Chueh Loo Poh

Security protection of DICOM medical images using dual-layer reversible watermarking with tamper detection capability.

Teleradiology applications and universal availability of patient records using web-based technology are rapidly gaining importance. Consequently, digital medical image security has become an important issue when images and their pertinent patient information are transmitted across public networks, such as the Internet. Health mandates such as the Health Insurance Portability and Accountability Act require healthcare providers to adhere to security measures in order to protect sensitive patient information. This paper presents a fully reversible, dual-layer watermarking scheme with tamper detection capability for medical images. The scheme utilizes concepts of public-key cryptography and reversible data-hiding technique. The scheme was tested using medical images in DICOM format. The results show that the scheme is able to ensure image authenticity and integrity, and to locate tampered regions in the images.

Isotropic reconstruction of a 4-D MRI thoracic sequence using super-resolution.

Four‐dimensional (4D) thoracic magnetic resonance imaging (MRI) sequences have been shown to successfully monitor both tumor and lungs anatomy. However, a high temporal resolution is required to avoid motion artifacts, which leads to volumes with poor spatial resolution. This article proposes to reconstruct an isotropic 4D MRI thoracic sequence with minimum modifications to the acquisition protocols. This could be an important step toward the use of 4D MRI for thoracic radiotherapy applications.

Layering genetic circuits to build a single cell, bacterial half adder

BackgroundGene regulation in biological systems is impacted by the cellular and genetic context-dependent effects of the biological parts which comprise the circuit. Here, we have sought to elucidate the limitations of engineering biology from an architectural point of view, with the aim of compiling a set of engineering solutions for overcoming failure modes during the development of complex, synthetic genetic circuits.ResultsUsing a synthetic biology approach that is supported by computational modelling and rigorous characterisation, AND, OR and NOT biological logic gates were layered in both parallel and serial arrangements to generate a repertoire of Boolean operations that include NIMPLY, XOR, half adder and half subtractor logics in a single cell. Subsequent evaluation of these near-digital biological systems revealed critical design pitfalls that triggered genetic context-dependent effects, including 5′ UTR interferences and uncontrolled switch-on behaviour of the supercoiled σ54 promoter. In particular, the presence of seven consecutive hairpins immediately downstream of the promoter transcription start site severely impeded gene expression.ConclusionsAs synthetic biology moves forward with greater focus on scaling the complexity of engineered genetic circuits, studies which thoroughly evaluate failure modes and engineering solutions will serve as important references for future design and development of synthetic biological systems. This work describes a representative case study for the debugging of genetic context-dependent effects through principles elucidated herein, thereby providing a rational design framework to integrate multiple genetic circuits in a single prokaryotic cell.

A Spatiotemporal-Based Scheme for Efficient Registration-Based Segmentation of Thoracic 4-D MRI

Dynamic three-dimensional (3-D) (four-dimensional, 4-D) magnetic resonance (MR) imaging is gaining importance in the study of pulmonary motion for respiratory diseases and pulmonary tumor motion for radiotherapy. To perform quantitative analysis using 4-D MR images, segmentation of anatomical structures such as the lung and pulmonary tumor is required. Manual segmentation of entire thoracic 4-D MRI data that typically contains many 3-D volumes acquired over several breathing cycles is extremely tedious, time consuming, and suffers high user variability. This requires the development of new automated segmentation schemes for 4-D MRI data segmentation. Registration-based segmentation technique that uses automatic registration methods for segmentation has been shown to be an accurate method to segment structures for 4-D data series. However, directly applying registration-based segmentation to segment 4-D MRI series lacks efficiency. Here we propose an automated 4-D registration-based segmentation scheme that is based on spatiotemporal information for the segmentation of thoracic 4-D MR lung images. The proposed scheme saved up to 95% of computation amount while achieving comparable accurate segmentations compared to directly applying registration-based segmentation to 4-D dataset. The scheme facilitates rapid 3-D/4-D visualization of the lung and tumor motion and potentially the tracking of tumor during radiation delivery.

A hybrid approach for fusing 4D‐MRI temporal information with 3D‐CT for the study of lung and lung tumor motion

PURPOSEnAccurate visualization of lung motion is important in many clinical applications, such as radiotherapy of lung cancer. Advancement in imaging modalities [e.g., computed tomography (CT) and MRI] has allowed dynamic imaging of lung and lung tumor motion. However, each imaging modality has its advantages and disadvantages. The study presented in this paper aims at generating synthetic 4D-CT dataset for lung cancer patients by combining both continuous three-dimensional (3D) motion captured by 4D-MRI and the high spatial resolution captured by CT using the authors proposed approach.nnnMETHODSnA novel hybrid approach based on deformable image registration (DIR) and finite element method simulation was developed to fuse a static 3D-CT volume (acquired under breath-hold) and the 3D motion information extracted from 4D-MRI dataset, creating a synthetic 4D-CT dataset.nnnRESULTSnThe study focuses on imaging of lung and lung tumor. Comparing the synthetic 4D-CT dataset with the acquired 4D-CT dataset of six lung cancer patients based on 420 landmarks, accurate results (average error <2 mm) were achieved using the authors proposed approach. Their hybrid approach achieved a 40% error reduction (based on landmarks assessment) over using only DIR techniques.nnnCONCLUSIONSnThe synthetic 4D-CT dataset generated has high spatial resolution, has excellent lung details, and is able to show movement of lung and lung tumor over multiple breathing cycles.

