Ninon Burgos CNRS Researcher Brain and Spine Institute Aramis Lab - - PowerPoint PPT Presentation

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Ninon Burgos CNRS Researcher Brain and Spine Institute Aramis Lab - - PowerPoint PPT Presentation

Ninon Burgos CNRS Researcher Brain and Spine Institute Aramis Lab Paris, France 2 Research area Decision Image Medical support processing imaging systems Translational research 3 PhD University College London Combination of


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Ninon Burgos

CNRS Researcher Brain and Spine Institute – Aramis Lab Paris, France

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Research area

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Translational research Decision support systems Medical imaging Image processing

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PhD – University College London

Combination of structural and functional imaging modalities

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PET/MRI PET/CT

CT PET MRI

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PhD – University College London

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Image synthesis for the attenuation correction of PET/MR data

Objective

▷ Synthesise CT from MR images to correct for attenuation PET/MR data

  • e-

e+

γ (511 keV) γ (511 keV) 180°

MRI CT PET without attenuation correction PET with attenuation correction Attenuation

Clinical motivation

▷ Imperfect attenuation correction on PET/MR scanners

  • γ

γ

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PhD – University College London

Method

[Burgos et al., MICCAI, 2013], [Burgos et al., IEEE TMI, 2014], [Burgos et al., EJNMMI, 2015]

▷ Multi-atlas registration, propagation and fusion

... ... ... ...

Affine alignment Resampling Target MRI MRI-CT database Mapped MRIs & CTs

LSIM1 LSIM2 LSIMn

Intensity fusion

W1 W2 Wn

Target CT Inter-subject mapping

Image synthesis for the attenuation correction of PET/MR data

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PhD – University College London

Evaluation

▷ Validation on FDG and Florbetapir (Aß) PET images: less than 2% difference ▷ Independent multi-centre evaluation study: joint best performance ▷ Evaluation using low resolution MR images in collaboration with University Hospital Zurich and GE Healthcare

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[Burgos et al., EJNMMI, 2015] [Ladefoged et al., NeuroImage, 2017] [Sekine, Burgos et al., JNM, 2016]

Image synthesis for the attenuation correction of PET/MR data

With real CT Proposed

CT FDG PET Aß PET CT FDG PET Aß PET

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Technology development

▷ NiftySeg Method part of a software package for image segmentation and synthesis ▷ NiftyWeb Method available online as a web service tool for testing, already used 1900+ times

Transfer to clinical research

▷ Method routinely used on several research studies at the Dementia Research Centre (UCL)

Transfer of technology

▷ Licensing agreement recently signed between Oncovision and UCL

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https://github.com/KCL- BMEIS/NiftySeg http://niftyweb.cs.ucl.ac.uk/ program.php?p=PCT [Weston et al., Alzheimer’s & Dementia: Diagnosis and Disease Monitoring, 2016] [Lane et al., BMC Neurology, 2017]

PhD – University College London

Image synthesis for the attenuation correction of PET/MR data

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Current & future work

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▷Neuroimaging plays a crucial role in the understanding, diagnosis, and treatment of neurological disorders ▷Challenge: joint analysis of multiple imaging modalities at several time points Improve the analysis of multimodal neuroimaging data, and thus improve the understanding and diagnosis of neurodegenerative diseases

Clinical motivation

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Current work

Automatic identification of abnormality patterns

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Objective

▷ Locate and characterise patterns of abnormality from multimodal imaging data

... ... MRI-PET control dataset Subject-specific PET model

  • f healthy appearance

Subject’s real PET Subject-specific abnormality map Subject’s MRI

Method

[Burgos et al., MICCAI, 2015], [Burgos et al., CMMI, 2017], [Burgos et al., Submitted]

▷ Subject-specific model of healthy appearance ▷ Subject-specific map of abnormality

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Current work

Automatic identification of abnormality patterns

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Healthy control

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Alzheimer’s disease

Z-score SUVR 1 2

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Semantic dementia Frontotemporal dementia

PET Abnormality map PET Abnormality map PET Abnormality map PET Abnormality map

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Current work

Automatic identification of abnormality patterns

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Visualisation tool Improved interpretability of subsequent analyses

Alzheimer’s disease Semantic dementia Frontotemporal dementia

Alzheimer’s disease