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	<updated>2026-04-05T06:20:01Z</updated>
	<subtitle>User contributions</subtitle>
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	<entry>
		<id>https://www.na-mic.org/w/index.php?title=File:LongitudinalLesionComparison2_TutorialContestSummer2010.zip&amp;diff=54949</id>
		<title>File:LongitudinalLesionComparison2 TutorialContestSummer2010.zip</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=File:LongitudinalLesionComparison2_TutorialContestSummer2010.zip&amp;diff=54949"/>
		<updated>2010-06-22T18:11:25Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=File:LongitudinalLesionComparison_TutorialContestSummer2010.pdf&amp;diff=54948</id>
		<title>File:LongitudinalLesionComparison TutorialContestSummer2010.pdf</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=File:LongitudinalLesionComparison_TutorialContestSummer2010.pdf&amp;diff=54948"/>
		<updated>2010-06-22T18:09:31Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51308</id>
		<title>DBP2:MIND:Roadmap</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51308"/>
		<updated>2010-04-10T20:09:13Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Roadmap */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[NA-MIC_Internal_Collaborations|NA-MIC Internal Collaborations]], [[DBP2:MIND|MIND DBP 2]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
=Brain Lesion Analysis in Neuropsychiatric Systemic Lupus Erythematosus=&lt;br /&gt;
&lt;br /&gt;
==Objective==&lt;br /&gt;
This page describes the technology roadmap for lesion analysis in the NA-MIC Kit. Our objective is to create an end-to-end application allowing individual analysis of white matter lesions. This workflow applied to lupus patients is one of goals of the [[DBP2:MIND:Introduction|MIND DBP]].  The basic components necessary for this project are:&lt;br /&gt;
* '''Registration''': co-registration of T1-weighted, T2-weighted, and FLAIR images&lt;br /&gt;
* '''Tissue segmentation''': Should be multi-modality, correcting for intensity inhomogeneity and work on non-skull-stripped data.&lt;br /&gt;
* '''Lesion Localization''':  Each unique lesion should be detected and anatomical location summarized &lt;br /&gt;
* '''Lesion Load Measurement''': Measure volume of each lesion, summarize lesion load by regions&lt;br /&gt;
* '''Time Series Analysis of white matter lesions''':&lt;br /&gt;
* '''Multi-scale Analysis of white matter lesions''':&lt;br /&gt;
* '''Tutorial''':  Documentation will be written for a tutorial and sample data sets will be provided&lt;br /&gt;
&lt;br /&gt;
==Roadmap==&lt;br /&gt;
We obtained gray matter, white matter, CSF, and lesion maps for each subject based on T1-weighted, T2-weighted, and FLAIR images. Ultimately, the NA-MIC Kit will provide a workflow for individual and group analysis of lesions. It will be implemented as a set of Slicer3 modules that can be used interactively within the Slicer3 application as well as in batch on a computing cluster using [http://batchmake.org/ BatchMake].&lt;br /&gt;
&lt;br /&gt;
The current status of the main modules to be used are:&lt;br /&gt;
&lt;br /&gt;
=== Registration ===&lt;br /&gt;
:* ITK has mutual information registration&lt;br /&gt;
:* T1/T2/Flair co-registration implemented into EM-segment module&lt;br /&gt;
&lt;br /&gt;
=== Lesion segmentation ===&lt;br /&gt;
Five algorithms (all within NA-MIC kit) for fully or semi-automated lesion analysis will be evaluated. These include:&lt;br /&gt;
:* [http://www.slicer.org/slicerWiki/index.php/Slicer3:EM#Old_.282007.29_Tutorial Slicer3 EM-segment Module] (Sandy Wells)&lt;br /&gt;
:* ITK stand-alone [http://www.ia.unc.edu/dev/download/itkems/index.htm itkEMS] Compare Lesion Analysis Tools (Prastawa/Gerig) &lt;br /&gt;
:* ITK stand-alone white matter lesion segmentation (Magnotta)&lt;br /&gt;
:* ITK K Nearest Neighbor classification based on the work of [http://www.midasjournal.org/browse/publication/281 Anabeek, et al]&lt;br /&gt;
:* ITK stand-alone segmentation combining elements of Boosting, Artificial Immune Systems, and Bayesian Classification. (Scully)&lt;br /&gt;
Manual tracing will serve as a bronze-standard:&lt;br /&gt;
:* Slicer3 Manual tracing by clinically trained rater (Gasparovic/Bockholt)&lt;br /&gt;
&lt;br /&gt;
=== Lesion Localization ===&lt;br /&gt;
:* Slicer3 has tools for labeling white matter lesions and summarizing their anatomical location&lt;br /&gt;
&lt;br /&gt;
=== Lesion Load Measurement ===&lt;br /&gt;
:* Slicer3 has tools for measurement of labelled lesions&lt;br /&gt;
&lt;br /&gt;
=== Performance characterization and validation ===&lt;br /&gt;
:* Data will be collected at both 1.5 and 3T. Data at 1.5T will be obtained with the protocol utilized for the current project on lupus at UNM.&lt;br /&gt;
:* Data at 3T will be obtained with sequences optimized for segmentation by the group at Utah.&lt;br /&gt;
:* Comparisons will be based on the approach developed by Martin-Fernandez et al.&lt;br /&gt;
:* The algorithm with the best performance will be incorporated into the NA-MIC kit.&lt;br /&gt;
 &lt;br /&gt;
=== Tutorial ===&lt;br /&gt;
:* 10 Externally sharable T1,T2,Flair,Lesion Map data-sets (NIFTI format) will be made available to the scientific community&lt;br /&gt;
:** 5 subjects with lupus and 5 healthy normal volunteers&lt;br /&gt;
:* A tutorial will be created that will guide end-users through each step needed to complete a lesion analysis in the NA-MIC kit&lt;br /&gt;
:** A step-by-step guide will be produced for one example lupus cases within the tutorial and one example healthy normal volunteer&lt;br /&gt;
:** Measurements for all 10 subjects will also be provided so that users may compare their results with those of the tutorial&lt;br /&gt;
&lt;br /&gt;
=== Schedule ===&lt;br /&gt;
* Sequence Optimization and Data Collection&lt;br /&gt;
:* '''10/15/2007''' T1, T2, FLAIR optimized sequences for Siemens 3T Trio Tim scanner ('''Jeremy, Bruce, Chuck''')&lt;br /&gt;
:** We will work with Bruce Fischl on using MEMPR, Mugler, and FLAIR sequences that have been optimized for maximum constrast and minimal geometric distortion across sequences&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''3/31/2008''' collection of 5 lupus subjects on clinical sequence and optimized 3T sequence ('''Chuck''')&lt;br /&gt;
:** collected 2 patients and 3 controls so far&lt;br /&gt;
:*** as of 3/10/2008 there are 3-4 additional patients scheduled, since january 1, we have had 4 patients not able to complete the protocol so far&lt;br /&gt;
&lt;br /&gt;
* Co-Registration and Atlas Registration&lt;br /&gt;
:* '''1/31/2008''' optimized mutual information registration for clinical sequences and optimized 3T sequences ('''Jeremy''')&lt;br /&gt;
:** we have tried the registration tools built-in to Slicer 3 EM-segment module so far&lt;br /&gt;
:** DONE Brad has implemented this successfully into the EM-segment module&lt;br /&gt;
&lt;br /&gt;
* Lesion segmentation&lt;br /&gt;
:* '''3/17/2008''' complete lesion segmentation methods for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Kilian/Brad, Marcel''')&lt;br /&gt;
:** Slicer3 EM-segment Module&lt;br /&gt;
:*** (Resolved) Currently has a bug that does not permit 3 channel segmentation [http://na-mic.org/Mantis/view.php?id=205 Mantis ID#0000205]&lt;br /&gt;
:**** (Resolved) Only using 2 channels such as T1/T2 or T1/FLAIR does not produce sensible/usable results&lt;br /&gt;
:*** (Resolved) Does not properly allow user to edit or change weighting of channels, this is crucial for hierarchical lesion classification. [http://na-mic.org/Mantis/view.php?id=204 Mantis ID#0000204]&lt;br /&gt;
:*** EMSegment has been run against collected lupus cases.  Segmentations have improved but are still unusable as of 08/14/2008.&lt;br /&gt;
:**** Currently working with Killian on optimizing parameters in EMSegment to improve the lesion segmentation.&lt;br /&gt;
:**** Testing parameters and resulting segmentation on collected lupus cases. &lt;br /&gt;
:** ITK itkEMS stand-alone package&lt;br /&gt;
:*** Marcel and Mark are in active collaboration with getting this method to work on-site, we have encountered compilation and memory problems with the package on mac and linux environments so far&lt;br /&gt;
:*** 3/17/2008 update, marcel built a 64-bit linux version that appears to run successfully, current results are are shown [[DBP2:MIND:itkEMSResults|here]]&lt;br /&gt;
:** ITK lesion classification stand-alone package&lt;br /&gt;
:*** Vince Magnotta has develop an ITK-based 2 stage lesion segmentation method&lt;br /&gt;
:**** stage one uses k-means tissue classification into grey, white, or csf of co-registered T1/T2&lt;br /&gt;
:**** stage two use bayesian classifier into normal tissue or lesion using results of stage one and co-reigstered Flair&lt;br /&gt;
:***** current results of this method as of 3/17/2008 are shown [[DBP2:MIND:itkBayesianLesion|here]]&lt;br /&gt;
:***** This method has been run against all cases as of 05/01/08.  Currently working with Vince Magnotta to improve the performance.&lt;br /&gt;
:***** As of 08/14/2008, currently running a modified version of Vince's classifier that has been improved by replacing intensity thresholding with joint histogram feature vector occurrence thresholding.&lt;br /&gt;
:** ITK K Nearest Neighbor Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a K-NN lesion classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** The resulting label map contains the percent likelihood that a given voxel is a lesion.  This allows the clinician to adjust the thresholding to match their preference.&lt;br /&gt;
:*** On hold as of 1/12/2008 due to incomplete ITK algorithmic support&lt;br /&gt;
:** ITK Custom Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a combined approach classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** This approach takes advantage of multiple approaches and advancements in the literature, including feature generation, Gentle Boosting based feature reduction, Artificial Immune System based filtering, and Bayesian classification.&lt;br /&gt;
:*** As of 1/01/2009 this method is functional and built into the lesion segmentation slicer3 applications. &lt;br /&gt;
:***[[File:Scully_Figure1.png|Flowchart of lesion segmentation method]]&lt;br /&gt;
:***[[File:Scully_Figure4.png|ROC curve]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
:** Slicer3 Manual Tracing&lt;br /&gt;
:*** Gasparovic has manually traced all tutorial cases with lesions using T2/Flair images following tracing guidelines and a qualitative neuroradiological review report&lt;br /&gt;
:**** 4/1/2008 create manual tracing guidelines documentation and share here&lt;br /&gt;
* Lesion Localization&lt;br /&gt;
:* '''4/15/2008''' complete lesion localizations and maps for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Lesion Measurement&lt;br /&gt;
:* '''4/20/2008''' complete lesion measurements and regional lesion load summaries for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Performance characterization and validation&lt;br /&gt;
:* '''1/6/2008''' [[Media:DBP2_MIND_Lupus_200801_update.ppt | report]] to 2008 NA-MIC AHM on progress for performance and validation of lesion segmentation methods for EM-segment, BRAINS2, manual, UNC packages ('''Jeremy''')&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''5/15/2008''' submit abstract on reliability and summary of novel NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Brad, Kilian, others''')&lt;br /&gt;
:** plan is to submit SFN abstract and manuscript closely after&lt;br /&gt;
:* '''5/20/2008''' analyze NIH study clinical sample using NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully''')&lt;br /&gt;
:* '''7/1/2008''' submit manuscript on clinical application of NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Carlos Roldan, Bill Sibbitt''')&lt;br /&gt;
:* '''8/14/2008''' submit manuscript on the lesion segmentation methods as applied to MS lesions for MICCAI 2008. ('''Mark, Jeremy, Chuck, Vince Magnotta''')&lt;br /&gt;
:* '''1/11/2009''' submit abstract on the new lesion segmentation methods as applied to Lupus lesions for HBM 2009.&lt;br /&gt;
:* '''3/08/2009''' submit manuscript on the new lesion segmentation methods as applied to Lupus lesions for MICCAI 2009.&lt;br /&gt;
&lt;br /&gt;
* Incorporation of approach into NA-MIC kit&lt;br /&gt;
:* '''1/6/2008''' Slicer3 Lesion Analysis Module that handles co-registration of T1, T2, and Flair ('''Mark Scully, Steve''')&lt;br /&gt;
:** DONE Brad completed this &lt;br /&gt;
:* ''5/1/2008''' extend Slicer3 Lesion Analysis Module to handle lesion localization and measurement ('''Mark Scully, Steve''')&lt;br /&gt;
:** ''08/01/2008'' currently locates all independent lesion clusters and identifies the anatomical regions, provided by a registered atlas, that the lesions overlap.&lt;br /&gt;
:* '''6/1/2008''' extend Slicer3 Lesion Analysis Module to implement the ITK-based lesion analysis algorithm/method (EM-segment, ITK itkEMS, ITK lesion segmentation) with the best performance ('''Mark Scully, Steve''')&lt;br /&gt;
:** a demonstration will be given at the 2008 NA-MIC AHM--we would consider this version a prototype and would be testing, refining the module through the clinical application phase ('''Jeremy, Mark Scully''')&lt;br /&gt;
:* '''6/15/2008''' functioning prototype version of lesion analysis Slicer3 Module complete ('''Mark Scully, Steve''')&lt;br /&gt;
:* '''8/14/2008''' in the process of creating a module that &amp;quot;chains&amp;quot; together all of the steps in the lesion segmentation analysis pipeline.&lt;br /&gt;
:* '''1/03/2009''' Newly developed lesion segmentation method with significantly increased performance incorporated into Slicer3 module.&lt;br /&gt;
* Tutorial and Data-sharing&lt;br /&gt;
:* '''6/20/2008''' present tutorial to 2008 NA-MIC programming week ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** A logical project for programming week for Jeremy and Sonja to finish public version of tutorial&lt;br /&gt;
:* '''7/1/2008''' make data sets and tutorial available to the scientific community ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** If we submit SFN abstract, we can advertise the availability during SFN Conference in November 2008&lt;br /&gt;
:*** We could think about advertising the roadmaps at the BIRN booth at SFN this year?&lt;br /&gt;
:* '''10/15/2008''' In the process of making the tutorial data available using XNAT.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Compare view of baseline and followup with color-coded lesion differences:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:CompareViewFlairLesionDiffWholeBrain.png&lt;br /&gt;
&lt;br /&gt;
Diffusion tracts intersecting a lesion volume:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:LesionTractsNear.png&lt;br /&gt;
&lt;br /&gt;
Axial slice with % predicted chance, thresholded predicted % chance, and manual tracing:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:Scully_Figure3.jpg&lt;br /&gt;
&lt;br /&gt;
=== Team and Institute ===&lt;br /&gt;
* Co-PI: [http://www.mrn.org/principal-investigators/h-jeremy-bockholt H Jeremy Bockholt]  (jbockholt at mrn.org)&lt;br /&gt;
* Co-PI: [http://www.mrn.org/principal-investigators/charles-gasparovic-ph-d Charles Gasparovic] (chuck at unm.edu)&lt;br /&gt;
* Software Engineer: Mark Scully (mscully at mrn.org)&lt;br /&gt;
* NA-MIC Engineering Contact: [http://www.na-mic.org/Wiki/index.php/User:Pieper Steve Pieper], Isomics&lt;br /&gt;
* NA-MIC Algorithms Contact: Ross Whitaker, Utah&lt;br /&gt;
* Host Institues: The [http://www.mrn.org Mind Research Network] and [http://www.unm.edu The University of New Mexico]&lt;br /&gt;
&lt;br /&gt;
[[Category:Slicer]] [[Category:Segmentation]] [[Category:Registration]]&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51307</id>
		<title>DBP2:MIND:Roadmap</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51307"/>
		<updated>2010-04-10T20:07:46Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Team and Institute */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[NA-MIC_Internal_Collaborations|NA-MIC Internal Collaborations]], [[DBP2:MIND|MIND DBP 2]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
=Brain Lesion Analysis in Neuropsychiatric Systemic Lupus Erythematosus=&lt;br /&gt;
&lt;br /&gt;
==Objective==&lt;br /&gt;
This page describes the technology roadmap for lesion analysis in the NA-MIC Kit. Our objective is to create an end-to-end application allowing individual analysis of white matter lesions. This workflow applied to lupus patients is one of goals of the [[DBP2:MIND:Introduction|MIND DBP]].  The basic components necessary for this project are:&lt;br /&gt;
* '''Registration''': co-registration of T1-weighted, T2-weighted, and FLAIR images&lt;br /&gt;
* '''Tissue segmentation''': Should be multi-modality, correcting for intensity inhomogeneity and work on non-skull-stripped data.&lt;br /&gt;
* '''Lesion Localization''':  Each unique lesion should be detected and anatomical location summarized &lt;br /&gt;
* '''Lesion Load Measurement''': Measure volume of each lesion, summarize lesion load by regions&lt;br /&gt;
* '''Time Series Analysis of white matter lesions''':&lt;br /&gt;
* '''Multi-scale Analysis of white matter lesions''':&lt;br /&gt;
* '''Tutorial''':  Documentation will be written for a tutorial and sample data sets will be provided&lt;br /&gt;
&lt;br /&gt;
==Roadmap==&lt;br /&gt;
We will obtain gray matter, white matter, CSF, and lesion maps for each subject based on T1-weighted, T2-weighted, and FLAIR images. Ultimately, the NA-MIC Kit will provide a workflow for individual and group analysis of lesions. It will be implemented as a set of Slicer3 modules that can be used interactively within the Slicer3 application as well as in batch on a computing cluster using [http://batchmake.org/ BatchMake].&lt;br /&gt;
&lt;br /&gt;
The current status of the main modules to be used are:&lt;br /&gt;
&lt;br /&gt;
=== Registration ===&lt;br /&gt;
:* ITK has mutual information registration&lt;br /&gt;
:* T1/T2/Flair co-registration implemented into EM-segment module&lt;br /&gt;
&lt;br /&gt;
=== Lesion segmentation ===&lt;br /&gt;
Five algorithms (all within NA-MIC kit) for fully or semi-automated lesion analysis will be evaluated. These include:&lt;br /&gt;
:* [http://www.slicer.org/slicerWiki/index.php/Slicer3:EM#Old_.282007.29_Tutorial Slicer3 EM-segment Module] (Sandy Wells)&lt;br /&gt;
:* ITK stand-alone [http://www.ia.unc.edu/dev/download/itkems/index.htm itkEMS] Compare Lesion Analysis Tools (Prastawa/Gerig) &lt;br /&gt;
:* ITK stand-alone white matter lesion segmentation (Magnotta)&lt;br /&gt;
:* ITK K Nearest Neighbor classification based on the work of [http://www.midasjournal.org/browse/publication/281 Anabeek, et al]&lt;br /&gt;
:* ITK stand-alone segmentation combining elements of Boosting, Artificial Immune Systems, and Bayesian Classification. (Scully)&lt;br /&gt;
Manual tracing will serve as a bronze-standard:&lt;br /&gt;
:* Slicer3 Manual tracing by clinically trained rater (Gasparovic/Bockholt)&lt;br /&gt;
&lt;br /&gt;
=== Lesion Localization ===&lt;br /&gt;
:* Slicer3 has tools for labeling white matter lesions and summarizing their anatomical location&lt;br /&gt;
&lt;br /&gt;
=== Lesion Load Measurement ===&lt;br /&gt;
:* Slicer3 has tools for measurement of labelled lesions&lt;br /&gt;
&lt;br /&gt;
=== Performance characterization and validation ===&lt;br /&gt;
:* Data will be collected at both 1.5 and 3T. Data at 1.5T will be obtained with the protocol utilized for the current project on lupus at UNM.&lt;br /&gt;
:* Data at 3T will be obtained with sequences optimized for segmentation by the group at Utah.&lt;br /&gt;
:* Comparisons will be based on the approach developed by Martin-Fernandez et al.&lt;br /&gt;
:* The algorithm with the best performance will be incorporated into the NA-MIC kit.&lt;br /&gt;
 &lt;br /&gt;
=== Tutorial ===&lt;br /&gt;
:* 10 Externally sharable T1,T2,Flair,Lesion Map data-sets (NIFTI format) will be made available to the scientific community&lt;br /&gt;
:** 5 subjects with lupus and 5 healthy normal volunteers&lt;br /&gt;
:* A tutorial will be created that will guide end-users through each step needed to complete a lesion analysis in the NA-MIC kit&lt;br /&gt;
:** A step-by-step guide will be produced for one example lupus cases within the tutorial and one example healthy normal volunteer&lt;br /&gt;
:** Measurements for all 10 subjects will also be provided so that users may compare their results with those of the tutorial&lt;br /&gt;
&lt;br /&gt;
=== Schedule ===&lt;br /&gt;
* Sequence Optimization and Data Collection&lt;br /&gt;
:* '''10/15/2007''' T1, T2, FLAIR optimized sequences for Siemens 3T Trio Tim scanner ('''Jeremy, Bruce, Chuck''')&lt;br /&gt;
:** We will work with Bruce Fischl on using MEMPR, Mugler, and FLAIR sequences that have been optimized for maximum constrast and minimal geometric distortion across sequences&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''3/31/2008''' collection of 5 lupus subjects on clinical sequence and optimized 3T sequence ('''Chuck''')&lt;br /&gt;
:** collected 2 patients and 3 controls so far&lt;br /&gt;
:*** as of 3/10/2008 there are 3-4 additional patients scheduled, since january 1, we have had 4 patients not able to complete the protocol so far&lt;br /&gt;
&lt;br /&gt;
* Co-Registration and Atlas Registration&lt;br /&gt;
:* '''1/31/2008''' optimized mutual information registration for clinical sequences and optimized 3T sequences ('''Jeremy''')&lt;br /&gt;
:** we have tried the registration tools built-in to Slicer 3 EM-segment module so far&lt;br /&gt;
:** DONE Brad has implemented this successfully into the EM-segment module&lt;br /&gt;
&lt;br /&gt;
* Lesion segmentation&lt;br /&gt;
:* '''3/17/2008''' complete lesion segmentation methods for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Kilian/Brad, Marcel''')&lt;br /&gt;
:** Slicer3 EM-segment Module&lt;br /&gt;
:*** (Resolved) Currently has a bug that does not permit 3 channel segmentation [http://na-mic.org/Mantis/view.php?id=205 Mantis ID#0000205]&lt;br /&gt;
:**** (Resolved) Only using 2 channels such as T1/T2 or T1/FLAIR does not produce sensible/usable results&lt;br /&gt;
:*** (Resolved) Does not properly allow user to edit or change weighting of channels, this is crucial for hierarchical lesion classification. [http://na-mic.org/Mantis/view.php?id=204 Mantis ID#0000204]&lt;br /&gt;
:*** EMSegment has been run against collected lupus cases.  Segmentations have improved but are still unusable as of 08/14/2008.&lt;br /&gt;
:**** Currently working with Killian on optimizing parameters in EMSegment to improve the lesion segmentation.&lt;br /&gt;
:**** Testing parameters and resulting segmentation on collected lupus cases. &lt;br /&gt;
:** ITK itkEMS stand-alone package&lt;br /&gt;
:*** Marcel and Mark are in active collaboration with getting this method to work on-site, we have encountered compilation and memory problems with the package on mac and linux environments so far&lt;br /&gt;
:*** 3/17/2008 update, marcel built a 64-bit linux version that appears to run successfully, current results are are shown [[DBP2:MIND:itkEMSResults|here]]&lt;br /&gt;
:** ITK lesion classification stand-alone package&lt;br /&gt;
:*** Vince Magnotta has develop an ITK-based 2 stage lesion segmentation method&lt;br /&gt;
:**** stage one uses k-means tissue classification into grey, white, or csf of co-registered T1/T2&lt;br /&gt;
:**** stage two use bayesian classifier into normal tissue or lesion using results of stage one and co-reigstered Flair&lt;br /&gt;
:***** current results of this method as of 3/17/2008 are shown [[DBP2:MIND:itkBayesianLesion|here]]&lt;br /&gt;
:***** This method has been run against all cases as of 05/01/08.  Currently working with Vince Magnotta to improve the performance.&lt;br /&gt;
:***** As of 08/14/2008, currently running a modified version of Vince's classifier that has been improved by replacing intensity thresholding with joint histogram feature vector occurrence thresholding.&lt;br /&gt;
:** ITK K Nearest Neighbor Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a K-NN lesion classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** The resulting label map contains the percent likelihood that a given voxel is a lesion.  This allows the clinician to adjust the thresholding to match their preference.&lt;br /&gt;
:*** On hold as of 1/12/2008 due to incomplete ITK algorithmic support&lt;br /&gt;
:** ITK Custom Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a combined approach classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** This approach takes advantage of multiple approaches and advancements in the literature, including feature generation, Gentle Boosting based feature reduction, Artificial Immune System based filtering, and Bayesian classification.&lt;br /&gt;
:*** As of 1/01/2009 this method is functional and built into the lesion segmentation slicer3 applications. &lt;br /&gt;
:***[[File:Scully_Figure1.png|Flowchart of lesion segmentation method]]&lt;br /&gt;
:***[[File:Scully_Figure4.png|ROC curve]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
:** Slicer3 Manual Tracing&lt;br /&gt;
:*** Gasparovic has manually traced all tutorial cases with lesions using T2/Flair images following tracing guidelines and a qualitative neuroradiological review report&lt;br /&gt;
:**** 4/1/2008 create manual tracing guidelines documentation and share here&lt;br /&gt;
* Lesion Localization&lt;br /&gt;
:* '''4/15/2008''' complete lesion localizations and maps for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Lesion Measurement&lt;br /&gt;
:* '''4/20/2008''' complete lesion measurements and regional lesion load summaries for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Performance characterization and validation&lt;br /&gt;
:* '''1/6/2008''' [[Media:DBP2_MIND_Lupus_200801_update.ppt | report]] to 2008 NA-MIC AHM on progress for performance and validation of lesion segmentation methods for EM-segment, BRAINS2, manual, UNC packages ('''Jeremy''')&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''5/15/2008''' submit abstract on reliability and summary of novel NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Brad, Kilian, others''')&lt;br /&gt;
:** plan is to submit SFN abstract and manuscript closely after&lt;br /&gt;
:* '''5/20/2008''' analyze NIH study clinical sample using NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully''')&lt;br /&gt;
:* '''7/1/2008''' submit manuscript on clinical application of NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Carlos Roldan, Bill Sibbitt''')&lt;br /&gt;
:* '''8/14/2008''' submit manuscript on the lesion segmentation methods as applied to MS lesions for MICCAI 2008. ('''Mark, Jeremy, Chuck, Vince Magnotta''')&lt;br /&gt;
:* '''1/11/2009''' submit abstract on the new lesion segmentation methods as applied to Lupus lesions for HBM 2009.&lt;br /&gt;
:* '''3/08/2009''' submit manuscript on the new lesion segmentation methods as applied to Lupus lesions for MICCAI 2009.&lt;br /&gt;
&lt;br /&gt;
* Incorporation of approach into NA-MIC kit&lt;br /&gt;
:* '''1/6/2008''' Slicer3 Lesion Analysis Module that handles co-registration of T1, T2, and Flair ('''Mark Scully, Steve''')&lt;br /&gt;
:** DONE Brad completed this &lt;br /&gt;
:* ''5/1/2008''' extend Slicer3 Lesion Analysis Module to handle lesion localization and measurement ('''Mark Scully, Steve''')&lt;br /&gt;
:** ''08/01/2008'' currently locates all independent lesion clusters and identifies the anatomical regions, provided by a registered atlas, that the lesions overlap.&lt;br /&gt;
:* '''6/1/2008''' extend Slicer3 Lesion Analysis Module to implement the ITK-based lesion analysis algorithm/method (EM-segment, ITK itkEMS, ITK lesion segmentation) with the best performance ('''Mark Scully, Steve''')&lt;br /&gt;
:** a demonstration will be given at the 2008 NA-MIC AHM--we would consider this version a prototype and would be testing, refining the module through the clinical application phase ('''Jeremy, Mark Scully''')&lt;br /&gt;
:* '''6/15/2008''' functioning prototype version of lesion analysis Slicer3 Module complete ('''Mark Scully, Steve''')&lt;br /&gt;
:* '''8/14/2008''' in the process of creating a module that &amp;quot;chains&amp;quot; together all of the steps in the lesion segmentation analysis pipeline.&lt;br /&gt;
:* '''1/03/2009''' Newly developed lesion segmentation method with significantly increased performance incorporated into Slicer3 module.&lt;br /&gt;
* Tutorial and Data-sharing&lt;br /&gt;
:* '''6/20/2008''' present tutorial to 2008 NA-MIC programming week ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** A logical project for programming week for Jeremy and Sonja to finish public version of tutorial&lt;br /&gt;
:* '''7/1/2008''' make data sets and tutorial available to the scientific community ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** If we submit SFN abstract, we can advertise the availability during SFN Conference in November 2008&lt;br /&gt;
:*** We could think about advertising the roadmaps at the BIRN booth at SFN this year?&lt;br /&gt;
:* '''10/15/2008''' In the process of making the tutorial data available using XNAT.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Compare view of baseline and followup with color-coded lesion differences:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:CompareViewFlairLesionDiffWholeBrain.png&lt;br /&gt;
&lt;br /&gt;
Diffusion tracts intersecting a lesion volume:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:LesionTractsNear.png&lt;br /&gt;
&lt;br /&gt;
Axial slice with % predicted chance, thresholded predicted % chance, and manual tracing:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:Scully_Figure3.jpg&lt;br /&gt;
&lt;br /&gt;
=== Team and Institute ===&lt;br /&gt;
* Co-PI: [http://www.mrn.org/principal-investigators/h-jeremy-bockholt H Jeremy Bockholt]  (jbockholt at mrn.org)&lt;br /&gt;
* Co-PI: [http://www.mrn.org/principal-investigators/charles-gasparovic-ph-d Charles Gasparovic] (chuck at unm.edu)&lt;br /&gt;
* Software Engineer: Mark Scully (mscully at mrn.org)&lt;br /&gt;
* NA-MIC Engineering Contact: [http://www.na-mic.org/Wiki/index.php/User:Pieper Steve Pieper], Isomics&lt;br /&gt;
* NA-MIC Algorithms Contact: Ross Whitaker, Utah&lt;br /&gt;
* Host Institues: The [http://www.mrn.org Mind Research Network] and [http://www.unm.edu The University of New Mexico]&lt;br /&gt;
&lt;br /&gt;
[[Category:Slicer]] [[Category:Segmentation]] [[Category:Registration]]&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51306</id>
		<title>DBP2:MIND:Roadmap</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51306"/>
		<updated>2010-04-10T20:00:17Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Objective */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[NA-MIC_Internal_Collaborations|NA-MIC Internal Collaborations]], [[DBP2:MIND|MIND DBP 2]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
=Brain Lesion Analysis in Neuropsychiatric Systemic Lupus Erythematosus=&lt;br /&gt;
&lt;br /&gt;
==Objective==&lt;br /&gt;
This page describes the technology roadmap for lesion analysis in the NA-MIC Kit. Our objective is to create an end-to-end application allowing individual analysis of white matter lesions. This workflow applied to lupus patients is one of goals of the [[DBP2:MIND:Introduction|MIND DBP]].  The basic components necessary for this project are:&lt;br /&gt;
* '''Registration''': co-registration of T1-weighted, T2-weighted, and FLAIR images&lt;br /&gt;
* '''Tissue segmentation''': Should be multi-modality, correcting for intensity inhomogeneity and work on non-skull-stripped data.&lt;br /&gt;
* '''Lesion Localization''':  Each unique lesion should be detected and anatomical location summarized &lt;br /&gt;
* '''Lesion Load Measurement''': Measure volume of each lesion, summarize lesion load by regions&lt;br /&gt;
* '''Time Series Analysis of white matter lesions''':&lt;br /&gt;
* '''Multi-scale Analysis of white matter lesions''':&lt;br /&gt;
* '''Tutorial''':  Documentation will be written for a tutorial and sample data sets will be provided&lt;br /&gt;
&lt;br /&gt;
==Roadmap==&lt;br /&gt;
We will obtain gray matter, white matter, CSF, and lesion maps for each subject based on T1-weighted, T2-weighted, and FLAIR images. Ultimately, the NA-MIC Kit will provide a workflow for individual and group analysis of lesions. It will be implemented as a set of Slicer3 modules that can be used interactively within the Slicer3 application as well as in batch on a computing cluster using [http://batchmake.org/ BatchMake].&lt;br /&gt;
&lt;br /&gt;
The current status of the main modules to be used are:&lt;br /&gt;
&lt;br /&gt;
=== Registration ===&lt;br /&gt;
:* ITK has mutual information registration&lt;br /&gt;
:* T1/T2/Flair co-registration implemented into EM-segment module&lt;br /&gt;
&lt;br /&gt;
=== Lesion segmentation ===&lt;br /&gt;
Five algorithms (all within NA-MIC kit) for fully or semi-automated lesion analysis will be evaluated. These include:&lt;br /&gt;
:* [http://www.slicer.org/slicerWiki/index.php/Slicer3:EM#Old_.282007.29_Tutorial Slicer3 EM-segment Module] (Sandy Wells)&lt;br /&gt;
:* ITK stand-alone [http://www.ia.unc.edu/dev/download/itkems/index.htm itkEMS] Compare Lesion Analysis Tools (Prastawa/Gerig) &lt;br /&gt;
:* ITK stand-alone white matter lesion segmentation (Magnotta)&lt;br /&gt;
:* ITK K Nearest Neighbor classification based on the work of [http://www.midasjournal.org/browse/publication/281 Anabeek, et al]&lt;br /&gt;
:* ITK stand-alone segmentation combining elements of Boosting, Artificial Immune Systems, and Bayesian Classification. (Scully)&lt;br /&gt;
Manual tracing will serve as a bronze-standard:&lt;br /&gt;
:* Slicer3 Manual tracing by clinically trained rater (Gasparovic/Bockholt)&lt;br /&gt;
&lt;br /&gt;
=== Lesion Localization ===&lt;br /&gt;
:* Slicer3 has tools for labeling white matter lesions and summarizing their anatomical location&lt;br /&gt;
&lt;br /&gt;
=== Lesion Load Measurement ===&lt;br /&gt;
:* Slicer3 has tools for measurement of labelled lesions&lt;br /&gt;
&lt;br /&gt;
=== Performance characterization and validation ===&lt;br /&gt;
:* Data will be collected at both 1.5 and 3T. Data at 1.5T will be obtained with the protocol utilized for the current project on lupus at UNM.&lt;br /&gt;
:* Data at 3T will be obtained with sequences optimized for segmentation by the group at Utah.&lt;br /&gt;
:* Comparisons will be based on the approach developed by Martin-Fernandez et al.&lt;br /&gt;
:* The algorithm with the best performance will be incorporated into the NA-MIC kit.&lt;br /&gt;
 &lt;br /&gt;
=== Tutorial ===&lt;br /&gt;
:* 10 Externally sharable T1,T2,Flair,Lesion Map data-sets (NIFTI format) will be made available to the scientific community&lt;br /&gt;
:** 5 subjects with lupus and 5 healthy normal volunteers&lt;br /&gt;
:* A tutorial will be created that will guide end-users through each step needed to complete a lesion analysis in the NA-MIC kit&lt;br /&gt;
:** A step-by-step guide will be produced for one example lupus cases within the tutorial and one example healthy normal volunteer&lt;br /&gt;
:** Measurements for all 10 subjects will also be provided so that users may compare their results with those of the tutorial&lt;br /&gt;
&lt;br /&gt;
=== Schedule ===&lt;br /&gt;
* Sequence Optimization and Data Collection&lt;br /&gt;
:* '''10/15/2007''' T1, T2, FLAIR optimized sequences for Siemens 3T Trio Tim scanner ('''Jeremy, Bruce, Chuck''')&lt;br /&gt;
:** We will work with Bruce Fischl on using MEMPR, Mugler, and FLAIR sequences that have been optimized for maximum constrast and minimal geometric distortion across sequences&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''3/31/2008''' collection of 5 lupus subjects on clinical sequence and optimized 3T sequence ('''Chuck''')&lt;br /&gt;
:** collected 2 patients and 3 controls so far&lt;br /&gt;
:*** as of 3/10/2008 there are 3-4 additional patients scheduled, since january 1, we have had 4 patients not able to complete the protocol so far&lt;br /&gt;
&lt;br /&gt;
* Co-Registration and Atlas Registration&lt;br /&gt;
:* '''1/31/2008''' optimized mutual information registration for clinical sequences and optimized 3T sequences ('''Jeremy''')&lt;br /&gt;
:** we have tried the registration tools built-in to Slicer 3 EM-segment module so far&lt;br /&gt;
:** DONE Brad has implemented this successfully into the EM-segment module&lt;br /&gt;
&lt;br /&gt;
* Lesion segmentation&lt;br /&gt;
:* '''3/17/2008''' complete lesion segmentation methods for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Kilian/Brad, Marcel''')&lt;br /&gt;
:** Slicer3 EM-segment Module&lt;br /&gt;
:*** (Resolved) Currently has a bug that does not permit 3 channel segmentation [http://na-mic.org/Mantis/view.php?id=205 Mantis ID#0000205]&lt;br /&gt;
:**** (Resolved) Only using 2 channels such as T1/T2 or T1/FLAIR does not produce sensible/usable results&lt;br /&gt;
:*** (Resolved) Does not properly allow user to edit or change weighting of channels, this is crucial for hierarchical lesion classification. [http://na-mic.org/Mantis/view.php?id=204 Mantis ID#0000204]&lt;br /&gt;
:*** EMSegment has been run against collected lupus cases.  Segmentations have improved but are still unusable as of 08/14/2008.&lt;br /&gt;
:**** Currently working with Killian on optimizing parameters in EMSegment to improve the lesion segmentation.&lt;br /&gt;
:**** Testing parameters and resulting segmentation on collected lupus cases. &lt;br /&gt;
:** ITK itkEMS stand-alone package&lt;br /&gt;
:*** Marcel and Mark are in active collaboration with getting this method to work on-site, we have encountered compilation and memory problems with the package on mac and linux environments so far&lt;br /&gt;
:*** 3/17/2008 update, marcel built a 64-bit linux version that appears to run successfully, current results are are shown [[DBP2:MIND:itkEMSResults|here]]&lt;br /&gt;
:** ITK lesion classification stand-alone package&lt;br /&gt;
:*** Vince Magnotta has develop an ITK-based 2 stage lesion segmentation method&lt;br /&gt;
:**** stage one uses k-means tissue classification into grey, white, or csf of co-registered T1/T2&lt;br /&gt;
:**** stage two use bayesian classifier into normal tissue or lesion using results of stage one and co-reigstered Flair&lt;br /&gt;
:***** current results of this method as of 3/17/2008 are shown [[DBP2:MIND:itkBayesianLesion|here]]&lt;br /&gt;
:***** This method has been run against all cases as of 05/01/08.  Currently working with Vince Magnotta to improve the performance.&lt;br /&gt;
:***** As of 08/14/2008, currently running a modified version of Vince's classifier that has been improved by replacing intensity thresholding with joint histogram feature vector occurrence thresholding.&lt;br /&gt;
:** ITK K Nearest Neighbor Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a K-NN lesion classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** The resulting label map contains the percent likelihood that a given voxel is a lesion.  This allows the clinician to adjust the thresholding to match their preference.&lt;br /&gt;
:*** On hold as of 1/12/2008 due to incomplete ITK algorithmic support&lt;br /&gt;
:** ITK Custom Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a combined approach classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** This approach takes advantage of multiple approaches and advancements in the literature, including feature generation, Gentle Boosting based feature reduction, Artificial Immune System based filtering, and Bayesian classification.&lt;br /&gt;
:*** As of 1/01/2009 this method is functional and built into the lesion segmentation slicer3 applications. &lt;br /&gt;
:***[[File:Scully_Figure1.png|Flowchart of lesion segmentation method]]&lt;br /&gt;
:***[[File:Scully_Figure4.png|ROC curve]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
:** Slicer3 Manual Tracing&lt;br /&gt;
:*** Gasparovic has manually traced all tutorial cases with lesions using T2/Flair images following tracing guidelines and a qualitative neuroradiological review report&lt;br /&gt;
:**** 4/1/2008 create manual tracing guidelines documentation and share here&lt;br /&gt;
* Lesion Localization&lt;br /&gt;
:* '''4/15/2008''' complete lesion localizations and maps for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Lesion Measurement&lt;br /&gt;
:* '''4/20/2008''' complete lesion measurements and regional lesion load summaries for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Performance characterization and validation&lt;br /&gt;
:* '''1/6/2008''' [[Media:DBP2_MIND_Lupus_200801_update.ppt | report]] to 2008 NA-MIC AHM on progress for performance and validation of lesion segmentation methods for EM-segment, BRAINS2, manual, UNC packages ('''Jeremy''')&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''5/15/2008''' submit abstract on reliability and summary of novel NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Brad, Kilian, others''')&lt;br /&gt;
:** plan is to submit SFN abstract and manuscript closely after&lt;br /&gt;
:* '''5/20/2008''' analyze NIH study clinical sample using NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully''')&lt;br /&gt;
:* '''7/1/2008''' submit manuscript on clinical application of NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Carlos Roldan, Bill Sibbitt''')&lt;br /&gt;
:* '''8/14/2008''' submit manuscript on the lesion segmentation methods as applied to MS lesions for MICCAI 2008. ('''Mark, Jeremy, Chuck, Vince Magnotta''')&lt;br /&gt;
:* '''1/11/2009''' submit abstract on the new lesion segmentation methods as applied to Lupus lesions for HBM 2009.&lt;br /&gt;
:* '''3/08/2009''' submit manuscript on the new lesion segmentation methods as applied to Lupus lesions for MICCAI 2009.&lt;br /&gt;
&lt;br /&gt;
* Incorporation of approach into NA-MIC kit&lt;br /&gt;
:* '''1/6/2008''' Slicer3 Lesion Analysis Module that handles co-registration of T1, T2, and Flair ('''Mark Scully, Steve''')&lt;br /&gt;
:** DONE Brad completed this &lt;br /&gt;
:* ''5/1/2008''' extend Slicer3 Lesion Analysis Module to handle lesion localization and measurement ('''Mark Scully, Steve''')&lt;br /&gt;
:** ''08/01/2008'' currently locates all independent lesion clusters and identifies the anatomical regions, provided by a registered atlas, that the lesions overlap.&lt;br /&gt;
:* '''6/1/2008''' extend Slicer3 Lesion Analysis Module to implement the ITK-based lesion analysis algorithm/method (EM-segment, ITK itkEMS, ITK lesion segmentation) with the best performance ('''Mark Scully, Steve''')&lt;br /&gt;
:** a demonstration will be given at the 2008 NA-MIC AHM--we would consider this version a prototype and would be testing, refining the module through the clinical application phase ('''Jeremy, Mark Scully''')&lt;br /&gt;
:* '''6/15/2008''' functioning prototype version of lesion analysis Slicer3 Module complete ('''Mark Scully, Steve''')&lt;br /&gt;
:* '''8/14/2008''' in the process of creating a module that &amp;quot;chains&amp;quot; together all of the steps in the lesion segmentation analysis pipeline.&lt;br /&gt;
:* '''1/03/2009''' Newly developed lesion segmentation method with significantly increased performance incorporated into Slicer3 module.&lt;br /&gt;
* Tutorial and Data-sharing&lt;br /&gt;
:* '''6/20/2008''' present tutorial to 2008 NA-MIC programming week ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** A logical project for programming week for Jeremy and Sonja to finish public version of tutorial&lt;br /&gt;
:* '''7/1/2008''' make data sets and tutorial available to the scientific community ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** If we submit SFN abstract, we can advertise the availability during SFN Conference in November 2008&lt;br /&gt;
:*** We could think about advertising the roadmaps at the BIRN booth at SFN this year?&lt;br /&gt;
:* '''10/15/2008''' In the process of making the tutorial data available using XNAT.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Compare view of baseline and followup with color-coded lesion differences:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:CompareViewFlairLesionDiffWholeBrain.png&lt;br /&gt;
&lt;br /&gt;
Diffusion tracts intersecting a lesion volume:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:LesionTractsNear.png&lt;br /&gt;
&lt;br /&gt;
Axial slice with % predicted chance, thresholded predicted % chance, and manual tracing:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:Scully_Figure3.jpg&lt;br /&gt;
&lt;br /&gt;
=== Team and Institute ===&lt;br /&gt;
* Co-PI: [http://www.mrn.org/principal-investigators/h-jeremy-bockholt H Jeremy Bockholt]  (jbockholt at mrn.org)&lt;br /&gt;
* Co-PI: Charles Gasparovic (chuck at unm.edu)&lt;br /&gt;
* Software Engineer: Mark Scully (mscully at mrn.org)&lt;br /&gt;
* NA-MIC Engineering Contact: [http://www.na-mic.org/Wiki/index.php/User:Pieper Steve Pieper], Isomics&lt;br /&gt;
* NA-MIC Algorithms Contact: Ross Whitaker, Utah&lt;br /&gt;
* Host Institues: The [http://www.mrn.org Mind Research Network] and [http://www.unm.edu The University of New Mexico]&lt;br /&gt;
&lt;br /&gt;
[[Category:Slicer]] [[Category:Segmentation]] [[Category:Registration]]&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51305</id>
		<title>DBP2:MIND:Roadmap</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51305"/>
		<updated>2010-04-10T19:59:58Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Objective */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[NA-MIC_Internal_Collaborations|NA-MIC Internal Collaborations]], [[DBP2:MIND|MIND DBP 2]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
=Brain Lesion Analysis in Neuropsychiatric Systemic Lupus Erythematosus=&lt;br /&gt;
&lt;br /&gt;
==Objective==&lt;br /&gt;
This page describes the technology roadmap for lesion analysis in the NA-MIC Kit. Our objective is to create an end-to-end application allowing individual analysis of white matter lesions. This workflow applied to lupus patients is one of goals of the [[DBP2:MIND:Introduction MIND DBP]].  The basic components necessary for this project are:&lt;br /&gt;
* '''Registration''': co-registration of T1-weighted, T2-weighted, and FLAIR images&lt;br /&gt;
* '''Tissue segmentation''': Should be multi-modality, correcting for intensity inhomogeneity and work on non-skull-stripped data.&lt;br /&gt;
* '''Lesion Localization''':  Each unique lesion should be detected and anatomical location summarized &lt;br /&gt;
* '''Lesion Load Measurement''': Measure volume of each lesion, summarize lesion load by regions&lt;br /&gt;
* '''Time Series Analysis of white matter lesions''':&lt;br /&gt;
* '''Multi-scale Analysis of white matter lesions''':&lt;br /&gt;
* '''Tutorial''':  Documentation will be written for a tutorial and sample data sets will be provided&lt;br /&gt;
&lt;br /&gt;
==Roadmap==&lt;br /&gt;
We will obtain gray matter, white matter, CSF, and lesion maps for each subject based on T1-weighted, T2-weighted, and FLAIR images. Ultimately, the NA-MIC Kit will provide a workflow for individual and group analysis of lesions. It will be implemented as a set of Slicer3 modules that can be used interactively within the Slicer3 application as well as in batch on a computing cluster using [http://batchmake.org/ BatchMake].&lt;br /&gt;
&lt;br /&gt;
The current status of the main modules to be used are:&lt;br /&gt;
&lt;br /&gt;
=== Registration ===&lt;br /&gt;
:* ITK has mutual information registration&lt;br /&gt;
:* T1/T2/Flair co-registration implemented into EM-segment module&lt;br /&gt;
&lt;br /&gt;
=== Lesion segmentation ===&lt;br /&gt;
Five algorithms (all within NA-MIC kit) for fully or semi-automated lesion analysis will be evaluated. These include:&lt;br /&gt;
:* [http://www.slicer.org/slicerWiki/index.php/Slicer3:EM#Old_.282007.29_Tutorial Slicer3 EM-segment Module] (Sandy Wells)&lt;br /&gt;
:* ITK stand-alone [http://www.ia.unc.edu/dev/download/itkems/index.htm itkEMS] Compare Lesion Analysis Tools (Prastawa/Gerig) &lt;br /&gt;
:* ITK stand-alone white matter lesion segmentation (Magnotta)&lt;br /&gt;
:* ITK K Nearest Neighbor classification based on the work of [http://www.midasjournal.org/browse/publication/281 Anabeek, et al]&lt;br /&gt;
:* ITK stand-alone segmentation combining elements of Boosting, Artificial Immune Systems, and Bayesian Classification. (Scully)&lt;br /&gt;
Manual tracing will serve as a bronze-standard:&lt;br /&gt;
:* Slicer3 Manual tracing by clinically trained rater (Gasparovic/Bockholt)&lt;br /&gt;
&lt;br /&gt;
=== Lesion Localization ===&lt;br /&gt;
:* Slicer3 has tools for labeling white matter lesions and summarizing their anatomical location&lt;br /&gt;
&lt;br /&gt;
=== Lesion Load Measurement ===&lt;br /&gt;
:* Slicer3 has tools for measurement of labelled lesions&lt;br /&gt;
&lt;br /&gt;
=== Performance characterization and validation ===&lt;br /&gt;
:* Data will be collected at both 1.5 and 3T. Data at 1.5T will be obtained with the protocol utilized for the current project on lupus at UNM.&lt;br /&gt;
:* Data at 3T will be obtained with sequences optimized for segmentation by the group at Utah.&lt;br /&gt;
:* Comparisons will be based on the approach developed by Martin-Fernandez et al.&lt;br /&gt;
:* The algorithm with the best performance will be incorporated into the NA-MIC kit.&lt;br /&gt;
 &lt;br /&gt;
=== Tutorial ===&lt;br /&gt;
:* 10 Externally sharable T1,T2,Flair,Lesion Map data-sets (NIFTI format) will be made available to the scientific community&lt;br /&gt;
:** 5 subjects with lupus and 5 healthy normal volunteers&lt;br /&gt;
:* A tutorial will be created that will guide end-users through each step needed to complete a lesion analysis in the NA-MIC kit&lt;br /&gt;
:** A step-by-step guide will be produced for one example lupus cases within the tutorial and one example healthy normal volunteer&lt;br /&gt;
:** Measurements for all 10 subjects will also be provided so that users may compare their results with those of the tutorial&lt;br /&gt;
&lt;br /&gt;
=== Schedule ===&lt;br /&gt;
* Sequence Optimization and Data Collection&lt;br /&gt;
:* '''10/15/2007''' T1, T2, FLAIR optimized sequences for Siemens 3T Trio Tim scanner ('''Jeremy, Bruce, Chuck''')&lt;br /&gt;
:** We will work with Bruce Fischl on using MEMPR, Mugler, and FLAIR sequences that have been optimized for maximum constrast and minimal geometric distortion across sequences&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''3/31/2008''' collection of 5 lupus subjects on clinical sequence and optimized 3T sequence ('''Chuck''')&lt;br /&gt;
:** collected 2 patients and 3 controls so far&lt;br /&gt;
:*** as of 3/10/2008 there are 3-4 additional patients scheduled, since january 1, we have had 4 patients not able to complete the protocol so far&lt;br /&gt;
&lt;br /&gt;
* Co-Registration and Atlas Registration&lt;br /&gt;
:* '''1/31/2008''' optimized mutual information registration for clinical sequences and optimized 3T sequences ('''Jeremy''')&lt;br /&gt;
:** we have tried the registration tools built-in to Slicer 3 EM-segment module so far&lt;br /&gt;
