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I

i

(5)

B

B

any misalignment of two rigid images will show various degrees of colour heterogeneity

i

I

i1

i1

distributed on the volumetric landmark, as shown in Fig. 2. Therefore, the homogeneity of

colour distribution on volumetric anatomical landmarks has been established as the visual

and the modified variance ( mVAR) with baseline correction is defined as:

registration criterion (Li et al, 2005).

2

2

It is worthwhile to mention that the greyscale of the mono-coloured image is controlled by

N  I *  I *

( I R) I

I *

i

N A

B  

i

i

the RGB-LUT(s), which have a value of 0 to 1 (dark to bright). Such mono-colour greyscale is

mVAR  

 

(6)

1

N

1

N

important to show the stereo-spatial effect; without it (e.g., a flat LUT=constant) the

i

i

landmarks are hard to be identified as 3D objects, except for the peripheral region in the 2D

image plane. So, an uneven greyscale should be used in the RGB-LUT(s), as shown in Fig. 4,

where  I*   I *

( I

I R I

i*

A

B

i

N  is the average of modified VVID

i

i ) . This

and the colour greyscale variation should not be regarded as colour heterogeneity.

quantitative measure, when minimized, indicates an optimal image alignment from a single

viewing point.

2.3 Quantitative Criterion of the Volumetric Registration

Quantitatively, the above visual-based criterion for volumetric alignment can be directly

To evaluate the volumetric image alignment, multiple views (e.g., six views) should be used

translated into a mathematical expression. By definition, the homogeneity of the colour

to provide a comprehensive evaluation, although single view is sufficient for fine tuning

distribution on a given volumetric anatomical landmark should have minimal variance in

around the optimal alignment (Li, et al, 2007). A simple or weighted average of the mVAR

the visible voxel intensity difference (VVID) between any two mono-coloured imaging

from different views can serve as the cost function with a high confidence level, as each

modalities, namely a random colour distribution (or “snow pattern”). In other words, a

individual mVAR can be cross-verified with each other. In addition, the quantitative criteria

misalignment should appear to have a systematic, colour-biased distribution (or global

can be verified by visual examination with similar sensitivity, avoiding local minima.

alignment aberration), which should show a large variation of the VVID.

With uniform sampling across the image plane, about 4% of the pixels are sufficient for

2.4 Advantages of Volumetric Image Registration

With both the visual and the quantitative registration criteria, this interactive registration

evaluating the registration criterion. The visible voxels on the anatomical landmark can be

technique can be readily upgraded into an automatic registration technique, which is an on-

traced along the ray automatically using a special algorithm under the ray casting rendering

going investigation. Currently, the quantitative criterion can be applied in the fine-tuning

scheme (Li, et al, 2008c). Mathematically, for any visible voxel (i), the VVID is defined:

stage of image registration, minimizing the potential user dependency. As a comparison, the

2D visual based fusion technique does not have such quantitative evaluation on the

A

B

I

  I I

i

i

i (3)

alignment. The precision for the rigid transformation and linear interpolation is set at 0.1

voxel (~mm), although it is not limited, matching the high spatial sensitivity of the 3DVIR

technique, as shown in Fig. 2. Similar accuracy has been found between the visual and

where A

I

I

i and

B

i (<256 = 8 bits) are the VVI from images A and B, respectively. For all

quantitative criteria (will be discussed in the next section), allowing visual verification of the

sampled voxels, the variance of the VVID is:

potential automatic 3DVIR with the consistent accuracy and reliability.

N ( I   2

N

A

I)

( I B

I   I 2

)

The design of the volumetric image registration enables user to simultaneously process up

VAR  

i

  i

i

(4)

to four images, meeting the challenges of increasing imaging modalities used in the clinic

i1

N

i1

N

and eliminating potential error propagation from separated registrations. The flowchart of

the volumetric image registration process is demonstrated in Fig. 5. The image buffer (32

where  I   I

bits) is divided into 4 fields for 4 images (8 bits or 256 greyscale each). Transformation

i N  represents the average of the VVID and N is the total number of

operation can be applied to any of the four image fields for alignment and all four images

the voxels sampled, excluding completely transparent rays. In case of two identical images,

are rendered together for real-time visual display, supported by a graph processing unit

the variance of VVID approaches zero at the perfect alignment, as shown in Fig. 2.

Volumetric

Image Registration of Multi-modality Images of CT, MRI and PET

9

2.2 Visual Criterion of the Volumetric Image Registration

In multi-modality image registration, the average voxel intensity of an anatomical landmark

When two mono-coloured, identical images are overlaid in space, the colour blending of the

can differ substantially between modalities, so a baseline correction is required. Therefore, a

equal-intensity (greyscale) voxels produce a homogeneously coloured image based on the

modality baseline weighting factor (R) is introduced as:

colour synthesis rule of light. For instance, the overlay of equally-weighted red and green

will result in a yellow appearance. Therefore, an ideal image alignment will show a perfect

A

N

N

homogeneous colour distribution on a volumetric anatomic landmark. On the other hand,

I

R

  A

I

I

i

(5)

B

B

any misalignment of two rigid images will show various degrees of colour heterogeneity

i

I

i1

i1

distributed on the volumetric landmark, as shown in Fig. 2. Therefore, the homogeneity of

colour distribution on volumetric anatomical landmarks has been established as the visual

and the modified variance ( mVAR) with baseline correction is defined as:

registration criterion (Li et al, 2005).

