CARDIAC MRI STEAM IMAGES DENOISING USING BAYES CLASSIFIER 1 A. G. Motaal1, M. A. Al-Attar1, N. F. Osman1, A. S. Fahmy1, 2 Center of Informatics Science, School of Communication and Information technology, Nile University, Cairo, Egypt 2 Systems and Biomedical Engineering Department, Faculty of Engineering, Cairo University, Cairo, Egypt E-mail: [email protected] Abstract- Imaging of the heart anatomy and function using magnetic resonance imaging (MRI) is an important diagnosis tool for heart diseases. Several techniques have been developed to increase the contrast-to-noise ratio (CNR) between myocardium and background. Recently, a technique that acquires cine cardiac images with black-blood contrast has been proposed. Although the technique produces cine sequence of high contrast, it suffers from elevated noise which limits the CNR. In this paper, we study the performance and efficiency of applying a Bayes classifier to remove background noise. Real MRI data is used to test and validate the proposed method; In addition, a quantitative comparison is done between the proposed method and other thresholding-based classifications techniques. I. INTRODUCTION Black-blood cardiac MRI techniques provide high CNR between the blood and the tissues by nulling blood signal. This also has the advantage of avoiding the flow artifacts generated by the blood. Aletras et al [1] succeeded in proposing an acquisition technique that results in acquiring a image of black blood, but blood signal is nulled at specific time only in the cardiac cycle so it prohibit producing cine sequence. Frahm et al proposed a technique that is used to make cine sequence with black blood contrast called STEAM[2], but it suffered from severe deformationdependent artifact[2,3]. To solve these problems Fahmy et al proposed a modified STEAM based technique that successfully produce cardiac cine sequence with black blood contrast and correct the STEAM artifact [4]. Unfortunately low CNR is the limitation of this technique. This article proposes a method for removing the background noise in the modified-STEAM imaging technique and thus enhancing the myocardium CNR, The method uses a Bayes classifier to differentiate the background from the tissues (whether myocardium or static tissues) [5]. First, a probabilistic model for tissue and blood signals is constructed and then used to establish a Bayes discriminant function which is used to identify and filter out the background signal. II.THEORY A. Black-blood cardiac MRI: 1) Noise-free model: The basic idea behind the modified STEAM technique is to acquire two black-blood STEAM image sequences with complementary image intensity. That is, one sequence captures static and low contracting tissues (L.T image), while the other captures highly contracting tissues (H.T image). In the noise-free case, given a time frame t, the signal intensities in pixel (x,y) in the acquired images was shown to be given by (refer to Ref. [4] for more details), Proceedings of the 2008 IEEE, CIBEC'08 S1(x,y,t) = p(x,y) Sinc (∂ω(x,y,t)), (1) S2(x,y,t) = p(x,y) Sinc (1 - ∂ω(x,y,t)), (2) where p(x, y) is the signal component representing the nuclear properties of the tissues at pixel (x,y) and ∂ω(x,y,t) is a deformation-dependent term that is related to the tissue strain, and they can be estimated from S1 and S2 as described in [6]. As shown in [4], adding the two images S1 and S2 and multiplying the result with an appropriate weights yield an image whose intensity does not depend on the tissue deformation, i.e. ̂ (x, y). 2) Probabilistic model: In order to account for the noise effect, a probabilistic model is used to model the signal intensity of the STEAM images. Here the well-known MRI signal model that uses Rician and Rayleigh probability density functions [7] to model the tissue and the background signals respectively will be used. Using the fact that the two images S1 and S2 are acquired independently, we can easily show that the joint density function for their signal intensities (at the same pixel location) can be written as mentioned in [8] as follows, fs1,s2 (s1s2|tissue)=fs1(s1|tissue).fs2(s2|tissue) = S .S .e I0 . . S S e .I0 . . . . . (3.a) fs1,s2 (s1s2|bckgnd)=fs1(s1|bkgnd).fs2(s2|bkgnd) = S .S S e S (3.b) B. Identifying and removing background noise As mentioned above, it is required to identify the background regions in the reconstructed sequence, ̂ (x, y), and suppress their signal. In this work, a feature vector ν=[S1(x,y), S2(x,y)] is used to represent the information available for each pixel (x,y) in the sequence ̂ (x, y) based on the Bayes classifier technique [5], all feature vectors are then classified into two classes (background and tissues) as follows. First, a Bayes discriminant function is built using