:** DONE Brad has implemented this successfully into the EM-segment module&lt;br /&gt;
&lt;br /&gt;
* Lesion segmentation&lt;br /&gt;
:* '''3/17/2008''' complete lesion segmentation methods for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Kilian/Brad, Marcel''')&lt;br /&gt;
:** Slicer3 EM-segment Module&lt;br /&gt;
:*** (Resolved) Currently has a bug that does not permit 3 channel segmentation [http://na-mic.org/Mantis/view.php?id=205 Mantis ID#0000205]&lt;br /&gt;
:**** (Resolved) Only using 2 channels such as T1/T2 or T1/FLAIR does not produce sensible/usable results&lt;br /&gt;
:*** (Resolved) Does not properly allow user to edit or change weighting of channels, this is crucial for hierarchical lesion classification. [http://na-mic.org/Mantis/view.php?id=204 Mantis ID#0000204]&lt;br /&gt;
:*** EMSegment has been run against collected lupus cases.  Segmentations have improved but are still unusable as of 08/14/2008.&lt;br /&gt;
:**** Currently working with Killian on optimizing parameters in EMSegment to improve the lesion segmentation.&lt;br /&gt;
:**** Testing parameters and resulting segmentation on collected lupus cases. &lt;br /&gt;
:** ITK itkEMS stand-alone package&lt;br /&gt;
:*** Marcel and Mark are in active collaboration with getting this method to work on-site, we have encountered compilation and memory problems with the package on mac and linux environments so far&lt;br /&gt;
:*** 3/17/2008 update, marcel built a 64-bit linux version that appears to run successfully, current results are are shown [[DBP2:MIND:itkEMSResults|here]]&lt;br /&gt;
:** ITK lesion classification stand-alone package&lt;br /&gt;
:*** Vince Magnotta has develop an ITK-based 2 stage lesion segmentation method&lt;br /&gt;
:**** stage one uses k-means tissue classification into grey, white, or csf of co-registered T1/T2&lt;br /&gt;
:**** stage two use bayesian classifier into normal tissue or lesion using results of stage one and co-reigstered Flair&lt;br /&gt;
:***** current results of this method as of 3/17/2008 are shown [[DBP2:MIND:itkBayesianLesion|here]]&lt;br /&gt;
:***** This method has been run against all cases as of 05/01/08.  Currently working with Vince Magnotta to improve the performance.&lt;br /&gt;
:***** As of 08/14/2008, currently running a modified version of Vince's classifier that has been improved by replacing intensity thresholding with joint histogram feature vector occurrence thresholding.&lt;br /&gt;
:** ITK K Nearest Neighbor Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a K-NN lesion classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** The resulting label map contains the percent likelihood that a given voxel is a lesion.  This allows the clinician to adjust the thresholding to match their preference.&lt;br /&gt;
:*** On hold as of 1/12/2008 due to incomplete ITK algorithmic support&lt;br /&gt;
:** ITK Custom Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a combined approach classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** This approach takes advantage of multiple approaches and advancements in the literature, including feature generation, Gentle Boosting based feature reduction, Artificial Immune System based filtering, and Bayesian classification.&lt;br /&gt;
:*** As of 1/01/2009 this method is functional and built into the lesion segmentation slicer3 applications. &lt;br /&gt;
:***[[File:Scully_Figure1.png|Flowchart of lesion segmentation method]]&lt;br /&gt;
:***[[File:Scully_Figure4.png|ROC curve]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
:** Slicer3 Manual Tracing&lt;br /&gt;
:*** Gasparovic has manually traced all tutorial cases with lesions using T2/Flair images following tracing guidelines and a qualitative neuroradiological review report&lt;br /&gt;
:**** 4/1/2008 create manual tracing guidelines documentation and share here&lt;br /&gt;
* Lesion Localization&lt;br /&gt;
:* '''4/15/2008''' complete lesion localizations and maps for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Lesion Measurement&lt;br /&gt;
:* '''4/20/2008''' complete lesion measurements and regional lesion load summaries for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Performance characterization and validation&lt;br /&gt;
:* '''1/6/2008''' [[Media:DBP2_MIND_Lupus_200801_update.ppt | report]] to 2008 NA-MIC AHM on progress for performance and validation of lesion segmentation methods for EM-segment, BRAINS2, manual, UNC packages ('''Jeremy''')&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''5/15/2008''' submit abstract on reliability and summary of novel NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Brad, Kilian, others''')&lt;br /&gt;
:** plan is to submit SFN abstract and manuscript closely after&lt;br /&gt;
:* '''5/20/2008''' analyze NIH study clinical sample using NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully''')&lt;br /&gt;
:* '''7/1/2008''' submit manuscript on clinical application of NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Carlos Roldan, Bill Sibbitt''')&lt;br /&gt;
:* '''8/14/2008''' submit manuscript on the lesion segmentation methods as applied to MS lesions for MICCAI 2008. ('''Mark, Jeremy, Chuck, Vince Magnotta''')&lt;br /&gt;
:* '''1/11/2009''' submit abstract on the new lesion segmentation methods as applied to Lupus lesions for HBM 2009.&lt;br /&gt;
:* '''3/08/2009''' submit manuscript on the new lesion segmentation methods as applied to Lupus lesions for MICCAI 2009.&lt;br /&gt;
&lt;br /&gt;
* Incorporation of approach into NA-MIC kit&lt;br /&gt;
:* '''1/6/2008''' Slicer3 Lesion Analysis Module that handles co-registration of T1, T2, and Flair ('''Mark Scully, Steve''')&lt;br /&gt;
:** DONE Brad completed this &lt;br /&gt;
:* ''5/1/2008''' extend Slicer3 Lesion Analysis Module to handle lesion localization and measurement ('''Mark Scully, Steve''')&lt;br /&gt;
:** ''08/01/2008'' currently locates all independent lesion clusters and identifies the anatomical regions, provided by a registered atlas, that the lesions overlap.&lt;br /&gt;
:* '''6/1/2008''' extend Slicer3 Lesion Analysis Module to implement the ITK-based lesion analysis algorithm/method (EM-segment, ITK itkEMS, ITK lesion segmentation) with the best performance ('''Mark Scully, Steve''')&lt;br /&gt;
:** a demonstration will be given at the 2008 NA-MIC AHM--we would consider this version a prototype and would be testing, refining the module through the clinical application phase ('''Jeremy, Mark Scully''')&lt;br /&gt;
:* '''6/15/2008''' functioning prototype version of lesion analysis Slicer3 Module complete ('''Mark Scully, Steve''')&lt;br /&gt;
:* '''8/14/2008''' in the process of creating a module that &amp;quot;chains&amp;quot; together all of the steps in the lesion segmentation analysis pipeline.&lt;br /&gt;
:* '''1/03/2009''' Newly developed lesion segmentation method with significantly increased performance incorporated into Slicer3 module.&lt;br /&gt;
* Tutorial and Data-sharing&lt;br /&gt;
:* '''6/20/2008''' present tutorial to 2008 NA-MIC programming week ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** A logical project for programming week for Jeremy and Sonja to finish public version of tutorial&lt;br /&gt;
:* '''7/1/2008''' make data sets and tutorial available to the scientific community ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** If we submit SFN abstract, we can advertise the availability during SFN Conference in November 2008&lt;br /&gt;
:*** We could think about advertising the roadmaps at the BIRN booth at SFN this year?&lt;br /&gt;
:* '''10/15/2008''' In the process of making the tutorial data available using XNAT.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Compare view of baseline and followup with color-coded lesion differences:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:CompareViewFlairLesionDiffWholeBrain.png&lt;br /&gt;
&lt;br /&gt;
Diffusion tracts intersecting a lesion volume:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:LesionTractsNear.png&lt;br /&gt;
&lt;br /&gt;
Axial slice with % predicted chance, thresholded predicted % chance, and manual tracing:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:Scully_Figure3.jpg&lt;br /&gt;
&lt;br /&gt;
=== Team and Institute ===&lt;br /&gt;
* Co-PI: [http://www.mrn.org/principal-investigators/h-jeremy-bockholt H Jeremy Bockholt]  (jbockholt at mrn.org)&lt;br /&gt;
* Co-PI: Charles Gasparovic (chuck at unm.edu)&lt;br /&gt;
* Software Engineer: Mark Scully (mscully at mrn.org)&lt;br /&gt;
* NA-MIC Engineering Contact: [http://www.na-mic.org/Wiki/index.php/User:Pieper Steve Pieper], Isomics&lt;br /&gt;
* NA-MIC Algorithms Contact: Ross Whitaker, Utah&lt;br /&gt;
* Host Institues: The [http://www.mrn.org Mind Research Network] and [http://www.unm.edu The University of New Mexico]&lt;br /&gt;
&lt;br /&gt;
[[Category:Slicer]] [[Category:Segmentation]] [[Category:Registration]]&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51304</id>
		<title>DBP2:MIND:Roadmap</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51304"/>
		<updated>2010-04-10T19:59:38Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Objective */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[NA-MIC_Internal_Collaborations|NA-MIC Internal Collaborations]], [[DBP2:MIND|MIND DBP 2]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
=Brain Lesion Analysis in Neuropsychiatric Systemic Lupus Erythematosus=&lt;br /&gt;
&lt;br /&gt;
==Objective==&lt;br /&gt;
This page describes the technology roadmap for lesion analysis in the NA-MIC Kit. Our objective is to create an end-to-end application allowing individual analysis of white matter lesions. This workflow applied to lupus patients is one of goals of the [[DBP2:MIND:IntroductionMIND DBP]].  The basic components necessary for this project are:&lt;br /&gt;
* '''Registration''': co-registration of T1-weighted, T2-weighted, and FLAIR images&lt;br /&gt;
* '''Tissue segmentation''': Should be multi-modality, correcting for intensity inhomogeneity and work on non-skull-stripped data.&lt;br /&gt;
* '''Lesion Localization''':  Each unique lesion should be detected and anatomical location summarized &lt;br /&gt;
* '''Lesion Load Measurement''': Measure volume of each lesion, summarize lesion load by regions&lt;br /&gt;
* '''Time Series Analysis of white matter lesions''':&lt;br /&gt;
* '''Multi-scale Analysis of white matter lesions''':&lt;br /&gt;
* '''Tutorial''':  Documentation will be written for a tutorial and sample data sets will be provided&lt;br /&gt;
&lt;br /&gt;
==Roadmap==&lt;br /&gt;
We will obtain gray matter, white matter, CSF, and lesion maps for each subject based on T1-weighted, T2-weighted, and FLAIR images. Ultimately, the NA-MIC Kit will provide a workflow for individual and group analysis of lesions. It will be implemented as a set of Slicer3 modules that can be used interactively within the Slicer3 application as well as in batch on a computing cluster using [http://batchmake.org/ BatchMake].&lt;br /&gt;
&lt;br /&gt;
The current status of the main modules to be used are:&lt;br /&gt;
&lt;br /&gt;
=== Registration ===&lt;br /&gt;
:* ITK has mutual information registration&lt;br /&gt;
:* T1/T2/Flair co-registration implemented into EM-segment module&lt;br /&gt;
&lt;br /&gt;
=== Lesion segmentation ===&lt;br /&gt;
Five algorithms (all within NA-MIC kit) for fully or semi-automated lesion analysis will be evaluated. These include:&lt;br /&gt;
:* [http://www.slicer.org/slicerWiki/index.php/Slicer3:EM#Old_.282007.29_Tutorial Slicer3 EM-segment Module] (Sandy Wells)&lt;br /&gt;
:* ITK stand-alone [http://www.ia.unc.edu/dev/download/itkems/index.htm itkEMS] Compare Lesion Analysis Tools (Prastawa/Gerig) &lt;br /&gt;
:* ITK stand-alone white matter lesion segmentation (Magnotta)&lt;br /&gt;
:* ITK K Nearest Neighbor classification based on the work of [http://www.midasjournal.org/browse/publication/281 Anabeek, et al]&lt;br /&gt;
:* ITK stand-alone segmentation combining elements of Boosting, Artificial Immune Systems, and Bayesian Classification. (Scully)&lt;br /&gt;
Manual tracing will serve as a bronze-standard:&lt;br /&gt;
:* Slicer3 Manual tracing by clinically trained rater (Gasparovic/Bockholt)&lt;br /&gt;
&lt;br /&gt;
=== Lesion Localization ===&lt;br /&gt;
:* Slicer3 has tools for labeling white matter lesions and summarizing their anatomical location&lt;br /&gt;
&lt;br /&gt;
=== Lesion Load Measurement ===&lt;br /&gt;
:* Slicer3 has tools for measurement of labelled lesions&lt;br /&gt;
&lt;br /&gt;
=== Performance characterization and validation ===&lt;br /&gt;
:* Data will be collected at both 1.5 and 3T. Data at 1.5T will be obtained with the protocol utilized for the current project on lupus at UNM.&lt;br /&gt;
:* Data at 3T will be obtained with sequences optimized for segmentation by the group at Utah.&lt;br /&gt;
:* Comparisons will be based on the approach developed by Martin-Fernandez et al.&lt;br /&gt;
:* The algorithm with the best performance will be incorporated into the NA-MIC kit.&lt;br /&gt;
 &lt;br /&gt;
=== Tutorial ===&lt;br /&gt;
:* 10 Externally sharable T1,T2,Flair,Lesion Map data-sets (NIFTI format) will be made available to the scientific community&lt;br /&gt;
:** 5 subjects with lupus and 5 healthy normal volunteers&lt;br /&gt;
:* A tutorial will be created that will guide end-users through each step needed to complete a lesion analysis in the NA-MIC kit&lt;br /&gt;
:** A step-by-step guide will be produced for one example lupus cases within the tutorial and one example healthy normal volunteer&lt;br /&gt;
:** Measurements for all 10 subjects will also be provided so that users may compare their results with those of the tutorial&lt;br /&gt;
&lt;br /&gt;
=== Schedule ===&lt;br /&gt;
* Sequence Optimization and Data Collection&lt;br /&gt;
:* '''10/15/2007''' T1, T2, FLAIR optimized sequences for Siemens 3T Trio Tim scanner ('''Jeremy, Bruce, Chuck''')&lt;br /&gt;
:** We will work with Bruce Fischl on using MEMPR, Mugler, and FLAIR sequences that have been optimized for maximum constrast and minimal geometric distortion across sequences&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''3/31/2008''' collection of 5 lupus subjects on clinical sequence and optimized 3T sequence ('''Chuck''')&lt;br /&gt;
:** collected 2 patients and 3 controls so far&lt;br /&gt;
:*** as of 3/10/2008 there are 3-4 additional patients scheduled, since january 1, we have had 4 patients not able to complete the protocol so far&lt;br /&gt;
&lt;br /&gt;
* Co-Registration and Atlas Registration&lt;br /&gt;
:* '''1/31/2008''' optimized mutual information registration for clinical sequences and optimized 3T sequences ('''Jeremy''')&lt;br /&gt;
:** we have tried the registration tools built-in to Slicer 3 EM-segment module so far&lt;br /&gt;
:** DONE Brad has implemented this successfully into the EM-segment module&lt;br /&gt;
&lt;br /&gt;
* Lesion segmentation&lt;br /&gt;
:* '''3/17/2008''' complete lesion segmentation methods for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Kilian/Brad, Marcel''')&lt;br /&gt;
:** Slicer3 EM-segment Module&lt;br /&gt;
:*** (Resolved) Currently has a bug that does not permit 3 channel segmentation [http://na-mic.org/Mantis/view.php?id=205 Mantis ID#0000205]&lt;br /&gt;
:**** (Resolved) Only using 2 channels such as T1/T2 or T1/FLAIR does not produce sensible/usable results&lt;br /&gt;
:*** (Resolved) Does not properly allow user to edit or change weighting of channels, this is crucial for hierarchical lesion classification. [http://na-mic.org/Mantis/view.php?id=204 Mantis ID#0000204]&lt;br /&gt;
:*** EMSegment has been run against collected lupus cases.  Segmentations have improved but are still unusable as of 08/14/2008.&lt;br /&gt;
:**** Currently working with Killian on optimizing parameters in EMSegment to improve the lesion segmentation.&lt;br /&gt;
:**** Testing parameters and resulting segmentation on collected lupus cases. &lt;br /&gt;
:** ITK itkEMS stand-alone package&lt;br /&gt;
:*** Marcel and Mark are in active collaboration with getting this method to work on-site, we have encountered compilation and memory problems with the package on mac and linux environments so far&lt;br /&gt;
:*** 3/17/2008 update, marcel built a 64-bit linux version that appears to run successfully, current results are are shown [[DBP2:MIND:itkEMSResults|here]]&lt;br /&gt;
:** ITK lesion classification stand-alone package&lt;br /&gt;
:*** Vince Magnotta has develop an ITK-based 2 stage lesion segmentation method&lt;br /&gt;
:**** stage one uses k-means tissue classification into grey, white, or csf of co-registered T1/T2&lt;br /&gt;
:**** stage two use bayesian classifier into normal tissue or lesion using results of stage one and co-reigstered Flair&lt;br /&gt;
:***** current results of this method as of 3/17/2008 are shown [[DBP2:MIND:itkBayesianLesion|here]]&lt;br /&gt;
:***** This method has been run against all cases as of 05/01/08.  Currently working with Vince Magnotta to improve the performance.&lt;br /&gt;
:***** As of 08/14/2008, currently running a modified version of Vince's classifier that has been improved by replacing intensity thresholding with joint histogram feature vector occurrence thresholding.&lt;br /&gt;
:** ITK K Nearest Neighbor Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a K-NN lesion classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** The resulting label map contains the percent likelihood that a given voxel is a lesion.  This allows the clinician to adjust the thresholding to match their preference.&lt;br /&gt;
:*** On hold as of 1/12/2008 due to incomplete ITK algorithmic support&lt;br /&gt;
:** ITK Custom Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a combined approach classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** This approach takes advantage of multiple approaches and advancements in the literature, including feature generation, Gentle Boosting based feature reduction, Artificial Immune System based filtering, and Bayesian classification.&lt;br /&gt;
:*** As of 1/01/2009 this method is functional and built into the lesion segmentation slicer3 applications. &lt;br /&gt;
:***[[File:Scully_Figure1.png|Flowchart of lesion segmentation method]]&lt;br /&gt;
:***[[File:Scully_Figure4.png|ROC curve]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
:** Slicer3 Manual Tracing&lt;br /&gt;
:*** Gasparovic has manually traced all tutorial cases with lesions using T2/Flair images following tracing guidelines and a qualitative neuroradiological review report&lt;br /&gt;
:**** 4/1/2008 create manual tracing guidelines documentation and share here&lt;br /&gt;
* Lesion Localization&lt;br /&gt;
:* '''4/15/2008''' complete lesion localizations and maps for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Lesion Measurement&lt;br /&gt;
:* '''4/20/2008''' complete lesion measurements and regional lesion load summaries for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Performance characterization and validation&lt;br /&gt;
:* '''1/6/2008''' [[Media:DBP2_MIND_Lupus_200801_update.ppt | report]] to 2008 NA-MIC AHM on progress for performance and validation of lesion segmentation methods for EM-segment, BRAINS2, manual, UNC packages ('''Jeremy''')&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''5/15/2008''' submit abstract on reliability and summary of novel NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Brad, Kilian, others''')&lt;br /&gt;
:** plan is to submit SFN abstract and manuscript closely after&lt;br /&gt;
:* '''5/20/2008''' analyze NIH study clinical sample using NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully''')&lt;br /&gt;
:* '''7/1/2008''' submit manuscript on clinical application of NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Carlos Roldan, Bill Sibbitt''')&lt;br /&gt;
:* '''8/14/2008''' submit manuscript on the lesion segmentation methods as applied to MS lesions for MICCAI 2008. ('''Mark, Jeremy, Chuck, Vince Magnotta''')&lt;br /&gt;
:* '''1/11/2009''' submit abstract on the new lesion segmentation methods as applied to Lupus lesions for HBM 2009.&lt;br /&gt;
:* '''3/08/2009''' submit manuscript on the new lesion segmentation methods as applied to Lupus lesions for MICCAI 2009.&lt;br /&gt;
&lt;br /&gt;
* Incorporation of approach into NA-MIC kit&lt;br /&gt;
:* '''1/6/2008''' Slicer3 Lesion Analysis Module that handles co-registration of T1, T2, and Flair ('''Mark Scully, Steve''')&lt;br /&gt;
:** DONE Brad completed this &lt;br /&gt;
:* ''5/1/2008''' extend Slicer3 Lesion Analysis Module to handle lesion localization and measurement ('''Mark Scully, Steve''')&lt;br /&gt;
:** ''08/01/2008'' currently locates all independent lesion clusters and identifies the anatomical regions, provided by a registered atlas, that the lesions overlap.&lt;br /&gt;
:* '''6/1/2008''' extend Slicer3 Lesion Analysis Module to implement the ITK-based lesion analysis algorithm/method (EM-segment, ITK itkEMS, ITK lesion segmentation) with the best performance ('''Mark Scully, Steve''')&lt;br /&gt;
:** a demonstration will be given at the 2008 NA-MIC AHM--we would consider this version a prototype and would be testing, refining the module through the clinical application phase ('''Jeremy, Mark Scully''')&lt;br /&gt;
:* '''6/15/2008''' functioning prototype version of lesion analysis Slicer3 Module complete ('''Mark Scully, Steve''')&lt;br /&gt;
:* '''8/14/2008''' in the process of creating a module that &amp;quot;chains&amp;quot; together all of the steps in the lesion segmentation analysis pipeline.&lt;br /&gt;
:* '''1/03/2009''' Newly developed lesion segmentation method with significantly increased performance incorporated into Slicer3 module.&lt;br /&gt;
* Tutorial and Data-sharing&lt;br /&gt;
:* '''6/20/2008''' present tutorial to 2008 NA-MIC programming week ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** A logical project for programming week for Jeremy and Sonja to finish public version of tutorial&lt;br /&gt;
:* '''7/1/2008''' make data sets and tutorial available to the scientific community ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** If we submit SFN abstract, we can advertise the availability during SFN Conference in November 2008&lt;br /&gt;
:*** We could think about advertising the roadmaps at the BIRN booth at SFN this year?&lt;br /&gt;
:* '''10/15/2008''' In the process of making the tutorial data available using XNAT.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Compare view of baseline and followup with color-coded lesion differences:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:CompareViewFlairLesionDiffWholeBrain.png&lt;br /&gt;
&lt;br /&gt;
Diffusion tracts intersecting a lesion volume:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:LesionTractsNear.png&lt;br /&gt;
&lt;br /&gt;
Axial slice with % predicted chance, thresholded predicted % chance, and manual tracing:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:Scully_Figure3.jpg&lt;br /&gt;
&lt;br /&gt;
=== Team and Institute ===&lt;br /&gt;
* Co-PI: [http://www.mrn.org/principal-investigators/h-jeremy-bockholt H Jeremy Bockholt]  (jbockholt at mrn.org)&lt;br /&gt;
* Co-PI: Charles Gasparovic (chuck at unm.edu)&lt;br /&gt;
* Software Engineer: Mark Scully (mscully at mrn.org)&lt;br /&gt;
* NA-MIC Engineering Contact: [http://www.na-mic.org/Wiki/index.php/User:Pieper Steve Pieper], Isomics&lt;br /&gt;
* NA-MIC Algorithms Contact: Ross Whitaker, Utah&lt;br /&gt;
* Host Institues: The [http://www.mrn.org Mind Research Network] and [http://www.unm.edu The University of New Mexico]&lt;br /&gt;
&lt;br /&gt;
[[Category:Slicer]] [[Category:Segmentation]] [[Category:Registration]]&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51303</id>
		<title>DBP2:MIND:Roadmap</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51303"/>
		<updated>2010-04-10T19:57:51Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Team and Institute */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[NA-MIC_Internal_Collaborations|NA-MIC Internal Collaborations]], [[DBP2:MIND|MIND DBP 2]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
=Brain Lesion Analysis in Neuropsychiatric Systemic Lupus Erythematosus=&lt;br /&gt;
&lt;br /&gt;
==Objective==&lt;br /&gt;
This page describes the technology roadmap for lesion analysis in the NA-MIC Kit. Our objective is to create an end-to-end application allowing individual analysis of white matter lesions. This workflow applied to lupus patients is one of goals of the MIND DBP.  The basic components necessary for this project are:&lt;br /&gt;
* '''Registration''': co-registration of T1-weighted, T2-weighted, and FLAIR images&lt;br /&gt;
* '''Tissue segmentation''': Should be multi-modality, correcting for intensity inhomogeneity and work on non-skull-stripped data.&lt;br /&gt;
* '''Lesion Localization''':  Each unique lesion should be detected and anatomical location summarized &lt;br /&gt;
* '''Lesion Load Measurement''': Measure volume of each lesion, summarize lesion load by regions&lt;br /&gt;
* '''Time Series Analysis of white matter lesions''':&lt;br /&gt;
* '''Multi-scale Analysis of white matter lesions''':&lt;br /&gt;
* '''Tutorial''':  Documentation will be written for a tutorial and sample data sets will be provided&lt;br /&gt;
&lt;br /&gt;
==Roadmap==&lt;br /&gt;
We will obtain gray matter, white matter, CSF, and lesion maps for each subject based on T1-weighted, T2-weighted, and FLAIR images. Ultimately, the NA-MIC Kit will provide a workflow for individual and group analysis of lesions. It will be implemented as a set of Slicer3 modules that can be used interactively within the Slicer3 application as well as in batch on a computing cluster using [http://batchmake.org/ BatchMake].&lt;br /&gt;
&lt;br /&gt;
The current status of the main modules to be used are:&lt;br /&gt;
&lt;br /&gt;
=== Registration ===&lt;br /&gt;
:* ITK has mutual information registration&lt;br /&gt;
:* T1/T2/Flair co-registration implemented into EM-segment module&lt;br /&gt;
&lt;br /&gt;
=== Lesion segmentation ===&lt;br /&gt;
Five algorithms (all within NA-MIC kit) for fully or semi-automated lesion analysis will be evaluated. These include:&lt;br /&gt;
:* [http://www.slicer.org/slicerWiki/index.php/Slicer3:EM#Old_.282007.29_Tutorial Slicer3 EM-segment Module] (Sandy Wells)&lt;br /&gt;
:* ITK stand-alone [http://www.ia.unc.edu/dev/download/itkems/index.htm itkEMS] Compare Lesion Analysis Tools (Prastawa/Gerig) &lt;br /&gt;
:* ITK stand-alone white matter lesion segmentation (Magnotta)&lt;br /&gt;
:* ITK K Nearest Neighbor classification based on the work of [http://www.midasjournal.org/browse/publication/281 Anabeek, et al]&lt;br /&gt;
:* ITK stand-alone segmentation combining elements of Boosting, Artificial Immune Systems, and Bayesian Classification. (Scully)&lt;br /&gt;
Manual tracing will serve as a bronze-standard:&lt;br /&gt;
:* Slicer3 Manual tracing by clinically trained rater (Gasparovic/Bockholt)&lt;br /&gt;
&lt;br /&gt;
=== Lesion Localization ===&lt;br /&gt;
:* Slicer3 has tools for labeling white matter lesions and summarizing their anatomical location&lt;br /&gt;
&lt;br /&gt;
=== Lesion Load Measurement ===&lt;br /&gt;
:* Slicer3 has tools for measurement of labelled lesions&lt;br /&gt;
&lt;br /&gt;
=== Performance characterization and validation ===&lt;br /&gt;
:* Data will be collected at both 1.5 and 3T. Data at 1.5T will be obtained with the protocol utilized for the current project on lupus at UNM.&lt;br /&gt;
:* Data at 3T will be obtained with sequences optimized for segmentation by the group at Utah.&lt;br /&gt;
:* Comparisons will be based on the approach developed by Martin-Fernandez et al.&lt;br /&gt;
:* The algorithm with the best performance will be incorporated into the NA-MIC kit.&lt;br /&gt;
 &lt;br /&gt;
=== Tutorial ===&lt;br /&gt;
:* 10 Externally sharable T1,T2,Flair,Lesion Map data-sets (NIFTI format) will be made available to the scientific community&lt;br /&gt;
:** 5 subjects with lupus and 5 healthy normal volunteers&lt;br /&gt;
:* A tutorial will be created that will guide end-users through each step needed to complete a lesion analysis in the NA-MIC kit&lt;br /&gt;
:** A step-by-step guide will be produced for one example lupus cases within the tutorial and one example healthy normal volunteer&lt;br /&gt;
:** Measurements for all 10 subjects will also be provided so that users may compare their results with those of the tutorial&lt;br /&gt;
&lt;br /&gt;
=== Schedule ===&lt;br /&gt;
* Sequence Optimization and Data Collection&lt;br /&gt;
:* '''10/15/2007''' T1, T2, FLAIR optimized sequences for Siemens 3T Trio Tim scanner ('''Jeremy, Bruce, Chuck''')&lt;br /&gt;
:** We will work with Bruce Fischl on using MEMPR, Mugler, and FLAIR sequences that have been optimized for maximum constrast and minimal geometric distortion across sequences&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''3/31/2008''' collection of 5 lupus subjects on clinical sequence and optimized 3T sequence ('''Chuck''')&lt;br /&gt;
:** collected 2 patients and 3 controls so far&lt;br /&gt;
:*** as of 3/10/2008 there are 3-4 additional patients scheduled, since january 1, we have had 4 patients not able to complete the protocol so far&lt;br /&gt;
&lt;br /&gt;
* Co-Registration and Atlas Registration&lt;br /&gt;
:* '''1/31/2008''' optimized mutual information registration for clinical sequences and optimized 3T sequences ('''Jeremy''')&lt;br /&gt;
:** we have tried the registration tools built-in to Slicer 3 EM-segment module so far&lt;br /&gt;
:** DONE Brad has implemented this successfully into the EM-segment module&lt;br /&gt;
&lt;br /&gt;
* Lesion segmentation&lt;br /&gt;
:* '''3/17/2008''' complete lesion segmentation methods for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Kilian/Brad, Marcel''')&lt;br /&gt;
:** Slicer3 EM-segment Module&lt;br /&gt;
:*** (Resolved) Currently has a bug that does not permit 3 channel segmentation [http://na-mic.org/Mantis/view.php?id=205 Mantis ID#0000205]&lt;br /&gt;
:**** (Resolved) Only using 2 channels such as T1/T2 or T1/FLAIR does not produce sensible/usable results&lt;br /&gt;
:*** (Resolved) Does not properly allow user to edit or change weighting of channels, this is crucial for hierarchical lesion classification. [http://na-mic.org/Mantis/view.php?id=204 Mantis ID#0000204]&lt;br /&gt;
:*** EMSegment has been run against collected lupus cases.  Segmentations have improved but are still unusable as of 08/14/2008.&lt;br /&gt;
:**** Currently working with Killian on optimizing parameters in EMSegment to improve the lesion segmentation.&lt;br /&gt;
:**** Testing parameters and resulting segmentation on collected lupus cases. &lt;br /&gt;
:** ITK itkEMS stand-alone package&lt;br /&gt;
:*** Marcel and Mark are in active collaboration with getting this method to work on-site, we have encountered compilation and memory problems with the package on mac and linux environments so far&lt;br /&gt;
:*** 3/17/2008 update, marcel built a 64-bit linux version that appears to run successfully, current results are are shown [[DBP2:MIND:itkEMSResults|here]]&lt;br /&gt;
:** ITK lesion classification stand-alone package&lt;br /&gt;
:*** Vince Magnotta has develop an ITK-based 2 stage lesion segmentation method&lt;br /&gt;
:**** stage one uses k-means tissue classification into grey, white, or csf of co-registered T1/T2&lt;br /&gt;
:**** stage two use bayesian classifier into normal tissue or lesion using results of stage one and co-reigstered Flair&lt;br /&gt;
:***** current results of this method as of 3/17/2008 are shown [[DBP2:MIND:itkBayesianLesion|here]]&lt;br /&gt;
:***** This method has been run against all cases as of 05/01/08.  Currently working with Vince Magnotta to improve the performance.&lt;br /&gt;
:***** As of 08/14/2008, currently running a modified version of Vince's classifier that has been improved by replacing intensity thresholding with joint histogram feature vector occurrence thresholding.&lt;br /&gt;
:** ITK K Nearest Neighbor Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a K-NN lesion classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** The resulting label map contains the percent likelihood that a given voxel is a lesion.  This allows the clinician to adjust the thresholding to match their preference.&lt;br /&gt;
:*** On hold as of 1/12/2008 due to incomplete ITK algorithmic support&lt;br /&gt;
:** ITK Custom Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a combined approach classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** This approach takes advantage of multiple approaches and advancements in the literature, including feature generation, Gentle Boosting based feature reduction, Artificial Immune System based filtering, and Bayesian classification.&lt;br /&gt;
:*** As of 1/01/2009 this method is functional and built into the lesion segmentation slicer3 applications. &lt;br /&gt;
:***[[File:Scully_Figure1.png|Flowchart of lesion segmentation method]]&lt;br /&gt;
:***[[File:Scully_Figure4.png|ROC curve]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
:** Slicer3 Manual Tracing&lt;br /&gt;
:*** Gasparovic has manually traced all tutorial cases with lesions using T2/Flair images following tracing guidelines and a qualitative neuroradiological review report&lt;br /&gt;
:**** 4/1/2008 create manual tracing guidelines documentation and share here&lt;br /&gt;
* Lesion Localization&lt;br /&gt;
:* '''4/15/2008''' complete lesion localizations and maps for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Lesion Measurement&lt;br /&gt;
:* '''4/20/2008''' complete lesion measurements and regional lesion load summaries for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Performance characterization and validation&lt;br /&gt;
:* '''1/6/2008''' [[Media:DBP2_MIND_Lupus_200801_update.ppt | report]] to 2008 NA-MIC AHM on progress for performance and validation of lesion segmentation methods for EM-segment, BRAINS2, manual, UNC packages ('''Jeremy''')&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''5/15/2008''' submit abstract on reliability and summary of novel NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Brad, Kilian, others''')&lt;br /&gt;
:** plan is to submit SFN abstract and manuscript closely after&lt;br /&gt;
:* '''5/20/2008''' analyze NIH study clinical sample using NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully''')&lt;br /&gt;
:* '''7/1/2008''' submit manuscript on clinical application of NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Carlos Roldan, Bill Sibbitt''')&lt;br /&gt;
:* '''8/14/2008''' submit manuscript on the lesion segmentation methods as applied to MS lesions for MICCAI 2008. ('''Mark, Jeremy, Chuck, Vince Magnotta''')&lt;br /&gt;
:* '''1/11/2009''' submit abstract on the new lesion segmentation methods as applied to Lupus lesions for HBM 2009.&lt;br /&gt;
:* '''3/08/2009''' submit manuscript on the new lesion segmentation methods as applied to Lupus lesions for MICCAI 2009.&lt;br /&gt;
&lt;br /&gt;
* Incorporation of approach into NA-MIC kit&lt;br /&gt;
:* '''1/6/2008''' Slicer3 Lesion Analysis Module that handles co-registration of T1, T2, and Flair ('''Mark Scully, Steve''')&lt;br /&gt;
:** DONE Brad completed this &lt;br /&gt;
:* ''5/1/2008''' extend Slicer3 Lesion Analysis Module to handle lesion localization and measurement ('''Mark Scully, Steve''')&lt;br /&gt;
:** ''08/01/2008'' currently locates all independent lesion clusters and identifies the anatomical regions, provided by a registered atlas, that the lesions overlap.&lt;br /&gt;
:* '''6/1/2008''' extend Slicer3 Lesion Analysis Module to implement the ITK-based lesion analysis algorithm/method (EM-segment, ITK itkEMS, ITK lesion segmentation) with the best performance ('''Mark Scully, Steve''')&lt;br /&gt;
:** a demonstration will be given at the 2008 NA-MIC AHM--we would consider this version a prototype and would be testing, refining the module through the clinical application phase ('''Jeremy, Mark Scully''')&lt;br /&gt;
:* '''6/15/2008''' functioning prototype version of lesion analysis Slicer3 Module complete ('''Mark Scully, Steve''')&lt;br /&gt;
:* '''8/14/2008''' in the process of creating a module that &amp;quot;chains&amp;quot; together all of the steps in the lesion segmentation analysis pipeline.&lt;br /&gt;
:* '''1/03/2009''' Newly developed lesion segmentation method with significantly increased performance incorporated into Slicer3 module.&lt;br /&gt;
* Tutorial and Data-sharing&lt;br /&gt;
:* '''6/20/2008''' present tutorial to 2008 NA-MIC programming week ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** A logical project for programming week for Jeremy and Sonja to finish public version of tutorial&lt;br /&gt;
:* '''7/1/2008''' make data sets and tutorial available to the scientific community ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** If we submit SFN abstract, we can advertise the availability during SFN Conference in November 2008&lt;br /&gt;
:*** We could think about advertising the roadmaps at the BIRN booth at SFN this year?&lt;br /&gt;
:* '''10/15/2008''' In the process of making the tutorial data available using XNAT.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Compare view of baseline and followup with color-coded lesion differences:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:CompareViewFlairLesionDiffWholeBrain.png&lt;br /&gt;
&lt;br /&gt;
Diffusion tracts intersecting a lesion volume:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:LesionTractsNear.png&lt;br /&gt;
&lt;br /&gt;
Axial slice with % predicted chance, thresholded predicted % chance, and manual tracing:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:Scully_Figure3.jpg&lt;br /&gt;
&lt;br /&gt;
=== Team and Institute ===&lt;br /&gt;
* Co-PI: [http://www.mrn.org/principal-investigators/h-jeremy-bockholt H Jeremy Bockholt]  (jbockholt at mrn.org)&lt;br /&gt;
* Co-PI: Charles Gasparovic (chuck at unm.edu)&lt;br /&gt;
* Software Engineer: Mark Scully (mscully at mrn.org)&lt;br /&gt;
* NA-MIC Engineering Contact: [http://www.na-mic.org/Wiki/index.php/User:Pieper Steve Pieper], Isomics&lt;br /&gt;
* NA-MIC Algorithms Contact: Ross Whitaker, Utah&lt;br /&gt;
* Host Institues: The [http://www.mrn.org Mind Research Network] and [http://www.unm.edu The University of New Mexico]&lt;br /&gt;
&lt;br /&gt;
[[Category:Slicer]] [[Category:Segmentation]] [[Category:Registration]]&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51302</id>
		<title>DBP2:MIND:Roadmap</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51302"/>
		<updated>2010-04-10T19:57:19Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Team and Institute */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[NA-MIC_Internal_Collaborations|NA-MIC Internal Collaborations]], [[DBP2:MIND|MIND DBP 2]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
=Brain Lesion Analysis in Neuropsychiatric Systemic Lupus Erythematosus=&lt;br /&gt;
&lt;br /&gt;
==Objective==&lt;br /&gt;
This page describes the technology roadmap for lesion analysis in the NA-MIC Kit. Our objective is to create an end-to-end application allowing individual analysis of white matter lesions. This workflow applied to lupus patients is one of goals of the MIND DBP.  The basic components necessary for this project are:&lt;br /&gt;
* '''Registration''': co-registration of T1-weighted, T2-weighted, and FLAIR images&lt;br /&gt;
* '''Tissue segmentation''': Should be multi-modality, correcting for intensity inhomogeneity and work on non-skull-stripped data.&lt;br /&gt;
* '''Lesion Localization''':  Each unique lesion should be detected and anatomical location summarized &lt;br /&gt;
* '''Lesion Load Measurement''': Measure volume of each lesion, summarize lesion load by regions&lt;br /&gt;
* '''Time Series Analysis of white matter lesions''':&lt;br /&gt;
* '''Multi-scale Analysis of white matter lesions''':&lt;br /&gt;
* '''Tutorial''':  Documentation will be written for a tutorial and sample data sets will be provided&lt;br /&gt;
&lt;br /&gt;
==Roadmap==&lt;br /&gt;
We will obtain gray matter, white matter, CSF, and lesion maps for each subject based on T1-weighted, T2-weighted, and FLAIR images. Ultimately, the NA-MIC Kit will provide a workflow for individual and group analysis of lesions. It will be implemented as a set of Slicer3 modules that can be used interactively within the Slicer3 application as well as in batch on a computing cluster using [http://batchmake.org/ BatchMake].&lt;br /&gt;
&lt;br /&gt;
The current status of the main modules to be used are:&lt;br /&gt;
&lt;br /&gt;
=== Registration ===&lt;br /&gt;
:* ITK has mutual information registration&lt;br /&gt;
:* T1/T2/Flair co-registration implemented into EM-segment module&lt;br /&gt;
&lt;br /&gt;
=== Lesion segmentation ===&lt;br /&gt;
Five algorithms (all within NA-MIC kit) for fully or semi-automated lesion analysis will be evaluated. These include:&lt;br /&gt;
:* [http://www.slicer.org/slicerWiki/index.php/Slicer3:EM#Old_.282007.29_Tutorial Slicer3 EM-segment Module] (Sandy Wells)&lt;br /&gt;
:* ITK stand-alone [http://www.ia.unc.edu/dev/download/itkems/index.htm itkEMS] Compare Lesion Analysis Tools (Prastawa/Gerig) &lt;br /&gt;
:* ITK stand-alone white matter lesion segmentation (Magnotta)&lt;br /&gt;
:* ITK K Nearest Neighbor classification based on the work of [http://www.midasjournal.org/browse/publication/281 Anabeek, et al]&lt;br /&gt;
:* ITK stand-alone segmentation combining elements of Boosting, Artificial Immune Systems, and Bayesian Classification. (Scully)&lt;br /&gt;
Manual tracing will serve as a bronze-standard:&lt;br /&gt;
:* Slicer3 Manual tracing by clinically trained rater (Gasparovic/Bockholt)&lt;br /&gt;
&lt;br /&gt;
=== Lesion Localization ===&lt;br /&gt;
:* Slicer3 has tools for labeling white matter lesions and summarizing their anatomical location&lt;br /&gt;
&lt;br /&gt;
=== Lesion Load Measurement ===&lt;br /&gt;
:* Slicer3 has tools for measurement of labelled lesions&lt;br /&gt;
&lt;br /&gt;
=== Performance characterization and validation ===&lt;br /&gt;
:* Data will be collected at both 1.5 and 3T. Data at 1.5T will be obtained with the protocol utilized for the current project on lupus at UNM.&lt;br /&gt;
:* Data at 3T will be obtained with sequences optimized for segmentation by the group at Utah.&lt;br /&gt;
:* Comparisons will be based on the approach developed by Martin-Fernandez et al.&lt;br /&gt;
:* The algorithm with the best performance will be incorporated into the NA-MIC kit.&lt;br /&gt;
 &lt;br /&gt;
=== Tutorial ===&lt;br /&gt;
:* 10 Externally sharable T1,T2,Flair,Lesion Map data-sets (NIFTI format) will be made available to the scientific community&lt;br /&gt;
:** 5 subjects with lupus and 5 healthy normal volunteers&lt;br /&gt;
:* A tutorial will be created that will guide end-users through each step needed to complete a lesion analysis in the NA-MIC kit&lt;br /&gt;
:** A step-by-step guide will be produced for one example lupus cases within the tutorial and one example healthy normal volunteer&lt;br /&gt;
:** Measurements for all 10 subjects will also be provided so that users may compare their results with those of the tutorial&lt;br /&gt;
&lt;br /&gt;
=== Schedule ===&lt;br /&gt;
* Sequence Optimization and Data Collection&lt;br /&gt;
:* '''10/15/2007''' T1, T2, FLAIR optimized sequences for Siemens 3T Trio Tim scanner ('''Jeremy, Bruce, Chuck''')&lt;br /&gt;
:** We will work with Bruce Fischl on using MEMPR, Mugler, and FLAIR sequences that have been optimized for maximum constrast and minimal geometric distortion across sequences&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''3/31/2008''' collection of 5 lupus subjects on clinical sequence and optimized 3T sequence ('''Chuck''')&lt;br /&gt;
:** collected 2 patients and 3 controls so far&lt;br /&gt;
:*** as of 3/10/2008 there are 3-4 additional patients scheduled, since january 1, we have had 4 patients not able to complete the protocol so far&lt;br /&gt;
&lt;br /&gt;
* Co-Registration and Atlas Registration&lt;br /&gt;
:* '''1/31/2008''' optimized mutual information registration for clinical sequences and optimized 3T sequences ('''Jeremy''')&lt;br /&gt;
:** we have tried the registration tools built-in to Slicer 3 EM-segment module so far&lt;br /&gt;
:** DONE Brad has implemented this successfully into the EM-segment module&lt;br /&gt;
&lt;br /&gt;
* Lesion segmentation&lt;br /&gt;
:* '''3/17/2008''' complete lesion segmentation methods for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Kilian/Brad, Marcel''')&lt;br /&gt;
:** Slicer3 EM-segment Module&lt;br /&gt;
:*** (Resolved) Currently has a bug that does not permit 3 channel segmentation [http://na-mic.org/Mantis/view.php?id=205 Mantis ID#0000205]&lt;br /&gt;
:**** (Resolved) Only using 2 channels such as T1/T2 or T1/FLAIR does not produce sensible/usable results&lt;br /&gt;
:*** (Resolved) Does not properly allow user to edit or change weighting of channels, this is crucial for hierarchical lesion classification. [http://na-mic.org/Mantis/view.php?id=204 Mantis ID#0000204]&lt;br /&gt;
:*** EMSegment has been run against collected lupus cases.  Segmentations have improved but are still unusable as of 08/14/2008.&lt;br /&gt;
:**** Currently working with Killian on optimizing parameters in EMSegment to improve the lesion segmentation.&lt;br /&gt;
:**** Testing parameters and resulting segmentation on collected lupus cases. &lt;br /&gt;
:** ITK itkEMS stand-alone package&lt;br /&gt;
:*** Marcel and Mark are in active collaboration with getting this method to work on-site, we have encountered compilation and memory problems with the package on mac and linux environments so far&lt;br /&gt;
:*** 3/17/2008 update, marcel built a 64-bit linux version that appears to run successfully, current results are are shown [[DBP2:MIND:itkEMSResults|here]]&lt;br /&gt;
:** ITK lesion classification stand-alone package&lt;br /&gt;
:*** Vince Magnotta has develop an ITK-based 2 stage lesion segmentation method&lt;br /&gt;
:**** stage one uses k-means tissue classification into grey, white, or csf of co-registered T1/T2&lt;br /&gt;
:**** stage two use bayesian classifier into normal tissue or lesion using results of stage one and co-reigstered Flair&lt;br /&gt;
:***** current results of this method as of 3/17/2008 are shown [[DBP2:MIND:itkBayesianLesion|here]]&lt;br /&gt;
:***** This method has been run against all cases as of 05/01/08.  Currently working with Vince Magnotta to improve the performance.&lt;br /&gt;
:***** As of 08/14/2008, currently running a modified version of Vince's classifier that has been improved by replacing intensity thresholding with joint histogram feature vector occurrence thresholding.&lt;br /&gt;
:** ITK K Nearest Neighbor Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a K-NN lesion classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** The resulting label map contains the percent likelihood that a given voxel is a lesion.  This allows the clinician to adjust the thresholding to match their preference.&lt;br /&gt;
:*** On hold as of 1/12/2008 due to incomplete ITK algorithmic support&lt;br /&gt;
:** ITK Custom Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a combined approach classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** This approach takes advantage of multiple approaches and advancements in the literature, including feature generation, Gentle Boosting based feature reduction, Artificial Immune System based filtering, and Bayesian classification.&lt;br /&gt;
:*** As of 1/01/2009 this method is functional and built into the lesion segmentation slicer3 applications. &lt;br /&gt;
:***[[File:Scully_Figure1.png|Flowchart of lesion segmentation method]]&lt;br /&gt;
:***[[File:Scully_Figure4.png|ROC curve]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
:** Slicer3 Manual Tracing&lt;br /&gt;
:*** Gasparovic has manually traced all tutorial cases with lesions using T2/Flair images following tracing guidelines and a qualitative neuroradiological review report&lt;br /&gt;
:**** 4/1/2008 create manual tracing guidelines documentation and share here&lt;br /&gt;
* Lesion Localization&lt;br /&gt;
:* '''4/15/2008''' complete lesion localizations and maps for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Lesion Measurement&lt;br /&gt;
:* '''4/20/2008''' complete lesion measurements and regional lesion load summaries for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Performance characterization and validation&lt;br /&gt;
:* '''1/6/2008''' [[Media:DBP2_MIND_Lupus_200801_update.ppt | report]] to 2008 NA-MIC AHM on progress for performance and validation of lesion segmentation methods for EM-segment, BRAINS2, manual, UNC packages ('''Jeremy''')&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''5/15/2008''' submit abstract on reliability and summary of novel NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Brad, Kilian, others''')&lt;br /&gt;
:** plan is to submit SFN abstract and manuscript closely after&lt;br /&gt;
:* '''5/20/2008''' analyze NIH study clinical sample using NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully''')&lt;br /&gt;
:* '''7/1/2008''' submit manuscript on clinical application of NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Carlos Roldan, Bill Sibbitt''')&lt;br /&gt;
:* '''8/14/2008''' submit manuscript on the lesion segmentation methods as applied to MS lesions for MICCAI 2008. ('''Mark, Jeremy, Chuck, Vince Magnotta''')&lt;br /&gt;
:* '''1/11/2009''' submit abstract on the new lesion segmentation methods as applied to Lupus lesions for HBM 2009.&lt;br /&gt;
:* '''3/08/2009''' submit manuscript on the new lesion segmentation methods as applied to Lupus lesions for MICCAI 2009.&lt;br /&gt;
&lt;br /&gt;
* Incorporation of approach into NA-MIC kit&lt;br /&gt;
:* '''1/6/2008''' Slicer3 Lesion Analysis Module that handles co-registration of T1, T2, and Flair ('''Mark Scully, Steve''')&lt;br /&gt;
:** DONE Brad completed this &lt;br /&gt;
:* ''5/1/2008''' extend Slicer3 Lesion Analysis Module to handle lesion localization and measurement ('''Mark Scully, Steve''')&lt;br /&gt;
:** ''08/01/2008'' currently locates all independent lesion clusters and identifies the anatomical regions, provided by a registered atlas, that the lesions overlap.&lt;br /&gt;
:* '''6/1/2008''' extend Slicer3 Lesion Analysis Module to implement the ITK-based lesion analysis algorithm/method (EM-segment, ITK itkEMS, ITK lesion segmentation) with the best performance ('''Mark Scully, Steve''')&lt;br /&gt;
:** a demonstration will be given at the 2008 NA-MIC AHM--we would consider this version a prototype and would be testing, refining the module through the clinical application phase ('''Jeremy, Mark Scully''')&lt;br /&gt;
:* '''6/15/2008''' functioning prototype version of lesion analysis Slicer3 Module complete ('''Mark Scully, Steve''')&lt;br /&gt;
:* '''8/14/2008''' in the process of creating a module that &amp;quot;chains&amp;quot; together all of the steps in the lesion segmentation analysis pipeline.&lt;br /&gt;
:* '''1/03/2009''' Newly developed lesion segmentation method with significantly increased performance incorporated into Slicer3 module.&lt;br /&gt;
* Tutorial and Data-sharing&lt;br /&gt;