2

2

It is worthwhile to mention that the greyscale of the mono-coloured image is controlled by

N  I *  I *

( I R) I

I *

i

N A

B  

i

i

the RGB-LUT(s), which have a value of 0 to 1 (dark to bright). Such mono-colour greyscale is

mVAR  

 

(6)

1

N

1

N

important to show the stereo-spatial effect; without it (e.g., a flat LUT=constant) the

i

i

landmarks are hard to be identified as 3D objects, except for the peripheral region in the 2D

image plane. So, an uneven greyscale should be used in the RGB-LUT(s), as shown in Fig. 4,

where  I*   I *

( I

I R I

i*

A

B

i

N  is the average of modified VVID

i

i ) . This

and the colour greyscale variation should not be regarded as colour heterogeneity.

quantitative measure, when minimized, indicates an optimal image alignment from a single

viewing point.

2.3 Quantitative Criterion of the Volumetric Registration

Quantitatively, the above visual-based criterion for volumetric alignment can be directly

To evaluate the volumetric image alignment, multiple views (e.g., six views) should be used

translated into a mathematical expression. By definition, the homogeneity of the colour

to provide a comprehensive evaluation, although single view is sufficient for fine tuning

distribution on a given volumetric anatomical landmark should have minimal variance in

around the optimal alignment (Li, et al, 2007). A simple or weighted average of the mVAR

the visible voxel intensity difference (VVID) between any two mono-coloured imaging

from different views can serve as the cost function with a high confidence level, as each

modalities, namely a random colour distribution (or “snow pattern”). In other words, a

individual mVAR can be cross-verified with each other. In addition, the quantitative criteria

misalignment should appear to have a systematic, colour-biased distribution (or global

can be verified by visual examination with similar sensitivity, avoiding local minima.

alignment aberration), which should show a large variation of the VVID.

With uniform sampling across the image plane, about 4% of the pixels are sufficient for

2.4 Advantages of Volumetric Image Registration

With both the visual and the quantitative registration criteria, this interactive registration

evaluating the registration criterion. The visible voxels on the anatomical landmark can be

technique can be readily upgraded into an automatic registration technique, which is an on-

traced along the ray automatically using a special algorithm under the ray casting rendering

going investigation. Currently, the quantitative criterion can be applied in the fine-tuning

scheme (Li, et al, 2008c). Mathematically, for any visible voxel (i), the VVID is defined:

stage of image registration, minimizing the potential user dependency. As a comparison, the

2D visual based fusion technique does not have such quantitative evaluation on the

A

B

I

  I I

i

i

i (3)

alignment. The precision for the rigid transformation and linear interpolation is set at 0.1

voxel (~mm), although it is not limited, matching the high spatial sensitivity of the 3DVIR

technique, as shown in Fig. 2. Similar accuracy has been found between the visual and

where A

I

I

i and

B

i (<256 = 8 bits) are the VVI from images A and B, respectively. For all

quantitative criteria (will be discussed in the next section), allowing visual verification of the

sampled voxels, the variance of the VVID is:

potential automatic 3DVIR with the consistent accuracy and reliability.

N ( I   2

N

A

I)

( I B

I   I 2

)

The design of the volumetric image registration enables user to simultaneously process up

VAR  

i

  i

i

(4)

to four images, meeting the challenges of increasing imaging modalities used in the clinic

i1

N

i1

N

and eliminating potential error propagation from separated registrations. The flowchart of

the volumetric image registration process is demonstrated in Fig. 5. The image buffer (32

where  I   I

bits) is divided into 4 fields for 4 images (8 bits or 256 greyscale each). Transformation

i N  represents the average of the VVID and N is the total number of

operation can be applied to any of the four image fields for alignment and all four images

the voxels sampled, excluding completely transparent rays. In case of two identical images,

are rendered together for real-time visual display, supported by a graph processing unit

the variance of VVID approaches zero at the perfect alignment, as shown in Fig. 2.

index-18_1.png

10

Biomedical Imaging

(GPU), or volume rendering video card (volumePro, Terarecon, Inc.). The alignment

with or without spatial misalignments. Twelve images with known shifts of 0.0, 0.1 and 0.2

evaluation is based on multiple views by rotating the image volumes with mouse control in

unit (mm or degree) were shown to the observers, and the success rates are 94%, 80% and

real-time. If the criterion is not satisfied, more transformations will be done iteratively until

100%, respectively, as shown in Figs. 2 and 6. The visual detection limit is determined to be

the alignment is achieved.