the joint probability function in Eq. (3.a) and (3.b), ∂ =log (fs1,s2 (s1s2|tissue)) - log(fs1,s2 (s1s2|bckgnd)) (4) Based on the above equation, the decision rule for the classification becomes, , , , 0 0 978-1-4244-2695-9/08/$25.00 ©2008 IEEE Figure 1 shows the Block diagram of Bayyes classifier technique. L.T and H.T images, and thhe behavior for l1, l2 and l∞ are shown in yellow, white, andd dashed red lines respectively. The l1 norm can be representted by straight line, the l2 norm can be represented by a quaddratic curve and the l∞ norm can be represented by a rectangle. IV. RESSULTS A. Test and Analysis Figure 1. Block Diagram of Bayes Technique. III. METHODOLOGY To validate the proposed method it was w tested using real MRI data. A human volunteer was imageed using the modified STEAM technique to capture 12 time fraames for a short-axis cross-section of his heart. At each timee frame, equations 1 and 2 were used to reconstruct a black seqquence, p(x, y). Only 2 time frames out of acquired twelve tim me frames are shown in Figure 2.a. To filter the backgrouund noise, first, the standard deviation of the background noise n was calculated using the maximum likelihood described in [7], ∑ = , є , , where R is a background region of size N (shown as a white rectangle in Figure 3); In order to idenntify the background regions, the proposed Bayes decision rulle was applied to the images in Figure 2.a. Simple thresholding techniques were also used to remove the background noise. The basic idea is to compare the length of the vector, ν, wiith a threshold and if it is smaller than the threshold then it is considered as background noise; otherwise, it is consiidered tissue. In this work, three vector norms have been used u to measure the length of the intensity vector, ν: l1, l2 and l∞ which are calculated from the relation. ln= , where S1 is the signal acquired from the L.T L image while S2 is the signal acquired from H.T image. Soo when applying the technique we check whether the l-norm at every pixel is less than certain threshold or not, as if it exceeeds this value it will be an indication that this pixel is tisssue and vice versa. Different threshold values were tested annd it was noticed that the value equal to µ+σ, where µ and σ are the mean and standard deviation of the background reegion in the p(x, y), gave the best results and optimal valuees of sensitivity and specificity for the p(x, y). Also for thee l2 norm when the threshold value multiplied by 0.75 resultts are enhanced, and the same for the l∞ norm when it wass multiplied by 0.65 results are enhanced at high extent. Figuure 4 shows the joint probability density function for the backkground region in the Proceedings of the 2008 IEEE, CIBEC'08 Figures 2.b-e show the reesult of applying the Bayes and thresholding techniques (uusing l1, l2 and l∞ norms) respectively on the images of o figure 2.a. It is worth noting that all images in Figure 2 are displayed with the same contrast and intensity settinngs. That is, the differences between the images are due too the effect of the noise removal process. Numerical Analysis was w done to represent how each technique behaves in differennt ROI (background, static tissue and myocardium) for the diffeerent time frames, and therefore decide the sensitivity and specificity s for each technique. Figure 5 shows the three reegions of interest and they are represented by dotted, dashedd and solid line regions. Figure 6 shows the number of pixels considered as a background in each technique for the differeent ROIs for all the time frames. Also sensitivity and specificcity for all the techniques are calculated, where they are givven by the relation, Specificity = Sensitivity = where TP is the true backgrouund, FN is the false tissue, TN is the true tissue, and FP is thhe false background. Figure 7 shows the sensitivity and Speecificity behavior with the time for the all techniques. B. Computation Time: There is a need to measurre the efficiency of the different denoising techniques based on their computation times. This was done through applying thhe 4 different methods stated in this paper, each method difffer from the other in the time needed to perform the algorrithm to a set of images. The computer specification that was w used was 2.66GHz processor with 2GB RAM, the techhnique that need the longest computation time was Bayess technique while that need the shortest time is l∞ technique. Numerically N each technique was applied on 12 pictures, for the th bayes method it took 8.287 seconds to apply the method for f all the time frames, while for l2 norm method it took 2.228 seconds, for the l1 norm method it took 2.317 seconds, finally for the l∞ norm method it took 2.121 seconds. Computationaal time could be