:* '''6/20/2008''' present tutorial to 2008 NA-MIC programming week ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** A logical project for programming week for Jeremy and Sonja to finish public version of tutorial&lt;br /&gt;
:* '''7/1/2008''' make data sets and tutorial available to the scientific community ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** If we submit SFN abstract, we can advertise the availability during SFN Conference in November 2008&lt;br /&gt;
:*** We could think about advertising the roadmaps at the BIRN booth at SFN this year?&lt;br /&gt;
:* '''10/15/2008''' In the process of making the tutorial data available using XNAT.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Compare view of baseline and followup with color-coded lesion differences:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:CompareViewFlairLesionDiffWholeBrain.png&lt;br /&gt;
&lt;br /&gt;
Diffusion tracts intersecting a lesion volume:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:LesionTractsNear.png&lt;br /&gt;
&lt;br /&gt;
Axial slice with % predicted chance, thresholded predicted % chance, and manual tracing:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:Scully_Figure3.jpg&lt;br /&gt;
&lt;br /&gt;
=== Team and Institute ===&lt;br /&gt;
* Co-PI: [http://www.mrn.org/principal-investigators/h-jeremy-bockholt H Jeremy Bockholt]  (jbockholt at mrn.org)&lt;br /&gt;
* Co-PI: Charles Gasparovic (chuck at unm.edu)&lt;br /&gt;
* Software Engineer: Mark Scully (mscully at mrn.org)&lt;br /&gt;
* NA-MIC Engineering Contact: [[User:Pieper Steve Pieper]], Isomics&lt;br /&gt;
* NA-MIC Algorithms Contact: Ross Whitaker, Utah&lt;br /&gt;
* Host Institues: The [http://www.mrn.org Mind Research Network] and [http://www.unm.edu The University of New Mexico]&lt;br /&gt;
&lt;br /&gt;
[[Category:Slicer]] [[Category:Segmentation]] [[Category:Registration]]&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51301</id>
		<title>DBP2:MIND:Roadmap</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51301"/>
		<updated>2010-04-10T19:53:39Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Team and Institute */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[NA-MIC_Internal_Collaborations|NA-MIC Internal Collaborations]], [[DBP2:MIND|MIND DBP 2]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
=Brain Lesion Analysis in Neuropsychiatric Systemic Lupus Erythematosus=&lt;br /&gt;
&lt;br /&gt;
==Objective==&lt;br /&gt;
This page describes the technology roadmap for lesion analysis in the NA-MIC Kit. Our objective is to create an end-to-end application allowing individual analysis of white matter lesions. This workflow applied to lupus patients is one of goals of the MIND DBP.  The basic components necessary for this project are:&lt;br /&gt;
* '''Registration''': co-registration of T1-weighted, T2-weighted, and FLAIR images&lt;br /&gt;
* '''Tissue segmentation''': Should be multi-modality, correcting for intensity inhomogeneity and work on non-skull-stripped data.&lt;br /&gt;
* '''Lesion Localization''':  Each unique lesion should be detected and anatomical location summarized &lt;br /&gt;
* '''Lesion Load Measurement''': Measure volume of each lesion, summarize lesion load by regions&lt;br /&gt;
* '''Time Series Analysis of white matter lesions''':&lt;br /&gt;
* '''Multi-scale Analysis of white matter lesions''':&lt;br /&gt;
* '''Tutorial''':  Documentation will be written for a tutorial and sample data sets will be provided&lt;br /&gt;
&lt;br /&gt;
==Roadmap==&lt;br /&gt;
We will obtain gray matter, white matter, CSF, and lesion maps for each subject based on T1-weighted, T2-weighted, and FLAIR images. Ultimately, the NA-MIC Kit will provide a workflow for individual and group analysis of lesions. It will be implemented as a set of Slicer3 modules that can be used interactively within the Slicer3 application as well as in batch on a computing cluster using [http://batchmake.org/ BatchMake].&lt;br /&gt;
&lt;br /&gt;
The current status of the main modules to be used are:&lt;br /&gt;
&lt;br /&gt;
=== Registration ===&lt;br /&gt;
:* ITK has mutual information registration&lt;br /&gt;
:* T1/T2/Flair co-registration implemented into EM-segment module&lt;br /&gt;
&lt;br /&gt;
=== Lesion segmentation ===&lt;br /&gt;
Five algorithms (all within NA-MIC kit) for fully or semi-automated lesion analysis will be evaluated. These include:&lt;br /&gt;
:* [http://www.slicer.org/slicerWiki/index.php/Slicer3:EM#Old_.282007.29_Tutorial Slicer3 EM-segment Module] (Sandy Wells)&lt;br /&gt;
:* ITK stand-alone [http://www.ia.unc.edu/dev/download/itkems/index.htm itkEMS] Compare Lesion Analysis Tools (Prastawa/Gerig) &lt;br /&gt;
:* ITK stand-alone white matter lesion segmentation (Magnotta)&lt;br /&gt;
:* ITK K Nearest Neighbor classification based on the work of [http://www.midasjournal.org/browse/publication/281 Anabeek, et al]&lt;br /&gt;
:* ITK stand-alone segmentation combining elements of Boosting, Artificial Immune Systems, and Bayesian Classification. (Scully)&lt;br /&gt;
Manual tracing will serve as a bronze-standard:&lt;br /&gt;
:* Slicer3 Manual tracing by clinically trained rater (Gasparovic/Bockholt)&lt;br /&gt;
&lt;br /&gt;
=== Lesion Localization ===&lt;br /&gt;
:* Slicer3 has tools for labeling white matter lesions and summarizing their anatomical location&lt;br /&gt;
&lt;br /&gt;
=== Lesion Load Measurement ===&lt;br /&gt;
:* Slicer3 has tools for measurement of labelled lesions&lt;br /&gt;
&lt;br /&gt;
=== Performance characterization and validation ===&lt;br /&gt;
:* Data will be collected at both 1.5 and 3T. Data at 1.5T will be obtained with the protocol utilized for the current project on lupus at UNM.&lt;br /&gt;
:* Data at 3T will be obtained with sequences optimized for segmentation by the group at Utah.&lt;br /&gt;
:* Comparisons will be based on the approach developed by Martin-Fernandez et al.&lt;br /&gt;
:* The algorithm with the best performance will be incorporated into the NA-MIC kit.&lt;br /&gt;
 &lt;br /&gt;
=== Tutorial ===&lt;br /&gt;
:* 10 Externally sharable T1,T2,Flair,Lesion Map data-sets (NIFTI format) will be made available to the scientific community&lt;br /&gt;
:** 5 subjects with lupus and 5 healthy normal volunteers&lt;br /&gt;
:* A tutorial will be created that will guide end-users through each step needed to complete a lesion analysis in the NA-MIC kit&lt;br /&gt;
:** A step-by-step guide will be produced for one example lupus cases within the tutorial and one example healthy normal volunteer&lt;br /&gt;
:** Measurements for all 10 subjects will also be provided so that users may compare their results with those of the tutorial&lt;br /&gt;
&lt;br /&gt;
=== Schedule ===&lt;br /&gt;
* Sequence Optimization and Data Collection&lt;br /&gt;
:* '''10/15/2007''' T1, T2, FLAIR optimized sequences for Siemens 3T Trio Tim scanner ('''Jeremy, Bruce, Chuck''')&lt;br /&gt;
:** We will work with Bruce Fischl on using MEMPR, Mugler, and FLAIR sequences that have been optimized for maximum constrast and minimal geometric distortion across sequences&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''3/31/2008''' collection of 5 lupus subjects on clinical sequence and optimized 3T sequence ('''Chuck''')&lt;br /&gt;
:** collected 2 patients and 3 controls so far&lt;br /&gt;
:*** as of 3/10/2008 there are 3-4 additional patients scheduled, since january 1, we have had 4 patients not able to complete the protocol so far&lt;br /&gt;
&lt;br /&gt;
* Co-Registration and Atlas Registration&lt;br /&gt;
:* '''1/31/2008''' optimized mutual information registration for clinical sequences and optimized 3T sequences ('''Jeremy''')&lt;br /&gt;
:** we have tried the registration tools built-in to Slicer 3 EM-segment module so far&lt;br /&gt;
:** DONE Brad has implemented this successfully into the EM-segment module&lt;br /&gt;
&lt;br /&gt;
* Lesion segmentation&lt;br /&gt;
:* '''3/17/2008''' complete lesion segmentation methods for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Kilian/Brad, Marcel''')&lt;br /&gt;
:** Slicer3 EM-segment Module&lt;br /&gt;
:*** (Resolved) Currently has a bug that does not permit 3 channel segmentation [http://na-mic.org/Mantis/view.php?id=205 Mantis ID#0000205]&lt;br /&gt;
:**** (Resolved) Only using 2 channels such as T1/T2 or T1/FLAIR does not produce sensible/usable results&lt;br /&gt;
:*** (Resolved) Does not properly allow user to edit or change weighting of channels, this is crucial for hierarchical lesion classification. [http://na-mic.org/Mantis/view.php?id=204 Mantis ID#0000204]&lt;br /&gt;
:*** EMSegment has been run against collected lupus cases.  Segmentations have improved but are still unusable as of 08/14/2008.&lt;br /&gt;
:**** Currently working with Killian on optimizing parameters in EMSegment to improve the lesion segmentation.&lt;br /&gt;
:**** Testing parameters and resulting segmentation on collected lupus cases. &lt;br /&gt;
:** ITK itkEMS stand-alone package&lt;br /&gt;
:*** Marcel and Mark are in active collaboration with getting this method to work on-site, we have encountered compilation and memory problems with the package on mac and linux environments so far&lt;br /&gt;
:*** 3/17/2008 update, marcel built a 64-bit linux version that appears to run successfully, current results are are shown [[DBP2:MIND:itkEMSResults|here]]&lt;br /&gt;
:** ITK lesion classification stand-alone package&lt;br /&gt;
:*** Vince Magnotta has develop an ITK-based 2 stage lesion segmentation method&lt;br /&gt;
:**** stage one uses k-means tissue classification into grey, white, or csf of co-registered T1/T2&lt;br /&gt;
:**** stage two use bayesian classifier into normal tissue or lesion using results of stage one and co-reigstered Flair&lt;br /&gt;
:***** current results of this method as of 3/17/2008 are shown [[DBP2:MIND:itkBayesianLesion|here]]&lt;br /&gt;
:***** This method has been run against all cases as of 05/01/08.  Currently working with Vince Magnotta to improve the performance.&lt;br /&gt;
:***** As of 08/14/2008, currently running a modified version of Vince's classifier that has been improved by replacing intensity thresholding with joint histogram feature vector occurrence thresholding.&lt;br /&gt;
:** ITK K Nearest Neighbor Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a K-NN lesion classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** The resulting label map contains the percent likelihood that a given voxel is a lesion.  This allows the clinician to adjust the thresholding to match their preference.&lt;br /&gt;
:*** On hold as of 1/12/2008 due to incomplete ITK algorithmic support&lt;br /&gt;
:** ITK Custom Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a combined approach classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** This approach takes advantage of multiple approaches and advancements in the literature, including feature generation, Gentle Boosting based feature reduction, Artificial Immune System based filtering, and Bayesian classification.&lt;br /&gt;
:*** As of 1/01/2009 this method is functional and built into the lesion segmentation slicer3 applications. &lt;br /&gt;
:***[[File:Scully_Figure1.png|Flowchart of lesion segmentation method]]&lt;br /&gt;
:***[[File:Scully_Figure4.png|ROC curve]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
:** Slicer3 Manual Tracing&lt;br /&gt;
:*** Gasparovic has manually traced all tutorial cases with lesions using T2/Flair images following tracing guidelines and a qualitative neuroradiological review report&lt;br /&gt;
:**** 4/1/2008 create manual tracing guidelines documentation and share here&lt;br /&gt;
* Lesion Localization&lt;br /&gt;
:* '''4/15/2008''' complete lesion localizations and maps for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Lesion Measurement&lt;br /&gt;
:* '''4/20/2008''' complete lesion measurements and regional lesion load summaries for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Performance characterization and validation&lt;br /&gt;
:* '''1/6/2008''' [[Media:DBP2_MIND_Lupus_200801_update.ppt | report]] to 2008 NA-MIC AHM on progress for performance and validation of lesion segmentation methods for EM-segment, BRAINS2, manual, UNC packages ('''Jeremy''')&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''5/15/2008''' submit abstract on reliability and summary of novel NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Brad, Kilian, others''')&lt;br /&gt;
:** plan is to submit SFN abstract and manuscript closely after&lt;br /&gt;
:* '''5/20/2008''' analyze NIH study clinical sample using NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully''')&lt;br /&gt;
:* '''7/1/2008''' submit manuscript on clinical application of NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Carlos Roldan, Bill Sibbitt''')&lt;br /&gt;
:* '''8/14/2008''' submit manuscript on the lesion segmentation methods as applied to MS lesions for MICCAI 2008. ('''Mark, Jeremy, Chuck, Vince Magnotta''')&lt;br /&gt;
:* '''1/11/2009''' submit abstract on the new lesion segmentation methods as applied to Lupus lesions for HBM 2009.&lt;br /&gt;
:* '''3/08/2009''' submit manuscript on the new lesion segmentation methods as applied to Lupus lesions for MICCAI 2009.&lt;br /&gt;
&lt;br /&gt;
* Incorporation of approach into NA-MIC kit&lt;br /&gt;
:* '''1/6/2008''' Slicer3 Lesion Analysis Module that handles co-registration of T1, T2, and Flair ('''Mark Scully, Steve''')&lt;br /&gt;
:** DONE Brad completed this &lt;br /&gt;
:* ''5/1/2008''' extend Slicer3 Lesion Analysis Module to handle lesion localization and measurement ('''Mark Scully, Steve''')&lt;br /&gt;
:** ''08/01/2008'' currently locates all independent lesion clusters and identifies the anatomical regions, provided by a registered atlas, that the lesions overlap.&lt;br /&gt;
:* '''6/1/2008''' extend Slicer3 Lesion Analysis Module to implement the ITK-based lesion analysis algorithm/method (EM-segment, ITK itkEMS, ITK lesion segmentation) with the best performance ('''Mark Scully, Steve''')&lt;br /&gt;
:** a demonstration will be given at the 2008 NA-MIC AHM--we would consider this version a prototype and would be testing, refining the module through the clinical application phase ('''Jeremy, Mark Scully''')&lt;br /&gt;
:* '''6/15/2008''' functioning prototype version of lesion analysis Slicer3 Module complete ('''Mark Scully, Steve''')&lt;br /&gt;
:* '''8/14/2008''' in the process of creating a module that &amp;quot;chains&amp;quot; together all of the steps in the lesion segmentation analysis pipeline.&lt;br /&gt;
:* '''1/03/2009''' Newly developed lesion segmentation method with significantly increased performance incorporated into Slicer3 module.&lt;br /&gt;
* Tutorial and Data-sharing&lt;br /&gt;
:* '''6/20/2008''' present tutorial to 2008 NA-MIC programming week ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** A logical project for programming week for Jeremy and Sonja to finish public version of tutorial&lt;br /&gt;
:* '''7/1/2008''' make data sets and tutorial available to the scientific community ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** If we submit SFN abstract, we can advertise the availability during SFN Conference in November 2008&lt;br /&gt;
:*** We could think about advertising the roadmaps at the BIRN booth at SFN this year?&lt;br /&gt;
:* '''10/15/2008''' In the process of making the tutorial data available using XNAT.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Compare view of baseline and followup with color-coded lesion differences:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:CompareViewFlairLesionDiffWholeBrain.png&lt;br /&gt;
&lt;br /&gt;
Diffusion tracts intersecting a lesion volume:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:LesionTractsNear.png&lt;br /&gt;
&lt;br /&gt;
Axial slice with % predicted chance, thresholded predicted % chance, and manual tracing:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:Scully_Figure3.jpg&lt;br /&gt;
&lt;br /&gt;
=== Team and Institute ===&lt;br /&gt;
* Co-PI: [http://www.mrn.org/principal-investigators/h-jeremy-bockholt H Jeremy Bockholt]  (jbockholt at mrn.org)&lt;br /&gt;
* Co-PI: Charles Gasparovic (chuck at unm.edu)&lt;br /&gt;
* Software Engineer: Mark Scully (mscully at mrn.org)&lt;br /&gt;
* NA-MIC Engineering Contact: Steve Pieper, Isomics&lt;br /&gt;
* NA-MIC Algorithms Contact: Ross Whitaker, Utah&lt;br /&gt;
* Host Institues: The [http://www.mrn.org Mind Research Network] and [http://www.unm.edu The University of New Mexico]&lt;br /&gt;
&lt;br /&gt;
[[Category:Slicer]] [[Category:Segmentation]] [[Category:Registration]]&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=People&amp;diff=51300</id>
		<title>People</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=People&amp;diff=51300"/>
		<updated>2010-04-10T19:52:55Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Personnel at least partially funded by NA-MIC */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;== Personnel at least partially funded by NA-MIC ==&lt;br /&gt;
&lt;br /&gt;
#Leadership Core&lt;br /&gt;
## [[User:Kikinis|Ron Kikinis]], Harvard (BWH SPL) PI&lt;br /&gt;
## [[User:Naucoin|Nicole Aucoin]], Harvard (BWH SPL)&lt;br /&gt;
## Wendy Plesniak, Harvard (BWH SPL)&lt;br /&gt;
## [[User:Marianna|Marianna Jakab]], Harvard (BWH SPL)&lt;br /&gt;
## [[User:Mastrogiacom|Katie Mastrogiacomo]], Harvard (BWH SPL) &lt;br /&gt;
# Algorithms Core&lt;br /&gt;
## [http://www.cs.utah.edu/~whitaker/ Ross Whitaker], Utah PI&lt;br /&gt;
## [http://www.sci.utah.edu/~gerig/ Guido Gerig], Utah&lt;br /&gt;
## [[Eric_Grimson|Eric Grimson]], MIT (CSAIL)&lt;br /&gt;
## [[Polina_Golland|Polina Golland]], MIT (CSAIL) PI&lt;br /&gt;
## [[User:Styner|Martin Styner]], UNC PI&lt;br /&gt;
## [http://www.ece.gatech.edu/faculty/fac_profiles/bio.php?empno=502435 Allen Tannenbaum], Georgia Tech, PI&lt;br /&gt;
## [http://www.nmr.mgh.harvard.edu/martinos/people/showPerson.php?people_id=56 Bruce Fischl], Ph.D, Harvard (MGH)&lt;br /&gt;
## [[User:Gcasey|Casey Goodlett]], Utah &lt;br /&gt;
## Preston T. Fletcher, Utah&lt;br /&gt;
## Ran Tao, Utah &lt;br /&gt;
## [[User:FernD|Fern DeOliveira]], MIT CSAIL&lt;br /&gt;
## Ipek Oguz, UNC&lt;br /&gt;
## Vandana Mohan, Georgia Tech&lt;br /&gt;
# Engineering Core&lt;br /&gt;
## [[User:Will| Will Schroeder]], Kitware PI&lt;br /&gt;
## [[User:Ibanez|Luis Ibanez]], Kitware&lt;br /&gt;
## [http://www.kitware.com/profile/team/hoffman.html/ William Hoffman], Kitware&lt;br /&gt;
## [[User:Barre|Sebastien Barre]], Kitware&lt;br /&gt;
## [[User:Millerjv|Jim Miller]], GE PI&lt;br /&gt;
## [[User:Taox|Xiaodong Tao]], GE&lt;br /&gt;
## James Ross, GE&lt;br /&gt;
## [[User:Pieper|Steve Pieper]], Isomics PI&lt;br /&gt;
## Alex Yarmakovich, Isomics&lt;br /&gt;
## [http://nrg.wustl.edu Daniel Marcus], WUSTL&lt;br /&gt;
##Mikhail Milchenko, WUSTL&lt;br /&gt;
##Kevin Archie, WUSTL&lt;br /&gt;
## Arthur W. Toga, UCLA PI&lt;br /&gt;
## Nathan Hageman, UCLA&lt;br /&gt;
##Celia Cheung, UCLA&lt;br /&gt;
## Mark Ellisman, UCSD PI&lt;br /&gt;
## Jeff Grethe, UCSD&lt;br /&gt;
## Marco Ruiz, UCSD&lt;br /&gt;
# Driving Biological Problems (DBP)&lt;br /&gt;
## [http://www.cisst.org/~gabor/ Gabor Fichtinger], Queen's University, PI&lt;br /&gt;
## [http://www.mrn.org/principal-investigators/h-jeremy-bockholt Jeremy Bockholt], The Mind Institute, PI&lt;br /&gt;
## [http://www.med.unc.edu/psych/directories/hazlett.htm/ Heather Cody Hazlett], UNC PI&lt;br /&gt;
## [http://lmi.bwh.harvard.edu/~kubicki/ Marek Kubicki], Harvard (BWH) Site PI&lt;br /&gt;
##[http://media.cs.queensu.ca/purang/ Purang Abolmaesumi], Queen's University&lt;br /&gt;
## [http://imaging.robarts.ca/~dgobbi/ David Gobbi], Queen's University&lt;br /&gt;
##Vikal, Queen's University&lt;br /&gt;
## Mark Scully, The Mind Institute &lt;br /&gt;
## Clement Vachet, UNC&lt;br /&gt;
## Rachel Gimpel Smith, UNC&lt;br /&gt;
## Gary Long, UNC&lt;br /&gt;
##Jorge Alvarado, Harvard (BWH)&lt;br /&gt;
##Padmapriya Srinivazan, Harvard (BWH)&lt;br /&gt;
##Jennifer Goodrich, Harvard (BWH)&lt;br /&gt;
# Service Core&lt;br /&gt;
## [[User:Will|Will Schroeder]], Kitware PI&lt;br /&gt;
## Zack Galbreath, Kitware&lt;br /&gt;
# Training Core&lt;br /&gt;
## [[User:Randy|Randy Gollub]], Harvard (MGH) PI&lt;br /&gt;
## [[User:SPujol|Sonia Pujol]], Harvard (BWH SPL)&lt;br /&gt;
# Dissemination Core&lt;br /&gt;
## [[User:Tkapur|Tina Kapur]], Harvard (BWH SPL) co-PI&lt;br /&gt;
## [[User:Pieper|Steve Pieper]], Isomics co-PI&lt;br /&gt;
# Management Core&lt;br /&gt;
## Rachana Manandhar, Harvard (BWH SPL)&lt;br /&gt;
## [[User:Sanjay|Sanjay Manandhar]], Harvard (BWH SPL)&lt;br /&gt;
&lt;br /&gt;
== NA-MIC Collaborators ==&lt;br /&gt;
These NA-MIC collaborators are funded under the &amp;quot;Collaboration with NCBC&amp;quot; PAR.&lt;br /&gt;
#Nicole Grosland, UIowa&lt;br /&gt;
#Vincent Magnotta, UIowa&lt;br /&gt;
#Steve Pieper, Isomics&lt;br /&gt;
#James Daunais, Wake Forest&lt;br /&gt;
#Robert Kraft, Wake Forest&lt;br /&gt;
#Chris Wyatt, Virginia Tech&lt;br /&gt;
#Kilian Pohl, Harvard (BWH SPL)&lt;br /&gt;
#Sandy Wells, Harvard (BWH SPL)&lt;br /&gt;
#Kevin Cleary, Georgetown&lt;br /&gt;
#Enrique Campos-Nanez, George Washington U.&lt;br /&gt;
#Patrick (Peng) Cheng, Georgetown&lt;br /&gt;
#Ziv Yaniv, Georgetown&lt;br /&gt;
#Nobuhiko Hata, Harvard (BWH)&lt;br /&gt;
&lt;br /&gt;
==NA-MIC EAB==&lt;br /&gt;
&lt;br /&gt;
Our External Advisory Board members are listed [[EAB|here]].&lt;br /&gt;
&lt;br /&gt;
== NA-MIC alumni ==&lt;br /&gt;
* [http://marchingcubes.org Bill Lorensen]&lt;br /&gt;
* [[User:Lzollei|Lilla Zollei]], MIT (CSAIL)&lt;br /&gt;
*  Lauren O'Donnell, MIT (CSAIL)&lt;br /&gt;
* [http://people.csail.mit.edu/wanmei/ Wanmei Ou], MIT (CSAIL)&lt;br /&gt;
* [[Mahnaz_Maddah|Mahnaz Maddah]], MIT (CSAIL)&lt;br /&gt;
*  Ramsey Al-Hakim, Georgia Tech&lt;br /&gt;
*  [[User:Melonakos|John Melonakos]], Georgia Tech&lt;br /&gt;
*  [[User:Lankton|Shawn Lankton]], Georgia Tech&lt;br /&gt;
*  [[User:Nain|Delphine Nain]], Georgia Tech&lt;br /&gt;
*   Xavier Le Faucheur, Georgia Tech&lt;br /&gt;
*  [[User:Mohan|Vandana Mohan]], Georgia Tech&lt;br /&gt;
*  Tom Fletcher, Utah&lt;br /&gt;
*  [http://www.sci.utah.edu/cgi-bin/SCIpersonnel.pl?username=tolga Tolga Tasdizen], Utah&lt;br /&gt;
*  [http://www.cs.utah.edu/~sbasu/ Saurav Basu], Utah&lt;br /&gt;
* Josh Snyder, Harvard (MGH)&lt;br /&gt;
* [[User:DavidTuch|David Tuch]], Harvard (MGH)&lt;br /&gt;
* [[User:Karthik|Karthik Krishnan]],Kitware&lt;br /&gt;
* [http://www.kitware.com/profile/team/cedilnik.html/ Andy Cedilnik], Kitware&lt;br /&gt;
* [[User:Mathieu|Mathieu Malaterre]], Kitware&lt;br /&gt;
* [http://www.stat.ucla.edu/~dinov/ Ivo Dinov], UCLA&lt;br /&gt;
* [[User:MichaelPan|Michael Pan]], UCLA&lt;br /&gt;
* Brendan Flaherty, UCSD&lt;br /&gt;
* [[User:Adamc|Adam Cohen]], Harvard (BWH PNL)&lt;br /&gt;
* [[User:Markd|Mark Dreusicke]], Harvard (BWH PNL)&lt;br /&gt;
* Martha Shenton, Harvard (BWH PNL) PI&lt;br /&gt;
* [http://lmi.bwh.harvard.edu/~sylvain/ Sylvain Bouix], Harvard (BWH PNL)&lt;br /&gt;
* [http://lmi.bwh.harvard.edu/~marc/ Marc Niethammer], Harvard (BWH PNL)&lt;br /&gt;
* [http://synapse.hitchcock.org/bios/saykin.shtml Andy Saykin], Dartmouth PI&lt;br /&gt;
* Bob Roth, Dartmouth&lt;br /&gt;
* [http://synapse.hitchcock.org/bios/flashman.shtml Laura Flashman], Dartmouth&lt;br /&gt;
* [http://www.dhmc.org/providers/dhmc_provider_634.html Thomas McAllister], Dartmouth&lt;br /&gt;
* Alan Green, Dartmouth&lt;br /&gt;
* John West, Dartmouth&lt;br /&gt;
* [http://synapse.hitchcock.org/bios/mchugh.shtml/ Tara McHugh], Dartmouth&lt;br /&gt;
* [http://synapse.hitchcock.org/bios/pixley.shtml Heather Pixley], Dartmouth&lt;br /&gt;
* Stephen Guerin, Dartmouth&lt;br /&gt;
* John MacDonald, Dartmouth&lt;br /&gt;
* [http://www.bic.uci.edu/faculty/sgpotkin.htm/ Steve Potkin], UCI PI&lt;br /&gt;
* [[User:Jfallon|James Fallon]], UCI&lt;br /&gt;
* Jessica Turner, UCI&lt;br /&gt;
* Martina Panzenboeck, UCI&lt;br /&gt;
* David Medina, UCI&lt;br /&gt;
* [http://www.ics.uci.edu/~smyth/ Padhraic Smyth], UCI&lt;br /&gt;
* [http://www.ics.uci.edu/~sternh/ Hal Stern], UCI&lt;br /&gt;
* Diane Highum, UCI&lt;br /&gt;
* [http://www.ess.uci.edu/~yu/ Yi Jin], UCI&lt;br /&gt;
* Liv Trondsen, UCI&lt;br /&gt;
* Fabio Macciardi, Toronto&lt;br /&gt;
* [http://www.utpsychiatry.ca/dirsearch.asp?id=130 Jim Kennedy], Toronto&lt;br /&gt;
* Aristotle Voineskos, Toronto&lt;br /&gt;
* [http://kotaro.naist.jp/~meg/eindex.html Megumi Nakao], NAIST&lt;br /&gt;
&lt;br /&gt;
== &amp;quot;Friends and Family&amp;quot; ==&lt;br /&gt;
&lt;br /&gt;
=== NIH ===&lt;br /&gt;
&lt;br /&gt;
* [[User:Lysterp|Peter M. Lyster]]&lt;br /&gt;
&lt;br /&gt;
=== mBIRN ===&lt;br /&gt;
&lt;br /&gt;
* [[User:Akolasny|Anthony Kolasny]]&lt;br /&gt;
* [[User:Dmarcus|Dan Marcus]]&lt;br /&gt;
* [[User:Kikinis|Ron Kikinis]]&lt;br /&gt;
&lt;br /&gt;
=== fBIRN ===&lt;br /&gt;
&lt;br /&gt;
* [[User:Kikinis|Ron Kikinis]]&lt;br /&gt;
&lt;br /&gt;
=== IGT ===&lt;br /&gt;
&lt;br /&gt;
* [[User:Ibanez|Luis Ibanez]]&lt;br /&gt;
* [[User:Noby| Nobuhiko Hata]]&lt;br /&gt;
&lt;br /&gt;
=== Other ===&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=People&amp;diff=51299</id>
		<title>People</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=People&amp;diff=51299"/>
		<updated>2010-04-10T19:51:57Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Personnel at least partially funded by NA-MIC */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;== Personnel at least partially funded by NA-MIC ==&lt;br /&gt;
&lt;br /&gt;
#Leadership Core&lt;br /&gt;
## [[User:Kikinis|Ron Kikinis]], Harvard (BWH SPL) PI&lt;br /&gt;
## [[User:Naucoin|Nicole Aucoin]], Harvard (BWH SPL)&lt;br /&gt;
## Wendy Plesniak, Harvard (BWH SPL)&lt;br /&gt;
## [[User:Marianna|Marianna Jakab]], Harvard (BWH SPL)&lt;br /&gt;
## [[User:Mastrogiacom|Katie Mastrogiacomo]], Harvard (BWH SPL) &lt;br /&gt;
# Algorithms Core&lt;br /&gt;
## [http://www.cs.utah.edu/~whitaker/ Ross Whitaker], Utah PI&lt;br /&gt;
## [http://www.sci.utah.edu/~gerig/ Guido Gerig], Utah&lt;br /&gt;
## [[Eric_Grimson|Eric Grimson]], MIT (CSAIL)&lt;br /&gt;
## [[Polina_Golland|Polina Golland]], MIT (CSAIL) PI&lt;br /&gt;
## [[User:Styner|Martin Styner]], UNC PI&lt;br /&gt;
## [http://www.ece.gatech.edu/faculty/fac_profiles/bio.php?empno=502435 Allen Tannenbaum], Georgia Tech, PI&lt;br /&gt;
## [http://www.nmr.mgh.harvard.edu/martinos/people/showPerson.php?people_id=56 Bruce Fischl], Ph.D, Harvard (MGH)&lt;br /&gt;
## [[User:Gcasey|Casey Goodlett]], Utah &lt;br /&gt;
## Preston T. Fletcher, Utah&lt;br /&gt;
## Ran Tao, Utah &lt;br /&gt;
## [[User:FernD|Fern DeOliveira]], MIT CSAIL&lt;br /&gt;
## Ipek Oguz, UNC&lt;br /&gt;
## Vandana Mohan, Georgia Tech&lt;br /&gt;
# Engineering Core&lt;br /&gt;
## [[User:Will| Will Schroeder]], Kitware PI&lt;br /&gt;
## [[User:Ibanez|Luis Ibanez]], Kitware&lt;br /&gt;
## [http://www.kitware.com/profile/team/hoffman.html/ William Hoffman], Kitware&lt;br /&gt;
## [[User:Barre|Sebastien Barre]], Kitware&lt;br /&gt;
## [[User:Millerjv|Jim Miller]], GE PI&lt;br /&gt;
## [[User:Taox|Xiaodong Tao]], GE&lt;br /&gt;
## James Ross, GE&lt;br /&gt;
## [[User:Pieper|Steve Pieper]], Isomics PI&lt;br /&gt;
## Alex Yarmakovich, Isomics&lt;br /&gt;
## [http://nrg.wustl.edu Daniel Marcus], WUSTL&lt;br /&gt;
##Mikhail Milchenko, WUSTL&lt;br /&gt;
##Kevin Archie, WUSTL&lt;br /&gt;
## Arthur W. Toga, UCLA PI&lt;br /&gt;
## Nathan Hageman, UCLA&lt;br /&gt;
##Celia Cheung, UCLA&lt;br /&gt;
## Mark Ellisman, UCSD PI&lt;br /&gt;
## Jeff Grethe, UCSD&lt;br /&gt;
## Marco Ruiz, UCSD&lt;br /&gt;
# Driving Biological Problems (DBP)&lt;br /&gt;
## [http://www.cisst.org/~gabor/ Gabor Fichtinger], Queen's University, PI&lt;br /&gt;
## [http://www.mrn.org/principal-investigators/h-jeremy-bockholt Jeremy Bockholt, The Mind Institute, PI]&lt;br /&gt;
## [http://www.med.unc.edu/psych/directories/hazlett.htm/ Heather Cody Hazlett], UNC PI&lt;br /&gt;
## [http://lmi.bwh.harvard.edu/~kubicki/ Marek Kubicki], Harvard (BWH) Site PI&lt;br /&gt;
##[http://media.cs.queensu.ca/purang/ Purang Abolmaesumi], Queen's University&lt;br /&gt;
## [http://imaging.robarts.ca/~dgobbi/ David Gobbi], Queen's University&lt;br /&gt;
##Vikal, Queen's University&lt;br /&gt;
## Mark Scully, The Mind Institute &lt;br /&gt;
## Clement Vachet, UNC&lt;br /&gt;
## Rachel Gimpel Smith, UNC&lt;br /&gt;
## Gary Long, UNC&lt;br /&gt;
##Jorge Alvarado, Harvard (BWH)&lt;br /&gt;
##Padmapriya Srinivazan, Harvard (BWH)&lt;br /&gt;
##Jennifer Goodrich, Harvard (BWH)&lt;br /&gt;
# Service Core&lt;br /&gt;
## [[User:Will|Will Schroeder]], Kitware PI&lt;br /&gt;
## Zack Galbreath, Kitware&lt;br /&gt;
# Training Core&lt;br /&gt;
## [[User:Randy|Randy Gollub]], Harvard (MGH) PI&lt;br /&gt;
## [[User:SPujol|Sonia Pujol]], Harvard (BWH SPL)&lt;br /&gt;
# Dissemination Core&lt;br /&gt;
## [[User:Tkapur|Tina Kapur]], Harvard (BWH SPL) co-PI&lt;br /&gt;
## [[User:Pieper|Steve Pieper]], Isomics co-PI&lt;br /&gt;
# Management Core&lt;br /&gt;
## Rachana Manandhar, Harvard (BWH SPL)&lt;br /&gt;
## [[User:Sanjay|Sanjay Manandhar]], Harvard (BWH SPL)&lt;br /&gt;
&lt;br /&gt;
== NA-MIC Collaborators ==&lt;br /&gt;
These NA-MIC collaborators are funded under the &amp;quot;Collaboration with NCBC&amp;quot; PAR.&lt;br /&gt;
#Nicole Grosland, UIowa&lt;br /&gt;
#Vincent Magnotta, UIowa&lt;br /&gt;
#Steve Pieper, Isomics&lt;br /&gt;
#James Daunais, Wake Forest&lt;br /&gt;
#Robert Kraft, Wake Forest&lt;br /&gt;
#Chris Wyatt, Virginia Tech&lt;br /&gt;
#Kilian Pohl, Harvard (BWH SPL)&lt;br /&gt;
#Sandy Wells, Harvard (BWH SPL)&lt;br /&gt;
#Kevin Cleary, Georgetown&lt;br /&gt;
#Enrique Campos-Nanez, George Washington U.&lt;br /&gt;
#Patrick (Peng) Cheng, Georgetown&lt;br /&gt;
#Ziv Yaniv, Georgetown&lt;br /&gt;
#Nobuhiko Hata, Harvard (BWH)&lt;br /&gt;
&lt;br /&gt;
==NA-MIC EAB==&lt;br /&gt;
&lt;br /&gt;
Our External Advisory Board members are listed [[EAB|here]].&lt;br /&gt;
&lt;br /&gt;
== NA-MIC alumni ==&lt;br /&gt;
* [http://marchingcubes.org Bill Lorensen]&lt;br /&gt;
* [[User:Lzollei|Lilla Zollei]], MIT (CSAIL)&lt;br /&gt;
*  Lauren O'Donnell, MIT (CSAIL)&lt;br /&gt;
* [http://people.csail.mit.edu/wanmei/ Wanmei Ou], MIT (CSAIL)&lt;br /&gt;
* [[Mahnaz_Maddah|Mahnaz Maddah]], MIT (CSAIL)&lt;br /&gt;
*  Ramsey Al-Hakim, Georgia Tech&lt;br /&gt;
*  [[User:Melonakos|John Melonakos]], Georgia Tech&lt;br /&gt;
*  [[User:Lankton|Shawn Lankton]], Georgia Tech&lt;br /&gt;
*  [[User:Nain|Delphine Nain]], Georgia Tech&lt;br /&gt;
*   Xavier Le Faucheur, Georgia Tech&lt;br /&gt;
*  [[User:Mohan|Vandana Mohan]], Georgia Tech&lt;br /&gt;
*  Tom Fletcher, Utah&lt;br /&gt;
*  [http://www.sci.utah.edu/cgi-bin/SCIpersonnel.pl?username=tolga Tolga Tasdizen], Utah&lt;br /&gt;
*  [http://www.cs.utah.edu/~sbasu/ Saurav Basu], Utah&lt;br /&gt;
* Josh Snyder, Harvard (MGH)&lt;br /&gt;
* [[User:DavidTuch|David Tuch]], Harvard (MGH)&lt;br /&gt;
* [[User:Karthik|Karthik Krishnan]],Kitware&lt;br /&gt;
* [http://www.kitware.com/profile/team/cedilnik.html/ Andy Cedilnik], Kitware&lt;br /&gt;
* [[User:Mathieu|Mathieu Malaterre]], Kitware&lt;br /&gt;
* [http://www.stat.ucla.edu/~dinov/ Ivo Dinov], UCLA&lt;br /&gt;
* [[User:MichaelPan|Michael Pan]], UCLA&lt;br /&gt;
* Brendan Flaherty, UCSD&lt;br /&gt;
* [[User:Adamc|Adam Cohen]], Harvard (BWH PNL)&lt;br /&gt;
* [[User:Markd|Mark Dreusicke]], Harvard (BWH PNL)&lt;br /&gt;
* Martha Shenton, Harvard (BWH PNL) PI&lt;br /&gt;
* [http://lmi.bwh.harvard.edu/~sylvain/ Sylvain Bouix], Harvard (BWH PNL)&lt;br /&gt;
* [http://lmi.bwh.harvard.edu/~marc/ Marc Niethammer], Harvard (BWH PNL)&lt;br /&gt;
* [http://synapse.hitchcock.org/bios/saykin.shtml Andy Saykin], Dartmouth PI&lt;br /&gt;
* Bob Roth, Dartmouth&lt;br /&gt;
* [http://synapse.hitchcock.org/bios/flashman.shtml Laura Flashman], Dartmouth&lt;br /&gt;
* [http://www.dhmc.org/providers/dhmc_provider_634.html Thomas McAllister], Dartmouth&lt;br /&gt;
* Alan Green, Dartmouth&lt;br /&gt;
* John West, Dartmouth&lt;br /&gt;
* [http://synapse.hitchcock.org/bios/mchugh.shtml/ Tara McHugh], Dartmouth&lt;br /&gt;
* [http://synapse.hitchcock.org/bios/pixley.shtml Heather Pixley], Dartmouth&lt;br /&gt;
* Stephen Guerin, Dartmouth&lt;br /&gt;
* John MacDonald, Dartmouth&lt;br /&gt;
* [http://www.bic.uci.edu/faculty/sgpotkin.htm/ Steve Potkin], UCI PI&lt;br /&gt;
* [[User:Jfallon|James Fallon]], UCI&lt;br /&gt;
* Jessica Turner, UCI&lt;br /&gt;
* Martina Panzenboeck, UCI&lt;br /&gt;
* David Medina, UCI&lt;br /&gt;
* [http://www.ics.uci.edu/~smyth/ Padhraic Smyth], UCI&lt;br /&gt;
* [http://www.ics.uci.edu/~sternh/ Hal Stern], UCI&lt;br /&gt;
* Diane Highum, UCI&lt;br /&gt;
* [http://www.ess.uci.edu/~yu/ Yi Jin], UCI&lt;br /&gt;
* Liv Trondsen, UCI&lt;br /&gt;
* Fabio Macciardi, Toronto&lt;br /&gt;
* [http://www.utpsychiatry.ca/dirsearch.asp?id=130 Jim Kennedy], Toronto&lt;br /&gt;
* Aristotle Voineskos, Toronto&lt;br /&gt;
* [http://kotaro.naist.jp/~meg/eindex.html Megumi Nakao], NAIST&lt;br /&gt;
&lt;br /&gt;
== &amp;quot;Friends and Family&amp;quot; ==&lt;br /&gt;
&lt;br /&gt;
=== NIH ===&lt;br /&gt;
&lt;br /&gt;
* [[User:Lysterp|Peter M. Lyster]]&lt;br /&gt;
&lt;br /&gt;
=== mBIRN ===&lt;br /&gt;
&lt;br /&gt;
* [[User:Akolasny|Anthony Kolasny]]&lt;br /&gt;
* [[User:Dmarcus|Dan Marcus]]&lt;br /&gt;
* [[User:Kikinis|Ron Kikinis]]&lt;br /&gt;
&lt;br /&gt;
=== fBIRN ===&lt;br /&gt;
&lt;br /&gt;
* [[User:Kikinis|Ron Kikinis]]&lt;br /&gt;
&lt;br /&gt;
=== IGT ===&lt;br /&gt;
&lt;br /&gt;
* [[User:Ibanez|Luis Ibanez]]&lt;br /&gt;
* [[User:Noby| Nobuhiko Hata]]&lt;br /&gt;
&lt;br /&gt;
=== Other ===&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=People&amp;diff=51298</id>
		<title>People</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=People&amp;diff=51298"/>
		<updated>2010-04-10T19:51:06Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Personnel at least partially funded by NA-MIC */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;== Personnel at least partially funded by NA-MIC ==&lt;br /&gt;
&lt;br /&gt;
#Leadership Core&lt;br /&gt;
## [[User:Kikinis|Ron Kikinis]], Harvard (BWH SPL) PI&lt;br /&gt;
## [[User:Naucoin|Nicole Aucoin]], Harvard (BWH SPL)&lt;br /&gt;
## Wendy Plesniak, Harvard (BWH SPL)&lt;br /&gt;
## [[User:Marianna|Marianna Jakab]], Harvard (BWH SPL)&lt;br /&gt;
## [[User:Mastrogiacom|Katie Mastrogiacomo]], Harvard (BWH SPL) &lt;br /&gt;
# Algorithms Core&lt;br /&gt;
## [http://www.cs.utah.edu/~whitaker/ Ross Whitaker], Utah PI&lt;br /&gt;
## [http://www.sci.utah.edu/~gerig/ Guido Gerig], Utah&lt;br /&gt;
## [[Eric_Grimson|Eric Grimson]], MIT (CSAIL)&lt;br /&gt;
## [[Polina_Golland|Polina Golland]], MIT (CSAIL) PI&lt;br /&gt;
## [[User:Styner|Martin Styner]], UNC PI&lt;br /&gt;
## [http://www.ece.gatech.edu/faculty/fac_profiles/bio.php?empno=502435 Allen Tannenbaum], Georgia Tech, PI&lt;br /&gt;
## [http://www.nmr.mgh.harvard.edu/martinos/people/showPerson.php?people_id=56 Bruce Fischl], Ph.D, Harvard (MGH)&lt;br /&gt;
## [[User:Gcasey|Casey Goodlett]], Utah &lt;br /&gt;
## Preston T. Fletcher, Utah&lt;br /&gt;
## Ran Tao, Utah &lt;br /&gt;
## [[User:FernD|Fern DeOliveira]], MIT CSAIL&lt;br /&gt;
## Ipek Oguz, UNC&lt;br /&gt;
## Vandana Mohan, Georgia Tech&lt;br /&gt;
# Engineering Core&lt;br /&gt;
## [[User:Will| Will Schroeder]], Kitware PI&lt;br /&gt;
## [[User:Ibanez|Luis Ibanez]], Kitware&lt;br /&gt;
## [http://www.kitware.com/profile/team/hoffman.html/ William Hoffman], Kitware&lt;br /&gt;
## [[User:Barre|Sebastien Barre]], Kitware&lt;br /&gt;
## [[User:Millerjv|Jim Miller]], GE PI&lt;br /&gt;
## [[User:Taox|Xiaodong Tao]], GE&lt;br /&gt;
## James Ross, GE&lt;br /&gt;
## [[User:Pieper|Steve Pieper]], Isomics PI&lt;br /&gt;
## Alex Yarmakovich, Isomics&lt;br /&gt;
## [http://nrg.wustl.edu Daniel Marcus], WUSTL&lt;br /&gt;
##Mikhail Milchenko, WUSTL&lt;br /&gt;
##Kevin Archie, WUSTL&lt;br /&gt;
## Arthur W. Toga, UCLA PI&lt;br /&gt;
## Nathan Hageman, UCLA&lt;br /&gt;
##Celia Cheung, UCLA&lt;br /&gt;
## Mark Ellisman, UCSD PI&lt;br /&gt;
## Jeff Grethe, UCSD&lt;br /&gt;
## Marco Ruiz, UCSD&lt;br /&gt;
# Driving Biological Problems (DBP)&lt;br /&gt;
## [http://www.cisst.org/~gabor/ Gabor Fichtinger], Queen's University, PI&lt;br /&gt;
## [http://www.mrn.org/principal-investigators/h-jeremy-bockholt],Jeremy Bockholt, The Mind Institute, PI&lt;br /&gt;
## [http://www.med.unc.edu/psych/directories/hazlett.htm/ Heather Cody Hazlett], UNC PI&lt;br /&gt;
## [http://lmi.bwh.harvard.edu/~kubicki/ Marek Kubicki], Harvard (BWH) Site PI&lt;br /&gt;
##[http://media.cs.queensu.ca/purang/ Purang Abolmaesumi], Queen's University&lt;br /&gt;
## [http://imaging.robarts.ca/~dgobbi/ David Gobbi], Queen's University&lt;br /&gt;
##Vikal, Queen's University&lt;br /&gt;
## Mark Scully, The Mind Institute &lt;br /&gt;
## Clement Vachet, UNC&lt;br /&gt;
## Rachel Gimpel Smith, UNC&lt;br /&gt;
## Gary Long, UNC&lt;br /&gt;
##Jorge Alvarado, Harvard (BWH)&lt;br /&gt;
##Padmapriya Srinivazan, Harvard (BWH)&lt;br /&gt;
##Jennifer Goodrich, Harvard (BWH)&lt;br /&gt;
# Service Core&lt;br /&gt;
## [[User:Will|Will Schroeder]], Kitware PI&lt;br /&gt;
## Zack Galbreath, Kitware&lt;br /&gt;
# Training Core&lt;br /&gt;
## [[User:Randy|Randy Gollub]], Harvard (MGH) PI&lt;br /&gt;
## [[User:SPujol|Sonia Pujol]], Harvard (BWH SPL)&lt;br /&gt;
# Dissemination Core&lt;br /&gt;
## [[User:Tkapur|Tina Kapur]], Harvard (BWH SPL) co-PI&lt;br /&gt;
## [[User:Pieper|Steve Pieper]], Isomics co-PI&lt;br /&gt;
# Management Core&lt;br /&gt;
## Rachana Manandhar, Harvard (BWH SPL)&lt;br /&gt;
## [[User:Sanjay|Sanjay Manandhar]], Harvard (BWH SPL)&lt;br /&gt;
&lt;br /&gt;
== NA-MIC Collaborators ==&lt;br /&gt;
These NA-MIC collaborators are funded under the &amp;quot;Collaboration with NCBC&amp;quot; PAR.&lt;br /&gt;
#Nicole Grosland, UIowa&lt;br /&gt;
#Vincent Magnotta, UIowa&lt;br /&gt;
#Steve Pieper, Isomics&lt;br /&gt;
#James Daunais, Wake Forest&lt;br /&gt;
#Robert Kraft, Wake Forest&lt;br /&gt;
#Chris Wyatt, Virginia Tech&lt;br /&gt;
#Kilian Pohl, Harvard (BWH SPL)&lt;br /&gt;
#Sandy Wells, Harvard (BWH SPL)&lt;br /&gt;
#Kevin Cleary, Georgetown&lt;br /&gt;
#Enrique Campos-Nanez, George Washington U.&lt;br /&gt;
#Patrick (Peng) Cheng, Georgetown&lt;br /&gt;
#Ziv Yaniv, Georgetown&lt;br /&gt;
#Nobuhiko Hata, Harvard (BWH)&lt;br /&gt;
&lt;br /&gt;
==NA-MIC EAB==&lt;br /&gt;
&lt;br /&gt;
Our External Advisory Board members are listed [[EAB|here]].&lt;br /&gt;
&lt;br /&gt;
== NA-MIC alumni ==&lt;br /&gt;
* [http://marchingcubes.org Bill Lorensen]&lt;br /&gt;
* [[User:Lzollei|Lilla Zollei]], MIT (CSAIL)&lt;br /&gt;
*  Lauren O'Donnell, MIT (CSAIL)&lt;br /&gt;
* [http://people.csail.mit.edu/wanmei/ Wanmei Ou], MIT (CSAIL)&lt;br /&gt;
* [[Mahnaz_Maddah|Mahnaz Maddah]], MIT (CSAIL)&lt;br /&gt;
*  Ramsey Al-Hakim, Georgia Tech&lt;br /&gt;
*  [[User:Melonakos|John Melonakos]], Georgia Tech&lt;br /&gt;
*  [[User:Lankton|Shawn Lankton]], Georgia Tech&lt;br /&gt;
*  [[User:Nain|Delphine Nain]], Georgia Tech&lt;br /&gt;
*   Xavier Le Faucheur, Georgia Tech&lt;br /&gt;
*  [[User:Mohan|Vandana Mohan]], Georgia Tech&lt;br /&gt;
*  Tom Fletcher, Utah&lt;br /&gt;
*  [http://www.sci.utah.edu/cgi-bin/SCIpersonnel.pl?username=tolga Tolga Tasdizen], Utah&lt;br /&gt;
*  [http://www.cs.utah.edu/~sbasu/ Saurav Basu], Utah&lt;br /&gt;
* Josh Snyder, Harvard (MGH)&lt;br /&gt;
* [[User:DavidTuch|David Tuch]], Harvard (MGH)&lt;br /&gt;
* [[User:Karthik|Karthik Krishnan]],Kitware&lt;br /&gt;
* [http://www.kitware.com/profile/team/cedilnik.html/ Andy Cedilnik], Kitware&lt;br /&gt;
* [[User:Mathieu|Mathieu Malaterre]], Kitware&lt;br /&gt;
* [http://www.stat.ucla.edu/~dinov/ Ivo Dinov], UCLA&lt;br /&gt;
* [[User:MichaelPan|Michael Pan]], UCLA&lt;br /&gt;
* Brendan Flaherty, UCSD&lt;br /&gt;
* [[User:Adamc|Adam Cohen]], Harvard (BWH PNL)&lt;br /&gt;
* [[User:Markd|Mark Dreusicke]], Harvard (BWH PNL)&lt;br /&gt;
* Martha Shenton, Harvard (BWH PNL) PI&lt;br /&gt;
* [http://lmi.bwh.harvard.edu/~sylvain/ Sylvain Bouix], Harvard (BWH PNL)&lt;br /&gt;
* [http://lmi.bwh.harvard.edu/~marc/ Marc Niethammer], Harvard (BWH PNL)&lt;br /&gt;
* [http://synapse.hitchcock.org/bios/saykin.shtml Andy Saykin], Dartmouth PI&lt;br /&gt;
* Bob Roth, Dartmouth&lt;br /&gt;
* [http://synapse.hitchcock.org/bios/flashman.shtml Laura Flashman], Dartmouth&lt;br /&gt;
* [http://www.dhmc.org/providers/dhmc_provider_634.html Thomas McAllister], Dartmouth&lt;br /&gt;
* Alan Green, Dartmouth&lt;br /&gt;
* John West, Dartmouth&lt;br /&gt;
* [http://synapse.hitchcock.org/bios/mchugh.shtml/ Tara McHugh], Dartmouth&lt;br /&gt;
* [http://synapse.hitchcock.org/bios/pixley.shtml Heather Pixley], Dartmouth&lt;br /&gt;
* Stephen Guerin, Dartmouth&lt;br /&gt;
* John MacDonald, Dartmouth&lt;br /&gt;
* [http://www.bic.uci.edu/faculty/sgpotkin.htm/ Steve Potkin], UCI PI&lt;br /&gt;
* [[User:Jfallon|James Fallon]], UCI&lt;br /&gt;
* Jessica Turner, UCI&lt;br /&gt;
* Martina Panzenboeck, UCI&lt;br /&gt;
* David Medina, UCI&lt;br /&gt;
* [http://www.ics.uci.edu/~smyth/ Padhraic Smyth], UCI&lt;br /&gt;
* [http://www.ics.uci.edu/~sternh/ Hal Stern], UCI&lt;br /&gt;
* Diane Highum, UCI&lt;br /&gt;
* [http://www.ess.uci.edu/~yu/ Yi Jin], UCI&lt;br /&gt;
* Liv Trondsen, UCI&lt;br /&gt;
* Fabio Macciardi, Toronto&lt;br /&gt;
* [http://www.utpsychiatry.ca/dirsearch.asp?id=130 Jim Kennedy], Toronto&lt;br /&gt;
* Aristotle Voineskos, Toronto&lt;br /&gt;
* [http://kotaro.naist.jp/~meg/eindex.html Megumi Nakao], NAIST&lt;br /&gt;
&lt;br /&gt;
== &amp;quot;Friends and Family&amp;quot; ==&lt;br /&gt;
&lt;br /&gt;
=== NIH ===&lt;br /&gt;
&lt;br /&gt;
* [[User:Lysterp|Peter M. Lyster]]&lt;br /&gt;
&lt;br /&gt;
=== mBIRN ===&lt;br /&gt;
&lt;br /&gt;
* [[User:Akolasny|Anthony Kolasny]]&lt;br /&gt;
* [[User:Dmarcus|Dan Marcus]]&lt;br /&gt;
* [[User:Kikinis|Ron Kikinis]]&lt;br /&gt;
&lt;br /&gt;
=== fBIRN ===&lt;br /&gt;
&lt;br /&gt;
* [[User:Kikinis|Ron Kikinis]]&lt;br /&gt;
&lt;br /&gt;
=== IGT ===&lt;br /&gt;
&lt;br /&gt;
* [[User:Ibanez|Luis Ibanez]]&lt;br /&gt;
* [[User:Noby| Nobuhiko Hata]]&lt;br /&gt;
&lt;br /&gt;
=== Other ===&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51297</id>
		<title>DBP2:MIND:Roadmap</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51297"/>
		<updated>2010-04-10T19:44:00Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Objective */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[NA-MIC_Internal_Collaborations|NA-MIC Internal Collaborations]], [[DBP2:MIND|MIND DBP 2]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
=Brain Lesion Analysis in Neuropsychiatric Systemic Lupus Erythematosus=&lt;br /&gt;
&lt;br /&gt;
==Objective==&lt;br /&gt;
This page describes the technology roadmap for lesion analysis in the NA-MIC Kit. Our objective is to create an end-to-end application allowing individual analysis of white matter lesions. This workflow applied to lupus patients is one of goals of the MIND DBP.  The basic components necessary for this project are:&lt;br /&gt;
* '''Registration''': co-registration of T1-weighted, T2-weighted, and FLAIR images&lt;br /&gt;
* '''Tissue segmentation''': Should be multi-modality, correcting for intensity inhomogeneity and work on non-skull-stripped data.&lt;br /&gt;
* '''Lesion Localization''':  Each unique lesion should be detected and anatomical location summarized &lt;br /&gt;
* '''Lesion Load Measurement''': Measure volume of each lesion, summarize lesion load by regions&lt;br /&gt;
* '''Time Series Analysis of white matter lesions''':&lt;br /&gt;
* '''Multi-scale Analysis of white matter lesions''':&lt;br /&gt;
* '''Tutorial''':  Documentation will be written for a tutorial and sample data sets will be provided&lt;br /&gt;
&lt;br /&gt;
==Roadmap==&lt;br /&gt;
We will obtain gray matter, white matter, CSF, and lesion maps for each subject based on T1-weighted, T2-weighted, and FLAIR images. Ultimately, the NA-MIC Kit will provide a workflow for individual and group analysis of lesions. It will be implemented as a set of Slicer3 modules that can be used interactively within the Slicer3 application as well as in batch on a computing cluster using [http://batchmake.org/ BatchMake].&lt;br /&gt;
&lt;br /&gt;
The current status of the main modules to be used are:&lt;br /&gt;
&lt;br /&gt;
=== Registration ===&lt;br /&gt;
:* ITK has mutual information registration&lt;br /&gt;
:* T1/T2/Flair co-registration implemented into EM-segment module&lt;br /&gt;
&lt;br /&gt;
=== Lesion segmentation ===&lt;br /&gt;
Five algorithms (all within NA-MIC kit) for fully or semi-automated lesion analysis will be evaluated. These include:&lt;br /&gt;
:* [http://www.slicer.org/slicerWiki/index.php/Slicer3:EM#Old_.282007.29_Tutorial Slicer3 EM-segment Module] (Sandy Wells)&lt;br /&gt;
:* ITK stand-alone [http://www.ia.unc.edu/dev/download/itkems/index.htm itkEMS] Compare Lesion Analysis Tools (Prastawa/Gerig) &lt;br /&gt;
:* ITK stand-alone white matter lesion segmentation (Magnotta)&lt;br /&gt;
:* ITK K Nearest Neighbor classification based on the work of [http://www.midasjournal.org/browse/publication/281 Anabeek, et al]&lt;br /&gt;
:* ITK stand-alone segmentation combining elements of Boosting, Artificial Immune Systems, and Bayesian Classification. (Scully)&lt;br /&gt;
Manual tracing will serve as a bronze-standard:&lt;br /&gt;
:* Slicer3 Manual tracing by clinically trained rater (Gasparovic/Bockholt)&lt;br /&gt;
&lt;br /&gt;
=== Lesion Localization ===&lt;br /&gt;
:* Slicer3 has tools for labeling white matter lesions and summarizing their anatomical location&lt;br /&gt;
&lt;br /&gt;
=== Lesion Load Measurement ===&lt;br /&gt;
:* Slicer3 has tools for measurement of labelled lesions&lt;br /&gt;
&lt;br /&gt;
=== Performance characterization and validation ===&lt;br /&gt;
:* Data will be collected at both 1.5 and 3T. Data at 1.5T will be obtained with the protocol utilized for the current project on lupus at UNM.&lt;br /&gt;
:* Data at 3T will be obtained with sequences optimized for segmentation by the group at Utah.&lt;br /&gt;
:* Comparisons will be based on the approach developed by Martin-Fernandez et al.&lt;br /&gt;
:* The algorithm with the best performance will be incorporated into the NA-MIC kit.&lt;br /&gt;
 &lt;br /&gt;
=== Tutorial ===&lt;br /&gt;
:* 10 Externally sharable T1,T2,Flair,Lesion Map data-sets (NIFTI format) will be made available to the scientific community&lt;br /&gt;
:** 5 subjects with lupus and 5 healthy normal volunteers&lt;br /&gt;
:* A tutorial will be created that will guide end-users through each step needed to complete a lesion analysis in the NA-MIC kit&lt;br /&gt;
:** A step-by-step guide will be produced for one example lupus cases within the tutorial and one example healthy normal volunteer&lt;br /&gt;
:** Measurements for all 10 subjects will also be provided so that users may compare their results with those of the tutorial&lt;br /&gt;
&lt;br /&gt;
=== Schedule ===&lt;br /&gt;
* Sequence Optimization and Data Collection&lt;br /&gt;
:* '''10/15/2007''' T1, T2, FLAIR optimized sequences for Siemens 3T Trio Tim scanner ('''Jeremy, Bruce, Chuck''')&lt;br /&gt;
:** We will work with Bruce Fischl on using MEMPR, Mugler, and FLAIR sequences that have been optimized for maximum constrast and minimal geometric distortion across sequences&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''3/31/2008''' collection of 5 lupus subjects on clinical sequence and optimized 3T sequence ('''Chuck''')&lt;br /&gt;
:** collected 2 patients and 3 controls so far&lt;br /&gt;
:*** as of 3/10/2008 there are 3-4 additional patients scheduled, since january 1, we have had 4 patients not able to complete the protocol so far&lt;br /&gt;
&lt;br /&gt;
* Co-Registration and Atlas Registration&lt;br /&gt;
:* '''1/31/2008''' optimized mutual information registration for clinical sequences and optimized 3T sequences ('''Jeremy''')&lt;br /&gt;
:** we have tried the registration tools built-in to Slicer 3 EM-segment module so far&lt;br /&gt;
:** DONE Brad has implemented this successfully into the EM-segment module&lt;br /&gt;
&lt;br /&gt;
* Lesion segmentation&lt;br /&gt;
:* '''3/17/2008''' complete lesion segmentation methods for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Kilian/Brad, Marcel''')&lt;br /&gt;
:** Slicer3 EM-segment Module&lt;br /&gt;
:*** (Resolved) Currently has a bug that does not permit 3 channel segmentation [http://na-mic.org/Mantis/view.php?id=205 Mantis ID#0000205]&lt;br /&gt;
:**** (Resolved) Only using 2 channels such as T1/T2 or T1/FLAIR does not produce sensible/usable results&lt;br /&gt;
:*** (Resolved) Does not properly allow user to edit or change weighting of channels, this is crucial for hierarchical lesion classification. [http://na-mic.org/Mantis/view.php?id=204 Mantis ID#0000204]&lt;br /&gt;
:*** EMSegment has been run against collected lupus cases.  Segmentations have improved but are still unusable as of 08/14/2008.&lt;br /&gt;
:**** Currently working with Killian on optimizing parameters in EMSegment to improve the lesion segmentation.&lt;br /&gt;
:**** Testing parameters and resulting segmentation on collected lupus cases. &lt;br /&gt;
:** ITK itkEMS stand-alone package&lt;br /&gt;
:*** Marcel and Mark are in active collaboration with getting this method to work on-site, we have encountered compilation and memory problems with the package on mac and linux environments so far&lt;br /&gt;
:*** 3/17/2008 update, marcel built a 64-bit linux version that appears to run successfully, current results are are shown [[DBP2:MIND:itkEMSResults|here]]&lt;br /&gt;
:** ITK lesion classification stand-alone package&lt;br /&gt;
:*** Vince Magnotta has develop an ITK-based 2 stage lesion segmentation method&lt;br /&gt;
:**** stage one uses k-means tissue classification into grey, white, or csf of co-registered T1/T2&lt;br /&gt;
:**** stage two use bayesian classifier into normal tissue or lesion using results of stage one and co-reigstered Flair&lt;br /&gt;
:***** current results of this method as of 3/17/2008 are shown [[DBP2:MIND:itkBayesianLesion|here]]&lt;br /&gt;
:***** This method has been run against all cases as of 05/01/08.  Currently working with Vince Magnotta to improve the performance.&lt;br /&gt;
:***** As of 08/14/2008, currently running a modified version of Vince's classifier that has been improved by replacing intensity thresholding with joint histogram feature vector occurrence thresholding.&lt;br /&gt;
:** ITK K Nearest Neighbor Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a K-NN lesion classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** The resulting label map contains the percent likelihood that a given voxel is a lesion.  This allows the clinician to adjust the thresholding to match their preference.&lt;br /&gt;
:*** On hold as of 1/12/2008 due to incomplete ITK algorithmic support&lt;br /&gt;
:** ITK Custom Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a combined approach classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** This approach takes advantage of multiple approaches and advancements in the literature, including feature generation, Gentle Boosting based feature reduction, Artificial Immune System based filtering, and Bayesian classification.&lt;br /&gt;
:*** As of 1/01/2009 this method is functional and built into the lesion segmentation slicer3 applications. &lt;br /&gt;
:***[[File:Scully_Figure1.png|Flowchart of lesion segmentation method]]&lt;br /&gt;
:***[[File:Scully_Figure4.png|ROC curve]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
