Abstract:   Software, termed Morph, is described for the morphometric analysis of magnetic resonance images of the human brain. Algorithms for objective contrast border recognition, surface feature classification, and surface feature contour unfolding are evaluated. Intraoperator and interoperator variabilities and errors were determined to be less than 2% over a group of operators (n = 6) for the known volume of a cerebral hemisphere obtained at autopsy. Volumetric errors were measured to be +/- 3% for simulated objects and less than 1% for images of phantoms. Contours of brains of normal elderly subjects (n = 6) and patients with probable Alzheimer's disease (n = 6), segmented into sulcal and gyral features to determine gyrification indices, showed concordance with literature values. Flat maps or topograms were obtained of the convoluted cortex by unfolding the segmented contours. The areas of surface features were readily obtained. The activation of the frontal eye fields (FEF) defined by functional magnetic resonance imaging (fMRI) with an oculomotor control task was mapped onto a topogram of the precentral sulcus. This software provides accurate volumetric analysis with additional topographical tools for characterizing convoluted cortical features and for presenting three-dimensional fMRI activation patterns as two-dimensional maps. (C) 2001 John Wiley & Sons, Inc.

Abstract:   We describe a new magnetic resonance (MR) image analysis tool that produces cortical surface representations with spherical topology from MR images of the human brain. The tool provides a sequence of low-level operations in a single package that can produce accurate brain segmentations in clinical time. The tools include skull and scalp removal, image nonuniformity compensation, voxel-based tissue classification, topological correction, rendering, and editing functions. The collection of tools is designed to require minimal user interaction to produce cortical representations. In this paper we describe the theory of each stage of the cortical surface identification process. We then present validation results using real and phantom data.

Abstract:   The goal of regional spatial normalization is to remove anatomical differences between individual three-dimensional (3D) brain images by warping them to match features of a standard brain atlas. Processing to fit features at the limiting resolution of a 3D MR image volume is computationally intensive, Limiting the broad use of full-resolution regional spatial normalization. In Kochunov et al. (1999: Neuro-Image 10:724-737), we proposed a regional spatial normalization algorithm called octree spatial normalization (OSN) that reduces processing time to minutes while targeting the accuracy of previous methods. Ln the current study, modifications of the OSN algorithm for use in human brain images are described and tested. An automated brain tissue segmentation procedure was adopted to create anatomical templates to drive feature matching in white matter, gray matter, and cerebral-spinal fluid. Three similarity measurement functions (fast-cross correlation (CC), sum-square error, and centroid) were evaluated in a group of six subjects. A combination of fast-CC and centroid was found to provide the best feature matching and speed. Multiple iterations and multiple applications of the OSN algorithm were evaluated to improve fit quality. Two applications of the OSN algorithm with two iterations per application were found to significantly reduce volumetric mismatch (up to six times for lateral ventricle) while keeping processing time under 30 min. The refined version of OSN was tested with anatomical landmarks from several major sulci in a group of nine subjects. Anatomical variability was appreciably reduced for every sulcus investigated, and mean sulcal tracings accurately followed sulcal tracings in the target brain. Hum. Brain Mapping 11:193-206, 2000. (C) 2000 Wiley-Liss, Inc.

Abstract:   The human cerebral cortex is topologically equivalent to a sheet and can be considered topologically spherical if it is closed at the brain stem. Low-level segmentation of magnetic resonance (MR) imagery typically produces cerebral volumes whose tessellations are not topologically spherical. We present a novel algorithm that analyzes and constrains the topology of a volumetric object. Graphs are formed that represent the connectivity of voxel segments in the foreground and background of the image. These graphs are analyzed and minimal corrections to the volume are made prior to tessellation. We apply the algorithm to a simple test object and to cerebral white matter masks generated by a low-level tissue identification sequence. We tessellate the resulting objects using the marching cubes algorithm and verify their topology by computing their Euler characteristics. A key benefit of the algorithm is that it localizes the change to a volume to the specific areas of its topological defects.

Abstract:   This paper presents a strategy for the segmentation of brain from volumetric MR images which integrates 3D segmentation and 3D registration processes. The segmentation process is based on the level set formalism. A closed 3D surface propagates towards the desired boundaries through the iterative evolution of a 4D implicit function. In this work, the propagation relies on a robust evolution model including adaptive parameters. These depend on the input data and on statistical distribution models. The main contribution of this paper is the use of an automatic registration method to initialize the surface, as an alternative solution to manual initialization, The registration is achieved through a robust multiresolution and multigrid minimization scheme. This coupling significantly improves the quality of the method, since the segmentation is faster, more reliable and fully automatic. Quantitative and qualitative results on both synthetic and real volumetric brain MR images are presented and discussed. (C) 2001 Elsevier Science B.V. All rights reserved.