reduced to high extent when pointers are used u in the program, as the computation time reduced to 60% when pointers were used. Table 1 shows the compuutation time for the different methods. Method l∞ norm l1 norm l2 norm Bayes Com mputation Tim me(sec) 0 0.1761 0 0.1780 0 0.1856 0 0.6702 Relative Time 1 1.01 1.05 3.80 Table 1 Computation time for thhe different techniques per one frame 978-1-4244-2695-9/08/$25.00 ©2008 IEEE Figgure 2.a Two combined Images that were used to apply the different techniques on them. Figure 2.d Figure 2.b Figure 2.c Figure 2.d Figure 2.e F F Figure 2.e Figure 2.b) the result of applying bayes technique,, 2.c) the result of applying l1 technique 2.d) the result of applying l2 technique 2.e) the result of applying l∞ technique Figure 3 the region from the backround that was w taken to calculate the standard deviation Figure 5 The different RO OIs, background region (Dotted) static tissue (Dashed), annd myocardium region (Solid) 3580 3560 3540 3520 3500 3480 3460 3440 3420 3400 Figure 4 The joint pdf for the background region in i the L.T and H.T images, the behavior for l1, l2 and l• are shown s in solid, dashed and dotted line respectively.. Proceedings of the 2008 IEEE, CIBEC'08 Bayes L1 norm L2 norm L∞ norm Time frame 1 2 3 4 5 6 7 8 9 10 11 12 Figure 6.a shows the number n of pixels considered as noise in the background region 978-1-4244-2695-9/08/$25.00 ©2008 IEEE frame and the result after appplying region removal followed by holes filling. 35 30 25 Bayes 20 L1 norm 15 L2 norm 10 L∞ norm 5 Time frame 0 1 2 3 4 5 6 7 8 9 10 0 11 12 Figure 8 Bayes Classifier result beefore and after applying morphological opeerators Figure 6.b shows the number of pixxels considered as noise in the static tissue region r A CONCLUSION V. DISCUSSION AND Fig 2.d 8 7 6 5 4 3 2 1 0 Bayes L1 norm L2 norm L∞ norm Time frame 1 2 3 4 5 6 7 8 9 10 11 12 Figure 6.c shows the number of pixels coonsidered as noise in the contracting tissue reggion In this work, we examinedd the performance of the Bayes classifier in removing backgground noise from black blood cardiac MRI images. Althoughh the technique provides optimal results in terms of sensitivity and specificity, the computation time is more than three folds that of other simpler classifiers T later techniques successfully such as l-norms classifiers. The remove the background noise with comparable performance to that of the Bayes classifierr. Therefore, we propose that suboptimal classifiers can be used to remove the noise if the processing time is crucial to thee application. ACKNOW WLEDGMENT This work is supported by NIH N grant (HL072704) and PDP grant from ITIDA agency, Ministry M of Communication and Information technology, Egypt. 100 98 Bayes 96 REFERENCES L1 norm 94 L2 norm 92 L∞ norm 90 Time frame 1 2 3 4 5 6 7 8 9 10 11 1 12 Figure 7.a shows the sensitivity behavvior for each technique within the time fram mes. 100 99 Bayes 98 L1 norm 97 L2 norm 96 L∞ norm 95 Time frame 1 2 3 4 5 6 7 8 9 10 11 12 Figure 7.b shows the specificity beehavior for each technique within the time frames. C. Further Processing The results of the Bayes method can be b enhanced more by applying morphological operators like region r removing and holes filling. Figure 8 shows Bayes classifier result for a time Proceedings of the 2008 IEEE, CIBEC'08 [1] Aletras AH, Wen H. Mixed echo train acquisition s echoes: an optimized displacement encoding with stimulated DENSE method for in vivo functional fu imaging of the human heart. Magn Reson Med 2001;46:523–534. [2] Frahm J, Hanicke W, Brruhn H, Gyngell ML, Merboldt KD. High-speed STEAM off the human heart. MagnReson Med 1991; 22: 133-142. [3] Fischer SE, Stuber M, Scheidegger MB, Boesiger P. Limitations of Stimulated Echho Acquisition Mode (STEAM) Techniques in Cardiac applications. Magn Reson Med 1995; 34: 80-91. [4] Fahmy AS, Stuber M, Osman NF. Correction of throughplane deformation artifacts inn Stimulated Echo Acquisition Mode (STEAM) cardiac imagging. Magn Reson Med 2006; 55 (2): 404-412. [5] Duda RO, Hart PE. Patternn classification and scene analysis. New York,: Wiley; 1973. 1 [6] Osman NF, Sampath S, Atalar E, Prince JL. Imaging longitudinal cardiac strain onn short-axis images using strainencoded (SENC) MRI. Magn Reson Med 2001; 46: 324-334. [7] Sijbers J, Den Dekker A. A J., Van Dyck D., Raman E. Estimation of signal and noisse from Rician distributed data. Proc.Int. Conf. Signal Proc. and a Comm., pp. 140-142, Spain 1998. [8] Ahmed S Fahmy ‘‘Backgrround Noise Removal in Cardiac Magnetic Resonance Images Using Bayes Classifier’’ IEEE Proc. International Conf. Enngng in Medicine and Biology (EMBC), Vancouver, August 20008. 978-1-4244-2695-9/08/$25.00 ©2008 IEEE
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