:** Slicer3 Manual Tracing&lt;br /&gt;
:*** Gasparovic has manually traced all tutorial cases with lesions using T2/Flair images following tracing guidelines and a qualitative neuroradiological review report&lt;br /&gt;
:**** 4/1/2008 create manual tracing guidelines documentation and share here&lt;br /&gt;
* Lesion Localization&lt;br /&gt;
:* '''4/15/2008''' complete lesion localizations and maps for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Lesion Measurement&lt;br /&gt;
:* '''4/20/2008''' complete lesion measurements and regional lesion load summaries for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Performance characterization and validation&lt;br /&gt;
:* '''1/6/2008''' [[Media:DBP2_MIND_Lupus_200801_update.ppt | report]] to 2008 NA-MIC AHM on progress for performance and validation of lesion segmentation methods for EM-segment, BRAINS2, manual, UNC packages ('''Jeremy''')&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''5/15/2008''' submit abstract on reliability and summary of novel NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Brad, Kilian, others''')&lt;br /&gt;
:** plan is to submit SFN abstract and manuscript closely after&lt;br /&gt;
:* '''5/20/2008''' analyze NIH study clinical sample using NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully''')&lt;br /&gt;
:* '''7/1/2008''' submit manuscript on clinical application of NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Carlos Roldan, Bill Sibbitt''')&lt;br /&gt;
:* '''8/14/2008''' submit manuscript on the lesion segmentation methods as applied to MS lesions for MICCAI 2008. ('''Mark, Jeremy, Chuck, Vince Magnotta''')&lt;br /&gt;
:* '''1/11/2009''' submit abstract on the new lesion segmentation methods as applied to Lupus lesions for HBM 2009.&lt;br /&gt;
:* '''3/08/2009''' submit manuscript on the new lesion segmentation methods as applied to Lupus lesions for MICCAI 2009.&lt;br /&gt;
&lt;br /&gt;
* Incorporation of approach into NA-MIC kit&lt;br /&gt;
:* '''1/6/2008''' Slicer3 Lesion Analysis Module that handles co-registration of T1, T2, and Flair ('''Mark Scully, Steve''')&lt;br /&gt;
:** DONE Brad completed this &lt;br /&gt;
:* ''5/1/2008''' extend Slicer3 Lesion Analysis Module to handle lesion localization and measurement ('''Mark Scully, Steve''')&lt;br /&gt;
:** ''08/01/2008'' currently locates all independent lesion clusters and identifies the anatomical regions, provided by a registered atlas, that the lesions overlap.&lt;br /&gt;
:* '''6/1/2008''' extend Slicer3 Lesion Analysis Module to implement the ITK-based lesion analysis algorithm/method (EM-segment, ITK itkEMS, ITK lesion segmentation) with the best performance ('''Mark Scully, Steve''')&lt;br /&gt;
:** a demonstration will be given at the 2008 NA-MIC AHM--we would consider this version a prototype and would be testing, refining the module through the clinical application phase ('''Jeremy, Mark Scully''')&lt;br /&gt;
:* '''6/15/2008''' functioning prototype version of lesion analysis Slicer3 Module complete ('''Mark Scully, Steve''')&lt;br /&gt;
:* '''8/14/2008''' in the process of creating a module that &amp;quot;chains&amp;quot; together all of the steps in the lesion segmentation analysis pipeline.&lt;br /&gt;
:* '''1/03/2009''' Newly developed lesion segmentation method with significantly increased performance incorporated into Slicer3 module.&lt;br /&gt;
* Tutorial and Data-sharing&lt;br /&gt;
:* '''6/20/2008''' present tutorial to 2008 NA-MIC programming week ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** A logical project for programming week for Jeremy and Sonja to finish public version of tutorial&lt;br /&gt;
:* '''7/1/2008''' make data sets and tutorial available to the scientific community ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** If we submit SFN abstract, we can advertise the availability during SFN Conference in November 2008&lt;br /&gt;
:*** We could think about advertising the roadmaps at the BIRN booth at SFN this year?&lt;br /&gt;
:* '''10/15/2008''' In the process of making the tutorial data available using XNAT.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Compare view of baseline and followup with color-coded lesion differences:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:CompareViewFlairLesionDiffWholeBrain.png&lt;br /&gt;
&lt;br /&gt;
Diffusion tracts intersecting a lesion volume:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:LesionTractsNear.png&lt;br /&gt;
&lt;br /&gt;
Axial slice with % predicted chance, thresholded predicted % chance, and manual tracing:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:Scully_Figure3.jpg&lt;br /&gt;
&lt;br /&gt;
=== Team and Institute ===&lt;br /&gt;
* Co-PI: H Jeremy Bockholt (jbockholt at mrn.org)&lt;br /&gt;
* Co-PI: Charles Gasparovic (chuck at unm.edu)&lt;br /&gt;
* Software Engineer: Mark Scully (mscully at mrn.org)&lt;br /&gt;
* NA-MIC Engineering Contact: Steve Pieper, Isomics&lt;br /&gt;
* NA-MIC Algorithms Contact: Ross Whitaker, Utah&lt;br /&gt;
* Host Institues: The [http://www.mrn.org Mind Research Network] and [http://www.unm.edu The University of New Mexico]&lt;br /&gt;
&lt;br /&gt;
[[Category:Slicer]] [[Category:Segmentation]] [[Category:Registration]]&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51296</id>
		<title>DBP2:MIND:Roadmap</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51296"/>
		<updated>2010-04-10T19:37:33Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Objective */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[NA-MIC_Internal_Collaborations|NA-MIC Internal Collaborations]], [[DBP2:MIND|MIND DBP 2]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
=Brain Lesion Analysis in Neuropsychiatric Systemic Lupus Erythematosus=&lt;br /&gt;
&lt;br /&gt;
==Objective==&lt;br /&gt;
We would like to create an end-to-end application entirely within NA-MIC Kit allowing individual analysis of white matter lesions. Such a workflow applied to lupus patients is one of goals of the MIND DBP. This page describes the technology roadmap for lesion analysis in the NA-MIC Kit. The basic components necessary for this project are:&lt;br /&gt;
* '''Registration''': co-registration of T1-weighted, T2-weighted, and FLAIR images&lt;br /&gt;
* '''Tissue segmentation''': Should be multi-modality, correcting for intensity inhomogeneity and work on non-skull-stripped data.&lt;br /&gt;
* '''Lesion Localization''':  Each unique lesion should be detected and anatomical location summarized &lt;br /&gt;
* '''Lesion Load Measurement''': Measure volume of each lesion, summarize lesion load by regions&lt;br /&gt;
* '''Time Series Analysis of white matter lesions''':&lt;br /&gt;
* '''Multi-scale Analysis of white matter lesions''':&lt;br /&gt;
* '''Tutorial''':  Documentation will be written for a tutorial and sample data sets will be provided&lt;br /&gt;
&lt;br /&gt;
==Roadmap==&lt;br /&gt;
We will obtain gray matter, white matter, CSF, and lesion maps for each subject based on T1-weighted, T2-weighted, and FLAIR images. Ultimately, the NA-MIC Kit will provide a workflow for individual and group analysis of lesions. It will be implemented as a set of Slicer3 modules that can be used interactively within the Slicer3 application as well as in batch on a computing cluster using [http://batchmake.org/ BatchMake].&lt;br /&gt;
&lt;br /&gt;
The current status of the main modules to be used are:&lt;br /&gt;
&lt;br /&gt;
=== Registration ===&lt;br /&gt;
:* ITK has mutual information registration&lt;br /&gt;
:* T1/T2/Flair co-registration implemented into EM-segment module&lt;br /&gt;
&lt;br /&gt;
=== Lesion segmentation ===&lt;br /&gt;
Five algorithms (all within NA-MIC kit) for fully or semi-automated lesion analysis will be evaluated. These include:&lt;br /&gt;
:* [http://www.slicer.org/slicerWiki/index.php/Slicer3:EM#Old_.282007.29_Tutorial Slicer3 EM-segment Module] (Sandy Wells)&lt;br /&gt;
:* ITK stand-alone [http://www.ia.unc.edu/dev/download/itkems/index.htm itkEMS] Compare Lesion Analysis Tools (Prastawa/Gerig) &lt;br /&gt;
:* ITK stand-alone white matter lesion segmentation (Magnotta)&lt;br /&gt;
:* ITK K Nearest Neighbor classification based on the work of [http://www.midasjournal.org/browse/publication/281 Anabeek, et al]&lt;br /&gt;
:* ITK stand-alone segmentation combining elements of Boosting, Artificial Immune Systems, and Bayesian Classification. (Scully)&lt;br /&gt;
Manual tracing will serve as a bronze-standard:&lt;br /&gt;
:* Slicer3 Manual tracing by clinically trained rater (Gasparovic/Bockholt)&lt;br /&gt;
&lt;br /&gt;
=== Lesion Localization ===&lt;br /&gt;
:* Slicer3 has tools for labeling white matter lesions and summarizing their anatomical location&lt;br /&gt;
&lt;br /&gt;
=== Lesion Load Measurement ===&lt;br /&gt;
:* Slicer3 has tools for measurement of labelled lesions&lt;br /&gt;
&lt;br /&gt;
=== Performance characterization and validation ===&lt;br /&gt;
:* Data will be collected at both 1.5 and 3T. Data at 1.5T will be obtained with the protocol utilized for the current project on lupus at UNM.&lt;br /&gt;
:* Data at 3T will be obtained with sequences optimized for segmentation by the group at Utah.&lt;br /&gt;
:* Comparisons will be based on the approach developed by Martin-Fernandez et al.&lt;br /&gt;
:* The algorithm with the best performance will be incorporated into the NA-MIC kit.&lt;br /&gt;
 &lt;br /&gt;
=== Tutorial ===&lt;br /&gt;
:* 10 Externally sharable T1,T2,Flair,Lesion Map data-sets (NIFTI format) will be made available to the scientific community&lt;br /&gt;
:** 5 subjects with lupus and 5 healthy normal volunteers&lt;br /&gt;
:* A tutorial will be created that will guide end-users through each step needed to complete a lesion analysis in the NA-MIC kit&lt;br /&gt;
:** A step-by-step guide will be produced for one example lupus cases within the tutorial and one example healthy normal volunteer&lt;br /&gt;
:** Measurements for all 10 subjects will also be provided so that users may compare their results with those of the tutorial&lt;br /&gt;
&lt;br /&gt;
=== Schedule ===&lt;br /&gt;
* Sequence Optimization and Data Collection&lt;br /&gt;
:* '''10/15/2007''' T1, T2, FLAIR optimized sequences for Siemens 3T Trio Tim scanner ('''Jeremy, Bruce, Chuck''')&lt;br /&gt;
:** We will work with Bruce Fischl on using MEMPR, Mugler, and FLAIR sequences that have been optimized for maximum constrast and minimal geometric distortion across sequences&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''3/31/2008''' collection of 5 lupus subjects on clinical sequence and optimized 3T sequence ('''Chuck''')&lt;br /&gt;
:** collected 2 patients and 3 controls so far&lt;br /&gt;
:*** as of 3/10/2008 there are 3-4 additional patients scheduled, since january 1, we have had 4 patients not able to complete the protocol so far&lt;br /&gt;
&lt;br /&gt;
* Co-Registration and Atlas Registration&lt;br /&gt;
:* '''1/31/2008''' optimized mutual information registration for clinical sequences and optimized 3T sequences ('''Jeremy''')&lt;br /&gt;
:** we have tried the registration tools built-in to Slicer 3 EM-segment module so far&lt;br /&gt;
:** DONE Brad has implemented this successfully into the EM-segment module&lt;br /&gt;
&lt;br /&gt;
* Lesion segmentation&lt;br /&gt;
:* '''3/17/2008''' complete lesion segmentation methods for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Kilian/Brad, Marcel''')&lt;br /&gt;
:** Slicer3 EM-segment Module&lt;br /&gt;
:*** (Resolved) Currently has a bug that does not permit 3 channel segmentation [http://na-mic.org/Mantis/view.php?id=205 Mantis ID#0000205]&lt;br /&gt;
:**** (Resolved) Only using 2 channels such as T1/T2 or T1/FLAIR does not produce sensible/usable results&lt;br /&gt;
:*** (Resolved) Does not properly allow user to edit or change weighting of channels, this is crucial for hierarchical lesion classification. [http://na-mic.org/Mantis/view.php?id=204 Mantis ID#0000204]&lt;br /&gt;
:*** EMSegment has been run against collected lupus cases.  Segmentations have improved but are still unusable as of 08/14/2008.&lt;br /&gt;
:**** Currently working with Killian on optimizing parameters in EMSegment to improve the lesion segmentation.&lt;br /&gt;
:**** Testing parameters and resulting segmentation on collected lupus cases. &lt;br /&gt;
:** ITK itkEMS stand-alone package&lt;br /&gt;
:*** Marcel and Mark are in active collaboration with getting this method to work on-site, we have encountered compilation and memory problems with the package on mac and linux environments so far&lt;br /&gt;
:*** 3/17/2008 update, marcel built a 64-bit linux version that appears to run successfully, current results are are shown [[DBP2:MIND:itkEMSResults|here]]&lt;br /&gt;
:** ITK lesion classification stand-alone package&lt;br /&gt;
:*** Vince Magnotta has develop an ITK-based 2 stage lesion segmentation method&lt;br /&gt;
:**** stage one uses k-means tissue classification into grey, white, or csf of co-registered T1/T2&lt;br /&gt;
:**** stage two use bayesian classifier into normal tissue or lesion using results of stage one and co-reigstered Flair&lt;br /&gt;
:***** current results of this method as of 3/17/2008 are shown [[DBP2:MIND:itkBayesianLesion|here]]&lt;br /&gt;
:***** This method has been run against all cases as of 05/01/08.  Currently working with Vince Magnotta to improve the performance.&lt;br /&gt;
:***** As of 08/14/2008, currently running a modified version of Vince's classifier that has been improved by replacing intensity thresholding with joint histogram feature vector occurrence thresholding.&lt;br /&gt;
:** ITK K Nearest Neighbor Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a K-NN lesion classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** The resulting label map contains the percent likelihood that a given voxel is a lesion.  This allows the clinician to adjust the thresholding to match their preference.&lt;br /&gt;
:*** On hold as of 1/12/2008 due to incomplete ITK algorithmic support&lt;br /&gt;
:** ITK Custom Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a combined approach classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** This approach takes advantage of multiple approaches and advancements in the literature, including feature generation, Gentle Boosting based feature reduction, Artificial Immune System based filtering, and Bayesian classification.&lt;br /&gt;
:*** As of 1/01/2009 this method is functional and built into the lesion segmentation slicer3 applications. &lt;br /&gt;
:***[[File:Scully_Figure1.png|Flowchart of lesion segmentation method]]&lt;br /&gt;
:***[[File:Scully_Figure4.png|ROC curve]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
:** Slicer3 Manual Tracing&lt;br /&gt;
:*** Gasparovic has manually traced all tutorial cases with lesions using T2/Flair images following tracing guidelines and a qualitative neuroradiological review report&lt;br /&gt;
:**** 4/1/2008 create manual tracing guidelines documentation and share here&lt;br /&gt;
* Lesion Localization&lt;br /&gt;
:* '''4/15/2008''' complete lesion localizations and maps for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Lesion Measurement&lt;br /&gt;
:* '''4/20/2008''' complete lesion measurements and regional lesion load summaries for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Performance characterization and validation&lt;br /&gt;
:* '''1/6/2008''' [[Media:DBP2_MIND_Lupus_200801_update.ppt | report]] to 2008 NA-MIC AHM on progress for performance and validation of lesion segmentation methods for EM-segment, BRAINS2, manual, UNC packages ('''Jeremy''')&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''5/15/2008''' submit abstract on reliability and summary of novel NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Brad, Kilian, others''')&lt;br /&gt;
:** plan is to submit SFN abstract and manuscript closely after&lt;br /&gt;
:* '''5/20/2008''' analyze NIH study clinical sample using NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully''')&lt;br /&gt;
:* '''7/1/2008''' submit manuscript on clinical application of NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Carlos Roldan, Bill Sibbitt''')&lt;br /&gt;
:* '''8/14/2008''' submit manuscript on the lesion segmentation methods as applied to MS lesions for MICCAI 2008. ('''Mark, Jeremy, Chuck, Vince Magnotta''')&lt;br /&gt;
:* '''1/11/2009''' submit abstract on the new lesion segmentation methods as applied to Lupus lesions for HBM 2009.&lt;br /&gt;
:* '''3/08/2009''' submit manuscript on the new lesion segmentation methods as applied to Lupus lesions for MICCAI 2009.&lt;br /&gt;
&lt;br /&gt;
* Incorporation of approach into NA-MIC kit&lt;br /&gt;
:* '''1/6/2008''' Slicer3 Lesion Analysis Module that handles co-registration of T1, T2, and Flair ('''Mark Scully, Steve''')&lt;br /&gt;
:** DONE Brad completed this &lt;br /&gt;
:* ''5/1/2008''' extend Slicer3 Lesion Analysis Module to handle lesion localization and measurement ('''Mark Scully, Steve''')&lt;br /&gt;
:** ''08/01/2008'' currently locates all independent lesion clusters and identifies the anatomical regions, provided by a registered atlas, that the lesions overlap.&lt;br /&gt;
:* '''6/1/2008''' extend Slicer3 Lesion Analysis Module to implement the ITK-based lesion analysis algorithm/method (EM-segment, ITK itkEMS, ITK lesion segmentation) with the best performance ('''Mark Scully, Steve''')&lt;br /&gt;
:** a demonstration will be given at the 2008 NA-MIC AHM--we would consider this version a prototype and would be testing, refining the module through the clinical application phase ('''Jeremy, Mark Scully''')&lt;br /&gt;
:* '''6/15/2008''' functioning prototype version of lesion analysis Slicer3 Module complete ('''Mark Scully, Steve''')&lt;br /&gt;
:* '''8/14/2008''' in the process of creating a module that &amp;quot;chains&amp;quot; together all of the steps in the lesion segmentation analysis pipeline.&lt;br /&gt;
:* '''1/03/2009''' Newly developed lesion segmentation method with significantly increased performance incorporated into Slicer3 module.&lt;br /&gt;
* Tutorial and Data-sharing&lt;br /&gt;
:* '''6/20/2008''' present tutorial to 2008 NA-MIC programming week ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** A logical project for programming week for Jeremy and Sonja to finish public version of tutorial&lt;br /&gt;
:* '''7/1/2008''' make data sets and tutorial available to the scientific community ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** If we submit SFN abstract, we can advertise the availability during SFN Conference in November 2008&lt;br /&gt;
:*** We could think about advertising the roadmaps at the BIRN booth at SFN this year?&lt;br /&gt;
:* '''10/15/2008''' In the process of making the tutorial data available using XNAT.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Compare view of baseline and followup with color-coded lesion differences:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:CompareViewFlairLesionDiffWholeBrain.png&lt;br /&gt;
&lt;br /&gt;
Diffusion tracts intersecting a lesion volume:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:LesionTractsNear.png&lt;br /&gt;
&lt;br /&gt;
Axial slice with % predicted chance, thresholded predicted % chance, and manual tracing:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:Scully_Figure3.jpg&lt;br /&gt;
&lt;br /&gt;
=== Team and Institute ===&lt;br /&gt;
* Co-PI: H Jeremy Bockholt (jbockholt at mrn.org)&lt;br /&gt;
* Co-PI: Charles Gasparovic (chuck at unm.edu)&lt;br /&gt;
* Software Engineer: Mark Scully (mscully at mrn.org)&lt;br /&gt;
* NA-MIC Engineering Contact: Steve Pieper, Isomics&lt;br /&gt;
* NA-MIC Algorithms Contact: Ross Whitaker, Utah&lt;br /&gt;
* Host Institues: The [http://www.mrn.org Mind Research Network] and [http://www.unm.edu The University of New Mexico]&lt;br /&gt;
&lt;br /&gt;
[[Category:Slicer]] [[Category:Segmentation]] [[Category:Registration]]&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51295</id>
		<title>DBP2:MIND:Roadmap</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51295"/>
		<updated>2010-04-10T19:24:24Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Objective */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[NA-MIC_Internal_Collaborations|NA-MIC Internal Collaborations]], [[DBP2:MIND|MIND DBP 2]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
=Brain Lesion Analysis in Neuropsychiatric Systemic Lupus Erythematosus=&lt;br /&gt;
&lt;br /&gt;
==Objective==&lt;br /&gt;
We would like to create an end-to-end application entirely within NA-MIC Kit allowing individual analysis of white matter lesions. Such a workflow applied to lupus patients is one of goals of the MIND DBP. This page describes the technology roadmap for lesion analysis in the NA-MIC Kit. The basic components necessary for this application are:&lt;br /&gt;
* '''Registration''': co-registration of T1-weighted, T2-weighted, and FLAIR images&lt;br /&gt;
* '''Tissue segmentation''': Should be multi-modality, correcting for intensity inhomogeneity and work on non-skull-stripped data.&lt;br /&gt;
* '''Lesion Localization''':  Each unique lesion should be detected and anatomical location summarized &lt;br /&gt;
* '''Lesion Load Measurement''': Measure volume of each lesion, summarize lesion load by regions&lt;br /&gt;
* '''Time Series Analysis of white matter lesions''':&lt;br /&gt;
* '''Multi-scale Analysis of white matter lesions''':&lt;br /&gt;
* '''Tutorial''':  Documentation will be written for a tutorial and sample data sets will be provided&lt;br /&gt;
&lt;br /&gt;
==Roadmap==&lt;br /&gt;
We will obtain gray matter, white matter, CSF, and lesion maps for each subject based on T1-weighted, T2-weighted, and FLAIR images. Ultimately, the NA-MIC Kit will provide a workflow for individual and group analysis of lesions. It will be implemented as a set of Slicer3 modules that can be used interactively within the Slicer3 application as well as in batch on a computing cluster using [http://batchmake.org/ BatchMake].&lt;br /&gt;
&lt;br /&gt;
The current status of the main modules to be used are:&lt;br /&gt;
&lt;br /&gt;
=== Registration ===&lt;br /&gt;
:* ITK has mutual information registration&lt;br /&gt;
:* T1/T2/Flair co-registration implemented into EM-segment module&lt;br /&gt;
&lt;br /&gt;
=== Lesion segmentation ===&lt;br /&gt;
Five algorithms (all within NA-MIC kit) for fully or semi-automated lesion analysis will be evaluated. These include:&lt;br /&gt;
:* [http://www.slicer.org/slicerWiki/index.php/Slicer3:EM#Old_.282007.29_Tutorial Slicer3 EM-segment Module] (Sandy Wells)&lt;br /&gt;
:* ITK stand-alone [http://www.ia.unc.edu/dev/download/itkems/index.htm itkEMS] Compare Lesion Analysis Tools (Prastawa/Gerig) &lt;br /&gt;
:* ITK stand-alone white matter lesion segmentation (Magnotta)&lt;br /&gt;
:* ITK K Nearest Neighbor classification based on the work of [http://www.midasjournal.org/browse/publication/281 Anabeek, et al]&lt;br /&gt;
:* ITK stand-alone segmentation combining elements of Boosting, Artificial Immune Systems, and Bayesian Classification. (Scully)&lt;br /&gt;
Manual tracing will serve as a bronze-standard:&lt;br /&gt;
:* Slicer3 Manual tracing by clinically trained rater (Gasparovic/Bockholt)&lt;br /&gt;
&lt;br /&gt;
=== Lesion Localization ===&lt;br /&gt;
:* Slicer3 has tools for labeling white matter lesions and summarizing their anatomical location&lt;br /&gt;
&lt;br /&gt;
=== Lesion Load Measurement ===&lt;br /&gt;
:* Slicer3 has tools for measurement of labelled lesions&lt;br /&gt;
&lt;br /&gt;
=== Performance characterization and validation ===&lt;br /&gt;
:* Data will be collected at both 1.5 and 3T. Data at 1.5T will be obtained with the protocol utilized for the current project on lupus at UNM.&lt;br /&gt;
:* Data at 3T will be obtained with sequences optimized for segmentation by the group at Utah.&lt;br /&gt;
:* Comparisons will be based on the approach developed by Martin-Fernandez et al.&lt;br /&gt;
:* The algorithm with the best performance will be incorporated into the NA-MIC kit.&lt;br /&gt;
 &lt;br /&gt;
=== Tutorial ===&lt;br /&gt;
:* 10 Externally sharable T1,T2,Flair,Lesion Map data-sets (NIFTI format) will be made available to the scientific community&lt;br /&gt;
:** 5 subjects with lupus and 5 healthy normal volunteers&lt;br /&gt;
:* A tutorial will be created that will guide end-users through each step needed to complete a lesion analysis in the NA-MIC kit&lt;br /&gt;
:** A step-by-step guide will be produced for one example lupus cases within the tutorial and one example healthy normal volunteer&lt;br /&gt;
:** Measurements for all 10 subjects will also be provided so that users may compare their results with those of the tutorial&lt;br /&gt;
&lt;br /&gt;
=== Schedule ===&lt;br /&gt;
* Sequence Optimization and Data Collection&lt;br /&gt;
:* '''10/15/2007''' T1, T2, FLAIR optimized sequences for Siemens 3T Trio Tim scanner ('''Jeremy, Bruce, Chuck''')&lt;br /&gt;
:** We will work with Bruce Fischl on using MEMPR, Mugler, and FLAIR sequences that have been optimized for maximum constrast and minimal geometric distortion across sequences&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''3/31/2008''' collection of 5 lupus subjects on clinical sequence and optimized 3T sequence ('''Chuck''')&lt;br /&gt;
:** collected 2 patients and 3 controls so far&lt;br /&gt;
:*** as of 3/10/2008 there are 3-4 additional patients scheduled, since january 1, we have had 4 patients not able to complete the protocol so far&lt;br /&gt;
&lt;br /&gt;
* Co-Registration and Atlas Registration&lt;br /&gt;
:* '''1/31/2008''' optimized mutual information registration for clinical sequences and optimized 3T sequences ('''Jeremy''')&lt;br /&gt;
:** we have tried the registration tools built-in to Slicer 3 EM-segment module so far&lt;br /&gt;
:** DONE Brad has implemented this successfully into the EM-segment module&lt;br /&gt;
&lt;br /&gt;
* Lesion segmentation&lt;br /&gt;
:* '''3/17/2008''' complete lesion segmentation methods for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Kilian/Brad, Marcel''')&lt;br /&gt;
:** Slicer3 EM-segment Module&lt;br /&gt;
:*** (Resolved) Currently has a bug that does not permit 3 channel segmentation [http://na-mic.org/Mantis/view.php?id=205 Mantis ID#0000205]&lt;br /&gt;
:**** (Resolved) Only using 2 channels such as T1/T2 or T1/FLAIR does not produce sensible/usable results&lt;br /&gt;
:*** (Resolved) Does not properly allow user to edit or change weighting of channels, this is crucial for hierarchical lesion classification. [http://na-mic.org/Mantis/view.php?id=204 Mantis ID#0000204]&lt;br /&gt;
:*** EMSegment has been run against collected lupus cases.  Segmentations have improved but are still unusable as of 08/14/2008.&lt;br /&gt;
:**** Currently working with Killian on optimizing parameters in EMSegment to improve the lesion segmentation.&lt;br /&gt;
:**** Testing parameters and resulting segmentation on collected lupus cases. &lt;br /&gt;
:** ITK itkEMS stand-alone package&lt;br /&gt;
:*** Marcel and Mark are in active collaboration with getting this method to work on-site, we have encountered compilation and memory problems with the package on mac and linux environments so far&lt;br /&gt;
:*** 3/17/2008 update, marcel built a 64-bit linux version that appears to run successfully, current results are are shown [[DBP2:MIND:itkEMSResults|here]]&lt;br /&gt;
:** ITK lesion classification stand-alone package&lt;br /&gt;
:*** Vince Magnotta has develop an ITK-based 2 stage lesion segmentation method&lt;br /&gt;
:**** stage one uses k-means tissue classification into grey, white, or csf of co-registered T1/T2&lt;br /&gt;
:**** stage two use bayesian classifier into normal tissue or lesion using results of stage one and co-reigstered Flair&lt;br /&gt;
:***** current results of this method as of 3/17/2008 are shown [[DBP2:MIND:itkBayesianLesion|here]]&lt;br /&gt;
:***** This method has been run against all cases as of 05/01/08.  Currently working with Vince Magnotta to improve the performance.&lt;br /&gt;
:***** As of 08/14/2008, currently running a modified version of Vince's classifier that has been improved by replacing intensity thresholding with joint histogram feature vector occurrence thresholding.&lt;br /&gt;
:** ITK K Nearest Neighbor Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a K-NN lesion classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** The resulting label map contains the percent likelihood that a given voxel is a lesion.  This allows the clinician to adjust the thresholding to match their preference.&lt;br /&gt;
:*** On hold as of 1/12/2008 due to incomplete ITK algorithmic support&lt;br /&gt;
:** ITK Custom Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a combined approach classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** This approach takes advantage of multiple approaches and advancements in the literature, including feature generation, Gentle Boosting based feature reduction, Artificial Immune System based filtering, and Bayesian classification.&lt;br /&gt;
:*** As of 1/01/2009 this method is functional and built into the lesion segmentation slicer3 applications. &lt;br /&gt;
:***[[File:Scully_Figure1.png|Flowchart of lesion segmentation method]]&lt;br /&gt;
:***[[File:Scully_Figure4.png|ROC curve]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
:** Slicer3 Manual Tracing&lt;br /&gt;
:*** Gasparovic has manually traced all tutorial cases with lesions using T2/Flair images following tracing guidelines and a qualitative neuroradiological review report&lt;br /&gt;
:**** 4/1/2008 create manual tracing guidelines documentation and share here&lt;br /&gt;
* Lesion Localization&lt;br /&gt;
:* '''4/15/2008''' complete lesion localizations and maps for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Lesion Measurement&lt;br /&gt;
:* '''4/20/2008''' complete lesion measurements and regional lesion load summaries for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Performance characterization and validation&lt;br /&gt;
:* '''1/6/2008''' [[Media:DBP2_MIND_Lupus_200801_update.ppt | report]] to 2008 NA-MIC AHM on progress for performance and validation of lesion segmentation methods for EM-segment, BRAINS2, manual, UNC packages ('''Jeremy''')&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''5/15/2008''' submit abstract on reliability and summary of novel NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Brad, Kilian, others''')&lt;br /&gt;
:** plan is to submit SFN abstract and manuscript closely after&lt;br /&gt;
:* '''5/20/2008''' analyze NIH study clinical sample using NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully''')&lt;br /&gt;
:* '''7/1/2008''' submit manuscript on clinical application of NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Carlos Roldan, Bill Sibbitt''')&lt;br /&gt;
:* '''8/14/2008''' submit manuscript on the lesion segmentation methods as applied to MS lesions for MICCAI 2008. ('''Mark, Jeremy, Chuck, Vince Magnotta''')&lt;br /&gt;
:* '''1/11/2009''' submit abstract on the new lesion segmentation methods as applied to Lupus lesions for HBM 2009.&lt;br /&gt;
:* '''3/08/2009''' submit manuscript on the new lesion segmentation methods as applied to Lupus lesions for MICCAI 2009.&lt;br /&gt;
&lt;br /&gt;
* Incorporation of approach into NA-MIC kit&lt;br /&gt;
:* '''1/6/2008''' Slicer3 Lesion Analysis Module that handles co-registration of T1, T2, and Flair ('''Mark Scully, Steve''')&lt;br /&gt;
:** DONE Brad completed this &lt;br /&gt;
:* ''5/1/2008''' extend Slicer3 Lesion Analysis Module to handle lesion localization and measurement ('''Mark Scully, Steve''')&lt;br /&gt;
:** ''08/01/2008'' currently locates all independent lesion clusters and identifies the anatomical regions, provided by a registered atlas, that the lesions overlap.&lt;br /&gt;
:* '''6/1/2008''' extend Slicer3 Lesion Analysis Module to implement the ITK-based lesion analysis algorithm/method (EM-segment, ITK itkEMS, ITK lesion segmentation) with the best performance ('''Mark Scully, Steve''')&lt;br /&gt;
:** a demonstration will be given at the 2008 NA-MIC AHM--we would consider this version a prototype and would be testing, refining the module through the clinical application phase ('''Jeremy, Mark Scully''')&lt;br /&gt;
:* '''6/15/2008''' functioning prototype version of lesion analysis Slicer3 Module complete ('''Mark Scully, Steve''')&lt;br /&gt;
:* '''8/14/2008''' in the process of creating a module that &amp;quot;chains&amp;quot; together all of the steps in the lesion segmentation analysis pipeline.&lt;br /&gt;
:* '''1/03/2009''' Newly developed lesion segmentation method with significantly increased performance incorporated into Slicer3 module.&lt;br /&gt;
* Tutorial and Data-sharing&lt;br /&gt;
:* '''6/20/2008''' present tutorial to 2008 NA-MIC programming week ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** A logical project for programming week for Jeremy and Sonja to finish public version of tutorial&lt;br /&gt;
:* '''7/1/2008''' make data sets and tutorial available to the scientific community ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** If we submit SFN abstract, we can advertise the availability during SFN Conference in November 2008&lt;br /&gt;
:*** We could think about advertising the roadmaps at the BIRN booth at SFN this year?&lt;br /&gt;
:* '''10/15/2008''' In the process of making the tutorial data available using XNAT.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Compare view of baseline and followup with color-coded lesion differences:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:CompareViewFlairLesionDiffWholeBrain.png&lt;br /&gt;
&lt;br /&gt;
Diffusion tracts intersecting a lesion volume:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:LesionTractsNear.png&lt;br /&gt;
&lt;br /&gt;
Axial slice with % predicted chance, thresholded predicted % chance, and manual tracing:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:Scully_Figure3.jpg&lt;br /&gt;
&lt;br /&gt;
=== Team and Institute ===&lt;br /&gt;
* Co-PI: H Jeremy Bockholt (jbockholt at mrn.org)&lt;br /&gt;
* Co-PI: Charles Gasparovic (chuck at unm.edu)&lt;br /&gt;
* Software Engineer: Mark Scully (mscully at mrn.org)&lt;br /&gt;
* NA-MIC Engineering Contact: Steve Pieper, Isomics&lt;br /&gt;
* NA-MIC Algorithms Contact: Ross Whitaker, Utah&lt;br /&gt;
* Host Institues: The [http://www.mrn.org Mind Research Network] and [http://www.unm.edu The University of New Mexico]&lt;br /&gt;
&lt;br /&gt;
[[Category:Slicer]] [[Category:Segmentation]] [[Category:Registration]]&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51294</id>
		<title>DBP2:MIND:Roadmap</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51294"/>
		<updated>2010-04-10T19:09:04Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Team and Institute */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[NA-MIC_Internal_Collaborations|NA-MIC Internal Collaborations]], [[DBP2:MIND|MIND DBP 2]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
=Brain Lesion Analysis in Neuropsychiatric Systemic Lupus Erythematosus=&lt;br /&gt;
&lt;br /&gt;
==Objective==&lt;br /&gt;
We would like to create an end-to-end application entirely within NA-MIC Kit allowing individual analysis of white matter lesions. Such a workflow applied to lupus patients is one of goals of the MIND DBP. This page describes the technology roadmap for lesion analysis in the NA-MIC Kit. The basic components necessary for this application are:&lt;br /&gt;
* '''Registration''': co-registration of T1-weighted, T2-weighted, and FLAIR images&lt;br /&gt;
* '''Tissue segmentation''': Should be multi-modality, correcting for intensity inhomogeneity and work on non-skull-stripped data.&lt;br /&gt;
* '''Lesion Localization''':  Each unique lesion should be detected and anatomical location summarized &lt;br /&gt;
* '''Lesion Load Measurement''': Measure volume of each lesion, summarize lesion load by regions&lt;br /&gt;
* '''Tutorial''':  Documentation will be written for a tutorial and sample data sets will be provided&lt;br /&gt;
* '''Time Series Analysis of white matter lesions''':&lt;br /&gt;
* '''Multi-scale Analysis of white matter lesions''':&lt;br /&gt;
&lt;br /&gt;
==Roadmap==&lt;br /&gt;
We will obtain gray matter, white matter, CSF, and lesion maps for each subject based on T1-weighted, T2-weighted, and FLAIR images. Ultimately, the NA-MIC Kit will provide a workflow for individual and group analysis of lesions. It will be implemented as a set of Slicer3 modules that can be used interactively within the Slicer3 application as well as in batch on a computing cluster using [http://batchmake.org/ BatchMake].&lt;br /&gt;
&lt;br /&gt;
The current status of the main modules to be used are:&lt;br /&gt;
&lt;br /&gt;
=== Registration ===&lt;br /&gt;
:* ITK has mutual information registration&lt;br /&gt;
:* T1/T2/Flair co-registration implemented into EM-segment module&lt;br /&gt;
&lt;br /&gt;
=== Lesion segmentation ===&lt;br /&gt;
Five algorithms (all within NA-MIC kit) for fully or semi-automated lesion analysis will be evaluated. These include:&lt;br /&gt;
:* [http://www.slicer.org/slicerWiki/index.php/Slicer3:EM#Old_.282007.29_Tutorial Slicer3 EM-segment Module] (Sandy Wells)&lt;br /&gt;
:* ITK stand-alone [http://www.ia.unc.edu/dev/download/itkems/index.htm itkEMS] Compare Lesion Analysis Tools (Prastawa/Gerig) &lt;br /&gt;
:* ITK stand-alone white matter lesion segmentation (Magnotta)&lt;br /&gt;
:* ITK K Nearest Neighbor classification based on the work of [http://www.midasjournal.org/browse/publication/281 Anabeek, et al]&lt;br /&gt;
:* ITK stand-alone segmentation combining elements of Boosting, Artificial Immune Systems, and Bayesian Classification. (Scully)&lt;br /&gt;
Manual tracing will serve as a bronze-standard:&lt;br /&gt;
:* Slicer3 Manual tracing by clinically trained rater (Gasparovic/Bockholt)&lt;br /&gt;
&lt;br /&gt;
=== Lesion Localization ===&lt;br /&gt;
:* Slicer3 has tools for labeling white matter lesions and summarizing their anatomical location&lt;br /&gt;
&lt;br /&gt;
=== Lesion Load Measurement ===&lt;br /&gt;
:* Slicer3 has tools for measurement of labelled lesions&lt;br /&gt;
&lt;br /&gt;
=== Performance characterization and validation ===&lt;br /&gt;
:* Data will be collected at both 1.5 and 3T. Data at 1.5T will be obtained with the protocol utilized for the current project on lupus at UNM.&lt;br /&gt;
:* Data at 3T will be obtained with sequences optimized for segmentation by the group at Utah.&lt;br /&gt;
:* Comparisons will be based on the approach developed by Martin-Fernandez et al.&lt;br /&gt;
:* The algorithm with the best performance will be incorporated into the NA-MIC kit.&lt;br /&gt;
 &lt;br /&gt;
=== Tutorial ===&lt;br /&gt;
:* 10 Externally sharable T1,T2,Flair,Lesion Map data-sets (NIFTI format) will be made available to the scientific community&lt;br /&gt;
:** 5 subjects with lupus and 5 healthy normal volunteers&lt;br /&gt;
:* A tutorial will be created that will guide end-users through each step needed to complete a lesion analysis in the NA-MIC kit&lt;br /&gt;
:** A step-by-step guide will be produced for one example lupus cases within the tutorial and one example healthy normal volunteer&lt;br /&gt;
:** Measurements for all 10 subjects will also be provided so that users may compare their results with those of the tutorial&lt;br /&gt;
&lt;br /&gt;
=== Schedule ===&lt;br /&gt;
* Sequence Optimization and Data Collection&lt;br /&gt;
:* '''10/15/2007''' T1, T2, FLAIR optimized sequences for Siemens 3T Trio Tim scanner ('''Jeremy, Bruce, Chuck''')&lt;br /&gt;
:** We will work with Bruce Fischl on using MEMPR, Mugler, and FLAIR sequences that have been optimized for maximum constrast and minimal geometric distortion across sequences&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''3/31/2008''' collection of 5 lupus subjects on clinical sequence and optimized 3T sequence ('''Chuck''')&lt;br /&gt;
:** collected 2 patients and 3 controls so far&lt;br /&gt;
:*** as of 3/10/2008 there are 3-4 additional patients scheduled, since january 1, we have had 4 patients not able to complete the protocol so far&lt;br /&gt;
&lt;br /&gt;
* Co-Registration and Atlas Registration&lt;br /&gt;
:* '''1/31/2008''' optimized mutual information registration for clinical sequences and optimized 3T sequences ('''Jeremy''')&lt;br /&gt;
:** we have tried the registration tools built-in to Slicer 3 EM-segment module so far&lt;br /&gt;
:** DONE Brad has implemented this successfully into the EM-segment module&lt;br /&gt;
&lt;br /&gt;
* Lesion segmentation&lt;br /&gt;
:* '''3/17/2008''' complete lesion segmentation methods for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Kilian/Brad, Marcel''')&lt;br /&gt;
:** Slicer3 EM-segment Module&lt;br /&gt;
:*** (Resolved) Currently has a bug that does not permit 3 channel segmentation [http://na-mic.org/Mantis/view.php?id=205 Mantis ID#0000205]&lt;br /&gt;
:**** (Resolved) Only using 2 channels such as T1/T2 or T1/FLAIR does not produce sensible/usable results&lt;br /&gt;
:*** (Resolved) Does not properly allow user to edit or change weighting of channels, this is crucial for hierarchical lesion classification. [http://na-mic.org/Mantis/view.php?id=204 Mantis ID#0000204]&lt;br /&gt;
:*** EMSegment has been run against collected lupus cases.  Segmentations have improved but are still unusable as of 08/14/2008.&lt;br /&gt;
:**** Currently working with Killian on optimizing parameters in EMSegment to improve the lesion segmentation.&lt;br /&gt;
:**** Testing parameters and resulting segmentation on collected lupus cases. &lt;br /&gt;
:** ITK itkEMS stand-alone package&lt;br /&gt;
:*** Marcel and Mark are in active collaboration with getting this method to work on-site, we have encountered compilation and memory problems with the package on mac and linux environments so far&lt;br /&gt;
:*** 3/17/2008 update, marcel built a 64-bit linux version that appears to run successfully, current results are are shown [[DBP2:MIND:itkEMSResults|here]]&lt;br /&gt;
:** ITK lesion classification stand-alone package&lt;br /&gt;
:*** Vince Magnotta has develop an ITK-based 2 stage lesion segmentation method&lt;br /&gt;
:**** stage one uses k-means tissue classification into grey, white, or csf of co-registered T1/T2&lt;br /&gt;
:**** stage two use bayesian classifier into normal tissue or lesion using results of stage one and co-reigstered Flair&lt;br /&gt;
:***** current results of this method as of 3/17/2008 are shown [[DBP2:MIND:itkBayesianLesion|here]]&lt;br /&gt;
:***** This method has been run against all cases as of 05/01/08.  Currently working with Vince Magnotta to improve the performance.&lt;br /&gt;
:***** As of 08/14/2008, currently running a modified version of Vince's classifier that has been improved by replacing intensity thresholding with joint histogram feature vector occurrence thresholding.&lt;br /&gt;
:** ITK K Nearest Neighbor Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a K-NN lesion classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** The resulting label map contains the percent likelihood that a given voxel is a lesion.  This allows the clinician to adjust the thresholding to match their preference.&lt;br /&gt;
:*** On hold as of 1/12/2008 due to incomplete ITK algorithmic support&lt;br /&gt;
:** ITK Custom Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a combined approach classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** This approach takes advantage of multiple approaches and advancements in the literature, including feature generation, Gentle Boosting based feature reduction, Artificial Immune System based filtering, and Bayesian classification.&lt;br /&gt;
:*** As of 1/01/2009 this method is functional and built into the lesion segmentation slicer3 applications. &lt;br /&gt;
:***[[File:Scully_Figure1.png|Flowchart of lesion segmentation method]]&lt;br /&gt;
:***[[File:Scully_Figure4.png|ROC curve]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
:** Slicer3 Manual Tracing&lt;br /&gt;
:*** Gasparovic has manually traced all tutorial cases with lesions using T2/Flair images following tracing guidelines and a qualitative neuroradiological review report&lt;br /&gt;
:**** 4/1/2008 create manual tracing guidelines documentation and share here&lt;br /&gt;
* Lesion Localization&lt;br /&gt;
:* '''4/15/2008''' complete lesion localizations and maps for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Lesion Measurement&lt;br /&gt;
:* '''4/20/2008''' complete lesion measurements and regional lesion load summaries for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Performance characterization and validation&lt;br /&gt;
:* '''1/6/2008''' [[Media:DBP2_MIND_Lupus_200801_update.ppt | report]] to 2008 NA-MIC AHM on progress for performance and validation of lesion segmentation methods for EM-segment, BRAINS2, manual, UNC packages ('''Jeremy''')&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''5/15/2008''' submit abstract on reliability and summary of novel NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Brad, Kilian, others''')&lt;br /&gt;
:** plan is to submit SFN abstract and manuscript closely after&lt;br /&gt;
:* '''5/20/2008''' analyze NIH study clinical sample using NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully''')&lt;br /&gt;
:* '''7/1/2008''' submit manuscript on clinical application of NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Carlos Roldan, Bill Sibbitt''')&lt;br /&gt;
:* '''8/14/2008''' submit manuscript on the lesion segmentation methods as applied to MS lesions for MICCAI 2008. ('''Mark, Jeremy, Chuck, Vince Magnotta''')&lt;br /&gt;
:* '''1/11/2009''' submit abstract on the new lesion segmentation methods as applied to Lupus lesions for HBM 2009.&lt;br /&gt;
:* '''3/08/2009''' submit manuscript on the new lesion segmentation methods as applied to Lupus lesions for MICCAI 2009.&lt;br /&gt;
&lt;br /&gt;
* Incorporation of approach into NA-MIC kit&lt;br /&gt;
:* '''1/6/2008''' Slicer3 Lesion Analysis Module that handles co-registration of T1, T2, and Flair ('''Mark Scully, Steve''')&lt;br /&gt;
:** DONE Brad completed this &lt;br /&gt;
:* ''5/1/2008''' extend Slicer3 Lesion Analysis Module to handle lesion localization and measurement ('''Mark Scully, Steve''')&lt;br /&gt;
:** ''08/01/2008'' currently locates all independent lesion clusters and identifies the anatomical regions, provided by a registered atlas, that the lesions overlap.&lt;br /&gt;
:* '''6/1/2008''' extend Slicer3 Lesion Analysis Module to implement the ITK-based lesion analysis algorithm/method (EM-segment, ITK itkEMS, ITK lesion segmentation) with the best performance ('''Mark Scully, Steve''')&lt;br /&gt;
:** a demonstration will be given at the 2008 NA-MIC AHM--we would consider this version a prototype and would be testing, refining the module through the clinical application phase ('''Jeremy, Mark Scully''')&lt;br /&gt;
:* '''6/15/2008''' functioning prototype version of lesion analysis Slicer3 Module complete ('''Mark Scully, Steve''')&lt;br /&gt;
:* '''8/14/2008''' in the process of creating a module that &amp;quot;chains&amp;quot; together all of the steps in the lesion segmentation analysis pipeline.&lt;br /&gt;
:* '''1/03/2009''' Newly developed lesion segmentation method with significantly increased performance incorporated into Slicer3 module.&lt;br /&gt;
* Tutorial and Data-sharing&lt;br /&gt;
:* '''6/20/2008''' present tutorial to 2008 NA-MIC programming week ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** A logical project for programming week for Jeremy and Sonja to finish public version of tutorial&lt;br /&gt;
:* '''7/1/2008''' make data sets and tutorial available to the scientific community ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** If we submit SFN abstract, we can advertise the availability during SFN Conference in November 2008&lt;br /&gt;
:*** We could think about advertising the roadmaps at the BIRN booth at SFN this year?&lt;br /&gt;
:* '''10/15/2008''' In the process of making the tutorial data available using XNAT.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Compare view of baseline and followup with color-coded lesion differences:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:CompareViewFlairLesionDiffWholeBrain.png&lt;br /&gt;
&lt;br /&gt;
Diffusion tracts intersecting a lesion volume:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:LesionTractsNear.png&lt;br /&gt;
&lt;br /&gt;
Axial slice with % predicted chance, thresholded predicted % chance, and manual tracing:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:Scully_Figure3.jpg&lt;br /&gt;
&lt;br /&gt;
=== Team and Institute ===&lt;br /&gt;
* Co-PI: H Jeremy Bockholt (jbockholt at mrn.org)&lt;br /&gt;
* Co-PI: Charles Gasparovic (chuck at unm.edu)&lt;br /&gt;
* Software Engineer: Mark Scully (mscully at mrn.org)&lt;br /&gt;
* NA-MIC Engineering Contact: Steve Pieper, Isomics&lt;br /&gt;
* NA-MIC Algorithms Contact: Ross Whitaker, Utah&lt;br /&gt;
* Host Institues: The [http://www.mrn.org Mind Research Network] and [http://www.unm.edu The University of New Mexico]&lt;br /&gt;
&lt;br /&gt;
[[Category:Slicer]] [[Category:Segmentation]] [[Category:Registration]]&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51293</id>
		<title>DBP2:MIND:Roadmap</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51293"/>
		<updated>2010-04-10T19:08:37Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Team and Institute */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[NA-MIC_Internal_Collaborations|NA-MIC Internal Collaborations]], [[DBP2:MIND|MIND DBP 2]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
=Brain Lesion Analysis in Neuropsychiatric Systemic Lupus Erythematosus=&lt;br /&gt;
&lt;br /&gt;
==Objective==&lt;br /&gt;
We would like to create an end-to-end application entirely within NA-MIC Kit allowing individual analysis of white matter lesions. Such a workflow applied to lupus patients is one of goals of the MIND DBP. This page describes the technology roadmap for lesion analysis in the NA-MIC Kit. The basic components necessary for this application are:&lt;br /&gt;
* '''Registration''': co-registration of T1-weighted, T2-weighted, and FLAIR images&lt;br /&gt;
* '''Tissue segmentation''': Should be multi-modality, correcting for intensity inhomogeneity and work on non-skull-stripped data.&lt;br /&gt;
* '''Lesion Localization''':  Each unique lesion should be detected and anatomical location summarized &lt;br /&gt;
* '''Lesion Load Measurement''': Measure volume of each lesion, summarize lesion load by regions&lt;br /&gt;
* '''Tutorial''':  Documentation will be written for a tutorial and sample data sets will be provided&lt;br /&gt;
* '''Time Series Analysis of white matter lesions''':&lt;br /&gt;
* '''Multi-scale Analysis of white matter lesions''':&lt;br /&gt;
&lt;br /&gt;
==Roadmap==&lt;br /&gt;
We will obtain gray matter, white matter, CSF, and lesion maps for each subject based on T1-weighted, T2-weighted, and FLAIR images. Ultimately, the NA-MIC Kit will provide a workflow for individual and group analysis of lesions. It will be implemented as a set of Slicer3 modules that can be used interactively within the Slicer3 application as well as in batch on a computing cluster using [http://batchmake.org/ BatchMake].&lt;br /&gt;