0.1 or 0.1 mm, where the colour homogeneity/inhomogeneity on the skin landmark starts to

become indistinguishable to some of the observers. Half of these observers saw such

volumetric images for the first time and visual training could improve the success rate.

Fig. 5. Illustration of the working flow of the volume-view-guided image registration. (taken

from Li, et al, JACMP, 2008c)

Fig. 6. Success rate of identification of colour inhomogeneity or homegeneity in misaligned or

aligned images. The visual detection limits of 0.1 and 0.1 mm are determined.

3. Accuracy of 3D Volumetric Image Registration

Quantitatively, the detection limit was evaluated using plots of the VVID vs. misalignment

3.1 Sensitivity of Volumetric Registration Criteria

from different viewing angles. U-shaped curves are observed with the nadir at the perfect

The colour homogeneity (or variance of the VVID) is defined in a new dimension beyond

alignment, as shown in Fig. 7. The result is generally consistent with the visual detection limit

the 3D volumetric space, in which the image alignment is examined. The sensitivity of the

of 0.1 and 0.1 mm, with higher precision. For single modality, the variance in Eq. 4 is used and

3DVIR criteria is enhanced by visual amplification of the alignment on classified volumetric

for dual modality, the modified variance in Eq. 6 is used. Although the U-curves become

landmarks, where a large greyscale gradient exists at the interface. For instances, the

shallow when different imaging modalities are processed, correct image registration (from

interfaces of skin/air and bone/soft tissue possess very large intensity gradient. In CT

single or hybrid image scanner) is achieved.

images, the greyscale at these interfaces spans half of the entire intensity range (-1000 HU to

+1000 HU). Mathematically, this can be expressed as:

dVVI

dVVI  dD or

 1 (7)

dD

where dVVI is the intensity differential resulting from dD, which is the spatial displacement

within a voxel (~1 mm). So, the VVID (the difference of the VVIs in two images) should

possess a large change upon a small spatial shift. In other words, a small spatial difference will

be amplified as a large VVID or colour inhomogeneity. This signal amplification nature is the

foundation for the 3DVIR to become extremely sensitive.

The visual detection limit has been evaluated using eight clinical professionals, who were

asked to identify colour inhomogeneity or homogeneity for given sets of volumetric images

index-19_1.png

Volumetric

Image Registration of Multi-modality Images of CT, MRI and PET

11

(GPU), or volume rendering video card (volumePro, Terarecon, Inc.). The alignment

with or without spatial misalignments. Twelve images with known shifts of 0.0, 0.1 and 0.2

evaluation is based on multiple views by rotating the image volumes with mouse control in

unit (mm or degree) were shown to the observers, and the success rates are 94%, 80% and

real-time. If the criterion is not satisfied, more transformations will be done iteratively until

100%, respectively, as shown in Figs. 2 and 6. The visual detection limit is determined to be

the alignment is achieved.

0.1 or 0.1 mm, where the colour homogeneity/inhomogeneity on the skin landmark starts to

become indistinguishable to some of the observers. Half of these observers saw such

volumetric images for the first time and visual training could improve the success rate.

Fig. 5. Illustration of the working flow of the volume-view-guided image registration. (taken

from Li, et al, JACMP, 2008c)

Fig. 6. Success rate of identification of colour inhomogeneity or homegeneity in misaligned or

aligned images. The visual detection limits of 0.1 and 0.1 mm are determined.

3. Accuracy of 3D Volumetric Image Registration

Quantitatively, the detection limit was evaluated using plots of the VVID vs. misalignment

3.1 Sensitivity of Volumetric Registration Criteria

from different viewing angles. U-shaped curves are observed with the nadir at the perfect

The colour homogeneity (or variance of the VVID) is defined in a new dimension beyond

alignment, as shown in Fig. 7. The result is generally consistent with the visual detection limit

the 3D volumetric space, in which the image alignment is examined. The sensitivity of the

of 0.1 and 0.1 mm, with higher precision. For single modality, the variance in Eq. 4 is used and

3DVIR criteria is enhanced by visual amplification of the alignment on classified volumetric

for dual modality, the modified variance in Eq. 6 is used. Although the U-curves become

landmarks, where a large greyscale gradient exists at the interface. For instances, the

shallow when different imaging modalities are processed, correct image registration (from

interfaces of skin/air and bone/soft tissue possess very large intensity gradient. In CT

single or hybrid image scanner) is achieved.

images, the greyscale at these interfaces spans half of the entire intensity range (-1000 HU to

+1000 HU). Mathematically, this can be expressed as:

dVVI

dVVI  dD or

 1 (7)

dD

where dVVI is the intensity differential resulting from dD, which is the spatial displacement

within a voxel (~1 mm). So, the VVID (the difference of the VVIs in two images) should

possess a large change upon a small spatial shift. In other words, a small spatial difference will

be amplified as a large VVID or colour inhomogeneity. This signal amplification nature is the

foundation for the 3DVIR to become extremely sensitive.

The visual detection limit has been evaluated using eight clinical professionals, who were

asked to identify colour inhomogeneity or homogeneity for given sets of volumetric images

index-20_1.png