Computer aided detection method for early detection of cerebrovascular accident

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Computer aided detection method for early detection of cerebrovascular accident


Author: Ng, Kei-shing Douglas
Title: Computer aided detection method for early detection of cerebrovascular accident
Degree: Ph.D.
Year: 2009
Subject: Hong Kong Polytechnic University -- Dissertations
Cerebrovascular disease -- Diagnosis
Brain -- Tomography
Department: Dept. of Health Technology and Informatics
Pages: vii, 147 leaves : ill. (some col.) ; 30 cm.
InnoPac Record:
Abstract: Research background: With the aging of our population, stroke has been rated the third highest cause of death (second to heart disease and cancer) in the world. In the USA, it was estimated that about 700,000 new and recurrent strokes occur per year. In Hong Kong, there were around 16,000 new/recurrent cases of stroke and more than 3 thousands people died each year due to stroke. Aim and objectives of the research: Clinically, Computed Tomography (CT) remains the preferred choice for the evaluation of patients with suspected acute ischemic stroke because it is more accessible, inexpensive, efficient and reliable as the time required for scanning and interpreting the images is critical for the survival of a patient. The aim of the project was to establish a computer aided detection (CAD) system for early detection of ischemic stroke using CT. We also address the issues about: 1. Reduction of time for interpreting CT images, 2. Improvement of accuracy for image interpretation, and 3. Reduction of inter- and intra-observer variability of the detection rate. Methods: A novel CAD scheme was developed and retrospectively applied to 116 clinical non-enhanced CT scans obtained from hospitals between 2007 and 2008. Mathematical modelling was applied to model the image interpretation process. A novel circular adaptive region of interest (AROI) method was proposed and applied to analyse the CT images. A constrained Linear Programming method was proposed to maximize the detection rate subject to various statistical image textual features including correlation, standard deviation, energy, and entropy which were compared with the contra-lateral side to improve the sensitivity and specificity of the CAD system. The feature based index had been incorporated into a CAD program and Receiver Operating Characteristic (ROC) studies. Results: We have demonstrated the feasibility of using mathematical modelling for computer aided detection. The sensitivity and specificity of the new CAD scheme were 87.10% and 82.5%, respectively, for the detection of lacunar stroke. We have identified the important texture attributes to determine the subtle change of intensity. A mathematical model of the factors that affected the sensitivity and specificity was derived so that the weighting of the parameters that affect the feature changes due to ischemic stroke can be determined. Our CAD scheme has proven successful for early detection of ischemic stroke. This could enhance the efficiency and accuracy in clinical practice and benefit patient care. Conclusion: A novel CAD scheme for the early detection of stroke for CT images was established. We have proposed the adaptive region of interest and optimization subject to the images features. The adaptive region of interest is traced by the intensity distribution at the boundary. The weighting factors of the 8 image features were derived by a linear optimization model and the Feature Based Index (FBI) was generated. The modelling method and detection algorithm have the added advantages that they could also be applied in other imaging modalities. By accomplishment of this study, the CAD has been developed to provide a second opinion for the clinician in daily practice. It could help the emergency physicians and radiology specialists make their own decisions confidently in the absence of the radiology specialists in the clinical practice. This could also enhance the efficiency and accuracy in clinical practice and hence benefit patient care.

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