&lt;br /&gt;
The current status of the main modules to be used are:&lt;br /&gt;
&lt;br /&gt;
=== Registration ===&lt;br /&gt;
:* ITK has mutual information registration&lt;br /&gt;
:* T1/T2/Flair co-registration implemented into EM-segment module&lt;br /&gt;
&lt;br /&gt;
=== Lesion segmentation ===&lt;br /&gt;
Five algorithms (all within NA-MIC kit) for fully or semi-automated lesion analysis will be evaluated. These include:&lt;br /&gt;
:* [http://www.slicer.org/slicerWiki/index.php/Slicer3:EM#Old_.282007.29_Tutorial Slicer3 EM-segment Module] (Sandy Wells)&lt;br /&gt;
:* ITK stand-alone [http://www.ia.unc.edu/dev/download/itkems/index.htm itkEMS] Compare Lesion Analysis Tools (Prastawa/Gerig) &lt;br /&gt;
:* ITK stand-alone white matter lesion segmentation (Magnotta)&lt;br /&gt;
:* ITK K Nearest Neighbor classification based on the work of [http://www.midasjournal.org/browse/publication/281 Anabeek, et al]&lt;br /&gt;
:* ITK stand-alone segmentation combining elements of Boosting, Artificial Immune Systems, and Bayesian Classification. (Scully)&lt;br /&gt;
Manual tracing will serve as a bronze-standard:&lt;br /&gt;
:* Slicer3 Manual tracing by clinically trained rater (Gasparovic/Bockholt)&lt;br /&gt;
&lt;br /&gt;
=== Lesion Localization ===&lt;br /&gt;
:* Slicer3 has tools for labeling white matter lesions and summarizing their anatomical location&lt;br /&gt;
&lt;br /&gt;
=== Lesion Load Measurement ===&lt;br /&gt;
:* Slicer3 has tools for measurement of labelled lesions&lt;br /&gt;
&lt;br /&gt;
=== Performance characterization and validation ===&lt;br /&gt;
:* Data will be collected at both 1.5 and 3T. Data at 1.5T will be obtained with the protocol utilized for the current project on lupus at UNM.&lt;br /&gt;
:* Data at 3T will be obtained with sequences optimized for segmentation by the group at Utah.&lt;br /&gt;
:* Comparisons will be based on the approach developed by Martin-Fernandez et al.&lt;br /&gt;
:* The algorithm with the best performance will be incorporated into the NA-MIC kit.&lt;br /&gt;
 &lt;br /&gt;
=== Tutorial ===&lt;br /&gt;
:* 10 Externally sharable T1,T2,Flair,Lesion Map data-sets (NIFTI format) will be made available to the scientific community&lt;br /&gt;
:** 5 subjects with lupus and 5 healthy normal volunteers&lt;br /&gt;
:* A tutorial will be created that will guide end-users through each step needed to complete a lesion analysis in the NA-MIC kit&lt;br /&gt;
:** A step-by-step guide will be produced for one example lupus cases within the tutorial and one example healthy normal volunteer&lt;br /&gt;
:** Measurements for all 10 subjects will also be provided so that users may compare their results with those of the tutorial&lt;br /&gt;
&lt;br /&gt;
=== Schedule ===&lt;br /&gt;
* Sequence Optimization and Data Collection&lt;br /&gt;
:* '''10/15/2007''' T1, T2, FLAIR optimized sequences for Siemens 3T Trio Tim scanner ('''Jeremy, Bruce, Chuck''')&lt;br /&gt;
:** We will work with Bruce Fischl on using MEMPR, Mugler, and FLAIR sequences that have been optimized for maximum constrast and minimal geometric distortion across sequences&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''3/31/2008''' collection of 5 lupus subjects on clinical sequence and optimized 3T sequence ('''Chuck''')&lt;br /&gt;
:** collected 2 patients and 3 controls so far&lt;br /&gt;
:*** as of 3/10/2008 there are 3-4 additional patients scheduled, since january 1, we have had 4 patients not able to complete the protocol so far&lt;br /&gt;
&lt;br /&gt;
* Co-Registration and Atlas Registration&lt;br /&gt;
:* '''1/31/2008''' optimized mutual information registration for clinical sequences and optimized 3T sequences ('''Jeremy''')&lt;br /&gt;
:** we have tried the registration tools built-in to Slicer 3 EM-segment module so far&lt;br /&gt;
:** DONE Brad has implemented this successfully into the EM-segment module&lt;br /&gt;
&lt;br /&gt;
* Lesion segmentation&lt;br /&gt;
:* '''3/17/2008''' complete lesion segmentation methods for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Kilian/Brad, Marcel''')&lt;br /&gt;
:** Slicer3 EM-segment Module&lt;br /&gt;
:*** (Resolved) Currently has a bug that does not permit 3 channel segmentation [http://na-mic.org/Mantis/view.php?id=205 Mantis ID#0000205]&lt;br /&gt;
:**** (Resolved) Only using 2 channels such as T1/T2 or T1/FLAIR does not produce sensible/usable results&lt;br /&gt;
:*** (Resolved) Does not properly allow user to edit or change weighting of channels, this is crucial for hierarchical lesion classification. [http://na-mic.org/Mantis/view.php?id=204 Mantis ID#0000204]&lt;br /&gt;
:*** EMSegment has been run against collected lupus cases.  Segmentations have improved but are still unusable as of 08/14/2008.&lt;br /&gt;
:**** Currently working with Killian on optimizing parameters in EMSegment to improve the lesion segmentation.&lt;br /&gt;
:**** Testing parameters and resulting segmentation on collected lupus cases. &lt;br /&gt;
:** ITK itkEMS stand-alone package&lt;br /&gt;
:*** Marcel and Mark are in active collaboration with getting this method to work on-site, we have encountered compilation and memory problems with the package on mac and linux environments so far&lt;br /&gt;
:*** 3/17/2008 update, marcel built a 64-bit linux version that appears to run successfully, current results are are shown [[DBP2:MIND:itkEMSResults|here]]&lt;br /&gt;
:** ITK lesion classification stand-alone package&lt;br /&gt;
:*** Vince Magnotta has develop an ITK-based 2 stage lesion segmentation method&lt;br /&gt;
:**** stage one uses k-means tissue classification into grey, white, or csf of co-registered T1/T2&lt;br /&gt;
:**** stage two use bayesian classifier into normal tissue or lesion using results of stage one and co-reigstered Flair&lt;br /&gt;
:***** current results of this method as of 3/17/2008 are shown [[DBP2:MIND:itkBayesianLesion|here]]&lt;br /&gt;
:***** This method has been run against all cases as of 05/01/08.  Currently working with Vince Magnotta to improve the performance.&lt;br /&gt;
:***** As of 08/14/2008, currently running a modified version of Vince's classifier that has been improved by replacing intensity thresholding with joint histogram feature vector occurrence thresholding.&lt;br /&gt;
:** ITK K Nearest Neighbor Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a K-NN lesion classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** The resulting label map contains the percent likelihood that a given voxel is a lesion.  This allows the clinician to adjust the thresholding to match their preference.&lt;br /&gt;
:*** On hold as of 1/12/2008 due to incomplete ITK algorithmic support&lt;br /&gt;
:** ITK Custom Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a combined approach classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** This approach takes advantage of multiple approaches and advancements in the literature, including feature generation, Gentle Boosting based feature reduction, Artificial Immune System based filtering, and Bayesian classification.&lt;br /&gt;
:*** As of 1/01/2009 this method is functional and built into the lesion segmentation slicer3 applications. &lt;br /&gt;
:***[[File:Scully_Figure1.png|Flowchart of lesion segmentation method]]&lt;br /&gt;
:***[[File:Scully_Figure4.png|ROC curve]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
:** Slicer3 Manual Tracing&lt;br /&gt;
:*** Gasparovic has manually traced all tutorial cases with lesions using T2/Flair images following tracing guidelines and a qualitative neuroradiological review report&lt;br /&gt;
:**** 4/1/2008 create manual tracing guidelines documentation and share here&lt;br /&gt;
* Lesion Localization&lt;br /&gt;
:* '''4/15/2008''' complete lesion localizations and maps for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Lesion Measurement&lt;br /&gt;
:* '''4/20/2008''' complete lesion measurements and regional lesion load summaries for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Performance characterization and validation&lt;br /&gt;
:* '''1/6/2008''' [[Media:DBP2_MIND_Lupus_200801_update.ppt | report]] to 2008 NA-MIC AHM on progress for performance and validation of lesion segmentation methods for EM-segment, BRAINS2, manual, UNC packages ('''Jeremy''')&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''5/15/2008''' submit abstract on reliability and summary of novel NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Brad, Kilian, others''')&lt;br /&gt;
:** plan is to submit SFN abstract and manuscript closely after&lt;br /&gt;
:* '''5/20/2008''' analyze NIH study clinical sample using NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully''')&lt;br /&gt;
:* '''7/1/2008''' submit manuscript on clinical application of NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Carlos Roldan, Bill Sibbitt''')&lt;br /&gt;
:* '''8/14/2008''' submit manuscript on the lesion segmentation methods as applied to MS lesions for MICCAI 2008. ('''Mark, Jeremy, Chuck, Vince Magnotta''')&lt;br /&gt;
:* '''1/11/2009''' submit abstract on the new lesion segmentation methods as applied to Lupus lesions for HBM 2009.&lt;br /&gt;
:* '''3/08/2009''' submit manuscript on the new lesion segmentation methods as applied to Lupus lesions for MICCAI 2009.&lt;br /&gt;
&lt;br /&gt;
* Incorporation of approach into NA-MIC kit&lt;br /&gt;
:* '''1/6/2008''' Slicer3 Lesion Analysis Module that handles co-registration of T1, T2, and Flair ('''Mark Scully, Steve''')&lt;br /&gt;
:** DONE Brad completed this &lt;br /&gt;
:* ''5/1/2008''' extend Slicer3 Lesion Analysis Module to handle lesion localization and measurement ('''Mark Scully, Steve''')&lt;br /&gt;
:** ''08/01/2008'' currently locates all independent lesion clusters and identifies the anatomical regions, provided by a registered atlas, that the lesions overlap.&lt;br /&gt;
:* '''6/1/2008''' extend Slicer3 Lesion Analysis Module to implement the ITK-based lesion analysis algorithm/method (EM-segment, ITK itkEMS, ITK lesion segmentation) with the best performance ('''Mark Scully, Steve''')&lt;br /&gt;
:** a demonstration will be given at the 2008 NA-MIC AHM--we would consider this version a prototype and would be testing, refining the module through the clinical application phase ('''Jeremy, Mark Scully''')&lt;br /&gt;
:* '''6/15/2008''' functioning prototype version of lesion analysis Slicer3 Module complete ('''Mark Scully, Steve''')&lt;br /&gt;
:* '''8/14/2008''' in the process of creating a module that &amp;quot;chains&amp;quot; together all of the steps in the lesion segmentation analysis pipeline.&lt;br /&gt;
:* '''1/03/2009''' Newly developed lesion segmentation method with significantly increased performance incorporated into Slicer3 module.&lt;br /&gt;
* Tutorial and Data-sharing&lt;br /&gt;
:* '''6/20/2008''' present tutorial to 2008 NA-MIC programming week ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** A logical project for programming week for Jeremy and Sonja to finish public version of tutorial&lt;br /&gt;
:* '''7/1/2008''' make data sets and tutorial available to the scientific community ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** If we submit SFN abstract, we can advertise the availability during SFN Conference in November 2008&lt;br /&gt;
:*** We could think about advertising the roadmaps at the BIRN booth at SFN this year?&lt;br /&gt;
:* '''10/15/2008''' In the process of making the tutorial data available using XNAT.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Compare view of baseline and followup with color-coded lesion differences:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:CompareViewFlairLesionDiffWholeBrain.png&lt;br /&gt;
&lt;br /&gt;
Diffusion tracts intersecting a lesion volume:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:LesionTractsNear.png&lt;br /&gt;
&lt;br /&gt;
Axial slice with % predicted chance, thresholded predicted % chance, and manual tracing:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:Scully_Figure3.jpg&lt;br /&gt;
&lt;br /&gt;
=== Team and Institute ===&lt;br /&gt;
* Co-PI: H Jeremy Bockholt (jbockholt at mrn.org)&lt;br /&gt;
* Co-PI: Charles Gasparovic (chuck at unm.edu)&lt;br /&gt;
* Software Engineer: Mark Scully (mscully at mrn.org)&lt;br /&gt;
* NA-MIC Engineering Contact: Steve Pieper, Isomics&lt;br /&gt;
* NA-MIC Algorithms Contact: Ross Whitaker, Utah&lt;br /&gt;
* Host Institues: The [http://www.mrn.org Mind Research Network] and The University of New Mexico&lt;br /&gt;
&lt;br /&gt;
[[Category:Slicer]] [[Category:Segmentation]] [[Category:Registration]]&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51292</id>
		<title>DBP2:MIND:Roadmap</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51292"/>
		<updated>2010-04-10T19:08:21Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Team and Institute */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[NA-MIC_Internal_Collaborations|NA-MIC Internal Collaborations]], [[DBP2:MIND|MIND DBP 2]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
=Brain Lesion Analysis in Neuropsychiatric Systemic Lupus Erythematosus=&lt;br /&gt;
&lt;br /&gt;
==Objective==&lt;br /&gt;
We would like to create an end-to-end application entirely within NA-MIC Kit allowing individual analysis of white matter lesions. Such a workflow applied to lupus patients is one of goals of the MIND DBP. This page describes the technology roadmap for lesion analysis in the NA-MIC Kit. The basic components necessary for this application are:&lt;br /&gt;
* '''Registration''': co-registration of T1-weighted, T2-weighted, and FLAIR images&lt;br /&gt;
* '''Tissue segmentation''': Should be multi-modality, correcting for intensity inhomogeneity and work on non-skull-stripped data.&lt;br /&gt;
* '''Lesion Localization''':  Each unique lesion should be detected and anatomical location summarized &lt;br /&gt;
* '''Lesion Load Measurement''': Measure volume of each lesion, summarize lesion load by regions&lt;br /&gt;
* '''Tutorial''':  Documentation will be written for a tutorial and sample data sets will be provided&lt;br /&gt;
* '''Time Series Analysis of white matter lesions''':&lt;br /&gt;
* '''Multi-scale Analysis of white matter lesions''':&lt;br /&gt;
&lt;br /&gt;
==Roadmap==&lt;br /&gt;
We will obtain gray matter, white matter, CSF, and lesion maps for each subject based on T1-weighted, T2-weighted, and FLAIR images. Ultimately, the NA-MIC Kit will provide a workflow for individual and group analysis of lesions. It will be implemented as a set of Slicer3 modules that can be used interactively within the Slicer3 application as well as in batch on a computing cluster using [http://batchmake.org/ BatchMake].&lt;br /&gt;
&lt;br /&gt;
The current status of the main modules to be used are:&lt;br /&gt;
&lt;br /&gt;
=== Registration ===&lt;br /&gt;
:* ITK has mutual information registration&lt;br /&gt;
:* T1/T2/Flair co-registration implemented into EM-segment module&lt;br /&gt;
&lt;br /&gt;
=== Lesion segmentation ===&lt;br /&gt;
Five algorithms (all within NA-MIC kit) for fully or semi-automated lesion analysis will be evaluated. These include:&lt;br /&gt;
:* [http://www.slicer.org/slicerWiki/index.php/Slicer3:EM#Old_.282007.29_Tutorial Slicer3 EM-segment Module] (Sandy Wells)&lt;br /&gt;
:* ITK stand-alone [http://www.ia.unc.edu/dev/download/itkems/index.htm itkEMS] Compare Lesion Analysis Tools (Prastawa/Gerig) &lt;br /&gt;
:* ITK stand-alone white matter lesion segmentation (Magnotta)&lt;br /&gt;
:* ITK K Nearest Neighbor classification based on the work of [http://www.midasjournal.org/browse/publication/281 Anabeek, et al]&lt;br /&gt;
:* ITK stand-alone segmentation combining elements of Boosting, Artificial Immune Systems, and Bayesian Classification. (Scully)&lt;br /&gt;
Manual tracing will serve as a bronze-standard:&lt;br /&gt;
:* Slicer3 Manual tracing by clinically trained rater (Gasparovic/Bockholt)&lt;br /&gt;
&lt;br /&gt;
=== Lesion Localization ===&lt;br /&gt;
:* Slicer3 has tools for labeling white matter lesions and summarizing their anatomical location&lt;br /&gt;
&lt;br /&gt;
=== Lesion Load Measurement ===&lt;br /&gt;
:* Slicer3 has tools for measurement of labelled lesions&lt;br /&gt;
&lt;br /&gt;
=== Performance characterization and validation ===&lt;br /&gt;
:* Data will be collected at both 1.5 and 3T. Data at 1.5T will be obtained with the protocol utilized for the current project on lupus at UNM.&lt;br /&gt;
:* Data at 3T will be obtained with sequences optimized for segmentation by the group at Utah.&lt;br /&gt;
:* Comparisons will be based on the approach developed by Martin-Fernandez et al.&lt;br /&gt;
:* The algorithm with the best performance will be incorporated into the NA-MIC kit.&lt;br /&gt;
 &lt;br /&gt;
=== Tutorial ===&lt;br /&gt;
:* 10 Externally sharable T1,T2,Flair,Lesion Map data-sets (NIFTI format) will be made available to the scientific community&lt;br /&gt;
:** 5 subjects with lupus and 5 healthy normal volunteers&lt;br /&gt;
:* A tutorial will be created that will guide end-users through each step needed to complete a lesion analysis in the NA-MIC kit&lt;br /&gt;
:** A step-by-step guide will be produced for one example lupus cases within the tutorial and one example healthy normal volunteer&lt;br /&gt;
:** Measurements for all 10 subjects will also be provided so that users may compare their results with those of the tutorial&lt;br /&gt;
&lt;br /&gt;
=== Schedule ===&lt;br /&gt;
* Sequence Optimization and Data Collection&lt;br /&gt;
:* '''10/15/2007''' T1, T2, FLAIR optimized sequences for Siemens 3T Trio Tim scanner ('''Jeremy, Bruce, Chuck''')&lt;br /&gt;
:** We will work with Bruce Fischl on using MEMPR, Mugler, and FLAIR sequences that have been optimized for maximum constrast and minimal geometric distortion across sequences&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''3/31/2008''' collection of 5 lupus subjects on clinical sequence and optimized 3T sequence ('''Chuck''')&lt;br /&gt;
:** collected 2 patients and 3 controls so far&lt;br /&gt;
:*** as of 3/10/2008 there are 3-4 additional patients scheduled, since january 1, we have had 4 patients not able to complete the protocol so far&lt;br /&gt;
&lt;br /&gt;
* Co-Registration and Atlas Registration&lt;br /&gt;
:* '''1/31/2008''' optimized mutual information registration for clinical sequences and optimized 3T sequences ('''Jeremy''')&lt;br /&gt;
:** we have tried the registration tools built-in to Slicer 3 EM-segment module so far&lt;br /&gt;
:** DONE Brad has implemented this successfully into the EM-segment module&lt;br /&gt;
&lt;br /&gt;
* Lesion segmentation&lt;br /&gt;
:* '''3/17/2008''' complete lesion segmentation methods for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Kilian/Brad, Marcel''')&lt;br /&gt;
:** Slicer3 EM-segment Module&lt;br /&gt;
:*** (Resolved) Currently has a bug that does not permit 3 channel segmentation [http://na-mic.org/Mantis/view.php?id=205 Mantis ID#0000205]&lt;br /&gt;
:**** (Resolved) Only using 2 channels such as T1/T2 or T1/FLAIR does not produce sensible/usable results&lt;br /&gt;
:*** (Resolved) Does not properly allow user to edit or change weighting of channels, this is crucial for hierarchical lesion classification. [http://na-mic.org/Mantis/view.php?id=204 Mantis ID#0000204]&lt;br /&gt;
:*** EMSegment has been run against collected lupus cases.  Segmentations have improved but are still unusable as of 08/14/2008.&lt;br /&gt;
:**** Currently working with Killian on optimizing parameters in EMSegment to improve the lesion segmentation.&lt;br /&gt;
:**** Testing parameters and resulting segmentation on collected lupus cases. &lt;br /&gt;
:** ITK itkEMS stand-alone package&lt;br /&gt;
:*** Marcel and Mark are in active collaboration with getting this method to work on-site, we have encountered compilation and memory problems with the package on mac and linux environments so far&lt;br /&gt;
:*** 3/17/2008 update, marcel built a 64-bit linux version that appears to run successfully, current results are are shown [[DBP2:MIND:itkEMSResults|here]]&lt;br /&gt;
:** ITK lesion classification stand-alone package&lt;br /&gt;
:*** Vince Magnotta has develop an ITK-based 2 stage lesion segmentation method&lt;br /&gt;
:**** stage one uses k-means tissue classification into grey, white, or csf of co-registered T1/T2&lt;br /&gt;
:**** stage two use bayesian classifier into normal tissue or lesion using results of stage one and co-reigstered Flair&lt;br /&gt;
:***** current results of this method as of 3/17/2008 are shown [[DBP2:MIND:itkBayesianLesion|here]]&lt;br /&gt;
:***** This method has been run against all cases as of 05/01/08.  Currently working with Vince Magnotta to improve the performance.&lt;br /&gt;
:***** As of 08/14/2008, currently running a modified version of Vince's classifier that has been improved by replacing intensity thresholding with joint histogram feature vector occurrence thresholding.&lt;br /&gt;
:** ITK K Nearest Neighbor Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a K-NN lesion classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** The resulting label map contains the percent likelihood that a given voxel is a lesion.  This allows the clinician to adjust the thresholding to match their preference.&lt;br /&gt;
:*** On hold as of 1/12/2008 due to incomplete ITK algorithmic support&lt;br /&gt;
:** ITK Custom Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a combined approach classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** This approach takes advantage of multiple approaches and advancements in the literature, including feature generation, Gentle Boosting based feature reduction, Artificial Immune System based filtering, and Bayesian classification.&lt;br /&gt;
:*** As of 1/01/2009 this method is functional and built into the lesion segmentation slicer3 applications. &lt;br /&gt;
:***[[File:Scully_Figure1.png|Flowchart of lesion segmentation method]]&lt;br /&gt;
:***[[File:Scully_Figure4.png|ROC curve]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
:** Slicer3 Manual Tracing&lt;br /&gt;
:*** Gasparovic has manually traced all tutorial cases with lesions using T2/Flair images following tracing guidelines and a qualitative neuroradiological review report&lt;br /&gt;
:**** 4/1/2008 create manual tracing guidelines documentation and share here&lt;br /&gt;
* Lesion Localization&lt;br /&gt;
:* '''4/15/2008''' complete lesion localizations and maps for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Lesion Measurement&lt;br /&gt;
:* '''4/20/2008''' complete lesion measurements and regional lesion load summaries for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Performance characterization and validation&lt;br /&gt;
:* '''1/6/2008''' [[Media:DBP2_MIND_Lupus_200801_update.ppt | report]] to 2008 NA-MIC AHM on progress for performance and validation of lesion segmentation methods for EM-segment, BRAINS2, manual, UNC packages ('''Jeremy''')&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''5/15/2008''' submit abstract on reliability and summary of novel NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Brad, Kilian, others''')&lt;br /&gt;
:** plan is to submit SFN abstract and manuscript closely after&lt;br /&gt;
:* '''5/20/2008''' analyze NIH study clinical sample using NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully''')&lt;br /&gt;
:* '''7/1/2008''' submit manuscript on clinical application of NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Carlos Roldan, Bill Sibbitt''')&lt;br /&gt;
:* '''8/14/2008''' submit manuscript on the lesion segmentation methods as applied to MS lesions for MICCAI 2008. ('''Mark, Jeremy, Chuck, Vince Magnotta''')&lt;br /&gt;
:* '''1/11/2009''' submit abstract on the new lesion segmentation methods as applied to Lupus lesions for HBM 2009.&lt;br /&gt;
:* '''3/08/2009''' submit manuscript on the new lesion segmentation methods as applied to Lupus lesions for MICCAI 2009.&lt;br /&gt;
&lt;br /&gt;
* Incorporation of approach into NA-MIC kit&lt;br /&gt;
:* '''1/6/2008''' Slicer3 Lesion Analysis Module that handles co-registration of T1, T2, and Flair ('''Mark Scully, Steve''')&lt;br /&gt;
:** DONE Brad completed this &lt;br /&gt;
:* ''5/1/2008''' extend Slicer3 Lesion Analysis Module to handle lesion localization and measurement ('''Mark Scully, Steve''')&lt;br /&gt;
:** ''08/01/2008'' currently locates all independent lesion clusters and identifies the anatomical regions, provided by a registered atlas, that the lesions overlap.&lt;br /&gt;
:* '''6/1/2008''' extend Slicer3 Lesion Analysis Module to implement the ITK-based lesion analysis algorithm/method (EM-segment, ITK itkEMS, ITK lesion segmentation) with the best performance ('''Mark Scully, Steve''')&lt;br /&gt;
:** a demonstration will be given at the 2008 NA-MIC AHM--we would consider this version a prototype and would be testing, refining the module through the clinical application phase ('''Jeremy, Mark Scully''')&lt;br /&gt;
:* '''6/15/2008''' functioning prototype version of lesion analysis Slicer3 Module complete ('''Mark Scully, Steve''')&lt;br /&gt;
:* '''8/14/2008''' in the process of creating a module that &amp;quot;chains&amp;quot; together all of the steps in the lesion segmentation analysis pipeline.&lt;br /&gt;
:* '''1/03/2009''' Newly developed lesion segmentation method with significantly increased performance incorporated into Slicer3 module.&lt;br /&gt;
* Tutorial and Data-sharing&lt;br /&gt;
:* '''6/20/2008''' present tutorial to 2008 NA-MIC programming week ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** A logical project for programming week for Jeremy and Sonja to finish public version of tutorial&lt;br /&gt;
:* '''7/1/2008''' make data sets and tutorial available to the scientific community ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** If we submit SFN abstract, we can advertise the availability during SFN Conference in November 2008&lt;br /&gt;
:*** We could think about advertising the roadmaps at the BIRN booth at SFN this year?&lt;br /&gt;
:* '''10/15/2008''' In the process of making the tutorial data available using XNAT.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Compare view of baseline and followup with color-coded lesion differences:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:CompareViewFlairLesionDiffWholeBrain.png&lt;br /&gt;
&lt;br /&gt;
Diffusion tracts intersecting a lesion volume:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:LesionTractsNear.png&lt;br /&gt;
&lt;br /&gt;
Axial slice with % predicted chance, thresholded predicted % chance, and manual tracing:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:Scully_Figure3.jpg&lt;br /&gt;
&lt;br /&gt;
=== Team and Institute ===&lt;br /&gt;
* Co-PI: H Jeremy Bockholt (jbockholt at mrn.org)&lt;br /&gt;
* Co-PI: Charles Gasparovic (chuck at unm.edu)&lt;br /&gt;
* Software Engineer: Mark Scully (mscully at mrn.org)&lt;br /&gt;
* NA-MIC Engineering Contact: Steve Pieper, Isomics&lt;br /&gt;
* NA-MIC Algorithms Contact: Ross Whitaker, Utah&lt;br /&gt;
* Host Institues: The [www.mrn.org Mind Research Network] and The University of New Mexico&lt;br /&gt;
&lt;br /&gt;
[[Category:Slicer]] [[Category:Segmentation]] [[Category:Registration]]&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51291</id>
		<title>DBP2:MIND:Roadmap</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51291"/>
		<updated>2010-04-10T19:04:27Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Objective */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[NA-MIC_Internal_Collaborations|NA-MIC Internal Collaborations]], [[DBP2:MIND|MIND DBP 2]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
=Brain Lesion Analysis in Neuropsychiatric Systemic Lupus Erythematosus=&lt;br /&gt;
&lt;br /&gt;
==Objective==&lt;br /&gt;
We would like to create an end-to-end application entirely within NA-MIC Kit allowing individual analysis of white matter lesions. Such a workflow applied to lupus patients is one of goals of the MIND DBP. This page describes the technology roadmap for lesion analysis in the NA-MIC Kit. The basic components necessary for this application are:&lt;br /&gt;
* '''Registration''': co-registration of T1-weighted, T2-weighted, and FLAIR images&lt;br /&gt;
* '''Tissue segmentation''': Should be multi-modality, correcting for intensity inhomogeneity and work on non-skull-stripped data.&lt;br /&gt;
* '''Lesion Localization''':  Each unique lesion should be detected and anatomical location summarized &lt;br /&gt;
* '''Lesion Load Measurement''': Measure volume of each lesion, summarize lesion load by regions&lt;br /&gt;
* '''Tutorial''':  Documentation will be written for a tutorial and sample data sets will be provided&lt;br /&gt;
* '''Time Series Analysis of white matter lesions''':&lt;br /&gt;
* '''Multi-scale Analysis of white matter lesions''':&lt;br /&gt;
&lt;br /&gt;
==Roadmap==&lt;br /&gt;
We will obtain gray matter, white matter, CSF, and lesion maps for each subject based on T1-weighted, T2-weighted, and FLAIR images. Ultimately, the NA-MIC Kit will provide a workflow for individual and group analysis of lesions. It will be implemented as a set of Slicer3 modules that can be used interactively within the Slicer3 application as well as in batch on a computing cluster using [http://batchmake.org/ BatchMake].&lt;br /&gt;
&lt;br /&gt;
The current status of the main modules to be used are:&lt;br /&gt;
&lt;br /&gt;
=== Registration ===&lt;br /&gt;
:* ITK has mutual information registration&lt;br /&gt;
:* T1/T2/Flair co-registration implemented into EM-segment module&lt;br /&gt;
&lt;br /&gt;
=== Lesion segmentation ===&lt;br /&gt;
Five algorithms (all within NA-MIC kit) for fully or semi-automated lesion analysis will be evaluated. These include:&lt;br /&gt;
:* [http://www.slicer.org/slicerWiki/index.php/Slicer3:EM#Old_.282007.29_Tutorial Slicer3 EM-segment Module] (Sandy Wells)&lt;br /&gt;
:* ITK stand-alone [http://www.ia.unc.edu/dev/download/itkems/index.htm itkEMS] Compare Lesion Analysis Tools (Prastawa/Gerig) &lt;br /&gt;
:* ITK stand-alone white matter lesion segmentation (Magnotta)&lt;br /&gt;
:* ITK K Nearest Neighbor classification based on the work of [http://www.midasjournal.org/browse/publication/281 Anabeek, et al]&lt;br /&gt;
:* ITK stand-alone segmentation combining elements of Boosting, Artificial Immune Systems, and Bayesian Classification. (Scully)&lt;br /&gt;
Manual tracing will serve as a bronze-standard:&lt;br /&gt;
:* Slicer3 Manual tracing by clinically trained rater (Gasparovic/Bockholt)&lt;br /&gt;
&lt;br /&gt;
=== Lesion Localization ===&lt;br /&gt;
:* Slicer3 has tools for labeling white matter lesions and summarizing their anatomical location&lt;br /&gt;
&lt;br /&gt;
=== Lesion Load Measurement ===&lt;br /&gt;
:* Slicer3 has tools for measurement of labelled lesions&lt;br /&gt;
&lt;br /&gt;
=== Performance characterization and validation ===&lt;br /&gt;
:* Data will be collected at both 1.5 and 3T. Data at 1.5T will be obtained with the protocol utilized for the current project on lupus at UNM.&lt;br /&gt;
:* Data at 3T will be obtained with sequences optimized for segmentation by the group at Utah.&lt;br /&gt;
:* Comparisons will be based on the approach developed by Martin-Fernandez et al.&lt;br /&gt;
:* The algorithm with the best performance will be incorporated into the NA-MIC kit.&lt;br /&gt;
 &lt;br /&gt;
=== Tutorial ===&lt;br /&gt;
:* 10 Externally sharable T1,T2,Flair,Lesion Map data-sets (NIFTI format) will be made available to the scientific community&lt;br /&gt;
:** 5 subjects with lupus and 5 healthy normal volunteers&lt;br /&gt;
:* A tutorial will be created that will guide end-users through each step needed to complete a lesion analysis in the NA-MIC kit&lt;br /&gt;
:** A step-by-step guide will be produced for one example lupus cases within the tutorial and one example healthy normal volunteer&lt;br /&gt;
:** Measurements for all 10 subjects will also be provided so that users may compare their results with those of the tutorial&lt;br /&gt;
&lt;br /&gt;
=== Schedule ===&lt;br /&gt;
* Sequence Optimization and Data Collection&lt;br /&gt;
:* '''10/15/2007''' T1, T2, FLAIR optimized sequences for Siemens 3T Trio Tim scanner ('''Jeremy, Bruce, Chuck''')&lt;br /&gt;
:** We will work with Bruce Fischl on using MEMPR, Mugler, and FLAIR sequences that have been optimized for maximum constrast and minimal geometric distortion across sequences&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''3/31/2008''' collection of 5 lupus subjects on clinical sequence and optimized 3T sequence ('''Chuck''')&lt;br /&gt;
:** collected 2 patients and 3 controls so far&lt;br /&gt;
:*** as of 3/10/2008 there are 3-4 additional patients scheduled, since january 1, we have had 4 patients not able to complete the protocol so far&lt;br /&gt;
&lt;br /&gt;
* Co-Registration and Atlas Registration&lt;br /&gt;
:* '''1/31/2008''' optimized mutual information registration for clinical sequences and optimized 3T sequences ('''Jeremy''')&lt;br /&gt;
:** we have tried the registration tools built-in to Slicer 3 EM-segment module so far&lt;br /&gt;
:** DONE Brad has implemented this successfully into the EM-segment module&lt;br /&gt;
&lt;br /&gt;
* Lesion segmentation&lt;br /&gt;
:* '''3/17/2008''' complete lesion segmentation methods for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Kilian/Brad, Marcel''')&lt;br /&gt;
:** Slicer3 EM-segment Module&lt;br /&gt;
:*** (Resolved) Currently has a bug that does not permit 3 channel segmentation [http://na-mic.org/Mantis/view.php?id=205 Mantis ID#0000205]&lt;br /&gt;
:**** (Resolved) Only using 2 channels such as T1/T2 or T1/FLAIR does not produce sensible/usable results&lt;br /&gt;
:*** (Resolved) Does not properly allow user to edit or change weighting of channels, this is crucial for hierarchical lesion classification. [http://na-mic.org/Mantis/view.php?id=204 Mantis ID#0000204]&lt;br /&gt;
:*** EMSegment has been run against collected lupus cases.  Segmentations have improved but are still unusable as of 08/14/2008.&lt;br /&gt;
:**** Currently working with Killian on optimizing parameters in EMSegment to improve the lesion segmentation.&lt;br /&gt;
:**** Testing parameters and resulting segmentation on collected lupus cases. &lt;br /&gt;
:** ITK itkEMS stand-alone package&lt;br /&gt;
:*** Marcel and Mark are in active collaboration with getting this method to work on-site, we have encountered compilation and memory problems with the package on mac and linux environments so far&lt;br /&gt;
:*** 3/17/2008 update, marcel built a 64-bit linux version that appears to run successfully, current results are are shown [[DBP2:MIND:itkEMSResults|here]]&lt;br /&gt;
:** ITK lesion classification stand-alone package&lt;br /&gt;
:*** Vince Magnotta has develop an ITK-based 2 stage lesion segmentation method&lt;br /&gt;
:**** stage one uses k-means tissue classification into grey, white, or csf of co-registered T1/T2&lt;br /&gt;
:**** stage two use bayesian classifier into normal tissue or lesion using results of stage one and co-reigstered Flair&lt;br /&gt;
:***** current results of this method as of 3/17/2008 are shown [[DBP2:MIND:itkBayesianLesion|here]]&lt;br /&gt;
:***** This method has been run against all cases as of 05/01/08.  Currently working with Vince Magnotta to improve the performance.&lt;br /&gt;
:***** As of 08/14/2008, currently running a modified version of Vince's classifier that has been improved by replacing intensity thresholding with joint histogram feature vector occurrence thresholding.&lt;br /&gt;
:** ITK K Nearest Neighbor Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a K-NN lesion classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** The resulting label map contains the percent likelihood that a given voxel is a lesion.  This allows the clinician to adjust the thresholding to match their preference.&lt;br /&gt;
:*** On hold as of 1/12/2008 due to incomplete ITK algorithmic support&lt;br /&gt;
:** ITK Custom Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a combined approach classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** This approach takes advantage of multiple approaches and advancements in the literature, including feature generation, Gentle Boosting based feature reduction, Artificial Immune System based filtering, and Bayesian classification.&lt;br /&gt;
:*** As of 1/01/2009 this method is functional and built into the lesion segmentation slicer3 applications. &lt;br /&gt;
:***[[File:Scully_Figure1.png|Flowchart of lesion segmentation method]]&lt;br /&gt;
:***[[File:Scully_Figure4.png|ROC curve]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
:** Slicer3 Manual Tracing&lt;br /&gt;
:*** Gasparovic has manually traced all tutorial cases with lesions using T2/Flair images following tracing guidelines and a qualitative neuroradiological review report&lt;br /&gt;
:**** 4/1/2008 create manual tracing guidelines documentation and share here&lt;br /&gt;
* Lesion Localization&lt;br /&gt;
:* '''4/15/2008''' complete lesion localizations and maps for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Lesion Measurement&lt;br /&gt;
:* '''4/20/2008''' complete lesion measurements and regional lesion load summaries for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Performance characterization and validation&lt;br /&gt;
:* '''1/6/2008''' [[Media:DBP2_MIND_Lupus_200801_update.ppt | report]] to 2008 NA-MIC AHM on progress for performance and validation of lesion segmentation methods for EM-segment, BRAINS2, manual, UNC packages ('''Jeremy''')&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''5/15/2008''' submit abstract on reliability and summary of novel NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Brad, Kilian, others''')&lt;br /&gt;
:** plan is to submit SFN abstract and manuscript closely after&lt;br /&gt;
:* '''5/20/2008''' analyze NIH study clinical sample using NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully''')&lt;br /&gt;
:* '''7/1/2008''' submit manuscript on clinical application of NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Carlos Roldan, Bill Sibbitt''')&lt;br /&gt;
:* '''8/14/2008''' submit manuscript on the lesion segmentation methods as applied to MS lesions for MICCAI 2008. ('''Mark, Jeremy, Chuck, Vince Magnotta''')&lt;br /&gt;
:* '''1/11/2009''' submit abstract on the new lesion segmentation methods as applied to Lupus lesions for HBM 2009.&lt;br /&gt;
:* '''3/08/2009''' submit manuscript on the new lesion segmentation methods as applied to Lupus lesions for MICCAI 2009.&lt;br /&gt;
&lt;br /&gt;
* Incorporation of approach into NA-MIC kit&lt;br /&gt;
:* '''1/6/2008''' Slicer3 Lesion Analysis Module that handles co-registration of T1, T2, and Flair ('''Mark Scully, Steve''')&lt;br /&gt;
:** DONE Brad completed this &lt;br /&gt;
:* ''5/1/2008''' extend Slicer3 Lesion Analysis Module to handle lesion localization and measurement ('''Mark Scully, Steve''')&lt;br /&gt;
:** ''08/01/2008'' currently locates all independent lesion clusters and identifies the anatomical regions, provided by a registered atlas, that the lesions overlap.&lt;br /&gt;
:* '''6/1/2008''' extend Slicer3 Lesion Analysis Module to implement the ITK-based lesion analysis algorithm/method (EM-segment, ITK itkEMS, ITK lesion segmentation) with the best performance ('''Mark Scully, Steve''')&lt;br /&gt;
:** a demonstration will be given at the 2008 NA-MIC AHM--we would consider this version a prototype and would be testing, refining the module through the clinical application phase ('''Jeremy, Mark Scully''')&lt;br /&gt;
:* '''6/15/2008''' functioning prototype version of lesion analysis Slicer3 Module complete ('''Mark Scully, Steve''')&lt;br /&gt;
:* '''8/14/2008''' in the process of creating a module that &amp;quot;chains&amp;quot; together all of the steps in the lesion segmentation analysis pipeline.&lt;br /&gt;
:* '''1/03/2009''' Newly developed lesion segmentation method with significantly increased performance incorporated into Slicer3 module.&lt;br /&gt;
* Tutorial and Data-sharing&lt;br /&gt;
:* '''6/20/2008''' present tutorial to 2008 NA-MIC programming week ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** A logical project for programming week for Jeremy and Sonja to finish public version of tutorial&lt;br /&gt;
:* '''7/1/2008''' make data sets and tutorial available to the scientific community ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** If we submit SFN abstract, we can advertise the availability during SFN Conference in November 2008&lt;br /&gt;
:*** We could think about advertising the roadmaps at the BIRN booth at SFN this year?&lt;br /&gt;
:* '''10/15/2008''' In the process of making the tutorial data available using XNAT.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Compare view of baseline and followup with color-coded lesion differences:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:CompareViewFlairLesionDiffWholeBrain.png&lt;br /&gt;
&lt;br /&gt;
Diffusion tracts intersecting a lesion volume:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:LesionTractsNear.png&lt;br /&gt;
&lt;br /&gt;
Axial slice with % predicted chance, thresholded predicted % chance, and manual tracing:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:Scully_Figure3.jpg&lt;br /&gt;
&lt;br /&gt;
=== Team and Institute ===&lt;br /&gt;
* Co-PI: H Jeremy Bockholt (jbockholt at mrn.org)&lt;br /&gt;
* Co-PI: Charles Gasparovic (chuck at unm.edu)&lt;br /&gt;
* Software Engineer: Mark Scully (mscully at mrn.org)&lt;br /&gt;
* NA-MIC Engineering Contact: Steve Pieper, Isomics&lt;br /&gt;
* NA-MIC Algorithms Contact: Ross Whitaker, Utah&lt;br /&gt;
* Host Institues: The MIND Institute and The University of New Mexico&lt;br /&gt;
&lt;br /&gt;
[[Category:Slicer]] [[Category:Segmentation]] [[Category:Registration]]&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51290</id>
		<title>DBP2:MIND:Roadmap</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51290"/>
		<updated>2010-04-10T19:03:33Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Registration */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[NA-MIC_Internal_Collaborations|NA-MIC Internal Collaborations]], [[DBP2:MIND|MIND DBP 2]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
=Brain Lesion Analysis in Neuropsychiatric Systemic Lupus Erythematosus=&lt;br /&gt;
&lt;br /&gt;
==Objective==&lt;br /&gt;
We would like to create an end-to-end application entirely within NA-MIC Kit allowing individual analysis of white matter lesions. Such a workflow applied to lupus patients is one of goals of the MIND DBP. This page describes the technology roadmap for lesion analysis in the NA-MIC Kit. The basic components necessary for this application are:&lt;br /&gt;
* '''Registration''': co-registration of T1-weighted, T2-weighted, and FLAIR images&lt;br /&gt;
* '''Tissue segmentation''': Should be multi-modality, correcting for intensity inhomogeneity and work on non-skull-stripped data.&lt;br /&gt;
* '''Lesion Localization''':  Each unique lesion should be detected and anatomical location summarized &lt;br /&gt;
* '''Lesion Load Measurement''': Measure volume of each lesion, summarize lesion load by regions&lt;br /&gt;
* '''Tutorial''':  Documentation will be written for a tutorial and sample data sets will be provided&lt;br /&gt;
&lt;br /&gt;
==Roadmap==&lt;br /&gt;
We will obtain gray matter, white matter, CSF, and lesion maps for each subject based on T1-weighted, T2-weighted, and FLAIR images. Ultimately, the NA-MIC Kit will provide a workflow for individual and group analysis of lesions. It will be implemented as a set of Slicer3 modules that can be used interactively within the Slicer3 application as well as in batch on a computing cluster using [http://batchmake.org/ BatchMake].&lt;br /&gt;
&lt;br /&gt;
The current status of the main modules to be used are:&lt;br /&gt;
&lt;br /&gt;
=== Registration ===&lt;br /&gt;
:* ITK has mutual information registration&lt;br /&gt;
:* T1/T2/Flair co-registration implemented into EM-segment module&lt;br /&gt;
&lt;br /&gt;
=== Lesion segmentation ===&lt;br /&gt;
Five algorithms (all within NA-MIC kit) for fully or semi-automated lesion analysis will be evaluated. These include:&lt;br /&gt;
:* [http://www.slicer.org/slicerWiki/index.php/Slicer3:EM#Old_.282007.29_Tutorial Slicer3 EM-segment Module] (Sandy Wells)&lt;br /&gt;
:* ITK stand-alone [http://www.ia.unc.edu/dev/download/itkems/index.htm itkEMS] Compare Lesion Analysis Tools (Prastawa/Gerig) &lt;br /&gt;
:* ITK stand-alone white matter lesion segmentation (Magnotta)&lt;br /&gt;
:* ITK K Nearest Neighbor classification based on the work of [http://www.midasjournal.org/browse/publication/281 Anabeek, et al]&lt;br /&gt;
:* ITK stand-alone segmentation combining elements of Boosting, Artificial Immune Systems, and Bayesian Classification. (Scully)&lt;br /&gt;
Manual tracing will serve as a bronze-standard:&lt;br /&gt;
:* Slicer3 Manual tracing by clinically trained rater (Gasparovic/Bockholt)&lt;br /&gt;
&lt;br /&gt;
=== Lesion Localization ===&lt;br /&gt;
:* Slicer3 has tools for labeling white matter lesions and summarizing their anatomical location&lt;br /&gt;
&lt;br /&gt;
=== Lesion Load Measurement ===&lt;br /&gt;
:* Slicer3 has tools for measurement of labelled lesions&lt;br /&gt;
&lt;br /&gt;
=== Performance characterization and validation ===&lt;br /&gt;
:* Data will be collected at both 1.5 and 3T. Data at 1.5T will be obtained with the protocol utilized for the current project on lupus at UNM.&lt;br /&gt;
:* Data at 3T will be obtained with sequences optimized for segmentation by the group at Utah.&lt;br /&gt;
:* Comparisons will be based on the approach developed by Martin-Fernandez et al.&lt;br /&gt;
:* The algorithm with the best performance will be incorporated into the NA-MIC kit.&lt;br /&gt;
 &lt;br /&gt;
=== Tutorial ===&lt;br /&gt;
:* 10 Externally sharable T1,T2,Flair,Lesion Map data-sets (NIFTI format) will be made available to the scientific community&lt;br /&gt;
:** 5 subjects with lupus and 5 healthy normal volunteers&lt;br /&gt;
:* A tutorial will be created that will guide end-users through each step needed to complete a lesion analysis in the NA-MIC kit&lt;br /&gt;
:** A step-by-step guide will be produced for one example lupus cases within the tutorial and one example healthy normal volunteer&lt;br /&gt;
:** Measurements for all 10 subjects will also be provided so that users may compare their results with those of the tutorial&lt;br /&gt;
&lt;br /&gt;
=== Schedule ===&lt;br /&gt;
* Sequence Optimization and Data Collection&lt;br /&gt;
:* '''10/15/2007''' T1, T2, FLAIR optimized sequences for Siemens 3T Trio Tim scanner ('''Jeremy, Bruce, Chuck''')&lt;br /&gt;
:** We will work with Bruce Fischl on using MEMPR, Mugler, and FLAIR sequences that have been optimized for maximum constrast and minimal geometric distortion across sequences&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''3/31/2008''' collection of 5 lupus subjects on clinical sequence and optimized 3T sequence ('''Chuck''')&lt;br /&gt;
:** collected 2 patients and 3 controls so far&lt;br /&gt;
:*** as of 3/10/2008 there are 3-4 additional patients scheduled, since january 1, we have had 4 patients not able to complete the protocol so far&lt;br /&gt;
&lt;br /&gt;
* Co-Registration and Atlas Registration&lt;br /&gt;
:* '''1/31/2008''' optimized mutual information registration for clinical sequences and optimized 3T sequences ('''Jeremy''')&lt;br /&gt;
:** we have tried the registration tools built-in to Slicer 3 EM-segment module so far&lt;br /&gt;
:** DONE Brad has implemented this successfully into the EM-segment module&lt;br /&gt;
&lt;br /&gt;
* Lesion segmentation&lt;br /&gt;
:* '''3/17/2008''' complete lesion segmentation methods for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Kilian/Brad, Marcel''')&lt;br /&gt;
:** Slicer3 EM-segment Module&lt;br /&gt;
:*** (Resolved) Currently has a bug that does not permit 3 channel segmentation [http://na-mic.org/Mantis/view.php?id=205 Mantis ID#0000205]&lt;br /&gt;
:**** (Resolved) Only using 2 channels such as T1/T2 or T1/FLAIR does not produce sensible/usable results&lt;br /&gt;
:*** (Resolved) Does not properly allow user to edit or change weighting of channels, this is crucial for hierarchical lesion classification. [http://na-mic.org/Mantis/view.php?id=204 Mantis ID#0000204]&lt;br /&gt;
:*** EMSegment has been run against collected lupus cases.  Segmentations have improved but are still unusable as of 08/14/2008.&lt;br /&gt;
:**** Currently working with Killian on optimizing parameters in EMSegment to improve the lesion segmentation.&lt;br /&gt;
:**** Testing parameters and resulting segmentation on collected lupus cases. &lt;br /&gt;
:** ITK itkEMS stand-alone package&lt;br /&gt;
:*** Marcel and Mark are in active collaboration with getting this method to work on-site, we have encountered compilation and memory problems with the package on mac and linux environments so far&lt;br /&gt;
:*** 3/17/2008 update, marcel built a 64-bit linux version that appears to run successfully, current results are are shown [[DBP2:MIND:itkEMSResults|here]]&lt;br /&gt;
:** ITK lesion classification stand-alone package&lt;br /&gt;
:*** Vince Magnotta has develop an ITK-based 2 stage lesion segmentation method&lt;br /&gt;
:**** stage one uses k-means tissue classification into grey, white, or csf of co-registered T1/T2&lt;br /&gt;
:**** stage two use bayesian classifier into normal tissue or lesion using results of stage one and co-reigstered Flair&lt;br /&gt;
:***** current results of this method as of 3/17/2008 are shown [[DBP2:MIND:itkBayesianLesion|here]]&lt;br /&gt;
:***** This method has been run against all cases as of 05/01/08.  Currently working with Vince Magnotta to improve the performance.&lt;br /&gt;
:***** As of 08/14/2008, currently running a modified version of Vince's classifier that has been improved by replacing intensity thresholding with joint histogram feature vector occurrence thresholding.&lt;br /&gt;
:** ITK K Nearest Neighbor Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a K-NN lesion classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** The resulting label map contains the percent likelihood that a given voxel is a lesion.  This allows the clinician to adjust the thresholding to match their preference.&lt;br /&gt;
:*** On hold as of 1/12/2008 due to incomplete ITK algorithmic support&lt;br /&gt;
:** ITK Custom Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a combined approach classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** This approach takes advantage of multiple approaches and advancements in the literature, including feature generation, Gentle Boosting based feature reduction, Artificial Immune System based filtering, and Bayesian classification.&lt;br /&gt;
:*** As of 1/01/2009 this method is functional and built into the lesion segmentation slicer3 applications. &lt;br /&gt;
:***[[File:Scully_Figure1.png|Flowchart of lesion segmentation method]]&lt;br /&gt;
:***[[File:Scully_Figure4.png|ROC curve]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
:** Slicer3 Manual Tracing&lt;br /&gt;
:*** Gasparovic has manually traced all tutorial cases with lesions using T2/Flair images following tracing guidelines and a qualitative neuroradiological review report&lt;br /&gt;