Abstract:   This paper presents a strategy for the segmentation of brain from volumetric MR images which integrates 3D segmentation and 3D registration processes. The segmentation process is based on the level set formalism. A closed 3D surface propagates towards the desired boundaries through the iterative evolution of a 4D implicit function. In this work, the propagation relies on a robust evolution model including adaptive parameters. These depend on the input data and on statistical distribution models. The main contribution of this paper is the use of an automatic registration method to initialize the surface, as an alternative solution to manual initialization, The registration is achieved through a robust multiresolution and multigrid minimization scheme. This coupling significantly improves the quality of the method, since the segmentation is faster, more reliable and fully automatic. Quantitative and qualitative results on both synthetic and real volumetric brain MR images are presented and discussed. (C) 2001 Elsevier Science B.V. All rights reserved.

Abstract:   This paper presents a strategy for the segmentation of brain from volumetric MR images which integrates 3D segmentation and 3D registration processes. The segmentation process is based on the level set formalism. A closed 3D surface propagates towards the desired boundaries through the iterative evolution of a 4D implicit function. In this work, the propagation relies on a robust evolution model including adaptive parameters. These depend on the input data and on statistical distribution models. The main contribution of this paper is the use of an automatic registration method to initialize the surface, as an alternative solution to manual initialization, The registration is achieved through a robust multiresolution and multigrid minimization scheme. This coupling significantly improves the quality of the method, since the segmentation is faster, more reliable and fully automatic. Quantitative and qualitative results on both synthetic and real volumetric brain MR images are presented and discussed. (C) 2001 Elsevier Science B.V. All rights reserved.

Abstract:   Highly accurate surface models of the cerebral cortex are becoming increasingly important as tools in the investigation of the functional organization of the human brain. The construction of such models is difficult using current neuroimaging technology due to the high degree of cortical folding. Even single voxel misclassifications can result in erroneous connections being created between adjacent hanks of a sulcus, resulting in a topologically inaccurate model. These topological defects cause the cortical model to no longer be homeomorphic to a sheet, preventing the accurate inflation, flattening, or spherical morphing of the reconstructed cortex. Surface deformation techniques can guarantee the topological correctness of a model, but are time-consuming and may result in geometrically inaccurate models. in order to address this need we have developed a technique for taking a model of the cortex, detecting and fixing the topological defects while leaving that majority of the model intact, resulting in a surface that is both geometrically accurate and topologically correct.

Abstract:   This paper describes cortical analysis of 19 high resolution MRI subvolumes of medial prefrontal cortex (MPFC), a region that has been implicated in major depressive disorder. An automated Bayesian segmentation is used to delineate the MRI subvolumes into cerebrospinal fluid (CSF), gray matter (GM), white matter (WM), and partial volumes of either CSF/GM or GM/WM. The intensity value at which there is equal probability of GM and GM/WM partial volume is used to reconstruct MPFC cortical surfaces based on a 3-D isocontouring algorithm. The segmented data and the generated surfaces are validated by comparison with hand segmented data and semiautomated contours, respectively. The L-1 distances between Bayesian and hand segmented data are 0.05-0.10 (n = 5). Fifty percent of the voxels of the reconstructed surface lie within 0.12-0.28 mm. (n = 14) from the semiautomated contours. Cortical thickness metrics are generated in the form of frequency of occurrence histograms for GM and WM labelled voxels as a function of their position from the cortical surface. An algorithm to compute the surface area of the GM/WM interface of the MPFC subvolume is described. These methods represent a novel approach to morphometric chacterization of regional cortex features which may be important in the study of psychiatric disorders such as major depression. (C) 2001 Academic Press.

Abstract:   This paper reviews literature, current concepts and approaches in computational anatomy (CA). The model of CA is a Grenander deformable template, an orbit generated from a template under groups of diffeomorphisms. The metric space of all anatomical images is constructed from the geodesic connecting one anatomical structure to another in the orbit. The variational problems specifying these metrics are reviewed along with their associated Euler-Lagrange equations. The Euler equations of motion derived by Arnold for the geodesics in the group of divergence-free volume-preserving diffeomorphisms of incompressible fluids are generalized for the larger group of diffeomorphisms used in CA with nonconstant Jacobians. Metrics that accommodate photometric variation are described extending the anatomical model to incorporate the construction of neoplasm. Metrics on landmarked shapes are reviewed as well as Joshi's diffeomorphism metrics, Bookstein's thin-plate spline approximate-metrics, and Kendall's affine invariant metrics. We conclude by showing recent experimental results from the Toga & Thompson group in growth, the Van Essen group in macaque and human cortex mapping, and the Csernansky group in hippocampus mapping for neuropsychiatric studies in aging and schizophrenia.

Abstract:   Quantitative analysis of the cerebral cortex has become more important since neuroimaging methods have revealed many subfunctions of cortical regions that were thought to be typical for only one specific function. Furthermore, it is often unknown if a certain area may be subdivided observer independently into subareas. These questions lead to an analytical problem. How can we analyze the cytoarchitecture of the human cerebral cortex in a quantitative manner in order to confirm classical transition regions between distinct areas and to detect new ones. Scanning the cerebral cortex is difficult because it presents a richly curved course and sectioning always leads to partially nonperpendicular sectioned regions of the tissue. Therefore, different methods were tested to determine which of them are most reliable with respect to generating perpendicular testlines in the cerebral cortex. We introduce a new technique based on electrical field theory. The results of this technique are compared with those of conventional techniques. It was found that straight traverses generated by the electrodynamic model present significantly smaller intertraversal. differences than the conventional approaches. (C) 2002 Elsevier Science (USA).

