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Published in: International Journal of Computer Assisted Radiology and Surgery 7/2018

06-04-2018 | Original Article

Automated muscle segmentation from CT images of the hip and thigh using a hierarchical multi-atlas method

Authors: Futoshi Yokota, Yoshito Otake, Masaki Takao, Takeshi Ogawa, Toshiyuki Okada, Nobuhiko Sugano, Yoshinobu Sato

Published in: International Journal of Computer Assisted Radiology and Surgery | Issue 7/2018

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Abstract

Purpose

Patient-specific quantitative assessments of muscle mass and biomechanical musculoskeletal simulations require segmentation of the muscles from medical images. The objective of this work is to automate muscle segmentation from CT data of the hip and thigh.

Method

We propose a hierarchical multi-atlas method in which each hierarchy includes spatial normalization using simpler pre-segmented structures in order to reduce the inter-patient variability of more complex target structures.

Results

The proposed hierarchical method was evaluated with 19 muscles from 20 CT images of the hip and thigh using the manual segmentation by expert orthopedic surgeons as ground truth. The average symmetric surface distance was significantly reduced in the proposed method (1.53 mm) in comparison with the conventional method (2.65 mm).

Conclusion

We demonstrated that the proposed hierarchical multi-atlas method improved the accuracy of muscle segmentation from CT images, in which large inter-patient variability and insufficient contrast were involved.

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Metadata
Title
Automated muscle segmentation from CT images of the hip and thigh using a hierarchical multi-atlas method
Authors
Futoshi Yokota
Yoshito Otake
Masaki Takao
Takeshi Ogawa
Toshiyuki Okada
Nobuhiko Sugano
Yoshinobu Sato
Publication date
06-04-2018
Publisher
Springer International Publishing
Published in
International Journal of Computer Assisted Radiology and Surgery / Issue 7/2018
Print ISSN: 1861-6410
Electronic ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-018-1758-y

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