:**** 4/1/2008 create manual tracing guidelines documentation and share here&lt;br /&gt;
* Lesion Localization&lt;br /&gt;
:* '''4/15/2008''' complete lesion localizations and maps for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Lesion Measurement&lt;br /&gt;
:* '''4/20/2008''' complete lesion measurements and regional lesion load summaries for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Performance characterization and validation&lt;br /&gt;
:* '''1/6/2008''' [[Media:DBP2_MIND_Lupus_200801_update.ppt | report]] to 2008 NA-MIC AHM on progress for performance and validation of lesion segmentation methods for EM-segment, BRAINS2, manual, UNC packages ('''Jeremy''')&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''5/15/2008''' submit abstract on reliability and summary of novel NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Brad, Kilian, others''')&lt;br /&gt;
:** plan is to submit SFN abstract and manuscript closely after&lt;br /&gt;
:* '''5/20/2008''' analyze NIH study clinical sample using NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully''')&lt;br /&gt;
:* '''7/1/2008''' submit manuscript on clinical application of NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Carlos Roldan, Bill Sibbitt''')&lt;br /&gt;
:* '''8/14/2008''' submit manuscript on the lesion segmentation methods as applied to MS lesions for MICCAI 2008. ('''Mark, Jeremy, Chuck, Vince Magnotta''')&lt;br /&gt;
:* '''1/11/2009''' submit abstract on the new lesion segmentation methods as applied to Lupus lesions for HBM 2009.&lt;br /&gt;
:* '''3/08/2009''' submit manuscript on the new lesion segmentation methods as applied to Lupus lesions for MICCAI 2009.&lt;br /&gt;
&lt;br /&gt;
* Incorporation of approach into NA-MIC kit&lt;br /&gt;
:* '''1/6/2008''' Slicer3 Lesion Analysis Module that handles co-registration of T1, T2, and Flair ('''Mark Scully, Steve''')&lt;br /&gt;
:** DONE Brad completed this &lt;br /&gt;
:* ''5/1/2008''' extend Slicer3 Lesion Analysis Module to handle lesion localization and measurement ('''Mark Scully, Steve''')&lt;br /&gt;
:** ''08/01/2008'' currently locates all independent lesion clusters and identifies the anatomical regions, provided by a registered atlas, that the lesions overlap.&lt;br /&gt;
:* '''6/1/2008''' extend Slicer3 Lesion Analysis Module to implement the ITK-based lesion analysis algorithm/method (EM-segment, ITK itkEMS, ITK lesion segmentation) with the best performance ('''Mark Scully, Steve''')&lt;br /&gt;
:** a demonstration will be given at the 2008 NA-MIC AHM--we would consider this version a prototype and would be testing, refining the module through the clinical application phase ('''Jeremy, Mark Scully''')&lt;br /&gt;
:* '''6/15/2008''' functioning prototype version of lesion analysis Slicer3 Module complete ('''Mark Scully, Steve''')&lt;br /&gt;
:* '''8/14/2008''' in the process of creating a module that &amp;quot;chains&amp;quot; together all of the steps in the lesion segmentation analysis pipeline.&lt;br /&gt;
:* '''1/03/2009''' Newly developed lesion segmentation method with significantly increased performance incorporated into Slicer3 module.&lt;br /&gt;
* Tutorial and Data-sharing&lt;br /&gt;
:* '''6/20/2008''' present tutorial to 2008 NA-MIC programming week ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** A logical project for programming week for Jeremy and Sonja to finish public version of tutorial&lt;br /&gt;
:* '''7/1/2008''' make data sets and tutorial available to the scientific community ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** If we submit SFN abstract, we can advertise the availability during SFN Conference in November 2008&lt;br /&gt;
:*** We could think about advertising the roadmaps at the BIRN booth at SFN this year?&lt;br /&gt;
:* '''10/15/2008''' In the process of making the tutorial data available using XNAT.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Compare view of baseline and followup with color-coded lesion differences:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:CompareViewFlairLesionDiffWholeBrain.png&lt;br /&gt;
&lt;br /&gt;
Diffusion tracts intersecting a lesion volume:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:LesionTractsNear.png&lt;br /&gt;
&lt;br /&gt;
Axial slice with % predicted chance, thresholded predicted % chance, and manual tracing:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:Scully_Figure3.jpg&lt;br /&gt;
&lt;br /&gt;
=== Team and Institute ===&lt;br /&gt;
* Co-PI: H Jeremy Bockholt (jbockholt at mrn.org)&lt;br /&gt;
* Co-PI: Charles Gasparovic (chuck at unm.edu)&lt;br /&gt;
* Software Engineer: Mark Scully (mscully at mrn.org)&lt;br /&gt;
* NA-MIC Engineering Contact: Steve Pieper, Isomics&lt;br /&gt;
* NA-MIC Algorithms Contact: Ross Whitaker, Utah&lt;br /&gt;
* Host Institues: The MIND Institute and The University of New Mexico&lt;br /&gt;
&lt;br /&gt;
[[Category:Slicer]] [[Category:Segmentation]] [[Category:Registration]]&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51279</id>
		<title>DBP2:MIND:Roadmap</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51279"/>
		<updated>2010-04-10T17:03:48Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Schedule */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[NA-MIC_Internal_Collaborations|NA-MIC Internal Collaborations]], [[DBP2:MIND|MIND DBP 2]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
=Brain Lesion Analysis in Neuropsychiatric Systemic Lupus Erythematosus=&lt;br /&gt;
&lt;br /&gt;
==Objective==&lt;br /&gt;
We would like to create an end-to-end application entirely within NA-MIC Kit allowing individual analysis of white matter lesions. Such a workflow applied to lupus patients is one of goals of the MIND DBP. This page describes the technology roadmap for lesion analysis in the NA-MIC Kit. The basic components necessary for this application are:&lt;br /&gt;
* '''Registration''': co-registration of T1-weighted, T2-weighted, and FLAIR images&lt;br /&gt;
* '''Tissue segmentation''': Should be multi-modality, correcting for intensity inhomogeneity and work on non-skull-stripped data.&lt;br /&gt;
* '''Lesion Localization''':  Each unique lesion should be detected and anatomical location summarized &lt;br /&gt;
* '''Lesion Load Measurement''': Measure volume of each lesion, summarize lesion load by regions&lt;br /&gt;
* '''Tutorial''':  Documentation will be written for a tutorial and sample data sets will be provided&lt;br /&gt;
&lt;br /&gt;
==Roadmap==&lt;br /&gt;
We will obtain gray matter, white matter, CSF, and lesion maps for each subject based on T1-weighted, T2-weighted, and FLAIR images. Ultimately, the NA-MIC Kit will provide a workflow for individual and group analysis of lesions. It will be implemented as a set of Slicer3 modules that can be used interactively within the Slicer3 application as well as in batch on a computing cluster using [http://batchmake.org/ BatchMake].&lt;br /&gt;
&lt;br /&gt;
The current status of the main modules to be used are:&lt;br /&gt;
&lt;br /&gt;
=== Registration ===&lt;br /&gt;
:* ITK has mutual information registration&lt;br /&gt;
:** T1/T2/Flair co-registration implemented into EM-segment module&lt;br /&gt;
&lt;br /&gt;
=== Lesion segmentation ===&lt;br /&gt;
Five algorithms (all within NA-MIC kit) for fully or semi-automated lesion analysis will be evaluated. These include:&lt;br /&gt;
:* [http://www.slicer.org/slicerWiki/index.php/Slicer3:EM#Old_.282007.29_Tutorial Slicer3 EM-segment Module] (Sandy Wells)&lt;br /&gt;
:* ITK stand-alone [http://www.ia.unc.edu/dev/download/itkems/index.htm itkEMS] Compare Lesion Analysis Tools (Prastawa/Gerig) &lt;br /&gt;
:* ITK stand-alone white matter lesion segmentation (Magnotta)&lt;br /&gt;
:* ITK K Nearest Neighbor classification based on the work of [http://www.midasjournal.org/browse/publication/281 Anabeek, et al]&lt;br /&gt;
:* ITK stand-alone segmentation combining elements of Boosting, Artificial Immune Systems, and Bayesian Classification. (Scully)&lt;br /&gt;
Manual tracing will serve as a bronze-standard:&lt;br /&gt;
:* Slicer3 Manual tracing by clinically trained rater (Gasparovic/Bockholt)&lt;br /&gt;
&lt;br /&gt;
=== Lesion Localization ===&lt;br /&gt;
:* Slicer3 has tools for labeling white matter lesions and summarizing their anatomical location&lt;br /&gt;
&lt;br /&gt;
=== Lesion Load Measurement ===&lt;br /&gt;
:* Slicer3 has tools for measurement of labelled lesions&lt;br /&gt;
&lt;br /&gt;
=== Performance characterization and validation ===&lt;br /&gt;
:* Data will be collected at both 1.5 and 3T. Data at 1.5T will be obtained with the protocol utilized for the current project on lupus at UNM.&lt;br /&gt;
:* Data at 3T will be obtained with sequences optimized for segmentation by the group at Utah.&lt;br /&gt;
:* Comparisons will be based on the approach developed by Martin-Fernandez et al.&lt;br /&gt;
:* The algorithm with the best performance will be incorporated into the NA-MIC kit.&lt;br /&gt;
 &lt;br /&gt;
=== Tutorial ===&lt;br /&gt;
:* 10 Externally sharable T1,T2,Flair,Lesion Map data-sets (NIFTI format) will be made available to the scientific community&lt;br /&gt;
:** 5 subjects with lupus and 5 healthy normal volunteers&lt;br /&gt;
:* A tutorial will be created that will guide end-users through each step needed to complete a lesion analysis in the NA-MIC kit&lt;br /&gt;
:** A step-by-step guide will be produced for one example lupus cases within the tutorial and one example healthy normal volunteer&lt;br /&gt;
:** Measurements for all 10 subjects will also be provided so that users may compare their results with those of the tutorial&lt;br /&gt;
&lt;br /&gt;
=== Schedule ===&lt;br /&gt;
* Sequence Optimization and Data Collection&lt;br /&gt;
:* '''10/15/2007''' T1, T2, FLAIR optimized sequences for Siemens 3T Trio Tim scanner ('''Jeremy, Bruce, Chuck''')&lt;br /&gt;
:** We will work with Bruce Fischl on using MEMPR, Mugler, and FLAIR sequences that have been optimized for maximum constrast and minimal geometric distortion across sequences&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''3/31/2008''' collection of 5 lupus subjects on clinical sequence and optimized 3T sequence ('''Chuck''')&lt;br /&gt;
:** collected 2 patients and 3 controls so far&lt;br /&gt;
:*** as of 3/10/2008 there are 3-4 additional patients scheduled, since january 1, we have had 4 patients not able to complete the protocol so far&lt;br /&gt;
&lt;br /&gt;
* Co-Registration and Atlas Registration&lt;br /&gt;
:* '''1/31/2008''' optimized mutual information registration for clinical sequences and optimized 3T sequences ('''Jeremy''')&lt;br /&gt;
:** we have tried the registration tools built-in to Slicer 3 EM-segment module so far&lt;br /&gt;
:** DONE Brad has implemented this successfully into the EM-segment module&lt;br /&gt;
&lt;br /&gt;
* Lesion segmentation&lt;br /&gt;
:* '''3/17/2008''' complete lesion segmentation methods for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Kilian/Brad, Marcel''')&lt;br /&gt;
:** Slicer3 EM-segment Module&lt;br /&gt;
:*** (Resolved) Currently has a bug that does not permit 3 channel segmentation [http://na-mic.org/Mantis/view.php?id=205 Mantis ID#0000205]&lt;br /&gt;
:**** (Resolved) Only using 2 channels such as T1/T2 or T1/FLAIR does not produce sensible/usable results&lt;br /&gt;
:*** (Resolved) Does not properly allow user to edit or change weighting of channels, this is crucial for hierarchical lesion classification. [http://na-mic.org/Mantis/view.php?id=204 Mantis ID#0000204]&lt;br /&gt;
:*** EMSegment has been run against collected lupus cases.  Segmentations have improved but are still unusable as of 08/14/2008.&lt;br /&gt;
:**** Currently working with Killian on optimizing parameters in EMSegment to improve the lesion segmentation.&lt;br /&gt;
:**** Testing parameters and resulting segmentation on collected lupus cases. &lt;br /&gt;
:** ITK itkEMS stand-alone package&lt;br /&gt;
:*** Marcel and Mark are in active collaboration with getting this method to work on-site, we have encountered compilation and memory problems with the package on mac and linux environments so far&lt;br /&gt;
:*** 3/17/2008 update, marcel built a 64-bit linux version that appears to run successfully, current results are are shown [[DBP2:MIND:itkEMSResults|here]]&lt;br /&gt;
:** ITK lesion classification stand-alone package&lt;br /&gt;
:*** Vince Magnotta has develop an ITK-based 2 stage lesion segmentation method&lt;br /&gt;
:**** stage one uses k-means tissue classification into grey, white, or csf of co-registered T1/T2&lt;br /&gt;
:**** stage two use bayesian classifier into normal tissue or lesion using results of stage one and co-reigstered Flair&lt;br /&gt;
:***** current results of this method as of 3/17/2008 are shown [[DBP2:MIND:itkBayesianLesion|here]]&lt;br /&gt;
:***** This method has been run against all cases as of 05/01/08.  Currently working with Vince Magnotta to improve the performance.&lt;br /&gt;
:***** As of 08/14/2008, currently running a modified version of Vince's classifier that has been improved by replacing intensity thresholding with joint histogram feature vector occurrence thresholding.&lt;br /&gt;
:** ITK K Nearest Neighbor Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a K-NN lesion classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** The resulting label map contains the percent likelihood that a given voxel is a lesion.  This allows the clinician to adjust the thresholding to match their preference.&lt;br /&gt;
:*** On hold as of 1/12/2008 due to incomplete ITK algorithmic support&lt;br /&gt;
:** ITK Custom Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a combined approach classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** This approach takes advantage of multiple approaches and advancements in the literature, including feature generation, Gentle Boosting based feature reduction, Artificial Immune System based filtering, and Bayesian classification.&lt;br /&gt;
:*** As of 1/01/2009 this method is functional and built into the lesion segmentation slicer3 applications. &lt;br /&gt;
:***[[File:Scully_Figure1.png|Flowchart of lesion segmentation method]]&lt;br /&gt;
:***[[File:Scully_Figure4.png|ROC curve]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
:** Slicer3 Manual Tracing&lt;br /&gt;
:*** Gasparovic has manually traced all tutorial cases with lesions using T2/Flair images following tracing guidelines and a qualitative neuroradiological review report&lt;br /&gt;
:**** 4/1/2008 create manual tracing guidelines documentation and share here&lt;br /&gt;
* Lesion Localization&lt;br /&gt;
:* '''4/15/2008''' complete lesion localizations and maps for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Lesion Measurement&lt;br /&gt;
:* '''4/20/2008''' complete lesion measurements and regional lesion load summaries for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Performance characterization and validation&lt;br /&gt;
:* '''1/6/2008''' [[Media:DBP2_MIND_Lupus_200801_update.ppt | report]] to 2008 NA-MIC AHM on progress for performance and validation of lesion segmentation methods for EM-segment, BRAINS2, manual, UNC packages ('''Jeremy''')&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''5/15/2008''' submit abstract on reliability and summary of novel NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Brad, Kilian, others''')&lt;br /&gt;
:** plan is to submit SFN abstract and manuscript closely after&lt;br /&gt;
:* '''5/20/2008''' analyze NIH study clinical sample using NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully''')&lt;br /&gt;
:* '''7/1/2008''' submit manuscript on clinical application of NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Carlos Roldan, Bill Sibbitt''')&lt;br /&gt;
:* '''8/14/2008''' submit manuscript on the lesion segmentation methods as applied to MS lesions for MICCAI 2008. ('''Mark, Jeremy, Chuck, Vince Magnotta''')&lt;br /&gt;
:* '''1/11/2009''' submit abstract on the new lesion segmentation methods as applied to Lupus lesions for HBM 2009.&lt;br /&gt;
:* '''3/08/2009''' submit manuscript on the new lesion segmentation methods as applied to Lupus lesions for MICCAI 2009.&lt;br /&gt;
&lt;br /&gt;
* Incorporation of approach into NA-MIC kit&lt;br /&gt;
:* '''1/6/2008''' Slicer3 Lesion Analysis Module that handles co-registration of T1, T2, and Flair ('''Mark Scully, Steve''')&lt;br /&gt;
:** DONE Brad completed this &lt;br /&gt;
:* ''5/1/2008''' extend Slicer3 Lesion Analysis Module to handle lesion localization and measurement ('''Mark Scully, Steve''')&lt;br /&gt;
:** ''08/01/2008'' currently locates all independent lesion clusters and identifies the anatomical regions, provided by a registered atlas, that the lesions overlap.&lt;br /&gt;
:* '''6/1/2008''' extend Slicer3 Lesion Analysis Module to implement the ITK-based lesion analysis algorithm/method (EM-segment, ITK itkEMS, ITK lesion segmentation) with the best performance ('''Mark Scully, Steve''')&lt;br /&gt;
:** a demonstration will be given at the 2008 NA-MIC AHM--we would consider this version a prototype and would be testing, refining the module through the clinical application phase ('''Jeremy, Mark Scully''')&lt;br /&gt;
:* '''6/15/2008''' functioning prototype version of lesion analysis Slicer3 Module complete ('''Mark Scully, Steve''')&lt;br /&gt;
:* '''8/14/2008''' in the process of creating a module that &amp;quot;chains&amp;quot; together all of the steps in the lesion segmentation analysis pipeline.&lt;br /&gt;
:* '''1/03/2009''' Newly developed lesion segmentation method with significantly increased performance incorporated into Slicer3 module.&lt;br /&gt;
* Tutorial and Data-sharing&lt;br /&gt;
:* '''6/20/2008''' present tutorial to 2008 NA-MIC programming week ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** A logical project for programming week for Jeremy and Sonja to finish public version of tutorial&lt;br /&gt;
:* '''7/1/2008''' make data sets and tutorial available to the scientific community ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** If we submit SFN abstract, we can advertise the availability during SFN Conference in November 2008&lt;br /&gt;
:*** We could think about advertising the roadmaps at the BIRN booth at SFN this year?&lt;br /&gt;
:* '''10/15/2008''' In the process of making the tutorial data available using XNAT.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Compare view of baseline and followup with color-coded lesion differences:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:CompareViewFlairLesionDiffWholeBrain.png&lt;br /&gt;
&lt;br /&gt;
Diffusion tracts intersecting a lesion volume:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:LesionTractsNear.png&lt;br /&gt;
&lt;br /&gt;
Axial slice with % predicted chance, thresholded predicted % chance, and manual tracing:&lt;br /&gt;
http://www.na-mic.org/Wiki/index.php/File:Scully_Figure3.jpg&lt;br /&gt;
&lt;br /&gt;
=== Team and Institute ===&lt;br /&gt;
* Co-PI: H Jeremy Bockholt (jbockholt at mrn.org)&lt;br /&gt;
* Co-PI: Charles Gasparovic (chuck at unm.edu)&lt;br /&gt;
* Software Engineer: Mark Scully (mscully at mrn.org)&lt;br /&gt;
* NA-MIC Engineering Contact: Steve Pieper, Isomics&lt;br /&gt;
* NA-MIC Algorithms Contact: Ross Whitaker, Utah&lt;br /&gt;
* Host Institues: The MIND Institute and The University of New Mexico&lt;br /&gt;
&lt;br /&gt;
[[Category:Slicer]] [[Category:Segmentation]] [[Category:Registration]]&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51278</id>
		<title>DBP2:MIND:Roadmap</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=DBP2:MIND:Roadmap&amp;diff=51278"/>
		<updated>2010-04-10T16:50:56Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Team and Institute */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[NA-MIC_Internal_Collaborations|NA-MIC Internal Collaborations]], [[DBP2:MIND|MIND DBP 2]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
=Brain Lesion Analysis in Neuropsychiatric Systemic Lupus Erythematosus=&lt;br /&gt;
&lt;br /&gt;
==Objective==&lt;br /&gt;
We would like to create an end-to-end application entirely within NA-MIC Kit allowing individual analysis of white matter lesions. Such a workflow applied to lupus patients is one of goals of the MIND DBP. This page describes the technology roadmap for lesion analysis in the NA-MIC Kit. The basic components necessary for this application are:&lt;br /&gt;
* '''Registration''': co-registration of T1-weighted, T2-weighted, and FLAIR images&lt;br /&gt;
* '''Tissue segmentation''': Should be multi-modality, correcting for intensity inhomogeneity and work on non-skull-stripped data.&lt;br /&gt;
* '''Lesion Localization''':  Each unique lesion should be detected and anatomical location summarized &lt;br /&gt;
* '''Lesion Load Measurement''': Measure volume of each lesion, summarize lesion load by regions&lt;br /&gt;
* '''Tutorial''':  Documentation will be written for a tutorial and sample data sets will be provided&lt;br /&gt;
&lt;br /&gt;
==Roadmap==&lt;br /&gt;
We will obtain gray matter, white matter, CSF, and lesion maps for each subject based on T1-weighted, T2-weighted, and FLAIR images. Ultimately, the NA-MIC Kit will provide a workflow for individual and group analysis of lesions. It will be implemented as a set of Slicer3 modules that can be used interactively within the Slicer3 application as well as in batch on a computing cluster using [http://batchmake.org/ BatchMake].&lt;br /&gt;
&lt;br /&gt;
The current status of the main modules to be used are:&lt;br /&gt;
&lt;br /&gt;
=== Registration ===&lt;br /&gt;
:* ITK has mutual information registration&lt;br /&gt;
:** T1/T2/Flair co-registration implemented into EM-segment module&lt;br /&gt;
&lt;br /&gt;
=== Lesion segmentation ===&lt;br /&gt;
Five algorithms (all within NA-MIC kit) for fully or semi-automated lesion analysis will be evaluated. These include:&lt;br /&gt;
:* [http://www.slicer.org/slicerWiki/index.php/Slicer3:EM#Old_.282007.29_Tutorial Slicer3 EM-segment Module] (Sandy Wells)&lt;br /&gt;
:* ITK stand-alone [http://www.ia.unc.edu/dev/download/itkems/index.htm itkEMS] Compare Lesion Analysis Tools (Prastawa/Gerig) &lt;br /&gt;
:* ITK stand-alone white matter lesion segmentation (Magnotta)&lt;br /&gt;
:* ITK K Nearest Neighbor classification based on the work of [http://www.midasjournal.org/browse/publication/281 Anabeek, et al]&lt;br /&gt;
:* ITK stand-alone segmentation combining elements of Boosting, Artificial Immune Systems, and Bayesian Classification. (Scully)&lt;br /&gt;
Manual tracing will serve as a bronze-standard:&lt;br /&gt;
:* Slicer3 Manual tracing by clinically trained rater (Gasparovic/Bockholt)&lt;br /&gt;
&lt;br /&gt;
=== Lesion Localization ===&lt;br /&gt;
:* Slicer3 has tools for labeling white matter lesions and summarizing their anatomical location&lt;br /&gt;
&lt;br /&gt;
=== Lesion Load Measurement ===&lt;br /&gt;
:* Slicer3 has tools for measurement of labelled lesions&lt;br /&gt;
&lt;br /&gt;
=== Performance characterization and validation ===&lt;br /&gt;
:* Data will be collected at both 1.5 and 3T. Data at 1.5T will be obtained with the protocol utilized for the current project on lupus at UNM.&lt;br /&gt;
:* Data at 3T will be obtained with sequences optimized for segmentation by the group at Utah.&lt;br /&gt;
:* Comparisons will be based on the approach developed by Martin-Fernandez et al.&lt;br /&gt;
:* The algorithm with the best performance will be incorporated into the NA-MIC kit.&lt;br /&gt;
 &lt;br /&gt;
=== Tutorial ===&lt;br /&gt;
:* 10 Externally sharable T1,T2,Flair,Lesion Map data-sets (NIFTI format) will be made available to the scientific community&lt;br /&gt;
:** 5 subjects with lupus and 5 healthy normal volunteers&lt;br /&gt;
:* A tutorial will be created that will guide end-users through each step needed to complete a lesion analysis in the NA-MIC kit&lt;br /&gt;
:** A step-by-step guide will be produced for one example lupus cases within the tutorial and one example healthy normal volunteer&lt;br /&gt;
:** Measurements for all 10 subjects will also be provided so that users may compare their results with those of the tutorial&lt;br /&gt;
&lt;br /&gt;
=== Schedule ===&lt;br /&gt;
* Sequence Optimization and Data Collection&lt;br /&gt;
:* '''10/15/2007''' T1, T2, FLAIR optimized sequences for Siemens 3T Trio Tim scanner ('''Jeremy, Bruce, Chuck''')&lt;br /&gt;
:** We will work with Bruce Fischl on using MEMPR, Mugler, and FLAIR sequences that have been optimized for maximum constrast and minimal geometric distortion across sequences&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''3/31/2008''' collection of 5 lupus subjects on clinical sequence and optimized 3T sequence ('''Chuck''')&lt;br /&gt;
:** collected 2 patients and 3 controls so far&lt;br /&gt;
:*** as of 3/10/2008 there are 3-4 additional patients scheduled, since january 1, we have had 4 patients not able to complete the protocol so far&lt;br /&gt;
&lt;br /&gt;
* Co-Registration and Atlas Registration&lt;br /&gt;
:* '''1/31/2008''' optimized mutual information registration for clinical sequences and optimized 3T sequences ('''Jeremy''')&lt;br /&gt;
:** we have tried the registration tools built-in to Slicer 3 EM-segment module so far&lt;br /&gt;
:** DONE Brad has implemented this successfully into the EM-segment module&lt;br /&gt;
&lt;br /&gt;
* Lesion segmentation&lt;br /&gt;
:* '''3/17/2008''' complete lesion segmentation methods for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Kilian/Brad, Marcel''')&lt;br /&gt;
:** Slicer3 EM-segment Module&lt;br /&gt;
:*** (Resolved) Currently has a bug that does not permit 3 channel segmentation [http://na-mic.org/Mantis/view.php?id=205 Mantis ID#0000205]&lt;br /&gt;
:**** (Resolved) Only using 2 channels such as T1/T2 or T1/FLAIR does not produce sensible/usable results&lt;br /&gt;
:*** (Resolved) Does not properly allow user to edit or change weighting of channels, this is crucial for hierarchical lesion classification. [http://na-mic.org/Mantis/view.php?id=204 Mantis ID#0000204]&lt;br /&gt;
:*** EMSegment has been run against collected lupus cases.  Segmentations have improved but are still unusable as of 08/14/2008.&lt;br /&gt;
:**** Currently working with Killian on optimizing parameters in EMSegment to improve the lesion segmentation.&lt;br /&gt;
:**** Testing parameters and resulting segmentation on collected lupus cases. &lt;br /&gt;
:** ITK itkEMS stand-alone package&lt;br /&gt;
:*** Marcel and Mark are in active collaboration with getting this method to work on-site, we have encountered compilation and memory problems with the package on mac and linux environments so far&lt;br /&gt;
:*** 3/17/2008 update, marcel built a 64-bit linux version that appears to run successfully, current results are are shown [[DBP2:MIND:itkEMSResults|here]]&lt;br /&gt;
:** ITK lesion classification stand-alone package&lt;br /&gt;
:*** Vince Magnotta has develop an ITK-based 2 stage lesion segmentation method&lt;br /&gt;
:**** stage one uses k-means tissue classification into grey, white, or csf of co-registered T1/T2&lt;br /&gt;
:**** stage two use bayesian classifier into normal tissue or lesion using results of stage one and co-reigstered Flair&lt;br /&gt;
:***** current results of this method as of 3/17/2008 are shown [[DBP2:MIND:itkBayesianLesion|here]]&lt;br /&gt;
:***** This method has been run against all cases as of 05/01/08.  Currently working with Vince Magnotta to improve the performance.&lt;br /&gt;
:***** As of 08/14/2008, currently running a modified version of Vince's classifier that has been improved by replacing intensity thresholding with joint histogram feature vector occurrence thresholding.&lt;br /&gt;
:** ITK K Nearest Neighbor Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a K-NN lesion classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** The resulting label map contains the percent likelihood that a given voxel is a lesion.  This allows the clinician to adjust the thresholding to match their preference.&lt;br /&gt;
:*** On hold as of 1/12/2008 due to incomplete ITK algorithmic support&lt;br /&gt;
:** ITK Custom Classifier&lt;br /&gt;
:*** Mark Scully is currently implementing a combined approach classifier using ITK.&lt;br /&gt;
:**** This approach allows for on the fly additions to the classification model.&lt;br /&gt;
:**** The same segmentation approach is applicable to multiple lesion types.&lt;br /&gt;
:**** This approach takes advantage of multiple approaches and advancements in the literature, including feature generation, Gentle Boosting based feature reduction, Artificial Immune System based filtering, and Bayesian classification.&lt;br /&gt;
:*** As of 1/01/2009 this method is functional and built into the lesion segmentation slicer3 applications. &lt;br /&gt;
:** Slicer3 Manual Tracing&lt;br /&gt;
:*** Gasparovic has manually traced all tutorial cases with lesions using T2/Flair images following tracing guidelines and a qualitative neuroradiological review report&lt;br /&gt;
:**** 4/1/2008 create manual tracing guidelines documentation and share here&lt;br /&gt;
* Lesion Localization&lt;br /&gt;
:* '''4/15/2008''' complete lesion localizations and maps for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Lesion Measurement&lt;br /&gt;
:* '''4/20/2008''' complete lesion measurements and regional lesion load summaries for Slicer3 EM-segment, ITK itkEMS, ITK lesion segmentation, and Slicer3 manual tracing ('''Jeremy, Chuck, Vince Magnotta, Steve''')&lt;br /&gt;
&lt;br /&gt;
* Performance characterization and validation&lt;br /&gt;
:* '''1/6/2008''' [[Media:DBP2_MIND_Lupus_200801_update.ppt | report]] to 2008 NA-MIC AHM on progress for performance and validation of lesion segmentation methods for EM-segment, BRAINS2, manual, UNC packages ('''Jeremy''')&lt;br /&gt;
:** '''DONE'''&lt;br /&gt;
:* '''5/15/2008''' submit abstract on reliability and summary of novel NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Brad, Kilian, others''')&lt;br /&gt;
:** plan is to submit SFN abstract and manuscript closely after&lt;br /&gt;
:* '''5/20/2008''' analyze NIH study clinical sample using NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully''')&lt;br /&gt;
:* '''7/1/2008''' submit manuscript on clinical application of NA-MIC kit lesion analysis method ('''Jeremy, Chuck, Mark Scully, Carlos Roldan, Bill Sibbitt''')&lt;br /&gt;
:* '''8/14/2008''' submit manuscript on the lesion segmentation methods as applied to MS lesions for MICCAI 2008. ('''Mark, Jeremy, Chuck, Vince Magnotta''')&lt;br /&gt;
:* '''1/11/2009''' submit abstract on the new lesion segmentation methods as applied to Lupus lesions for HBM 2009.&lt;br /&gt;
:* '''3/08/2009''' submit manuscript on the new lesion segmentation methods as applied to Lupus lesions for MICCAI 2009.&lt;br /&gt;
&lt;br /&gt;
* Incorporation of approach into NA-MIC kit&lt;br /&gt;
:* '''1/6/2008''' Slicer3 Lesion Analysis Module that handles co-registration of T1, T2, and Flair ('''Mark Scully, Steve''')&lt;br /&gt;
:** DONE Brad completed this &lt;br /&gt;
:* ''5/1/2008''' extend Slicer3 Lesion Analysis Module to handle lesion localization and measurement ('''Mark Scully, Steve''')&lt;br /&gt;
:** ''08/01/2008'' currently locates all independent lesion clusters and identifies the anatomical regions, provided by a registered atlas, that the lesions overlap.&lt;br /&gt;
:* '''6/1/2008''' extend Slicer3 Lesion Analysis Module to implement the ITK-based lesion analysis algorithm/method (EM-segment, ITK itkEMS, ITK lesion segmentation) with the best performance ('''Mark Scully, Steve''')&lt;br /&gt;
:** a demonstration will be given at the 2008 NA-MIC AHM--we would consider this version a prototype and would be testing, refining the module through the clinical application phase ('''Jeremy, Mark Scully''')&lt;br /&gt;
:* '''6/15/2008''' functioning prototype version of lesion analysis Slicer3 Module complete ('''Mark Scully, Steve''')&lt;br /&gt;
:* '''8/14/2008''' in the process of creating a module that &amp;quot;chains&amp;quot; together all of the steps in the lesion segmentation analysis pipeline.&lt;br /&gt;
:* '''1/03/2009''' Newly developed lesion segmentation method with significantly increased performance incorporated into Slicer3 module.&lt;br /&gt;
* Tutorial and Data-sharing&lt;br /&gt;
:* '''6/20/2008''' present tutorial to 2008 NA-MIC programming week ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** A logical project for programming week for Jeremy and Sonja to finish public version of tutorial&lt;br /&gt;
:* '''7/1/2008''' make data sets and tutorial available to the scientific community ('''Mark Scully, Jeremy, Sonja''')&lt;br /&gt;
:** If we submit SFN abstract, we can advertise the availability during SFN Conference in November 2008&lt;br /&gt;
:*** We could think about advertising the roadmaps at the BIRN booth at SFN this year?&lt;br /&gt;
:* '''10/15/2008''' In the process of making the tutorial data available using XNAT.&lt;br /&gt;
&lt;br /&gt;
=== Team and Institute ===&lt;br /&gt;
* Co-PI: H Jeremy Bockholt (jbockholt at mrn.org)&lt;br /&gt;
* Co-PI: Charles Gasparovic (chuck at unm.edu)&lt;br /&gt;
* Software Engineer: Mark Scully (mscully at mrn.org)&lt;br /&gt;
* NA-MIC Engineering Contact: Steve Pieper, Isomics&lt;br /&gt;
* NA-MIC Algorithms Contact: Ross Whitaker, Utah&lt;br /&gt;
* Host Institues: The MIND Institute and The University of New Mexico&lt;br /&gt;
&lt;br /&gt;
[[Category:Slicer]] [[Category:Segmentation]] [[Category:Registration]]&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=Data:DBP2:MIND&amp;diff=51273</id>
		<title>Data:DBP2:MIND</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=Data:DBP2:MIND&amp;diff=51273"/>
		<updated>2010-04-10T14:50:24Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Data Access */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[DBP2:MIND|MIND DBP 2]], [[Data:DBP2|DBP 2 Data]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
== MIND Data ==&lt;br /&gt;
&lt;br /&gt;
=== Data Access ===&lt;br /&gt;
[[Media:20081114_public_lupus_data_tutorial_release.tgz|5 Lupus White Matter Lesion Datasets]]&lt;br /&gt;
&lt;br /&gt;
=== Data Description ===&lt;br /&gt;
&lt;br /&gt;
5 Lupus Patient Datasets.&lt;br /&gt;
co-registered&lt;br /&gt;
 T1-weighted&lt;br /&gt;
 T2-weighted&lt;br /&gt;
 FLAIR&lt;br /&gt;
 masks for brain and lesions&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Entire catalog:&lt;br /&gt;
lupus001: lupus001_FLAIR_reg+bias+brain.nii.gz lupus001_FLAIR_reg+bias.nii.gz lupus001_T1_reg+bias+brain.nii.gz lupus001_T1_reg+bias.nii.gz lupus001_T2_reg+bias+brain.nii.gz lupus001_T2_reg+bias.nii.gz lupus001_brain_mask.nii.gz lupus001_lesion_manual_reg.nii.gz&lt;br /&gt;
&lt;br /&gt;
lupus002: lupus002_FLAIR_reg+bias+brain.nii.gz lupus002_FLAIR_reg+bias.nii.gz lupus002_T1_reg+bias+brain.nii.gz lupus002_T1_reg+bias.nii.gz lupus002_T2_reg+bias+brain.nii.gz lupus002_T2_reg+bias.nii.gz lupus002_brain_mask.nii.gz lupus002_lesion_manual_reg.nii.gz lupus003: lupus003_FLAIR_reg+bias+brain.nii.gz lupus003_FLAIR_reg+bias.nii.gz &lt;br /&gt;
&lt;br /&gt;
lupus003_T1_reg+bias+brain.nii.gz lupus003_T1_reg+bias.nii.gz lupus003_T2_reg+bias+brain.nii.gz lupus003_T2_reg+bias.nii.gz lupus003_brain_mask.nii.gz lupus003_lesion_manual_reg.nii.gz lupus004: lupus004_FLAIR_reg+bias+brain.nii.gz &lt;br /&gt;
&lt;br /&gt;
lupus004_FLAIR_reg+bias.nii.gz lupus004_T1_reg+bias+brain.nii.gz lupus004_T1_reg+bias.nii.gz lupus004_T2_reg+bias+brain.nii.gz lupus004_T2_reg+bias.nii.gz lupus004_brain_mask.nii.gz lupus004_lesion_manual_reg.nii.gz lupus005: &lt;br /&gt;
&lt;br /&gt;
lupus005_FLAIR_reg+bias+brain.nii.gz lupus005_FLAIR_reg+bias.nii.gz lupus005_T1_reg+bias+brain.nii.gz lupus005_T1_reg+bias.nii.gz lupus005_T2_reg+bias+brain.nii.gz lupus005_T2_reg+bias.nii.gz lupus005_brain_mask.nii.gz lupus005_lesion_manual_reg.nii.gz&lt;br /&gt;
&lt;br /&gt;
=== Data Contact ===&lt;br /&gt;
&lt;br /&gt;
H Jeremy Bockholt&lt;br /&gt;
Director, Neuroinformatics&lt;br /&gt;
The Mind Research Network&lt;br /&gt;
jbockholt at mrn.org&lt;br /&gt;
&lt;br /&gt;
Mark Scully&lt;br /&gt;
Software Engineer&lt;br /&gt;
The Mind Research Network&lt;br /&gt;
mscully at mrn.org&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=Data:DBP2:MIND&amp;diff=51272</id>
		<title>Data:DBP2:MIND</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=Data:DBP2:MIND&amp;diff=51272"/>
		<updated>2010-04-10T14:49:45Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Data Access */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[DBP2:MIND|MIND DBP 2]], [[Data:DBP2|DBP 2 Data]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
== MIND Data ==&lt;br /&gt;
&lt;br /&gt;
=== Data Access ===&lt;br /&gt;
[[Media:20081114_public_lupus_data_tutorial_release.tgz|Samples]]&lt;br /&gt;
&lt;br /&gt;
=== Data Description ===&lt;br /&gt;
&lt;br /&gt;
5 Lupus Patient Datasets.&lt;br /&gt;
co-registered&lt;br /&gt;
 T1-weighted&lt;br /&gt;
 T2-weighted&lt;br /&gt;
 FLAIR&lt;br /&gt;
 masks for brain and lesions&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Entire catalog:&lt;br /&gt;
lupus001: lupus001_FLAIR_reg+bias+brain.nii.gz lupus001_FLAIR_reg+bias.nii.gz lupus001_T1_reg+bias+brain.nii.gz lupus001_T1_reg+bias.nii.gz lupus001_T2_reg+bias+brain.nii.gz lupus001_T2_reg+bias.nii.gz lupus001_brain_mask.nii.gz lupus001_lesion_manual_reg.nii.gz&lt;br /&gt;
&lt;br /&gt;
lupus002: lupus002_FLAIR_reg+bias+brain.nii.gz lupus002_FLAIR_reg+bias.nii.gz lupus002_T1_reg+bias+brain.nii.gz lupus002_T1_reg+bias.nii.gz lupus002_T2_reg+bias+brain.nii.gz lupus002_T2_reg+bias.nii.gz lupus002_brain_mask.nii.gz lupus002_lesion_manual_reg.nii.gz lupus003: lupus003_FLAIR_reg+bias+brain.nii.gz lupus003_FLAIR_reg+bias.nii.gz &lt;br /&gt;
&lt;br /&gt;
lupus003_T1_reg+bias+brain.nii.gz lupus003_T1_reg+bias.nii.gz lupus003_T2_reg+bias+brain.nii.gz lupus003_T2_reg+bias.nii.gz lupus003_brain_mask.nii.gz lupus003_lesion_manual_reg.nii.gz lupus004: lupus004_FLAIR_reg+bias+brain.nii.gz &lt;br /&gt;
&lt;br /&gt;
lupus004_FLAIR_reg+bias.nii.gz lupus004_T1_reg+bias+brain.nii.gz lupus004_T1_reg+bias.nii.gz lupus004_T2_reg+bias+brain.nii.gz lupus004_T2_reg+bias.nii.gz lupus004_brain_mask.nii.gz lupus004_lesion_manual_reg.nii.gz lupus005: &lt;br /&gt;
&lt;br /&gt;
lupus005_FLAIR_reg+bias+brain.nii.gz lupus005_FLAIR_reg+bias.nii.gz lupus005_T1_reg+bias+brain.nii.gz lupus005_T1_reg+bias.nii.gz lupus005_T2_reg+bias+brain.nii.gz lupus005_T2_reg+bias.nii.gz lupus005_brain_mask.nii.gz lupus005_lesion_manual_reg.nii.gz&lt;br /&gt;
&lt;br /&gt;
=== Data Contact ===&lt;br /&gt;
&lt;br /&gt;
H Jeremy Bockholt&lt;br /&gt;
Director, Neuroinformatics&lt;br /&gt;
The Mind Research Network&lt;br /&gt;
jbockholt at mrn.org&lt;br /&gt;
&lt;br /&gt;
Mark Scully&lt;br /&gt;
Software Engineer&lt;br /&gt;
The Mind Research Network&lt;br /&gt;
mscully at mrn.org&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=Data:DBP2:MIND&amp;diff=51271</id>
		<title>Data:DBP2:MIND</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=Data:DBP2:MIND&amp;diff=51271"/>
		<updated>2010-04-10T14:49:32Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Data Access */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[DBP2:MIND|MIND DBP 2]], [[Data:DBP2|DBP 2 Data]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
== MIND Data ==&lt;br /&gt;
&lt;br /&gt;
=== Data Access ===&lt;br /&gt;
[[Media:20081114_public_lupus_data_tutorial_release.tgz Samples]]&lt;br /&gt;
&lt;br /&gt;
=== Data Description ===&lt;br /&gt;
&lt;br /&gt;
5 Lupus Patient Datasets.&lt;br /&gt;
co-registered&lt;br /&gt;
 T1-weighted&lt;br /&gt;
 T2-weighted&lt;br /&gt;
 FLAIR&lt;br /&gt;
 masks for brain and lesions&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Entire catalog:&lt;br /&gt;
lupus001: lupus001_FLAIR_reg+bias+brain.nii.gz lupus001_FLAIR_reg+bias.nii.gz lupus001_T1_reg+bias+brain.nii.gz lupus001_T1_reg+bias.nii.gz lupus001_T2_reg+bias+brain.nii.gz lupus001_T2_reg+bias.nii.gz lupus001_brain_mask.nii.gz lupus001_lesion_manual_reg.nii.gz&lt;br /&gt;
&lt;br /&gt;
lupus002: lupus002_FLAIR_reg+bias+brain.nii.gz lupus002_FLAIR_reg+bias.nii.gz lupus002_T1_reg+bias+brain.nii.gz lupus002_T1_reg+bias.nii.gz lupus002_T2_reg+bias+brain.nii.gz lupus002_T2_reg+bias.nii.gz lupus002_brain_mask.nii.gz lupus002_lesion_manual_reg.nii.gz lupus003: lupus003_FLAIR_reg+bias+brain.nii.gz lupus003_FLAIR_reg+bias.nii.gz &lt;br /&gt;
&lt;br /&gt;
lupus003_T1_reg+bias+brain.nii.gz lupus003_T1_reg+bias.nii.gz lupus003_T2_reg+bias+brain.nii.gz lupus003_T2_reg+bias.nii.gz lupus003_brain_mask.nii.gz lupus003_lesion_manual_reg.nii.gz lupus004: lupus004_FLAIR_reg+bias+brain.nii.gz &lt;br /&gt;
&lt;br /&gt;
lupus004_FLAIR_reg+bias.nii.gz lupus004_T1_reg+bias+brain.nii.gz lupus004_T1_reg+bias.nii.gz lupus004_T2_reg+bias+brain.nii.gz lupus004_T2_reg+bias.nii.gz lupus004_brain_mask.nii.gz lupus004_lesion_manual_reg.nii.gz lupus005: &lt;br /&gt;
&lt;br /&gt;
lupus005_FLAIR_reg+bias+brain.nii.gz lupus005_FLAIR_reg+bias.nii.gz lupus005_T1_reg+bias+brain.nii.gz lupus005_T1_reg+bias.nii.gz lupus005_T2_reg+bias+brain.nii.gz lupus005_T2_reg+bias.nii.gz lupus005_brain_mask.nii.gz lupus005_lesion_manual_reg.nii.gz&lt;br /&gt;
&lt;br /&gt;
=== Data Contact ===&lt;br /&gt;
&lt;br /&gt;
H Jeremy Bockholt&lt;br /&gt;
Director, Neuroinformatics&lt;br /&gt;
The Mind Research Network&lt;br /&gt;
jbockholt at mrn.org&lt;br /&gt;
&lt;br /&gt;
Mark Scully&lt;br /&gt;
Software Engineer&lt;br /&gt;
The Mind Research Network&lt;br /&gt;
mscully at mrn.org&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=Data:DBP2:MIND&amp;diff=51270</id>
		<title>Data:DBP2:MIND</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=Data:DBP2:MIND&amp;diff=51270"/>
		<updated>2010-04-10T14:48:33Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Data Contact */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[DBP2:MIND|MIND DBP 2]], [[Data:DBP2|DBP 2 Data]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
== MIND Data ==&lt;br /&gt;
&lt;br /&gt;
=== Data Access ===&lt;br /&gt;
[[Media:20081114_public_lupus_data_tutorial_release.tgz]]&lt;br /&gt;
&lt;br /&gt;
=== Data Description ===&lt;br /&gt;
&lt;br /&gt;
5 Lupus Patient Datasets.&lt;br /&gt;
co-registered&lt;br /&gt;
 T1-weighted&lt;br /&gt;
 T2-weighted&lt;br /&gt;
 FLAIR&lt;br /&gt;
 masks for brain and lesions&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Entire catalog:&lt;br /&gt;
lupus001: lupus001_FLAIR_reg+bias+brain.nii.gz lupus001_FLAIR_reg+bias.nii.gz lupus001_T1_reg+bias+brain.nii.gz lupus001_T1_reg+bias.nii.gz lupus001_T2_reg+bias+brain.nii.gz lupus001_T2_reg+bias.nii.gz lupus001_brain_mask.nii.gz lupus001_lesion_manual_reg.nii.gz&lt;br /&gt;
&lt;br /&gt;
lupus002: lupus002_FLAIR_reg+bias+brain.nii.gz lupus002_FLAIR_reg+bias.nii.gz lupus002_T1_reg+bias+brain.nii.gz lupus002_T1_reg+bias.nii.gz lupus002_T2_reg+bias+brain.nii.gz lupus002_T2_reg+bias.nii.gz lupus002_brain_mask.nii.gz lupus002_lesion_manual_reg.nii.gz lupus003: lupus003_FLAIR_reg+bias+brain.nii.gz lupus003_FLAIR_reg+bias.nii.gz &lt;br /&gt;
&lt;br /&gt;
lupus003_T1_reg+bias+brain.nii.gz lupus003_T1_reg+bias.nii.gz lupus003_T2_reg+bias+brain.nii.gz lupus003_T2_reg+bias.nii.gz lupus003_brain_mask.nii.gz lupus003_lesion_manual_reg.nii.gz lupus004: lupus004_FLAIR_reg+bias+brain.nii.gz &lt;br /&gt;
&lt;br /&gt;
lupus004_FLAIR_reg+bias.nii.gz lupus004_T1_reg+bias+brain.nii.gz lupus004_T1_reg+bias.nii.gz lupus004_T2_reg+bias+brain.nii.gz lupus004_T2_reg+bias.nii.gz lupus004_brain_mask.nii.gz lupus004_lesion_manual_reg.nii.gz lupus005: &lt;br /&gt;
&lt;br /&gt;
lupus005_FLAIR_reg+bias+brain.nii.gz lupus005_FLAIR_reg+bias.nii.gz lupus005_T1_reg+bias+brain.nii.gz lupus005_T1_reg+bias.nii.gz lupus005_T2_reg+bias+brain.nii.gz lupus005_T2_reg+bias.nii.gz lupus005_brain_mask.nii.gz lupus005_lesion_manual_reg.nii.gz&lt;br /&gt;
&lt;br /&gt;
=== Data Contact ===&lt;br /&gt;
&lt;br /&gt;
H Jeremy Bockholt&lt;br /&gt;
Director, Neuroinformatics&lt;br /&gt;
The Mind Research Network&lt;br /&gt;
jbockholt at mrn.org&lt;br /&gt;
&lt;br /&gt;
Mark Scully&lt;br /&gt;
Software Engineer&lt;br /&gt;
The Mind Research Network&lt;br /&gt;
mscully at mrn.org&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=Data:DBP2:MIND&amp;diff=51269</id>
		<title>Data:DBP2:MIND</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=Data:DBP2:MIND&amp;diff=51269"/>
		<updated>2010-04-10T14:47:33Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Data Description */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[DBP2:MIND|MIND DBP 2]], [[Data:DBP2|DBP 2 Data]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
== MIND Data ==&lt;br /&gt;
&lt;br /&gt;
=== Data Access ===&lt;br /&gt;
[[Media:20081114_public_lupus_data_tutorial_release.tgz]]&lt;br /&gt;
&lt;br /&gt;
=== Data Description ===&lt;br /&gt;
&lt;br /&gt;
5 Lupus Patient Datasets.&lt;br /&gt;
co-registered&lt;br /&gt;
 T1-weighted&lt;br /&gt;
 T2-weighted&lt;br /&gt;
 FLAIR&lt;br /&gt;
 masks for brain and lesions&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Entire catalog:&lt;br /&gt;
lupus001: lupus001_FLAIR_reg+bias+brain.nii.gz lupus001_FLAIR_reg+bias.nii.gz lupus001_T1_reg+bias+brain.nii.gz lupus001_T1_reg+bias.nii.gz lupus001_T2_reg+bias+brain.nii.gz lupus001_T2_reg+bias.nii.gz lupus001_brain_mask.nii.gz lupus001_lesion_manual_reg.nii.gz&lt;br /&gt;
&lt;br /&gt;
lupus002: lupus002_FLAIR_reg+bias+brain.nii.gz lupus002_FLAIR_reg+bias.nii.gz lupus002_T1_reg+bias+brain.nii.gz lupus002_T1_reg+bias.nii.gz lupus002_T2_reg+bias+brain.nii.gz lupus002_T2_reg+bias.nii.gz lupus002_brain_mask.nii.gz lupus002_lesion_manual_reg.nii.gz lupus003: lupus003_FLAIR_reg+bias+brain.nii.gz lupus003_FLAIR_reg+bias.nii.gz &lt;br /&gt;
&lt;br /&gt;
lupus003_T1_reg+bias+brain.nii.gz lupus003_T1_reg+bias.nii.gz lupus003_T2_reg+bias+brain.nii.gz lupus003_T2_reg+bias.nii.gz lupus003_brain_mask.nii.gz lupus003_lesion_manual_reg.nii.gz lupus004: lupus004_FLAIR_reg+bias+brain.nii.gz &lt;br /&gt;
&lt;br /&gt;
lupus004_FLAIR_reg+bias.nii.gz lupus004_T1_reg+bias+brain.nii.gz lupus004_T1_reg+bias.nii.gz lupus004_T2_reg+bias+brain.nii.gz lupus004_T2_reg+bias.nii.gz lupus004_brain_mask.nii.gz lupus004_lesion_manual_reg.nii.gz lupus005: &lt;br /&gt;
&lt;br /&gt;
lupus005_FLAIR_reg+bias+brain.nii.gz lupus005_FLAIR_reg+bias.nii.gz lupus005_T1_reg+bias+brain.nii.gz lupus005_T1_reg+bias.nii.gz lupus005_T2_reg+bias+brain.nii.gz lupus005_T2_reg+bias.nii.gz lupus005_brain_mask.nii.gz lupus005_lesion_manual_reg.nii.gz&lt;br /&gt;
&lt;br /&gt;
=== Data Contact ===&lt;br /&gt;
&lt;br /&gt;
H Jeremy Bockholt&lt;br /&gt;
Director, Neuroinformatics&lt;br /&gt;
The Mind Research Network&lt;br /&gt;
jbockholt at mrn.org&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=Data:DBP2:MIND&amp;diff=51268</id>
		<title>Data:DBP2:MIND</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=Data:DBP2:MIND&amp;diff=51268"/>
		<updated>2010-04-10T14:43:01Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Data Access */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[DBP2:MIND|MIND DBP 2]], [[Data:DBP2|DBP 2 Data]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
== MIND Data ==&lt;br /&gt;
&lt;br /&gt;
=== Data Access ===&lt;br /&gt;
[[Media:20081114_public_lupus_data_tutorial_release.tgz]]&lt;br /&gt;
&lt;br /&gt;
=== Data Description ===&lt;br /&gt;
&lt;br /&gt;
5 Lupus Patient Datasets.&lt;br /&gt;
co-registered&lt;br /&gt;
 T1-weighted&lt;br /&gt;
 T2-weighted&lt;br /&gt;
 FLAIR&lt;br /&gt;
 masks for brain and lesions&lt;br /&gt;
&lt;br /&gt;
=== Data Contact ===&lt;br /&gt;
&lt;br /&gt;
H Jeremy Bockholt&lt;br /&gt;
Director, Neuroinformatics&lt;br /&gt;
The Mind Research Network&lt;br /&gt;
jbockholt at mrn.org&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=Data:DBP2:MIND&amp;diff=51267</id>
		<title>Data:DBP2:MIND</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=Data:DBP2:MIND&amp;diff=51267"/>
		<updated>2010-04-10T14:42:27Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Data Access */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[DBP2:MIND|MIND DBP 2]], [[Data:DBP2|DBP 2 Data]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
== MIND Data ==&lt;br /&gt;
&lt;br /&gt;
=== Data Access ===&lt;br /&gt;
[[File:20081114_public_lupus_data_tutorial_release.tgz]]&lt;br /&gt;
&lt;br /&gt;
=== Data Description ===&lt;br /&gt;
&lt;br /&gt;
5 Lupus Patient Datasets.&lt;br /&gt;
co-registered&lt;br /&gt;
 T1-weighted&lt;br /&gt;
 T2-weighted&lt;br /&gt;
 FLAIR&lt;br /&gt;
 masks for brain and lesions&lt;br /&gt;
&lt;br /&gt;
=== Data Contact ===&lt;br /&gt;
&lt;br /&gt;
H Jeremy Bockholt&lt;br /&gt;
Director, Neuroinformatics&lt;br /&gt;
The Mind Research Network&lt;br /&gt;
jbockholt at mrn.org&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=Data:DBP2:MIND&amp;diff=51266</id>
		<title>Data:DBP2:MIND</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=Data:DBP2:MIND&amp;diff=51266"/>
		<updated>2010-04-10T14:42:15Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Data Access */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[DBP2:MIND|MIND DBP 2]], [[Data:DBP2|DBP 2 Data]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
== MIND Data ==&lt;br /&gt;
&lt;br /&gt;
=== Data Access ===&lt;br /&gt;
[File:20081114_public_lupus_data_tutorial_release.tgz]&lt;br /&gt;
&lt;br /&gt;
=== Data Description ===&lt;br /&gt;
&lt;br /&gt;
5 Lupus Patient Datasets.&lt;br /&gt;
co-registered&lt;br /&gt;
 T1-weighted&lt;br /&gt;
 T2-weighted&lt;br /&gt;
 FLAIR&lt;br /&gt;
 masks for brain and lesions&lt;br /&gt;
&lt;br /&gt;
=== Data Contact ===&lt;br /&gt;
&lt;br /&gt;
H Jeremy Bockholt&lt;br /&gt;
Director, Neuroinformatics&lt;br /&gt;
The Mind Research Network&lt;br /&gt;
jbockholt at mrn.org&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=File:20081114_public_lupus_data_tutorial_release.tgz&amp;diff=51265</id>
		<title>File:20081114 public lupus data tutorial release.tgz</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=File:20081114_public_lupus_data_tutorial_release.tgz&amp;diff=51265"/>
		<updated>2010-04-10T14:41:01Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=Data:DBP2:MIND&amp;diff=51264</id>
		<title>Data:DBP2:MIND</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=Data:DBP2:MIND&amp;diff=51264"/>
		<updated>2010-04-10T14:38:43Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Data Description */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[DBP2:MIND|MIND DBP 2]], [[Data:DBP2|DBP 2 Data]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
== MIND Data ==&lt;br /&gt;
&lt;br /&gt;
=== Data Access ===&lt;br /&gt;
&lt;br /&gt;
&amp;lt;put data access information here&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=== Data Description ===&lt;br /&gt;
&lt;br /&gt;
5 Lupus Patient Datasets.&lt;br /&gt;
co-registered&lt;br /&gt;
 T1-weighted&lt;br /&gt;
 T2-weighted&lt;br /&gt;
 FLAIR&lt;br /&gt;
 masks for brain and lesions&lt;br /&gt;
&lt;br /&gt;
=== Data Contact ===&lt;br /&gt;
&lt;br /&gt;
H Jeremy Bockholt&lt;br /&gt;
Director, Neuroinformatics&lt;br /&gt;
The Mind Research Network&lt;br /&gt;
jbockholt at mrn.org&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=Data:DBP2:MIND&amp;diff=51263</id>
		<title>Data:DBP2:MIND</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=Data:DBP2:MIND&amp;diff=51263"/>