Abstract:   Extensive growth in functional brain imaging, perfusion- weighted imaging, diffusion-weighted imaging, brain mapping and brain scanning techniques has led tremendously to the importance of cerebral cortical segmentation both in 2-D and 3- D from volumetric brain magnetic resonance imaging data sets. Besides that, recent growth in deformable brain segmentation techniques in 2-D and 3-D has brought the engineering community, such as the areas of computer vision, image processing, pattern recognition and graphics, closer to the medical community, such as to neuro-surgeons, psychiatrists, oncologists, neuro-radiologists and internists. In Part I of this research (see Suri et al [1]), an attempt was made to review the state-of-the-art in 2-D and 3-D cerebral cortical segmentation techniques from brain magnetic resonance imaging based on two main classes: region- and boundary/surface-based. More than 18 different techniques for segmenting the cerebral cortex from brain slices acquired in orthogonal directions were shown using region-based techniques. We also showed more than ten different techniques to segment the cerebral cortex from magnetic resonance brain volumes using boundary/surface-based techniques. This paper (Part II) focuses on presenting state- of-the-art systems based on the fusion of boundary/surface- based with region-based techniques, also called regional- geometric deformation models, which takes the paradigm of partial differential equations in the level set framework. We also discuss the pros and cons of these various techniques, besides giving the mathematical foundations for each sub-class in the cortical taxonomy. Special emphasis is placed on discussing the advantages, validation, challenges and neuro- science/clinical applications of cortical segmentation.

Abstract:   We describe a new magnetic resonance (MR) image analysis tool that produces cortical surface representations with spherical topology from MR images of the human brain. The tool provides a sequence of low-level operations in a single package that can produce accurate brain segmentations in clinical time. The tools include skull and scalp removal, image nonuniformity compensation, voxel-based tissue classification, topological correction, rendering, and editing functions. The collection of tools is designed to require minimal user interaction to produce cortical representations. In this paper we describe the theory of each stage of the cortical surface identification process. We then present classification validation results using real and phantom data. We also present a study of interoperator variability. (C) 2002 Published by Elsevier Science B.V.

Abstract:   Interhemispheric and gender differences of the central sulcus were examined via a parametric ribbon approach. The central sulcus was found to be deeper and larger in the right nondominant hemisphere than in the left dominant hemisphere, both in males and in females. Based on its pattern, that asymmetry could be attributed to increased connectivity between motor and somatosensory cortex. facilitating fine movement, which could constrain the in-depth growth of the central sulcus. Position asymmetries were also found, which might be explained by a relative larger parietal association cortex in men but not in women.

Abstract:   The human cortical surface is a highly complex, folded structure. Sulci, the spaces between the folds, define location on the cortex and provide a parcellation into anatomically distinct areas. A topic that has recently received increased attention is the segmentation of these sulci from magnetic resonance images, with most work focusing on extracting either the sulcal spaces between the folds or curve representations of sulci. Unlike these methods, we propose a technique that extracts actual regions of the cortical surface that surround sulci, which we call "sulcal regions." The method is based on a watershed algorithm applied to a geodesic depth measure on the cortical surface. A well-known problem with the watershed algorithm is a tendency toward oversegmentation, meaning that a single region is segmented as several pieces. To address this problem, we propose a postprocessing algorithm that merges appropriate segments from the watershed algorithm. The sulcal regions are then manually labeled by simply selecting the appropriate regions with a mouse click and a preliminary study of sulcal depth is reported. Finally, a scheme is presented for computing a complete parcellation of the cortical surface. (C) 2002 Elsevier Science.

Abstract:   We present a technique for automatically assigning a neuroanatomical label to each voxel in an MRI volume based on probabilistic information automatically estimated from a manually labeled training set. In contrast to existing segmentation procedures that only label a small number of tissue classes, the current method assigns one of 37 labels to each voxel, including left and right caudate, putamen, pallidum, thalamus, lateral ventricles, hippocampus, and amygdala. The classification technique employs a registration procedure that is robust to anatomical variability, including the ventricular enlargement typically associated with neurological diseases and aging. The technique is shown to be comparable in accuracy to manual labeling, and of sufficient sensitivity to robustly detect changes in the volume of noncortical structures that presage the onset of probable Alzheimer's disease.

Abstract:   Reconstructing an accurate and topologically correct representation of the cortical surface of the brain is an important objective in various neuroscience applications. Most cortical surface reconstruction methods either ignore topology or correct it using manual editing or methods that lead to inaccurate reconstructions. Shattuck and Leahy recently reported a fully automatic method that yields a topologically correct representation with little distortion of the underlying segmentation. We provide an alternate approach that has several advantages over their approach, including the use of arbitrary digital connectivities, a flexible morphology-based multiscale approach, and the option of foreground-only or background-only correction. A detailed analysis of the method's performance on 15 magnetic resonance brain images is provided.