runs about 40 seconds for a complete rib cage on the average.

External beam radiation therapy (EBRT) for the treatment of cancer enables accurate placement of radiation dose on the cancerous region. However, the deformation of soft tissue during the course of treatment, such as in cervical cancer, presents significant challenges for the delineation of the target volume and other structures of interest. Furthermore, the presence and regression of pathologies such as tumors may violate registration constraints and cause registration errors. In this paper, automatic segmentation, nonrigid registration and tumor detection in cervical magnetic resonance (MR) data are addressed simultaneously using a unified Bayesian framework. The proposed novel method can generate a tumor probability map while progressively identifying the boundary of an organ of interest based on the achieved nonrigid transformation. The method is able to handle the challenges of significant tumor regression and its effect on surrounding tissues. The new method was compared to various currently existing algorithms on a set of 36 MR data from six patients, each patient has six T2-weighted MR cervical images. The results show that the proposed approach achieves an accuracy comparable to manual segmentation and it significantly outperforms the existing registration algorithms. In addition, the tumor detection result generated by the proposed method has a high agreement with manual delineation by a qualified clinician.

This paper proposed a new strategy to assess cumulative actual dose by nonrigidly mapping treatment day dose distributions to the planning day space. The mappings were achieved using a novel integrated segmentation and nonrigid registration algorithm used in external beam prostate radiotherapy. By combining segmentation and registration, we can recover the treatment fraction image regions that correspond to the organs of interest by incorporating transformed planning day organs to guide and constrain the segmentation process; and conversely, accurate knowledge of important soft tissue structures will enable us achieve more precise nonrigid registration. The novel algorithm allows the clinician to set tighter planning margins around the target volume in the treatment plan. Clinical application and evaluation of dose delivery show the superiority of proposed method to the procedure currently used in clinical practice, i.e. manual segmentation followed by rigid registration.