		<updated>2010-04-10T14:17:06Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Data Description */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[DBP2:MIND|MIND DBP 2]], [[Data:DBP2|DBP 2 Data]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
== MIND Data ==&lt;br /&gt;
&lt;br /&gt;
=== Data Access ===&lt;br /&gt;
&lt;br /&gt;
&amp;lt;put data access information here&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=== Data Description ===&lt;br /&gt;
&lt;br /&gt;
5 Lupus Patient Datasets.&lt;br /&gt;
co-registered&lt;br /&gt;
T1-weighted&lt;br /&gt;
T2-weighted&lt;br /&gt;
FLAIR&lt;br /&gt;
masks for brain and lesions&lt;br /&gt;
&lt;br /&gt;
=== Data Contact ===&lt;br /&gt;
&lt;br /&gt;
H Jeremy Bockholt&lt;br /&gt;
Director, Neuroinformatics&lt;br /&gt;
The Mind Research Network&lt;br /&gt;
jbockholt at mrn.org&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=Data:DBP2:MIND&amp;diff=51262</id>
		<title>Data:DBP2:MIND</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=Data:DBP2:MIND&amp;diff=51262"/>
		<updated>2010-04-10T14:09:22Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Data Contact */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; Back to [[DBP2:MIND|MIND DBP 2]], [[Data:DBP2|DBP 2 Data]]&lt;br /&gt;
__NOTOC__&lt;br /&gt;
== MIND Data ==&lt;br /&gt;
&lt;br /&gt;
=== Data Access ===&lt;br /&gt;
&lt;br /&gt;
&amp;lt;put data access information here&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=== Data Description ===&lt;br /&gt;
&lt;br /&gt;
&amp;lt;put data description information here&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=== Data Contact ===&lt;br /&gt;
&lt;br /&gt;
H Jeremy Bockholt&lt;br /&gt;
Director, Neuroinformatics&lt;br /&gt;
The Mind Research Network&lt;br /&gt;
jbockholt at mrn.org&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47389</id>
		<title>AHM2010:Mind</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47389"/>
		<updated>2010-01-07T16:10:49Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* In Progress since last AHM */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;__NOTOC__&lt;br /&gt;
==Team==&lt;br /&gt;
* DBP: H Jeremy Bockholt (PI), Charles Gasparovic(co-PI), Mark Scully(Engineer), The Mind Research Network&lt;br /&gt;
* Core 2: Steve Pieper, Isomics&lt;br /&gt;
* Contact: H. Jeremy Bockholt, jbockholt@mrn.org&lt;br /&gt;
&lt;br /&gt;
==Lupus==&lt;br /&gt;
Systemic lupus erythematosus (SLE) is an autoimmune disease affecting multiple tissues, including the brain&lt;br /&gt;
the facial rash of some people with lupus looked like the bite or scratch of a wolf (&amp;quot;lupus&amp;quot; is Latin for wolf and &amp;quot;erythematosus&amp;quot; is Latin for red). patients may feel weak and fatigued, have muscle aches, loss of appetite, swollen glands, and hair loss, sometimes have abdominal pain, nausea, diarrhea, and vomiting.&lt;br /&gt;
Estimates of SLE prevalence range from 14.6-372 per 105&lt;br /&gt;
About 1.5 million americans, 90% diagnosed are female&lt;br /&gt;
Neuropsychiatric SLE (NPSLE), a term that subsumes the neurologic and psychiatric complications of SLE, occurs in up to 95% of SLE patients&lt;br /&gt;
While MRI often reveals distinct white matter abnormalities in active NPSLE, the pathologic processes underlying these lesions, whether purely autoimmune or vascular (e.g., hemostasis), are unknown&lt;br /&gt;
&lt;br /&gt;
==MRN Roadmap Project==&lt;br /&gt;
&lt;br /&gt;
== Overview ==&lt;br /&gt;
* What problem does the pipeline solve, and who is the targeted user?&lt;br /&gt;
**The pipeline attempts to solve the problem of segmenting white matter lesions in Neuropsychiatric Systemic Lupus Erythematosus(NPSLE). The automated capability is aimed at clinical researchers using Slicer3 software. The utility of having accurate lesion labels permits summary of perfusion within lesions, correlation of lesion load by location with neuropsychiatric symptoms, and summary of structural image intensities or DTI scalars within lesion boundaries.&lt;br /&gt;
&lt;br /&gt;
* How does the pipeline compare to state of the art?&lt;br /&gt;
**Brain lesion classification in NPSLE is currently accomplished manually or by various algorithms developed for other disorders, such as multiple sclerosis (MS).There are many approaches that attempt to solve lesion classification in MS. Some of these approaches are automated or semi-automated; however, all automatic approaches suffer a lack of ground truth.  It is difficult for human manual raters to agree on fuzzy boundaries across different image contrasts (e.g., T1, T2, FLAIR).  &lt;br /&gt;
&lt;br /&gt;
A good examples of the challenges that remains in terms of lesion segmentation were represented at the 2008 MICCAI Conference [http://www.ia.unc.edu/MSseg/ MS Lesion Segmentation Challenge(organized by Warfield and Styner)] in the form of a grand challenge in segmentation. Our participation in this lesion segmentation contest, in which participants were provided training data-sets with two manual labellings, allowed us to experiment with several approaches to lesion segmentation, e.g., EM-Segment (S. Wells), k-means/bayesian (V. Magnotta), and outlier detection (M. Prastawa). Drawing from this experience and a thorough review of the current literature, we have optimized a novel combination of methods that appears to perform well for lesion mapping in NPSLE. Additionally, this approach may generalize to other neurological disorders, such as MS or vascular dementia.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Lupus_acquisition.png‎|thumb|280px|Image Acquisition]]&lt;br /&gt;
|[[Image:Intensity_standardize_view.png|thumb|280px|Slicer3 Module Image Intensity Standardization]]&lt;br /&gt;
|}&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Predict_lesion_view.png‎|thumb|280px|Slicer3 Module Lesion Classification]]&lt;br /&gt;
|[[Image:LesionInBrain-PW2009.png‎|thumb|280px|Lesion Model inside Brain]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Detailed Information about the Pipeline==&lt;br /&gt;
*Method&lt;br /&gt;
**An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classification&lt;br /&gt;
***The method makes use of local morphometric features based on multiple MR sequences, including T1-weighted, T2-weighted, and Fluid Attenuated Inversion Recovery. After preprocessing, including co-registration, brain extraction, bias correction, and intensity standardization, 49 features are calculated for each brain voxel based on local morphometry. At each level of segmenta- tion a supervised classifier takes advantage of a different subset of the features to conservatively segment lesion voxels, passing on more difficult voxels to the next classifier. This multi-level approach allows for a fast lesion classification method with tunable trade-offs between sensitivity and specificity producing accuracy comparable to a human rater. &lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure1.png|thumb|400px|General Lesion Segmentation Protocol]]&lt;br /&gt;
|[[Image:Scully Figure2.jpg|thumb|400px|Feature Subset (A) T1w. (B) T2w. (C) FLAIR. (D)&lt;br /&gt;
kMeans segmentation. (E) Distance to white matter. (F) Distance to gray matter. (G) Distance to CSF. (H)&lt;br /&gt;
T1w grayscale dilation radius 2. (I) T2w grayscale dilation radius 2. (J) FLAIR grayscale dilation radius&lt;br /&gt;
2. (K) T1w flipped difference. (L) T2w flipped difference. (M) FLAIR flipped difference. (N) T1w grayscale&lt;br /&gt;
erosion radius 3. (O) T2w grayscale erosion radius 3. (P) FLAIR grayscale erosion radius 3.]]&lt;br /&gt;
|}&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure3.jpg|thumb|400px|Predicted Heat Map, Manual Segmentation, Thresholded Heat Map]]&lt;br /&gt;
|[[Image:Scully Figure4.png|thumb|400px| ROC Curve]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
==Software &amp;amp; documentation==&lt;br /&gt;
*We have a very active project for this pipeline on the NITRC resource [http://www.nitrc.org/frs/?group_id=180 3DSlicerLupusLesionModule]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/570/LesionSegmentationApplications.tgz tutorial software]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/569/LesionSegmentationTutorialData.tgz tutorial data] &lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/571/Slicer3Training_WhiteMatterLesions_v2.0.ppt.pdf end-user tutorial]&lt;br /&gt;
&lt;br /&gt;
==Outreach==&lt;br /&gt;
*An end-to-end tutorial and module are provided on the NA-MIC website. Training courses were held at the Annual meeting for Human Brain Mapping Organization 2008, the Annual Meeting for Society for Neuroscience 2008, as well as to a group of 25+ investigators at the MIND Research Network (2007) who are working in translational neuroscience. A Manuscript summarizing improved clinical results resulting from automated lesion analyses has been prepared and submitted at the time of writing this report. &lt;br /&gt;
* Publication Links to the PubDB.&lt;br /&gt;
** H. J. Bockholt, V. A. Magnotta, M. Scully, C. Gasparovic, B. Davis, K. Pohl, R. Whitaker, S. Pieper, C. Roldan, R. Jung, R. Hayek, W. Sibbitt, J. Sharrar, P. Pellegrino, R. Kikinis. A novel automated method for classification of white matter lesions in systemic lupus erythematosus. Presented at the 38th annual meeting of the Society for Neuroscience, Washingto, DC, 15 – 19 November 2008&lt;br /&gt;
** Scully M., Magnotta V., Gasparovic C., Pelligrimo P., Feis D., Bockholt H.J. 3D Segmentation In The Clinic: A Grand Challenge II at MICCAI 2008 - MS Lesion Segmentation. IJ - 2008 MICCAI Workshop - MS Lesion Segmentation. Available  http://grand-challenge2008.bigr.nl/proceedings/pdfs/msls08/282_Scully.pdf&lt;br /&gt;
** H Jeremy Bockholt, Josef Ling, Mark Scully, Adam Scott, Susan Lane, Vincent Magnotta, Tonya White, Kelvin Lim, Randy Gollub, Vince Calhoun. Real-time Web-scale Image Annotation for Semantic-based Retrieval of Neuropsychiatric Research Images. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** H Jeremy Bockholt, Sumner Williams, Mark Scully, Vincent Magnotta, Randy Gollub, John Lauriello, Kelvin Lim, Tonya White, Rex Jung, Charles Schulz, Nancy Andreasen, Vince Calhoun. The MIND Clinical Imaging Consortium as an application for novel comprehensive quality assurance procedures in a multi-site heterogeneous clinical research study. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** M Scully, B H Anderson, C Gasparovic, V A Magnotta, S Pieper, R Kikinis, P Pellegrino, T Lane, H J Bockholt. A Synergistic Combination of Supervised Machine Learning Methods for Analysis of White Matter Lesions in Neuropsychiatric Systemic Lupus Erythematosus. Presented at the 15th Annual Meeting of the Organization for Human Brain Mapping, San Francisco June, 2009.&lt;br /&gt;
** Bockholt HJ, Scully M, Courtney W, Rachakonda S, Scott A, Caprihan A, Fries J, Kalyanam R, Segall J, de la Garza R, Lane S and Calhoun VD (2009) Mining the mind research network: a novel framework for exploring large scale, heterogeneous translational neuroscience research data sources. Front. Neuroinform. 3:36. doi:10.3389/neuro.11.036.2009&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classiﬁcation (submitted to Frontiers in Neuroscience 11/2009).&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Longitudinal Analysis of White Matter Lesions in Lupus (''in preparation'' for submission).&lt;br /&gt;
** Bockholt, H.J.,  Gasparovic, C., Scully, M., Magnotta, V., Sibbitt, W., Kikinis, R., Roldan,C. A novel white matter lesion analysis for improved clinical application in lupus. (''in preparation'' for submission).&lt;br /&gt;
&lt;br /&gt;
==In Progress since last AHM==&lt;br /&gt;
*Longitudinal Analyses&lt;br /&gt;
**Almost completed full pipeline for longitudinal analysis which detects changes in lesions allowing for more clinical applications.  The following 3 figures demonstrate some of the longitudinal functionality comparing a baseline FLAIR with a followup FLAIR.  The label map shows the change in lesion voxels where gained lesion is red, recovered tissue is blue, and lesion that remained lesion is yellow.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWholeBrain.png|thumb|333px|CompareViewFlairLesionDiffWholeBrain]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiff.png|thumb|333px|CompareViewFlairLesionDiff]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
*DWI/DTI Analyses&lt;br /&gt;
*** Population differences in Scalar values&lt;br /&gt;
*** Tract based statistics&lt;br /&gt;
***Identifying structural connectivity network&lt;br /&gt;
***Approximating Disrupted Tractography Fibers&lt;br /&gt;
****Similar in purpose to current methods being applied to tumors, the objective is to estimate the tracts the would exist were lesion not present.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:TractsLesionZoomOverlay.png‎|thumb|380px|White Matter Lesion Track Disruption]]&lt;br /&gt;
|}&lt;br /&gt;
*Morphometry&lt;br /&gt;
**Examine cortical thicknesses especially in regions where lesions have interrupted connecting fibers.&lt;br /&gt;
**Investigate relationship between diseased tissue and fractal dimension of the white matter boundary.&lt;br /&gt;
*Spectroscopic Imaging&lt;br /&gt;
*Functional rest task&lt;br /&gt;
**Functional Network&lt;br /&gt;
*ASL&lt;br /&gt;
**Perfusion&lt;br /&gt;
***Relationship between cerebral blood volume, cerebral blood flow, and NPSLE &lt;br /&gt;
*Multiscale Analyses&lt;br /&gt;
**Incorporate all previous results into a comprehensive statistical analysis to fully characterize NPSLE.&lt;br /&gt;
&lt;br /&gt;
==Future Collaboration==&lt;br /&gt;
Two grants are under preparation to continue this collaboration. The first grant in progress with a planned submission of Feb 5, 2010 will use the Collaborations with NCBC R01 mechanism. The grant will be titled, “Enhancing Brain Lesion Segmentation in Neurological Disorders.” The aim of this project will be to extend the tools developed in the lupus DBP to other vascular disorders, multiple sclerosis, vascular dementia and other disorders with brain lesions. The grant will be a natural extension of work in the lupus DBP and fits in well with the mission of the NA-MIC by extending tools, analyses and approaches across multiple diseases and challenges. &lt;br /&gt;
&lt;br /&gt;
The second grant will utilize the GPL-style license found within the NA-MIC to explore the commercialization potential of the lesion analysis toolkit. A grant entitled “Novel White Matter Lesion Application” has a planned submission of April 5, 2010 and will use the Neurotechnology Research, Development, and Enhancement SBIR mechanism. This grant will be submitted by PI Bockholt who has recently founded and formed Advanced Biomedical Informatics Group, LLC, an independent for-profit company based in Iowa City, IA. This project will also extend the lupus DBP work through further development of turnkey solution that can be placed directly in the hands of clinicians for evaluating white matter lesions in their lupus patients&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
#Adaboost and Support Vector Machines for White Matter Lesion Segmentation in MR Images. Quddus A, Fieguth P, Basir O. PAMI Lab, Department of Electrical and Computer Engineering, University of Waterloo, Waterloo, ON, Canada. Conf Proc IEEE Eng Med Biol Soc. 2005;1:463-6. http://www.ncbi.nlm.nih.gov/pubmed/17282216&lt;br /&gt;
#Architecture for an Artificial Immune System Steven A. Hofmeyr, Stephanie Forrest Evolutionary Computation Winter 2000, Vol. 8, No. 4, Pages 443-473 http://www.mitpressjournals.org/doi/abs/10.1162/106365600568257&lt;br /&gt;
#Automated segmentation of white matter lesions in 3D brain MR images, using multivariate pattern classification Zhiqiang Lao; Dinggang Shen; Jawad, A.; Karacali, B.; Dengfeng Liu; Melhem, E.R.; Bryan, R.N.; Davatzikos, C. Biomedical Imaging: Nano to Macro, 2006. 3rd IEEE International Symposium on Volume , Issue , 6-9 April 2006 Page(s): 307 - 310 http://ieeexplore.ieee.org/Xplore/login.jsp?url=/iel5/10818/34114/01624914.pdf?temp=x&lt;br /&gt;
#Automatic Segmentation of MS Lesions Using a Contextual Model for the MICCAI Grand Challenge Jonathan H. Morra, Zhuowen Tu, Arthur W. Toga, Paul M. Thompson IJ - 2008 MICCAI Workshop - MS Lesion Segmentation http://www.midasjournal.org/browse/publication/280&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47387</id>
		<title>AHM2010:Mind</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47387"/>
		<updated>2010-01-07T16:08:20Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;__NOTOC__&lt;br /&gt;
==Team==&lt;br /&gt;
* DBP: H Jeremy Bockholt (PI), Charles Gasparovic(co-PI), Mark Scully(Engineer), The Mind Research Network&lt;br /&gt;
* Core 2: Steve Pieper, Isomics&lt;br /&gt;
* Contact: H. Jeremy Bockholt, jbockholt@mrn.org&lt;br /&gt;
&lt;br /&gt;
==Lupus==&lt;br /&gt;
Systemic lupus erythematosus (SLE) is an autoimmune disease affecting multiple tissues, including the brain&lt;br /&gt;
the facial rash of some people with lupus looked like the bite or scratch of a wolf (&amp;quot;lupus&amp;quot; is Latin for wolf and &amp;quot;erythematosus&amp;quot; is Latin for red). patients may feel weak and fatigued, have muscle aches, loss of appetite, swollen glands, and hair loss, sometimes have abdominal pain, nausea, diarrhea, and vomiting.&lt;br /&gt;
Estimates of SLE prevalence range from 14.6-372 per 105&lt;br /&gt;
About 1.5 million americans, 90% diagnosed are female&lt;br /&gt;
Neuropsychiatric SLE (NPSLE), a term that subsumes the neurologic and psychiatric complications of SLE, occurs in up to 95% of SLE patients&lt;br /&gt;
While MRI often reveals distinct white matter abnormalities in active NPSLE, the pathologic processes underlying these lesions, whether purely autoimmune or vascular (e.g., hemostasis), are unknown&lt;br /&gt;
&lt;br /&gt;
==MRN Roadmap Project==&lt;br /&gt;
&lt;br /&gt;
== Overview ==&lt;br /&gt;
* What problem does the pipeline solve, and who is the targeted user?&lt;br /&gt;
**The pipeline attempts to solve the problem of segmenting white matter lesions in Neuropsychiatric Systemic Lupus Erythematosus(NPSLE). The automated capability is aimed at clinical researchers using Slicer3 software. The utility of having accurate lesion labels permits summary of perfusion within lesions, correlation of lesion load by location with neuropsychiatric symptoms, and summary of structural image intensities or DTI scalars within lesion boundaries.&lt;br /&gt;
&lt;br /&gt;
* How does the pipeline compare to state of the art?&lt;br /&gt;
**Brain lesion classification in NPSLE is currently accomplished manually or by various algorithms developed for other disorders, such as multiple sclerosis (MS).There are many approaches that attempt to solve lesion classification in MS. Some of these approaches are automated or semi-automated; however, all automatic approaches suffer a lack of ground truth.  It is difficult for human manual raters to agree on fuzzy boundaries across different image contrasts (e.g., T1, T2, FLAIR).  &lt;br /&gt;
&lt;br /&gt;
A good examples of the challenges that remains in terms of lesion segmentation were represented at the 2008 MICCAI Conference [http://www.ia.unc.edu/MSseg/ MS Lesion Segmentation Challenge(organized by Warfield and Styner)] in the form of a grand challenge in segmentation. Our participation in this lesion segmentation contest, in which participants were provided training data-sets with two manual labellings, allowed us to experiment with several approaches to lesion segmentation, e.g., EM-Segment (S. Wells), k-means/bayesian (V. Magnotta), and outlier detection (M. Prastawa). Drawing from this experience and a thorough review of the current literature, we have optimized a novel combination of methods that appears to perform well for lesion mapping in NPSLE. Additionally, this approach may generalize to other neurological disorders, such as MS or vascular dementia.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Lupus_acquisition.png‎|thumb|280px|Image Acquisition]]&lt;br /&gt;
|[[Image:Intensity_standardize_view.png|thumb|280px|Slicer3 Module Image Intensity Standardization]]&lt;br /&gt;
|}&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Predict_lesion_view.png‎|thumb|280px|Slicer3 Module Lesion Classification]]&lt;br /&gt;
|[[Image:LesionInBrain-PW2009.png‎|thumb|280px|Lesion Model inside Brain]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Detailed Information about the Pipeline==&lt;br /&gt;
*Method&lt;br /&gt;
**An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classification&lt;br /&gt;
***The method makes use of local morphometric features based on multiple MR sequences, including T1-weighted, T2-weighted, and Fluid Attenuated Inversion Recovery. After preprocessing, including co-registration, brain extraction, bias correction, and intensity standardization, 49 features are calculated for each brain voxel based on local morphometry. At each level of segmenta- tion a supervised classifier takes advantage of a different subset of the features to conservatively segment lesion voxels, passing on more difficult voxels to the next classifier. This multi-level approach allows for a fast lesion classification method with tunable trade-offs between sensitivity and specificity producing accuracy comparable to a human rater. &lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure1.png|thumb|400px|General Lesion Segmentation Protocol]]&lt;br /&gt;
|[[Image:Scully Figure2.jpg|thumb|400px|Feature Subset (A) T1w. (B) T2w. (C) FLAIR. (D)&lt;br /&gt;
kMeans segmentation. (E) Distance to white matter. (F) Distance to gray matter. (G) Distance to CSF. (H)&lt;br /&gt;
T1w grayscale dilation radius 2. (I) T2w grayscale dilation radius 2. (J) FLAIR grayscale dilation radius&lt;br /&gt;
2. (K) T1w flipped difference. (L) T2w flipped difference. (M) FLAIR flipped difference. (N) T1w grayscale&lt;br /&gt;
erosion radius 3. (O) T2w grayscale erosion radius 3. (P) FLAIR grayscale erosion radius 3.]]&lt;br /&gt;
|}&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure3.jpg|thumb|400px|Predicted Heat Map, Manual Segmentation, Thresholded Heat Map]]&lt;br /&gt;
|[[Image:Scully Figure4.png|thumb|400px| ROC Curve]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
==Software &amp;amp; documentation==&lt;br /&gt;
*We have a very active project for this pipeline on the NITRC resource [http://www.nitrc.org/frs/?group_id=180 3DSlicerLupusLesionModule]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/570/LesionSegmentationApplications.tgz tutorial software]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/569/LesionSegmentationTutorialData.tgz tutorial data] &lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/571/Slicer3Training_WhiteMatterLesions_v2.0.ppt.pdf end-user tutorial]&lt;br /&gt;
&lt;br /&gt;
==Outreach==&lt;br /&gt;
*An end-to-end tutorial and module are provided on the NA-MIC website. Training courses were held at the Annual meeting for Human Brain Mapping Organization 2008, the Annual Meeting for Society for Neuroscience 2008, as well as to a group of 25+ investigators at the MIND Research Network (2007) who are working in translational neuroscience. A Manuscript summarizing improved clinical results resulting from automated lesion analyses has been prepared and submitted at the time of writing this report. &lt;br /&gt;
* Publication Links to the PubDB.&lt;br /&gt;
** H. J. Bockholt, V. A. Magnotta, M. Scully, C. Gasparovic, B. Davis, K. Pohl, R. Whitaker, S. Pieper, C. Roldan, R. Jung, R. Hayek, W. Sibbitt, J. Sharrar, P. Pellegrino, R. Kikinis. A novel automated method for classification of white matter lesions in systemic lupus erythematosus. Presented at the 38th annual meeting of the Society for Neuroscience, Washingto, DC, 15 – 19 November 2008&lt;br /&gt;
** Scully M., Magnotta V., Gasparovic C., Pelligrimo P., Feis D., Bockholt H.J. 3D Segmentation In The Clinic: A Grand Challenge II at MICCAI 2008 - MS Lesion Segmentation. IJ - 2008 MICCAI Workshop - MS Lesion Segmentation. Available  http://grand-challenge2008.bigr.nl/proceedings/pdfs/msls08/282_Scully.pdf&lt;br /&gt;
** H Jeremy Bockholt, Josef Ling, Mark Scully, Adam Scott, Susan Lane, Vincent Magnotta, Tonya White, Kelvin Lim, Randy Gollub, Vince Calhoun. Real-time Web-scale Image Annotation for Semantic-based Retrieval of Neuropsychiatric Research Images. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** H Jeremy Bockholt, Sumner Williams, Mark Scully, Vincent Magnotta, Randy Gollub, John Lauriello, Kelvin Lim, Tonya White, Rex Jung, Charles Schulz, Nancy Andreasen, Vince Calhoun. The MIND Clinical Imaging Consortium as an application for novel comprehensive quality assurance procedures in a multi-site heterogeneous clinical research study. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** M Scully, B H Anderson, C Gasparovic, V A Magnotta, S Pieper, R Kikinis, P Pellegrino, T Lane, H J Bockholt. A Synergistic Combination of Supervised Machine Learning Methods for Analysis of White Matter Lesions in Neuropsychiatric Systemic Lupus Erythematosus. Presented at the 15th Annual Meeting of the Organization for Human Brain Mapping, San Francisco June, 2009.&lt;br /&gt;
** Bockholt HJ, Scully M, Courtney W, Rachakonda S, Scott A, Caprihan A, Fries J, Kalyanam R, Segall J, de la Garza R, Lane S and Calhoun VD (2009) Mining the mind research network: a novel framework for exploring large scale, heterogeneous translational neuroscience research data sources. Front. Neuroinform. 3:36. doi:10.3389/neuro.11.036.2009&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classiﬁcation (submitted to Frontiers in Neuroscience 11/2009).&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Longitudinal Analysis of White Matter Lesions in Lupus (''in preparation'' for submission).&lt;br /&gt;
** Bockholt, H.J.,  Gasparovic, C., Scully, M., Magnotta, V., Sibbitt, W., Kikinis, R., Roldan,C. A novel white matter lesion analysis for improved clinical application in lupus. (''in preparation'' for submission).&lt;br /&gt;
&lt;br /&gt;
==In Progress since last AHM==&lt;br /&gt;
*Longitudinal Analyses&lt;br /&gt;
**Almost completed full pipeline for longitudinal analysis which detects changes in lesions allowing for more clinical applications.  The following 3 figures demonstrate some of the longitudinal functionality comparing a baseline FLAIR with a followup FLAIR.  The label map shows the change in lesion voxels where gained lesion is red, recovered tissue is blue, and lesion that remained lesion is yellow.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWholeBrain.png|thumb|333px|CompareViewFlairLesionDiffWholeBrain]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWControls.png|thumb|333px|CompareViewFlairLesionDiffWControls]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiff.png|thumb|333px|CompareViewFlairLesionDiff]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
*DWI/DTI Analyses&lt;br /&gt;
*** Population differences in Scalar values&lt;br /&gt;
*** Tract based statistics&lt;br /&gt;
***Identifying structural connectivity network&lt;br /&gt;
***Approximating Disrupted Tractography Fibers&lt;br /&gt;
****Similar in purpose to current methods being applied to tumors, the objective is to estimate the tracts the would exist were lesion not present.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:TractsLesionZoomOverlay.png‎|thumb|380px|White Matter Lesion Track Disruption]]&lt;br /&gt;
|}&lt;br /&gt;
*Morphometry&lt;br /&gt;
**Examine cortical thicknesses especially in regions where lesions have interrupted connecting fibers.&lt;br /&gt;
**Investigate relationship between diseased tissue and fractal dimension of the white matter boundary.&lt;br /&gt;
*Spectroscopic Imaging&lt;br /&gt;
*Functional rest task&lt;br /&gt;
**Functional Network&lt;br /&gt;
*ASL&lt;br /&gt;
**Perfusion&lt;br /&gt;
***Relationship between cerebral blood volume, cerebral blood flow, and NPSLE &lt;br /&gt;
*Multiscale Analyses&lt;br /&gt;
**Incorporate all previous results into a comprehensive statistical analysis to fully characterize NPSLE.&lt;br /&gt;
&lt;br /&gt;
==Future Collaboration==&lt;br /&gt;
Two grants are under preparation to continue this collaboration. The first grant in progress with a planned submission of Feb 5, 2010 will use the Collaborations with NCBC R01 mechanism. The grant will be titled, “Enhancing Brain Lesion Segmentation in Neurological Disorders.” The aim of this project will be to extend the tools developed in the lupus DBP to other vascular disorders, multiple sclerosis, vascular dementia and other disorders with brain lesions. The grant will be a natural extension of work in the lupus DBP and fits in well with the mission of the NA-MIC by extending tools, analyses and approaches across multiple diseases and challenges. &lt;br /&gt;
&lt;br /&gt;
The second grant will utilize the GPL-style license found within the NA-MIC to explore the commercialization potential of the lesion analysis toolkit. A grant entitled “Novel White Matter Lesion Application” has a planned submission of April 5, 2010 and will use the Neurotechnology Research, Development, and Enhancement SBIR mechanism. This grant will be submitted by PI Bockholt who has recently founded and formed Advanced Biomedical Informatics Group, LLC, an independent for-profit company based in Iowa City, IA. This project will also extend the lupus DBP work through further development of turnkey solution that can be placed directly in the hands of clinicians for evaluating white matter lesions in their lupus patients&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
#Adaboost and Support Vector Machines for White Matter Lesion Segmentation in MR Images. Quddus A, Fieguth P, Basir O. PAMI Lab, Department of Electrical and Computer Engineering, University of Waterloo, Waterloo, ON, Canada. Conf Proc IEEE Eng Med Biol Soc. 2005;1:463-6. http://www.ncbi.nlm.nih.gov/pubmed/17282216&lt;br /&gt;
#Architecture for an Artificial Immune System Steven A. Hofmeyr, Stephanie Forrest Evolutionary Computation Winter 2000, Vol. 8, No. 4, Pages 443-473 http://www.mitpressjournals.org/doi/abs/10.1162/106365600568257&lt;br /&gt;
#Automated segmentation of white matter lesions in 3D brain MR images, using multivariate pattern classification Zhiqiang Lao; Dinggang Shen; Jawad, A.; Karacali, B.; Dengfeng Liu; Melhem, E.R.; Bryan, R.N.; Davatzikos, C. Biomedical Imaging: Nano to Macro, 2006. 3rd IEEE International Symposium on Volume , Issue , 6-9 April 2006 Page(s): 307 - 310 http://ieeexplore.ieee.org/Xplore/login.jsp?url=/iel5/10818/34114/01624914.pdf?temp=x&lt;br /&gt;
#Automatic Segmentation of MS Lesions Using a Contextual Model for the MICCAI Grand Challenge Jonathan H. Morra, Zhuowen Tu, Arthur W. Toga, Paul M. Thompson IJ - 2008 MICCAI Workshop - MS Lesion Segmentation http://www.midasjournal.org/browse/publication/280&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47386</id>
		<title>AHM2010:Mind</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47386"/>
		<updated>2010-01-07T16:07:12Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;__NOTOC__&lt;br /&gt;
==Team==&lt;br /&gt;
* DBP: H Jeremy Bockholt (PI), Charles Gasparovic(co-PI), Mark Scully(Engineer), The Mind Research Network&lt;br /&gt;
* Core 2: Steve Pieper, Isomics&lt;br /&gt;
* Contact: H. Jeremy Bockholt, jbockholt@mrn.org&lt;br /&gt;
&lt;br /&gt;
==Lupus==&lt;br /&gt;
Systemic lupus erythematosus (SLE) is an autoimmune disease affecting multiple tissues, including the brain&lt;br /&gt;
the facial rash of some people with lupus looked like the bite or scratch of a wolf (&amp;quot;lupus&amp;quot; is Latin for wolf and &amp;quot;erythematosus&amp;quot; is Latin for red). patients may feel weak and fatigued, have muscle aches, loss of appetite, swollen glands, and hair loss, sometimes have abdominal pain, nausea, diarrhea, and vomiting.&lt;br /&gt;
Estimates of SLE prevalence range from 14.6-372 per 105&lt;br /&gt;
About 1.5 million americans, 90% diagnosed are female&lt;br /&gt;
Neuropsychiatric SLE (NPSLE), a term that subsumes the neurologic and psychiatric complications of SLE, occurs in up to 95% of SLE patients&lt;br /&gt;
While MRI often reveals distinct white matter abnormalities in active NPSLE, the pathologic processes underlying these lesions, whether purely autoimmune or vascular (e.g., hemostasis), are unknown&lt;br /&gt;
&lt;br /&gt;
==MRN Roadmap Project==&lt;br /&gt;
&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Lupus_acquisition.png‎|thumb|280px|Image Acquisition]]&lt;br /&gt;
|[[Image:Intensity_standardize_view.png|thumb|280px|Slicer3 Module Image Intensity Standardization]]&lt;br /&gt;
|}&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Predict_lesion_view.png‎|thumb|280px|Slicer3 Module Lesion Classification]]&lt;br /&gt;
|[[Image:LesionInBrain-PW2009.png‎|thumb|280px|Lesion Model inside Brain]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
== Overview ==&lt;br /&gt;
* What problem does the pipeline solve, and who is the targeted user?&lt;br /&gt;
**The pipeline attempts to solve the problem of segmenting white matter lesions in Neuropsychiatric Systemic Lupus Erythematosus(NPSLE). The automated capability is aimed at clinical researchers using Slicer3 software. The utility of having accurate lesion labels permits summary of perfusion within lesions, correlation of lesion load by location with neuropsychiatric symptoms, and summary of structural image intensities or DTI scalars within lesion boundaries.&lt;br /&gt;
&lt;br /&gt;
* How does the pipeline compare to state of the art?&lt;br /&gt;
**Brain lesion classification in NPSLE is currently accomplished manually or by various algorithms developed for other disorders, such as multiple sclerosis (MS).There are many approaches that attempt to solve lesion classification in MS. Some of these approaches are automated or semi-automated; however, all automatic approaches suffer a lack of ground truth.  It is difficult for human manual raters to agree on fuzzy boundaries across different image contrasts (e.g., T1, T2, FLAIR).  &lt;br /&gt;
&lt;br /&gt;
A good examples of the challenges that remains in terms of lesion segmentation were represented at the 2008 MICCAI Conference [http://www.ia.unc.edu/MSseg/ MS Lesion Segmentation Challenge(organized by Warfield and Styner)] in the form of a grand challenge in segmentation. Our participation in this lesion segmentation contest, in which participants were provided training data-sets with two manual labellings, allowed us to experiment with several approaches to lesion segmentation, e.g., EM-Segment (S. Wells), k-means/bayesian (V. Magnotta), and outlier detection (M. Prastawa). Drawing from this experience and a thorough review of the current literature, we have optimized a novel combination of methods that appears to perform well for lesion mapping in NPSLE. Additionally, this approach may generalize to other neurological disorders, such as MS or vascular dementia.&lt;br /&gt;
&lt;br /&gt;
==Detailed Information about the Pipeline==&lt;br /&gt;
*Method&lt;br /&gt;
**An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classification&lt;br /&gt;
***The method makes use of local morphometric features based on multiple MR sequences, including T1-weighted, T2-weighted, and Fluid Attenuated Inversion Recovery. After preprocessing, including co-registration, brain extraction, bias correction, and intensity standardization, 49 features are calculated for each brain voxel based on local morphometry. At each level of segmenta- tion a supervised classifier takes advantage of a different subset of the features to conservatively segment lesion voxels, passing on more difficult voxels to the next classifier. This multi-level approach allows for a fast lesion classification method with tunable trade-offs between sensitivity and specificity producing accuracy comparable to a human rater. &lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure1.png|thumb|400px|General Lesion Segmentation Protocol]]&lt;br /&gt;
|[[Image:Scully Figure2.jpg|thumb|400px|Feature Subset (A) T1w. (B) T2w. (C) FLAIR. (D)&lt;br /&gt;
kMeans segmentation. (E) Distance to white matter. (F) Distance to gray matter. (G) Distance to CSF. (H)&lt;br /&gt;
T1w grayscale dilation radius 2. (I) T2w grayscale dilation radius 2. (J) FLAIR grayscale dilation radius&lt;br /&gt;
2. (K) T1w flipped difference. (L) T2w flipped difference. (M) FLAIR flipped difference. (N) T1w grayscale&lt;br /&gt;
erosion radius 3. (O) T2w grayscale erosion radius 3. (P) FLAIR grayscale erosion radius 3.]]&lt;br /&gt;
|}&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure3.jpg|thumb|400px|Predicted Heat Map, Manual Segmentation, Thresholded Heat Map]]&lt;br /&gt;
|[[Image:Scully Figure4.png|thumb|400px| ROC Curve]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
==Software &amp;amp; documentation==&lt;br /&gt;
*We have a very active project for this pipeline on the NITRC resource [http://www.nitrc.org/frs/?group_id=180 3DSlicerLupusLesionModule]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/570/LesionSegmentationApplications.tgz tutorial software]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/569/LesionSegmentationTutorialData.tgz tutorial data] &lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/571/Slicer3Training_WhiteMatterLesions_v2.0.ppt.pdf end-user tutorial]&lt;br /&gt;
&lt;br /&gt;
==Outreach==&lt;br /&gt;
*An end-to-end tutorial and module are provided on the NA-MIC website. Training courses were held at the Annual meeting for Human Brain Mapping Organization 2008, the Annual Meeting for Society for Neuroscience 2008, as well as to a group of 25+ investigators at the MIND Research Network (2007) who are working in translational neuroscience. A Manuscript summarizing improved clinical results resulting from automated lesion analyses has been prepared and submitted at the time of writing this report. &lt;br /&gt;
* Publication Links to the PubDB.&lt;br /&gt;
** H. J. Bockholt, V. A. Magnotta, M. Scully, C. Gasparovic, B. Davis, K. Pohl, R. Whitaker, S. Pieper, C. Roldan, R. Jung, R. Hayek, W. Sibbitt, J. Sharrar, P. Pellegrino, R. Kikinis. A novel automated method for classification of white matter lesions in systemic lupus erythematosus. Presented at the 38th annual meeting of the Society for Neuroscience, Washingto, DC, 15 – 19 November 2008&lt;br /&gt;
** Scully M., Magnotta V., Gasparovic C., Pelligrimo P., Feis D., Bockholt H.J. 3D Segmentation In The Clinic: A Grand Challenge II at MICCAI 2008 - MS Lesion Segmentation. IJ - 2008 MICCAI Workshop - MS Lesion Segmentation. Available  http://grand-challenge2008.bigr.nl/proceedings/pdfs/msls08/282_Scully.pdf&lt;br /&gt;
** H Jeremy Bockholt, Josef Ling, Mark Scully, Adam Scott, Susan Lane, Vincent Magnotta, Tonya White, Kelvin Lim, Randy Gollub, Vince Calhoun. Real-time Web-scale Image Annotation for Semantic-based Retrieval of Neuropsychiatric Research Images. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** H Jeremy Bockholt, Sumner Williams, Mark Scully, Vincent Magnotta, Randy Gollub, John Lauriello, Kelvin Lim, Tonya White, Rex Jung, Charles Schulz, Nancy Andreasen, Vince Calhoun. The MIND Clinical Imaging Consortium as an application for novel comprehensive quality assurance procedures in a multi-site heterogeneous clinical research study. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** M Scully, B H Anderson, C Gasparovic, V A Magnotta, S Pieper, R Kikinis, P Pellegrino, T Lane, H J Bockholt. A Synergistic Combination of Supervised Machine Learning Methods for Analysis of White Matter Lesions in Neuropsychiatric Systemic Lupus Erythematosus. Presented at the 15th Annual Meeting of the Organization for Human Brain Mapping, San Francisco June, 2009.&lt;br /&gt;
** Bockholt HJ, Scully M, Courtney W, Rachakonda S, Scott A, Caprihan A, Fries J, Kalyanam R, Segall J, de la Garza R, Lane S and Calhoun VD (2009) Mining the mind research network: a novel framework for exploring large scale, heterogeneous translational neuroscience research data sources. Front. Neuroinform. 3:36. doi:10.3389/neuro.11.036.2009&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classiﬁcation (submitted to Frontiers in Neuroscience 11/2009).&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Longitudinal Analysis of White Matter Lesions in Lupus (''in preparation'' for submission).&lt;br /&gt;
** Bockholt, H.J.,  Gasparovic, C., Scully, M., Magnotta, V., Sibbitt, W., Kikinis, R., Roldan,C. A novel white matter lesion analysis for improved clinical application in lupus. (''in preparation'' for submission).&lt;br /&gt;
&lt;br /&gt;
==In Progress since last AHM==&lt;br /&gt;
*Longitudinal Analyses&lt;br /&gt;
**Almost completed full pipeline for longitudinal analysis which detects changes in lesions allowing for more clinical applications.  The following 3 figures demonstrate some of the longitudinal functionality comparing a baseline FLAIR with a followup FLAIR.  The label map shows the change in lesion voxels where gained lesion is red, recovered tissue is blue, and lesion that remained lesion is yellow.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWholeBrain.png|thumb|333px|CompareViewFlairLesionDiffWholeBrain]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWControls.png|thumb|333px|CompareViewFlairLesionDiffWControls]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiff.png|thumb|333px|CompareViewFlairLesionDiff]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
*DWI/DTI Analyses&lt;br /&gt;
*** Population differences in Scalar values&lt;br /&gt;
*** Tract based statistics&lt;br /&gt;
***Identifying structural connectivity network&lt;br /&gt;
***Approximating Disrupted Tractography Fibers&lt;br /&gt;
****Similar in purpose to current methods being applied to tumors, the objective is to estimate the tracts the would exist were lesion not present.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:TractsLesionZoomOverlay.png‎|thumb|380px|White Matter Lesion Track Disruption]]&lt;br /&gt;
|}&lt;br /&gt;
*Morphometry&lt;br /&gt;
**Examine cortical thicknesses especially in regions where lesions have interrupted connecting fibers.&lt;br /&gt;
**Investigate relationship between diseased tissue and fractal dimension of the white matter boundary.&lt;br /&gt;
*Spectroscopic Imaging&lt;br /&gt;
*Functional rest task&lt;br /&gt;
**Functional Network&lt;br /&gt;
*ASL&lt;br /&gt;
**Perfusion&lt;br /&gt;
***Relationship between cerebral blood volume, cerebral blood flow, and NPSLE &lt;br /&gt;
*Multiscale Analyses&lt;br /&gt;
**Incorporate all previous results into a comprehensive statistical analysis to fully characterize NPSLE.&lt;br /&gt;
&lt;br /&gt;
==Future Collaboration==&lt;br /&gt;
Two grants are under preparation to continue this collaboration. The first grant in progress with a planned submission of Feb 5, 2010 will use the Collaborations with NCBC R01 mechanism. The grant will be titled, “Enhancing Brain Lesion Segmentation in Neurological Disorders.” The aim of this project will be to extend the tools developed in the lupus DBP to other vascular disorders, multiple sclerosis, vascular dementia and other disorders with brain lesions. The grant will be a natural extension of work in the lupus DBP and fits in well with the mission of the NA-MIC by extending tools, analyses and approaches across multiple diseases and challenges. &lt;br /&gt;
&lt;br /&gt;
The second grant will utilize the GPL-style license found within the NA-MIC to explore the commercialization potential of the lesion analysis toolkit. A grant entitled “Novel White Matter Lesion Application” has a planned submission of April 5, 2010 and will use the Neurotechnology Research, Development, and Enhancement SBIR mechanism. This grant will be submitted by PI Bockholt who has recently founded and formed Advanced Biomedical Informatics Group, LLC, an independent for-profit company based in Iowa City, IA. This project will also extend the lupus DBP work through further development of turnkey solution that can be placed directly in the hands of clinicians for evaluating white matter lesions in their lupus patients&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
#Adaboost and Support Vector Machines for White Matter Lesion Segmentation in MR Images. Quddus A, Fieguth P, Basir O. PAMI Lab, Department of Electrical and Computer Engineering, University of Waterloo, Waterloo, ON, Canada. Conf Proc IEEE Eng Med Biol Soc. 2005;1:463-6. http://www.ncbi.nlm.nih.gov/pubmed/17282216&lt;br /&gt;
#Architecture for an Artificial Immune System Steven A. Hofmeyr, Stephanie Forrest Evolutionary Computation Winter 2000, Vol. 8, No. 4, Pages 443-473 http://www.mitpressjournals.org/doi/abs/10.1162/106365600568257&lt;br /&gt;
#Automated segmentation of white matter lesions in 3D brain MR images, using multivariate pattern classification Zhiqiang Lao; Dinggang Shen; Jawad, A.; Karacali, B.; Dengfeng Liu; Melhem, E.R.; Bryan, R.N.; Davatzikos, C. Biomedical Imaging: Nano to Macro, 2006. 3rd IEEE International Symposium on Volume , Issue , 6-9 April 2006 Page(s): 307 - 310 http://ieeexplore.ieee.org/Xplore/login.jsp?url=/iel5/10818/34114/01624914.pdf?temp=x&lt;br /&gt;
#Automatic Segmentation of MS Lesions Using a Contextual Model for the MICCAI Grand Challenge Jonathan H. Morra, Zhuowen Tu, Arthur W. Toga, Paul M. Thompson IJ - 2008 MICCAI Workshop - MS Lesion Segmentation http://www.midasjournal.org/browse/publication/280&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47385</id>
		<title>AHM2010:Mind</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47385"/>
		<updated>2010-01-07T16:06:39Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;__NOTOC__&lt;br /&gt;
==Team==&lt;br /&gt;
* DBP: H Jeremy Bockholt (PI), Charles Gasparovic(co-PI), Mark Scully(Engineer), The Mind Research Network&lt;br /&gt;
* Core 2: Steve Pieper, Isomics&lt;br /&gt;
* Consultant: Vincent Magnotta, University of Iowa&lt;br /&gt;
* Contact: H. Jeremy Bockholt, jbockholt@mrn.org&lt;br /&gt;
&lt;br /&gt;
==Lupus==&lt;br /&gt;
Systemic lupus erythematosus (SLE) is an autoimmune disease affecting multiple tissues, including the brain&lt;br /&gt;
the facial rash of some people with lupus looked like the bite or scratch of a wolf (&amp;quot;lupus&amp;quot; is Latin for wolf and &amp;quot;erythematosus&amp;quot; is Latin for red). patients may feel weak and fatigued, have muscle aches, loss of appetite, swollen glands, and hair loss, sometimes have abdominal pain, nausea, diarrhea, and vomiting.&lt;br /&gt;
Estimates of SLE prevalence range from 14.6-372 per 105&lt;br /&gt;
About 1.5 million americans, 90% diagnosed are female&lt;br /&gt;
Neuropsychiatric SLE (NPSLE), a term that subsumes the neurologic and psychiatric complications of SLE, occurs in up to 95% of SLE patients&lt;br /&gt;
While MRI often reveals distinct white matter abnormalities in active NPSLE, the pathologic processes underlying these lesions, whether purely autoimmune or vascular (e.g., hemostasis), are unknown&lt;br /&gt;
&lt;br /&gt;
==MRN Roadmap Project==&lt;br /&gt;
&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Lupus_acquisition.png‎|thumb|280px|Image Acquisition]]&lt;br /&gt;
|[[Image:Intensity_standardize_view.png|thumb|280px|Slicer3 Module Image Intensity Standardization]]&lt;br /&gt;
|}&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Predict_lesion_view.png‎|thumb|280px|Slicer3 Module Lesion Classification]]&lt;br /&gt;
|[[Image:LesionInBrain-PW2009.png‎|thumb|280px|Lesion Model inside Brain]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
== Overview ==&lt;br /&gt;
* What problem does the pipeline solve, and who is the targeted user?&lt;br /&gt;
**The pipeline attempts to solve the problem of segmenting white matter lesions in Neuropsychiatric Systemic Lupus Erythematosus(NPSLE). The automated capability is aimed at clinical researchers using Slicer3 software. The utility of having accurate lesion labels permits summary of perfusion within lesions, correlation of lesion load by location with neuropsychiatric symptoms, and summary of structural image intensities or DTI scalars within lesion boundaries.&lt;br /&gt;
&lt;br /&gt;
* How does the pipeline compare to state of the art?&lt;br /&gt;
**Brain lesion classification in NPSLE is currently accomplished manually or by various algorithms developed for other disorders, such as multiple sclerosis (MS).There are many approaches that attempt to solve lesion classification in MS. Some of these approaches are automated or semi-automated; however, all automatic approaches suffer a lack of ground truth.  It is difficult for human manual raters to agree on fuzzy boundaries across different image contrasts (e.g., T1, T2, FLAIR).  &lt;br /&gt;
&lt;br /&gt;
A good examples of the challenges that remains in terms of lesion segmentation were represented at the 2008 MICCAI Conference [http://www.ia.unc.edu/MSseg/ MS Lesion Segmentation Challenge(organized by Warfield and Styner)] in the form of a grand challenge in segmentation. Our participation in this lesion segmentation contest, in which participants were provided training data-sets with two manual labellings, allowed us to experiment with several approaches to lesion segmentation, e.g., EM-Segment (S. Wells), k-means/bayesian (V. Magnotta), and outlier detection (M. Prastawa). Drawing from this experience and a thorough review of the current literature, we have optimized a novel combination of methods that appears to perform well for lesion mapping in NPSLE. Additionally, this approach may generalize to other neurological disorders, such as MS or vascular dementia.&lt;br /&gt;
&lt;br /&gt;
==Detailed Information about the Pipeline==&lt;br /&gt;
*Method&lt;br /&gt;
**An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classification&lt;br /&gt;
***The method makes use of local morphometric features based on multiple MR sequences, including T1-weighted, T2-weighted, and Fluid Attenuated Inversion Recovery. After preprocessing, including co-registration, brain extraction, bias correction, and intensity standardization, 49 features are calculated for each brain voxel based on local morphometry. At each level of segmenta- tion a supervised classifier takes advantage of a different subset of the features to conservatively segment lesion voxels, passing on more difficult voxels to the next classifier. This multi-level approach allows for a fast lesion classification method with tunable trade-offs between sensitivity and specificity producing accuracy comparable to a human rater. &lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure1.png|thumb|400px|General Lesion Segmentation Protocol]]&lt;br /&gt;
|[[Image:Scully Figure2.jpg|thumb|400px|Feature Subset (A) T1w. (B) T2w. (C) FLAIR. (D)&lt;br /&gt;
kMeans segmentation. (E) Distance to white matter. (F) Distance to gray matter. (G) Distance to CSF. (H)&lt;br /&gt;
T1w grayscale dilation radius 2. (I) T2w grayscale dilation radius 2. (J) FLAIR grayscale dilation radius&lt;br /&gt;
2. (K) T1w flipped difference. (L) T2w flipped difference. (M) FLAIR flipped difference. (N) T1w grayscale&lt;br /&gt;
erosion radius 3. (O) T2w grayscale erosion radius 3. (P) FLAIR grayscale erosion radius 3.]]&lt;br /&gt;