A novel neural-inspired learning algorithm with application to clinical risk prediction

Clinical risk prediction - the estimation of the likelihood an individual is at risk of a disease - is a coveted and exigent clinical task, and a cornerstone to the recommendation of life saving management strategies. This is especially important for individuals at risk of cardiovascular disease (CVD) given the fact that it is the leading causes of death in many developed counties. To this end, we introduce a novel learning algorithm - a key factor that influences the performance of machine learning-based prediction models - and utilities it to develop CVD risk prediction tool. This novel neural-inspired algorithm, called the Artificial Neural Cell System for classification (ANCSc), is inspired by mechanisms that develop the brain and empowering it with capabilities such as information processing/storage and recall, decision making and initiating actions on external environment. Specifically, we exploit on 3 natural neural mechanisms responsible for developing and enriching the brain - namely neurogenesis, neuroplasticity via nurturing and apoptosis - when implementing ANCSc algorithm. Benchmark testing was conducted using the Honolulu Heart Program (HHP) dataset and results are juxtaposed with 2 other algorithms - i.e. Support Vector Machine (SVM) and Evolutionary Data-Conscious Artificial Immune Recognition System (EDC-AIRS). Empirical experiments indicate that ANCSc algorithm (statistically) outperforms both SVM and EDC-AIRS algorithms. Key clinical markers identified by ANCSc algorithm include risk factors related to diet/lifestyle, pulmonary function, personal/family/medical history, blood data, blood pressure, and electrocardiography. These clinical markers, in general, are also found to be clinically significant - providing a promising avenue for identifying potential cardiovascular risk factors to be evaluated in clinical trials.

A biological continuum based approach for efficient clinical classification

Clinical feature selection problem is the task of selecting and identifying a subset of informative clinical features that are useful for promoting accurate clinical diagnosis. This is a significant task of pragmatic value in the clinical settings as each clinical test is associated with a different financial cost, diagnostic value, and risk for obtaining the measurement. Moreover, with continual introduction of new clinical features, the need to repeat the feature selection task can be very time consuming. Therefore to address this issue, we propose a novel feature selection technique for diagnosis of myocardial infarction - one of the leading causes of morbidity and mortality in many high-income countries. This method adopts the conceptual framework of biological continuum, the optimization capability of genetic algorithm for performing feature selection and the classification ability of support vector machine. Together, a network of clinical risk factors, called the biological continuum based etiological network (BCEN), was constructed. Evaluation of the proposed methods was carried out using the cardiovascular heart study (CHS) dataset. Results demonstrate a significant speedup of 4.73-fold can be achieved for the development of MI classification model. The key advantage of this methodology is the provision of a reusable (feature subset) paradigm for efficient development of up-to-date and efficacious clinical classification models.

Texture analysis of bone marrow in knee MRI for classification of subjects with bone marrow lesion — Data from the Osteoarthritis Initiative

Visualization of bone marrow lesion (BML) can improve the diagnosis of many bone disorders that are associated with it. A quantitative approach in detecting BML could increase the accuracy and efficiency of diagnosing those bone disorders. In this paper, we investigated the feasibility of using magnetic resonance imaging (MRI)-based texture to (a) identify slices and (b) classify subjects with and without BML. A total of 58 subjects were studied; 29 of them were affected by BML. The ages of subjects ranged from 45 to 74years with a mean age of 59. Texture parameters were calculated for the weight-bearing region of distal femur. The parameters were then analyzed using Mann-Whitney U test and individual feature selection methods to identify potentially discriminantive parameters. Forward feature selection was applied to select features subset for classification. Classification results from eight classifiers were studied. Results show that 98 of the 147 parameters studied are statistically significantly different between the normal and affected marrows: parameters based on co-occurrence matrix are ranked highest in their separability. The classification of subjects achieved an area under the receiver operating characteristic curve (AUC) of 0.914, and the classification of slices achieved an AUC of 0.780. The results show that MRI-texture-based classification can effectively classify subjects/slices with and without BML.

Automating the tracking of lymph nodes in follow-up studies of thoracic CT images

The study of lymph node features over time is of great clinical significance. Tracking of the same lymph node in CT images over time is done manually in the current clinical practice, which is tedious and lack of consistency. In this paper, we propose a search scheme to automate the process. Regions of interest (ROIs) are located by mapping the center point of lymph node based on the transformation found in the rigid registration. Similarity values between ROI of the template image and ROIs of repository images are compared, the highest of which decides the best match. Our method generated a success rate of 82% in determining the corresponding image in follow-up scan with the same lymph node as in baseline. The location of the lymph node in the corresponding image is tracked and estimated by mapping the lymph node center at baseline image using the transformation obtained from both affine and free-form deformation (FFD) registration. FFD performs better than affine registration in tracking the lymph node location. All lymph nodes in our study are tracked successfully by the suggested points which fall within the boundary of the same node in the corresponding follow-up images using FFD registration.

Anterior Cruciate Ligament Segmentation: Using Morphological Operations with Active Contour

Among the ligaments responsible in maintaining the structural integrity of knee joint, anterior cruciate ligament (ACL) injury is most commonly diagnosed. Recent advancement in clinical imaging technology has led to wide employment of magnetic resonance imaging (MRI) in such injury assessment. However, the visual assessment conducted with these images often requires the boundaries of selected structures to be manually traced using computer software. Such interpretation is often time consuming and subjective as it is based on the radiologists opinion and past experiences. In this study, a semi-automatic ACL segmentation program that utilized both morphological operations and active contour is proposed. It takes advantage of the ACLs unique shape and orientation within MR images to carry out the segmentation. Among 111 PD-weighted images segmented, the proposed program was capable of achieving an overall sensitivity, specificity and Dice coefficient of 43.3 % ±± 14.0 %, 99.4 % ±± 0.3 %, and 0.381 ±± 0.091 respectively. Although these values indicated low performance produced by the proposed program, the results from this study did prove its feasibility in providing an objective and reproducible ACL segmentation. Thus, with necessary improvements implemented, this program can be deployed clinically to facilitate ACL injury diagnosis.