|}&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure3.jpg|thumb|400px|Predicted Heat Map, Manual Segmentation, Thresholded Heat Map]]&lt;br /&gt;
|[[Image:Scully Figure4.png|thumb|400px| ROC Curve]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
==Software &amp;amp; documentation==&lt;br /&gt;
*We have a very active project for this pipeline on the NITRC resource [http://www.nitrc.org/frs/?group_id=180 3DSlicerLupusLesionModule]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/570/LesionSegmentationApplications.tgz tutorial software]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/569/LesionSegmentationTutorialData.tgz tutorial data] &lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/571/Slicer3Training_WhiteMatterLesions_v2.0.ppt.pdf end-user tutorial]&lt;br /&gt;
&lt;br /&gt;
==Outreach==&lt;br /&gt;
*An end-to-end tutorial and module are provided on the NA-MIC website. Training courses were held at the Annual meeting for Human Brain Mapping Organization 2008, the Annual Meeting for Society for Neuroscience 2008, as well as to a group of 25+ investigators at the MIND Research Network (2007) who are working in translational neuroscience. A Manuscript summarizing improved clinical results resulting from automated lesion analyses has been prepared and submitted at the time of writing this report. &lt;br /&gt;
* Publication Links to the PubDB.&lt;br /&gt;
** H. J. Bockholt, V. A. Magnotta, M. Scully, C. Gasparovic, B. Davis, K. Pohl, R. Whitaker, S. Pieper, C. Roldan, R. Jung, R. Hayek, W. Sibbitt, J. Sharrar, P. Pellegrino, R. Kikinis. A novel automated method for classification of white matter lesions in systemic lupus erythematosus. Presented at the 38th annual meeting of the Society for Neuroscience, Washingto, DC, 15 – 19 November 2008&lt;br /&gt;
** Scully M., Magnotta V., Gasparovic C., Pelligrimo P., Feis D., Bockholt H.J. 3D Segmentation In The Clinic: A Grand Challenge II at MICCAI 2008 - MS Lesion Segmentation. IJ - 2008 MICCAI Workshop - MS Lesion Segmentation. Available  http://grand-challenge2008.bigr.nl/proceedings/pdfs/msls08/282_Scully.pdf&lt;br /&gt;
** H Jeremy Bockholt, Josef Ling, Mark Scully, Adam Scott, Susan Lane, Vincent Magnotta, Tonya White, Kelvin Lim, Randy Gollub, Vince Calhoun. Real-time Web-scale Image Annotation for Semantic-based Retrieval of Neuropsychiatric Research Images. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** H Jeremy Bockholt, Sumner Williams, Mark Scully, Vincent Magnotta, Randy Gollub, John Lauriello, Kelvin Lim, Tonya White, Rex Jung, Charles Schulz, Nancy Andreasen, Vince Calhoun. The MIND Clinical Imaging Consortium as an application for novel comprehensive quality assurance procedures in a multi-site heterogeneous clinical research study. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** M Scully, B H Anderson, C Gasparovic, V A Magnotta, S Pieper, R Kikinis, P Pellegrino, T Lane, H J Bockholt. A Synergistic Combination of Supervised Machine Learning Methods for Analysis of White Matter Lesions in Neuropsychiatric Systemic Lupus Erythematosus. Presented at the 15th Annual Meeting of the Organization for Human Brain Mapping, San Francisco June, 2009.&lt;br /&gt;
** Bockholt HJ, Scully M, Courtney W, Rachakonda S, Scott A, Caprihan A, Fries J, Kalyanam R, Segall J, de la Garza R, Lane S and Calhoun VD (2009) Mining the mind research network: a novel framework for exploring large scale, heterogeneous translational neuroscience research data sources. Front. Neuroinform. 3:36. doi:10.3389/neuro.11.036.2009&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classiﬁcation (submitted to Frontiers in Neuroscience 11/2009).&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Longitudinal Analysis of White Matter Lesions in Lupus (''in preparation'' for submission).&lt;br /&gt;
** Bockholt, H.J.,  Gasparovic, C., Scully, M., Magnotta, V., Sibbitt, W., Kikinis, R., Roldan,C. A novel white matter lesion analysis for improved clinical application in lupus. (''in preparation'' for submission).&lt;br /&gt;
&lt;br /&gt;
==In Progress since last AHM==&lt;br /&gt;
*Longitudinal Analyses&lt;br /&gt;
**Almost completed full pipeline for longitudinal analysis which detects changes in lesions allowing for more clinical applications.  The following 3 figures demonstrate some of the longitudinal functionality comparing a baseline FLAIR with a followup FLAIR.  The label map shows the change in lesion voxels where gained lesion is red, recovered tissue is blue, and lesion that remained lesion is yellow.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWholeBrain.png|thumb|333px|CompareViewFlairLesionDiffWholeBrain]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWControls.png|thumb|333px|CompareViewFlairLesionDiffWControls]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiff.png|thumb|333px|CompareViewFlairLesionDiff]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
*DWI/DTI Analyses&lt;br /&gt;
*** Population differences in Scalar values&lt;br /&gt;
*** Tract based statistics&lt;br /&gt;
***Identifying structural connectivity network&lt;br /&gt;
***Approximating Disrupted Tractography Fibers&lt;br /&gt;
****Similar in purpose to current methods being applied to tumors, the objective is to estimate the tracts the would exist were lesion not present.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:TractsLesionZoomOverlay.png‎|thumb|380px|White Matter Lesion Track Disruption]]&lt;br /&gt;
|}&lt;br /&gt;
*Morphometry&lt;br /&gt;
**Examine cortical thicknesses especially in regions where lesions have interrupted connecting fibers.&lt;br /&gt;
**Investigate relationship between diseased tissue and fractal dimension of the white matter boundary.&lt;br /&gt;
*Spectroscopic Imaging&lt;br /&gt;
*Functional rest task&lt;br /&gt;
**Functional Network&lt;br /&gt;
*ASL&lt;br /&gt;
**Perfusion&lt;br /&gt;
***Relationship between cerebral blood volume, cerebral blood flow, and NPSLE &lt;br /&gt;
*Multiscale Analyses&lt;br /&gt;
**Incorporate all previous results into a comprehensive statistical analysis to fully characterize NPSLE.&lt;br /&gt;
&lt;br /&gt;
==Future Collaboration==&lt;br /&gt;
Two grants are under preparation to continue this collaboration. The first grant in progress with a planned submission of Feb 5, 2010 will use the Collaborations with NCBC R01 mechanism. The grant will be titled, “Enhancing Brain Lesion Segmentation in Neurological Disorders.” The aim of this project will be to extend the tools developed in the lupus DBP to other vascular disorders, multiple sclerosis, vascular dementia and other disorders with brain lesions. The grant will be a natural extension of work in the lupus DBP and fits in well with the mission of the NA-MIC by extending tools, analyses and approaches across multiple diseases and challenges. &lt;br /&gt;
&lt;br /&gt;
The second grant will utilize the GPL-style license found within the NA-MIC to explore the commercialization potential of the lesion analysis toolkit. A grant entitled “Novel White Matter Lesion Application” has a planned submission of April 5, 2010 and will use the Neurotechnology Research, Development, and Enhancement SBIR mechanism. This grant will be submitted by PI Bockholt who has recently founded and formed Advanced Biomedical Informatics Group, LLC, an independent for-profit company based in Iowa City, IA. This project will also extend the lupus DBP work through further development of turnkey solution that can be placed directly in the hands of clinicians for evaluating white matter lesions in their lupus patients&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
#Adaboost and Support Vector Machines for White Matter Lesion Segmentation in MR Images. Quddus A, Fieguth P, Basir O. PAMI Lab, Department of Electrical and Computer Engineering, University of Waterloo, Waterloo, ON, Canada. Conf Proc IEEE Eng Med Biol Soc. 2005;1:463-6. http://www.ncbi.nlm.nih.gov/pubmed/17282216&lt;br /&gt;
#Architecture for an Artificial Immune System Steven A. Hofmeyr, Stephanie Forrest Evolutionary Computation Winter 2000, Vol. 8, No. 4, Pages 443-473 http://www.mitpressjournals.org/doi/abs/10.1162/106365600568257&lt;br /&gt;
#Automated segmentation of white matter lesions in 3D brain MR images, using multivariate pattern classification Zhiqiang Lao; Dinggang Shen; Jawad, A.; Karacali, B.; Dengfeng Liu; Melhem, E.R.; Bryan, R.N.; Davatzikos, C. Biomedical Imaging: Nano to Macro, 2006. 3rd IEEE International Symposium on Volume , Issue , 6-9 April 2006 Page(s): 307 - 310 http://ieeexplore.ieee.org/Xplore/login.jsp?url=/iel5/10818/34114/01624914.pdf?temp=x&lt;br /&gt;
#Automatic Segmentation of MS Lesions Using a Contextual Model for the MICCAI Grand Challenge Jonathan H. Morra, Zhuowen Tu, Arthur W. Toga, Paul M. Thompson IJ - 2008 MICCAI Workshop - MS Lesion Segmentation http://www.midasjournal.org/browse/publication/280&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47384</id>
		<title>AHM2010:Mind</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47384"/>
		<updated>2010-01-07T16:02:42Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;__NOTOC__&lt;br /&gt;
==Team==&lt;br /&gt;
* DBP: H Jeremy Bockholt (PI), Charles Gasparovic(co-PI), Mark Scully(Engineer), The Mind Research Network&lt;br /&gt;
* Core 2: Steve Pieper, Isomics&lt;br /&gt;
* Consultant: Vincent Magnotta, University of Iowa&lt;br /&gt;
* Contact: H. Jeremy Bockholt, jbockholt@mrn.org&lt;br /&gt;
&lt;br /&gt;
==MRN Roadmap Project==&lt;br /&gt;
&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Lupus_acquisition.png‎|thumb|280px|Image Acquisition]]&lt;br /&gt;
|[[Image:Intensity_standardize_view.png|thumb|280px|Slicer3 Module Image Intensity Standardization]]&lt;br /&gt;
|}&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Predict_lesion_view.png‎|thumb|280px|Slicer3 Module Lesion Classification]]&lt;br /&gt;
|[[Image:LesionInBrain-PW2009.png‎|thumb|280px|Lesion Model inside Brain]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
== Overview ==&lt;br /&gt;
* What problem does the pipeline solve, and who is the targeted user?&lt;br /&gt;
**The pipeline attempts to solve the problem of segmenting white matter lesions in Neuropsychiatric Systemic Lupus Erythematosus(NPSLE). The automated capability is aimed at clinical researchers using Slicer3 software. The utility of having accurate lesion labels permits summary of perfusion within lesions, correlation of lesion load by location with neuropsychiatric symptoms, and summary of structural image intensities or DTI scalars within lesion boundaries.&lt;br /&gt;
&lt;br /&gt;
* How does the pipeline compare to state of the art?&lt;br /&gt;
**Brain lesion classification in NPSLE is currently accomplished manually or by various algorithms developed for other disorders, such as multiple sclerosis (MS).There are many approaches that attempt to solve lesion classification in MS. Some of these approaches are automated or semi-automated; however, all automatic approaches suffer a lack of ground truth.  It is difficult for human manual raters to agree on fuzzy boundaries across different image contrasts (e.g., T1, T2, FLAIR).  &lt;br /&gt;
&lt;br /&gt;
A good examples of the challenges that remains in terms of lesion segmentation were represented at the 2008 MICCAI Conference [http://www.ia.unc.edu/MSseg/ MS Lesion Segmentation Challenge(organized by Warfield and Styner)] in the form of a grand challenge in segmentation. Our participation in this lesion segmentation contest, in which participants were provided training data-sets with two manual labellings, allowed us to experiment with several approaches to lesion segmentation, e.g., EM-Segment (S. Wells), k-means/bayesian (V. Magnotta), and outlier detection (M. Prastawa). Drawing from this experience and a thorough review of the current literature, we have optimized a novel combination of methods that appears to perform well for lesion mapping in NPSLE. Additionally, this approach may generalize to other neurological disorders, such as MS or vascular dementia.&lt;br /&gt;
&lt;br /&gt;
==Detailed Information about the Pipeline==&lt;br /&gt;
*Method&lt;br /&gt;
**An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classification&lt;br /&gt;
***The method makes use of local morphometric features based on multiple MR sequences, including T1-weighted, T2-weighted, and Fluid Attenuated Inversion Recovery. After preprocessing, including co-registration, brain extraction, bias correction, and intensity standardization, 49 features are calculated for each brain voxel based on local morphometry. At each level of segmenta- tion a supervised classifier takes advantage of a different subset of the features to conservatively segment lesion voxels, passing on more difficult voxels to the next classifier. This multi-level approach allows for a fast lesion classification method with tunable trade-offs between sensitivity and specificity producing accuracy comparable to a human rater. &lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure1.png|thumb|400px|General Lesion Segmentation Protocol]]&lt;br /&gt;
|[[Image:Scully Figure2.jpg|thumb|400px|Feature Subset (A) T1w. (B) T2w. (C) FLAIR. (D)&lt;br /&gt;
kMeans segmentation. (E) Distance to white matter. (F) Distance to gray matter. (G) Distance to CSF. (H)&lt;br /&gt;
T1w grayscale dilation radius 2. (I) T2w grayscale dilation radius 2. (J) FLAIR grayscale dilation radius&lt;br /&gt;
2. (K) T1w flipped difference. (L) T2w flipped difference. (M) FLAIR flipped difference. (N) T1w grayscale&lt;br /&gt;
erosion radius 3. (O) T2w grayscale erosion radius 3. (P) FLAIR grayscale erosion radius 3.]]&lt;br /&gt;
|}&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure3.jpg|thumb|400px|Predicted Heat Map, Manual Segmentation, Thresholded Heat Map]]&lt;br /&gt;
|[[Image:Scully Figure4.png|thumb|400px| ROC Curve]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
==Software &amp;amp; documentation==&lt;br /&gt;
*We have a very active project for this pipeline on the NITRC resource [http://www.nitrc.org/frs/?group_id=180 3DSlicerLupusLesionModule]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/570/LesionSegmentationApplications.tgz tutorial software]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/569/LesionSegmentationTutorialData.tgz tutorial data] &lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/571/Slicer3Training_WhiteMatterLesions_v2.0.ppt.pdf end-user tutorial]&lt;br /&gt;
&lt;br /&gt;
==Outreach==&lt;br /&gt;
*An end-to-end tutorial and module are provided on the NA-MIC website. Training courses were held at the Annual meeting for Human Brain Mapping Organization 2008, the Annual Meeting for Society for Neuroscience 2008, as well as to a group of 25+ investigators at the MIND Research Network (2007) who are working in translational neuroscience. A Manuscript summarizing improved clinical results resulting from automated lesion analyses has been prepared and submitted at the time of writing this report. &lt;br /&gt;
* Publication Links to the PubDB.&lt;br /&gt;
** H. J. Bockholt, V. A. Magnotta, M. Scully, C. Gasparovic, B. Davis, K. Pohl, R. Whitaker, S. Pieper, C. Roldan, R. Jung, R. Hayek, W. Sibbitt, J. Sharrar, P. Pellegrino, R. Kikinis. A novel automated method for classification of white matter lesions in systemic lupus erythematosus. Presented at the 38th annual meeting of the Society for Neuroscience, Washingto, DC, 15 – 19 November 2008&lt;br /&gt;
** Scully M., Magnotta V., Gasparovic C., Pelligrimo P., Feis D., Bockholt H.J. 3D Segmentation In The Clinic: A Grand Challenge II at MICCAI 2008 - MS Lesion Segmentation. IJ - 2008 MICCAI Workshop - MS Lesion Segmentation. Available  http://grand-challenge2008.bigr.nl/proceedings/pdfs/msls08/282_Scully.pdf&lt;br /&gt;
** H Jeremy Bockholt, Josef Ling, Mark Scully, Adam Scott, Susan Lane, Vincent Magnotta, Tonya White, Kelvin Lim, Randy Gollub, Vince Calhoun. Real-time Web-scale Image Annotation for Semantic-based Retrieval of Neuropsychiatric Research Images. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** H Jeremy Bockholt, Sumner Williams, Mark Scully, Vincent Magnotta, Randy Gollub, John Lauriello, Kelvin Lim, Tonya White, Rex Jung, Charles Schulz, Nancy Andreasen, Vince Calhoun. The MIND Clinical Imaging Consortium as an application for novel comprehensive quality assurance procedures in a multi-site heterogeneous clinical research study. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** M Scully, B H Anderson, C Gasparovic, V A Magnotta, S Pieper, R Kikinis, P Pellegrino, T Lane, H J Bockholt. A Synergistic Combination of Supervised Machine Learning Methods for Analysis of White Matter Lesions in Neuropsychiatric Systemic Lupus Erythematosus. Presented at the 15th Annual Meeting of the Organization for Human Brain Mapping, San Francisco June, 2009.&lt;br /&gt;
** Bockholt HJ, Scully M, Courtney W, Rachakonda S, Scott A, Caprihan A, Fries J, Kalyanam R, Segall J, de la Garza R, Lane S and Calhoun VD (2009) Mining the mind research network: a novel framework for exploring large scale, heterogeneous translational neuroscience research data sources. Front. Neuroinform. 3:36. doi:10.3389/neuro.11.036.2009&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classiﬁcation (submitted to Frontiers in Neuroscience 11/2009).&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Longitudinal Analysis of White Matter Lesions in Lupus (''in preparation'' for submission).&lt;br /&gt;
** Bockholt, H.J.,  Gasparovic, C., Scully, M., Magnotta, V., Sibbitt, W., Kikinis, R., Roldan,C. A novel white matter lesion analysis for improved clinical application in lupus. (''in preparation'' for submission).&lt;br /&gt;
&lt;br /&gt;
==In Progress since last AHM==&lt;br /&gt;
*Longitudinal Analyses&lt;br /&gt;
**Almost completed full pipeline for longitudinal analysis which detects changes in lesions allowing for more clinical applications.  The following 3 figures demonstrate some of the longitudinal functionality comparing a baseline FLAIR with a followup FLAIR.  The label map shows the change in lesion voxels where gained lesion is red, recovered tissue is blue, and lesion that remained lesion is yellow.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWholeBrain.png|thumb|333px|CompareViewFlairLesionDiffWholeBrain]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWControls.png|thumb|333px|CompareViewFlairLesionDiffWControls]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiff.png|thumb|333px|CompareViewFlairLesionDiff]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
*DWI/DTI Analyses&lt;br /&gt;
*** Population differences in Scalar values&lt;br /&gt;
*** Tract based statistics&lt;br /&gt;
***Identifying structural connectivity network&lt;br /&gt;
***Approximating Disrupted Tractography Fibers&lt;br /&gt;
****Similar in purpose to current methods being applied to tumors, the objective is to estimate the tracts the would exist were lesion not present.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:TractsLesionZoomOverlay.png‎|thumb|380px|White Matter Lesion Track Disruption]]&lt;br /&gt;
|}&lt;br /&gt;
*Morphometry&lt;br /&gt;
**Examine cortical thicknesses especially in regions where lesions have interrupted connecting fibers.&lt;br /&gt;
**Investigate relationship between diseased tissue and fractal dimension of the white matter boundary.&lt;br /&gt;
*Spectroscopic Imaging&lt;br /&gt;
*Functional rest task&lt;br /&gt;
**Functional Network&lt;br /&gt;
*ASL&lt;br /&gt;
**Perfusion&lt;br /&gt;
***Relationship between cerebral blood volume, cerebral blood flow, and NPSLE &lt;br /&gt;
*Multiscale Analyses&lt;br /&gt;
**Incorporate all previous results into a comprehensive statistical analysis to fully characterize NPSLE.&lt;br /&gt;
&lt;br /&gt;
==Future Collaboration==&lt;br /&gt;
Two grants are under preparation to continue this collaboration. The first grant in progress with a planned submission of Feb 5, 2010 will use the Collaborations with NCBC R01 mechanism. The grant will be titled, “Enhancing Brain Lesion Segmentation in Neurological Disorders.” The aim of this project will be to extend the tools developed in the lupus DBP to other vascular disorders, multiple sclerosis, vascular dementia and other disorders with brain lesions. The grant will be a natural extension of work in the lupus DBP and fits in well with the mission of the NA-MIC by extending tools, analyses and approaches across multiple diseases and challenges. &lt;br /&gt;
&lt;br /&gt;
The second grant will utilize the GPL-style license found within the NA-MIC to explore the commercialization potential of the lesion analysis toolkit. A grant entitled “Novel White Matter Lesion Application” has a planned submission of April 5, 2010 and will use the Neurotechnology Research, Development, and Enhancement SBIR mechanism. This grant will be submitted by PI Bockholt who has recently founded and formed Advanced Biomedical Informatics Group, LLC, an independent for-profit company based in Iowa City, IA. This project will also extend the lupus DBP work through further development of turnkey solution that can be placed directly in the hands of clinicians for evaluating white matter lesions in their lupus patients&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
#Adaboost and Support Vector Machines for White Matter Lesion Segmentation in MR Images. Quddus A, Fieguth P, Basir O. PAMI Lab, Department of Electrical and Computer Engineering, University of Waterloo, Waterloo, ON, Canada. Conf Proc IEEE Eng Med Biol Soc. 2005;1:463-6. http://www.ncbi.nlm.nih.gov/pubmed/17282216&lt;br /&gt;
#Architecture for an Artificial Immune System Steven A. Hofmeyr, Stephanie Forrest Evolutionary Computation Winter 2000, Vol. 8, No. 4, Pages 443-473 http://www.mitpressjournals.org/doi/abs/10.1162/106365600568257&lt;br /&gt;
#Automated segmentation of white matter lesions in 3D brain MR images, using multivariate pattern classification Zhiqiang Lao; Dinggang Shen; Jawad, A.; Karacali, B.; Dengfeng Liu; Melhem, E.R.; Bryan, R.N.; Davatzikos, C. Biomedical Imaging: Nano to Macro, 2006. 3rd IEEE International Symposium on Volume , Issue , 6-9 April 2006 Page(s): 307 - 310 http://ieeexplore.ieee.org/Xplore/login.jsp?url=/iel5/10818/34114/01624914.pdf?temp=x&lt;br /&gt;
#Automatic Segmentation of MS Lesions Using a Contextual Model for the MICCAI Grand Challenge Jonathan H. Morra, Zhuowen Tu, Arthur W. Toga, Paul M. Thompson IJ - 2008 MICCAI Workshop - MS Lesion Segmentation http://www.midasjournal.org/browse/publication/280&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47381</id>
		<title>AHM2010:Mind</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47381"/>
		<updated>2010-01-07T15:58:12Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;__NOTOC__&lt;br /&gt;
==Team==&lt;br /&gt;
* DBP: H Jeremy Bockholt (PI), Charles Gasparovic(co-PI), Mark Scully(Engineer), The Mind Research Network&lt;br /&gt;
* Core 2: Steve Pieper, Isomics&lt;br /&gt;
* Consultant: Vincent Magnotta, University of Iowa&lt;br /&gt;
* Contact: H. Jeremy Bockholt, jbockholt@mrn.org==MRN Roadmap Project==&lt;br /&gt;
&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Lupus_acquisition.png‎|thumb|280px|Image Acquisition]]&lt;br /&gt;
|[[Image:Intensity_standardize_view.png|thumb|280px|Slicer3 Module Image Intensity Standardization]]&lt;br /&gt;
|}&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Predict_lesion_view.png‎|thumb|280px|Slicer3 Module Lesion Classification]]&lt;br /&gt;
|[[Image:LesionInBrain-PW2009.png‎|thumb|280px|Lesion Model inside Brain]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
== Overview ==&lt;br /&gt;
* What problem does the pipeline solve, and who is the targeted user?&lt;br /&gt;
**The pipeline attempts to solve the problem of segmenting white matter lesions in Neuropsychiatric Systemic Lupus Erythematosus(NPSLE). The automated capability is aimed at clinical researchers using Slicer3 software. The utility of having accurate lesion labels permits summary of perfusion within lesions, correlation of lesion load by location with neuropsychiatric symptoms, and summary of structural image intensities or DTI scalars within lesion boundaries.&lt;br /&gt;
&lt;br /&gt;
* How does the pipeline compare to state of the art?&lt;br /&gt;
**Brain lesion classification in NPSLE is currently accomplished manually or by various algorithms developed for other disorders, such as multiple sclerosis (MS).There are many approaches that attempt to solve lesion classification in MS. Some of these approaches are automated or semi-automated; however, all automatic approaches suffer a lack of ground truth.  It is difficult for human manual raters to agree on fuzzy boundaries across different image contrasts (e.g., T1, T2, FLAIR).  &lt;br /&gt;
&lt;br /&gt;
A good examples of the challenges that remains in terms of lesion segmentation were represented at the 2008 MICCAI Conference [http://www.ia.unc.edu/MSseg/ MS Lesion Segmentation Challenge(organized by Warfield and Styner)] in the form of a grand challenge in segmentation. Our participation in this lesion segmentation contest, in which participants were provided training data-sets with two manual labellings, allowed us to experiment with several approaches to lesion segmentation, e.g., EM-Segment (S. Wells), k-means/bayesian (V. Magnotta), and outlier detection (M. Prastawa). Drawing from this experience and a thorough review of the current literature, we have optimized a novel combination of methods that appears to perform well for lesion mapping in NPSLE. Additionally, this approach may generalize to other neurological disorders, such as MS or vascular dementia.&lt;br /&gt;
&lt;br /&gt;
==Detailed Information about the Pipeline==&lt;br /&gt;
*Method&lt;br /&gt;
**An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classification&lt;br /&gt;
***The method makes use of local morphometric features based on multiple MR sequences, including T1-weighted, T2-weighted, and Fluid Attenuated Inversion Recovery. After preprocessing, including co-registration, brain extraction, bias correction, and intensity standardization, 49 features are calculated for each brain voxel based on local morphometry. At each level of segmenta- tion a supervised classifier takes advantage of a different subset of the features to conservatively segment lesion voxels, passing on more difficult voxels to the next classifier. This multi-level approach allows for a fast lesion classification method with tunable trade-offs between sensitivity and specificity producing accuracy comparable to a human rater. &lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure1.png|thumb|400px|General Lesion Segmentation Protocol]]&lt;br /&gt;
|[[Image:Scully Figure2.jpg|thumb|400px|Feature Subset (A) T1w. (B) T2w. (C) FLAIR. (D)&lt;br /&gt;
kMeans segmentation. (E) Distance to white matter. (F) Distance to gray matter. (G) Distance to CSF. (H)&lt;br /&gt;
T1w grayscale dilation radius 2. (I) T2w grayscale dilation radius 2. (J) FLAIR grayscale dilation radius&lt;br /&gt;
2. (K) T1w flipped difference. (L) T2w flipped difference. (M) FLAIR flipped difference. (N) T1w grayscale&lt;br /&gt;
erosion radius 3. (O) T2w grayscale erosion radius 3. (P) FLAIR grayscale erosion radius 3.]]&lt;br /&gt;
|}&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure3.jpg|thumb|400px|Predicted Heat Map, Manual Segmentation, Thresholded Heat Map]]&lt;br /&gt;
|[[Image:Scully Figure4.png|thumb|400px| ROC Curve]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
==Software &amp;amp; documentation==&lt;br /&gt;
*We have a very active project for this pipeline on the NITRC resource [http://www.nitrc.org/frs/?group_id=180 3DSlicerLupusLesionModule]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/570/LesionSegmentationApplications.tgz tutorial software]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/569/LesionSegmentationTutorialData.tgz tutorial data] &lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/571/Slicer3Training_WhiteMatterLesions_v2.0.ppt.pdf end-user tutorial]&lt;br /&gt;
&lt;br /&gt;
==Outreach==&lt;br /&gt;
*An end-to-end tutorial and module are provided on the NA-MIC website. Training courses were held at the Annual meeting for Human Brain Mapping Organization 2008, the Annual Meeting for Society for Neuroscience 2008, as well as to a group of 25+ investigators at the MIND Research Network (2007) who are working in translational neuroscience. A Manuscript summarizing improved clinical results resulting from automated lesion analyses has been prepared and submitted at the time of writing this report. &lt;br /&gt;
* Publication Links to the PubDB.&lt;br /&gt;
** H. J. Bockholt, V. A. Magnotta, M. Scully, C. Gasparovic, B. Davis, K. Pohl, R. Whitaker, S. Pieper, C. Roldan, R. Jung, R. Hayek, W. Sibbitt, J. Sharrar, P. Pellegrino, R. Kikinis. A novel automated method for classification of white matter lesions in systemic lupus erythematosus. Presented at the 38th annual meeting of the Society for Neuroscience, Washingto, DC, 15 – 19 November 2008&lt;br /&gt;
** Scully M., Magnotta V., Gasparovic C., Pelligrimo P., Feis D., Bockholt H.J. 3D Segmentation In The Clinic: A Grand Challenge II at MICCAI 2008 - MS Lesion Segmentation. IJ - 2008 MICCAI Workshop - MS Lesion Segmentation. Available  http://grand-challenge2008.bigr.nl/proceedings/pdfs/msls08/282_Scully.pdf&lt;br /&gt;
** H Jeremy Bockholt, Josef Ling, Mark Scully, Adam Scott, Susan Lane, Vincent Magnotta, Tonya White, Kelvin Lim, Randy Gollub, Vince Calhoun. Real-time Web-scale Image Annotation for Semantic-based Retrieval of Neuropsychiatric Research Images. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** H Jeremy Bockholt, Sumner Williams, Mark Scully, Vincent Magnotta, Randy Gollub, John Lauriello, Kelvin Lim, Tonya White, Rex Jung, Charles Schulz, Nancy Andreasen, Vince Calhoun. The MIND Clinical Imaging Consortium as an application for novel comprehensive quality assurance procedures in a multi-site heterogeneous clinical research study. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** M Scully, B H Anderson, C Gasparovic, V A Magnotta, S Pieper, R Kikinis, P Pellegrino, T Lane, H J Bockholt. A Synergistic Combination of Supervised Machine Learning Methods for Analysis of White Matter Lesions in Neuropsychiatric Systemic Lupus Erythematosus. Presented at the 15th Annual Meeting of the Organization for Human Brain Mapping, San Francisco June, 2009.&lt;br /&gt;
** Bockholt HJ, Scully M, Courtney W, Rachakonda S, Scott A, Caprihan A, Fries J, Kalyanam R, Segall J, de la Garza R, Lane S and Calhoun VD (2009) Mining the mind research network: a novel framework for exploring large scale, heterogeneous translational neuroscience research data sources. Front. Neuroinform. 3:36. doi:10.3389/neuro.11.036.2009&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classiﬁcation (submitted to Frontiers in Neuroscience 11/2009).&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Longitudinal Analysis of White Matter Lesions in Lupus (''in preparation'' for submission).&lt;br /&gt;
** Bockholt, H.J.,  Gasparovic, C., Scully, M., Magnotta, V., Sibbitt, W., Kikinis, R., Roldan,C. A novel white matter lesion analysis for improved clinical application in lupus. (''in preparation'' for submission).&lt;br /&gt;
&lt;br /&gt;
==In Progress since last AHM==&lt;br /&gt;
*Longitudinal Analyses&lt;br /&gt;
**Almost completed full pipeline for longitudinal analysis which detects changes in lesions allowing for more clinical applications.  The following 3 figures demonstrate some of the longitudinal functionality comparing a baseline FLAIR with a followup FLAIR.  The label map shows the change in lesion voxels where gained lesion is red, recovered tissue is blue, and lesion that remained lesion is yellow.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWholeBrain.png|thumb|333px|CompareViewFlairLesionDiffWholeBrain]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWControls.png|thumb|333px|CompareViewFlairLesionDiffWControls]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiff.png|thumb|333px|CompareViewFlairLesionDiff]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
*DWI/DTI Analyses&lt;br /&gt;
*** Population differences in Scalar values&lt;br /&gt;
*** Tract based statistics&lt;br /&gt;
***Identifying structural connectivity network&lt;br /&gt;
***Approximating Disrupted Tractography Fibers&lt;br /&gt;
****Similar in purpose to current methods being applied to tumors, the objective is to estimate the tracts the would exist were lesion not present.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:TractsLesionZoomOverlay.png‎|thumb|380px|White Matter Lesion Track Disruption]]&lt;br /&gt;
|}&lt;br /&gt;
*Morphometry&lt;br /&gt;
**Examine cortical thicknesses especially in regions where lesions have interrupted connecting fibers.&lt;br /&gt;
**Investigate relationship between diseased tissue and fractal dimension of the white matter boundary.&lt;br /&gt;
*Spectroscopic Imaging&lt;br /&gt;
*Functional rest task&lt;br /&gt;
**Functional Network&lt;br /&gt;
*ASL&lt;br /&gt;
**Perfusion&lt;br /&gt;
***Relationship between cerebral blood volume, cerebral blood flow, and NPSLE &lt;br /&gt;
*Multiscale Analyses&lt;br /&gt;
**Incorporate all previous results into a comprehensive statistical analysis to fully characterize NPSLE.&lt;br /&gt;
&lt;br /&gt;
==Future Collaboration==&lt;br /&gt;
Two grants are under preparation to continue this collaboration. The first grant in progress with a planned submission of Feb 5, 2010 will use the Collaborations with NCBC R01 mechanism. The grant will be titled, “Enhancing Brain Lesion Segmentation in Neurological Disorders.” The aim of this project will be to extend the tools developed in the lupus DBP to other vascular disorders, multiple sclerosis, vascular dementia and other disorders with brain lesions. The grant will be a natural extension of work in the lupus DBP and fits in well with the mission of the NA-MIC by extending tools, analyses and approaches across multiple diseases and challenges. &lt;br /&gt;
&lt;br /&gt;
The second grant will utilize the GPL-style license found within the NA-MIC to explore the commercialization potential of the lesion analysis toolkit. A grant entitled “Novel White Matter Lesion Application” has a planned submission of April 5, 2010 and will use the Neurotechnology Research, Development, and Enhancement SBIR mechanism. This grant will be submitted by PI Bockholt who has recently founded and formed Advanced Biomedical Informatics Group, LLC, an independent for-profit company based in Iowa City, IA. This project will also extend the lupus DBP work through further development of turnkey solution that can be placed directly in the hands of clinicians for evaluating white matter lesions in their lupus patients&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
#Adaboost and Support Vector Machines for White Matter Lesion Segmentation in MR Images. Quddus A, Fieguth P, Basir O. PAMI Lab, Department of Electrical and Computer Engineering, University of Waterloo, Waterloo, ON, Canada. Conf Proc IEEE Eng Med Biol Soc. 2005;1:463-6. http://www.ncbi.nlm.nih.gov/pubmed/17282216&lt;br /&gt;
#Architecture for an Artificial Immune System Steven A. Hofmeyr, Stephanie Forrest Evolutionary Computation Winter 2000, Vol. 8, No. 4, Pages 443-473 http://www.mitpressjournals.org/doi/abs/10.1162/106365600568257&lt;br /&gt;
#Automated segmentation of white matter lesions in 3D brain MR images, using multivariate pattern classification Zhiqiang Lao; Dinggang Shen; Jawad, A.; Karacali, B.; Dengfeng Liu; Melhem, E.R.; Bryan, R.N.; Davatzikos, C. Biomedical Imaging: Nano to Macro, 2006. 3rd IEEE International Symposium on Volume , Issue , 6-9 April 2006 Page(s): 307 - 310 http://ieeexplore.ieee.org/Xplore/login.jsp?url=/iel5/10818/34114/01624914.pdf?temp=x&lt;br /&gt;
#Automatic Segmentation of MS Lesions Using a Contextual Model for the MICCAI Grand Challenge Jonathan H. Morra, Zhuowen Tu, Arthur W. Toga, Paul M. Thompson IJ - 2008 MICCAI Workshop - MS Lesion Segmentation http://www.midasjournal.org/browse/publication/280&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47372</id>
		<title>AHM2010:Mind</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47372"/>
		<updated>2010-01-07T15:43:40Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Detailed Information about the Pipeline */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;__NOTOC__&lt;br /&gt;
==MRN Roadmap Project==&lt;br /&gt;
&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Lupus_acquisition.png‎|thumb|280px|Image Acquisition]]&lt;br /&gt;
|[[Image:Intensity_standardize_view.png|thumb|280px|Slicer3 Module Image Intensity Standardization]]&lt;br /&gt;
|}&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Predict_lesion_view.png‎|thumb|280px|Slicer3 Module Lesion Classification]]&lt;br /&gt;
|[[Image:LesionInBrain-PW2009.png‎|thumb|280px|Lesion Model inside Brain]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
== Overview ==&lt;br /&gt;
* What problem does the pipeline solve, and who is the targeted user?&lt;br /&gt;
**The pipeline attempts to solve the problem of segmenting white matter lesions in Neuropsychiatric Systemic Lupus Erythematosus(NPSLE). The automated capability is aimed at clinical researchers using Slicer3 software. The utility of having accurate lesion labels permits summary of perfusion within lesions, correlation of lesion load by location with neuropsychiatric symptoms, and summary of structural image intensities or DTI scalars within lesion boundaries.&lt;br /&gt;
&lt;br /&gt;
* How does the pipeline compare to state of the art?&lt;br /&gt;
**Brain lesion classification in NPSLE is currently accomplished manually or by various algorithms developed for other disorders, such as multiple sclerosis (MS).There are many approaches that attempt to solve lesion classification in MS. Some of these approaches are automated or semi-automated; however, all automatic approaches suffer a lack of ground truth.  It is difficult for human manual raters to agree on fuzzy boundaries across different image contrasts (e.g., T1, T2, FLAIR).  &lt;br /&gt;
&lt;br /&gt;
A good examples of the challenges that remains in terms of lesion segmentation were represented at the 2008 MICCAI Conference [http://www.ia.unc.edu/MSseg/ MS Lesion Segmentation Challenge(organized by Warfield and Styner)] in the form of a grand challenge in segmentation. Our participation in this lesion segmentation contest, in which participants were provided training data-sets with two manual labellings, allowed us to experiment with several approaches to lesion segmentation, e.g., EM-Segment (S. Wells), k-means/bayesian (V. Magnotta), and outlier detection (M. Prastawa). Drawing from this experience and a thorough review of the current literature, we have optimized a novel combination of methods that appears to perform well for lesion mapping in NPSLE. Additionally, this approach may generalize to other neurological disorders, such as MS or vascular dementia.&lt;br /&gt;
&lt;br /&gt;
==Detailed Information about the Pipeline==&lt;br /&gt;
*Method&lt;br /&gt;
**An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classification&lt;br /&gt;
***The method makes use of local morphometric features based on multiple MR sequences, including T1-weighted, T2-weighted, and Fluid Attenuated Inversion Recovery. After preprocessing, including co-registration, brain extraction, bias correction, and intensity standardization, 49 features are calculated for each brain voxel based on local morphometry. At each level of segmenta- tion a supervised classifier takes advantage of a different subset of the features to conservatively segment lesion voxels, passing on more difficult voxels to the next classifier. This multi-level approach allows for a fast lesion classification method with tunable trade-offs between sensitivity and specificity producing accuracy comparable to a human rater. &lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure1.png|thumb|400px|General Lesion Segmentation Protocol]]&lt;br /&gt;
|[[Image:Scully Figure2.jpg|thumb|400px|Feature Subset (A) T1w. (B) T2w. (C) FLAIR. (D)&lt;br /&gt;
kMeans segmentation. (E) Distance to white matter. (F) Distance to gray matter. (G) Distance to CSF. (H)&lt;br /&gt;
T1w grayscale dilation radius 2. (I) T2w grayscale dilation radius 2. (J) FLAIR grayscale dilation radius&lt;br /&gt;
2. (K) T1w flipped difference. (L) T2w flipped difference. (M) FLAIR flipped difference. (N) T1w grayscale&lt;br /&gt;
erosion radius 3. (O) T2w grayscale erosion radius 3. (P) FLAIR grayscale erosion radius 3.]]&lt;br /&gt;
|}&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure3.jpg|thumb|400px|Predicted Heat Map, Manual Segmentation, Thresholded Heat Map]]&lt;br /&gt;
|[[Image:Scully Figure4.png|thumb|400px| ROC Curve]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
==Software &amp;amp; documentation==&lt;br /&gt;
*We have a very active project for this pipeline on the NITRC resource [http://www.nitrc.org/frs/?group_id=180 3DSlicerLupusLesionModule]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/570/LesionSegmentationApplications.tgz tutorial software]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/569/LesionSegmentationTutorialData.tgz tutorial data] &lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/571/Slicer3Training_WhiteMatterLesions_v2.0.ppt.pdf end-user tutorial]&lt;br /&gt;
&lt;br /&gt;
==Team==&lt;br /&gt;
* DBP: H Jeremy Bockholt (PI), Charles Gasparovic(co-PI), Mark Scully(Engineer), The Mind Research Network&lt;br /&gt;
* Core 1: Ross Whitaker, University of Utah&lt;br /&gt;
* Core 2: Steve Pieper, Isomics&lt;br /&gt;
* Consultant: Vincent Magnotta, University of Iowa&lt;br /&gt;
* Contact: H. Jeremy Bockholt, jbockholt@mrn.org&lt;br /&gt;
&lt;br /&gt;
==Outreach==&lt;br /&gt;
*An end-to-end tutorial and module are provided on the NA-MIC website. Training courses were held at the Annual meeting for Human Brain Mapping Organization 2008, the Annual Meeting for Society for Neuroscience 2008, as well as to a group of 25+ investigators at the MIND Research Network (2007) who are working in translational neuroscience. A Manuscript summarizing improved clinical results resulting from automated lesion analyses has been prepared and submitted at the time of writing this report. &lt;br /&gt;
* Publication Links to the PubDB.&lt;br /&gt;
** H. J. Bockholt, V. A. Magnotta, M. Scully, C. Gasparovic, B. Davis, K. Pohl, R. Whitaker, S. Pieper, C. Roldan, R. Jung, R. Hayek, W. Sibbitt, J. Sharrar, P. Pellegrino, R. Kikinis. A novel automated method for classification of white matter lesions in systemic lupus erythematosus. Presented at the 38th annual meeting of the Society for Neuroscience, Washingto, DC, 15 – 19 November 2008&lt;br /&gt;
** Scully M., Magnotta V., Gasparovic C., Pelligrimo P., Feis D., Bockholt H.J. 3D Segmentation In The Clinic: A Grand Challenge II at MICCAI 2008 - MS Lesion Segmentation. IJ - 2008 MICCAI Workshop - MS Lesion Segmentation. Available  http://grand-challenge2008.bigr.nl/proceedings/pdfs/msls08/282_Scully.pdf&lt;br /&gt;
** H Jeremy Bockholt, Josef Ling, Mark Scully, Adam Scott, Susan Lane, Vincent Magnotta, Tonya White, Kelvin Lim, Randy Gollub, Vince Calhoun. Real-time Web-scale Image Annotation for Semantic-based Retrieval of Neuropsychiatric Research Images. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** H Jeremy Bockholt, Sumner Williams, Mark Scully, Vincent Magnotta, Randy Gollub, John Lauriello, Kelvin Lim, Tonya White, Rex Jung, Charles Schulz, Nancy Andreasen, Vince Calhoun. The MIND Clinical Imaging Consortium as an application for novel comprehensive quality assurance procedures in a multi-site heterogeneous clinical research study. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** M Scully, B H Anderson, C Gasparovic, V A Magnotta, S Pieper, R Kikinis, P Pellegrino, T Lane, H J Bockholt. A Synergistic Combination of Supervised Machine Learning Methods for Analysis of White Matter Lesions in Neuropsychiatric Systemic Lupus Erythematosus. Presented at the 15th Annual Meeting of the Organization for Human Brain Mapping, San Francisco June, 2009.&lt;br /&gt;
** Bockholt HJ, Scully M, Courtney W, Rachakonda S, Scott A, Caprihan A, Fries J, Kalyanam R, Segall J, de la Garza R, Lane S and Calhoun VD (2009) Mining the mind research network: a novel framework for exploring large scale, heterogeneous translational neuroscience research data sources. Front. Neuroinform. 3:36. doi:10.3389/neuro.11.036.2009&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classiﬁcation (submitted to Frontiers in Neuroscience 11/2009).&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Longitudinal Analysis of White Matter Lesions in Lupus (''in preparation'' for submission).&lt;br /&gt;
** Bockholt, H.J.,  Gasparovic, C., Scully, M., Magnotta, V., Sibbitt, W., Kikinis, R., Roldan,C. A novel white matter lesion analysis for improved clinical application in lupus. (''in preparation'' for submission).&lt;br /&gt;
&lt;br /&gt;
==In Progress since last AHM==&lt;br /&gt;
*Longitudinal Analyses&lt;br /&gt;
**Almost completed full pipeline for longitudinal analysis which detects changes in lesions allowing for more clinical applications.  The following 3 figures demonstrate some of the longitudinal functionality comparing a baseline FLAIR with a followup FLAIR.  The label map shows the change in lesion voxels where gained lesion is red, recovered tissue is blue, and lesion that remained lesion is yellow.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWholeBrain.png|thumb|333px|CompareViewFlairLesionDiffWholeBrain]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWControls.png|thumb|333px|CompareViewFlairLesionDiffWControls]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiff.png|thumb|333px|CompareViewFlairLesionDiff]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
*DWI/DTI Analyses&lt;br /&gt;
*** Population differences in Scalar values&lt;br /&gt;
*** Tract based statistics&lt;br /&gt;
***Identifying structural connectivity network&lt;br /&gt;
***Approximating Disrupted Tractography Fibers&lt;br /&gt;
****Similar in purpose to current methods being applied to tumors, the objective is to estimate the tracts the would exist were lesion not present.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:TractsLesionZoomOverlay.png‎|thumb|380px|White Matter Lesion Track Disruption]]&lt;br /&gt;
|}&lt;br /&gt;
*Morphometry&lt;br /&gt;
**Examine cortical thicknesses especially in regions where lesions have interrupted connecting fibers.&lt;br /&gt;
**Investigate relationship between diseased tissue and fractal dimension of the white matter boundary.&lt;br /&gt;
*Spectroscopic Imaging&lt;br /&gt;
*Functional rest task&lt;br /&gt;
**Functional Network&lt;br /&gt;
*ASL&lt;br /&gt;
**Perfusion&lt;br /&gt;
***Relationship between cerebral blood volume, cerebral blood flow, and NPSLE &lt;br /&gt;
*Multiscale Analyses&lt;br /&gt;
**Incorporate all previous results into a comprehensive statistical analysis to fully characterize NPSLE.&lt;br /&gt;
&lt;br /&gt;
==Future Collaboration==&lt;br /&gt;
Two grants are under preparation to continue this collaboration. The first grant in progress with a planned submission of Feb 5, 2010 will use the Collaborations with NCBC R01 mechanism. The grant will be titled, “Enhancing Brain Lesion Segmentation in Neurological Disorders.” The aim of this project will be to extend the tools developed in the lupus DBP to other vascular disorders, multiple sclerosis, vascular dementia and other disorders with brain lesions. The grant will be a natural extension of work in the lupus DBP and fits in well with the mission of the NA-MIC by extending tools, analyses and approaches across multiple diseases and challenges. &lt;br /&gt;
&lt;br /&gt;
The second grant will utilize the GPL-style license found within the NA-MIC to explore the commercialization potential of the lesion analysis toolkit. A grant entitled “Novel White Matter Lesion Application” has a planned submission of April 5, 2010 and will use the Neurotechnology Research, Development, and Enhancement SBIR mechanism. This grant will be submitted by PI Bockholt who has recently founded and formed Advanced Biomedical Informatics Group, LLC, an independent for-profit company based in Iowa City, IA. This project will also extend the lupus DBP work through further development of turnkey solution that can be placed directly in the hands of clinicians for evaluating white matter lesions in their lupus patients&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
#Adaboost and Support Vector Machines for White Matter Lesion Segmentation in MR Images. Quddus A, Fieguth P, Basir O. PAMI Lab, Department of Electrical and Computer Engineering, University of Waterloo, Waterloo, ON, Canada. Conf Proc IEEE Eng Med Biol Soc. 2005;1:463-6. http://www.ncbi.nlm.nih.gov/pubmed/17282216&lt;br /&gt;
#Architecture for an Artificial Immune System Steven A. Hofmeyr, Stephanie Forrest Evolutionary Computation Winter 2000, Vol. 8, No. 4, Pages 443-473 http://www.mitpressjournals.org/doi/abs/10.1162/106365600568257&lt;br /&gt;
#Automated segmentation of white matter lesions in 3D brain MR images, using multivariate pattern classification Zhiqiang Lao; Dinggang Shen; Jawad, A.; Karacali, B.; Dengfeng Liu; Melhem, E.R.; Bryan, R.N.; Davatzikos, C. Biomedical Imaging: Nano to Macro, 2006. 3rd IEEE International Symposium on Volume , Issue , 6-9 April 2006 Page(s): 307 - 310 http://ieeexplore.ieee.org/Xplore/login.jsp?url=/iel5/10818/34114/01624914.pdf?temp=x&lt;br /&gt;
#Automatic Segmentation of MS Lesions Using a Contextual Model for the MICCAI Grand Challenge Jonathan H. Morra, Zhuowen Tu, Arthur W. Toga, Paul M. Thompson IJ - 2008 MICCAI Workshop - MS Lesion Segmentation http://www.midasjournal.org/browse/publication/280&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47366</id>
		<title>AHM2010:Mind</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47366"/>
		<updated>2010-01-07T15:26:41Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* MRN Roadmap Project */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;__NOTOC__&lt;br /&gt;
==MRN Roadmap Project==&lt;br /&gt;
&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Lupus_acquisition.png‎|thumb|280px|Image Acquisition]]&lt;br /&gt;
|[[Image:Intensity_standardize_view.png|thumb|280px|Slicer3 Module Image Intensity Standardization]]&lt;br /&gt;
|}&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Predict_lesion_view.png‎|thumb|280px|Slicer3 Module Lesion Classification]]&lt;br /&gt;
|[[Image:LesionInBrain-PW2009.png‎|thumb|280px|Lesion Model inside Brain]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
== Overview ==&lt;br /&gt;
* What problem does the pipeline solve, and who is the targeted user?&lt;br /&gt;
**The pipeline attempts to solve the problem of segmenting white matter lesions in Neuropsychiatric Systemic Lupus Erythematosus(NPSLE). The automated capability is aimed at clinical researchers using Slicer3 software. The utility of having accurate lesion labels permits summary of perfusion within lesions, correlation of lesion load by location with neuropsychiatric symptoms, and summary of structural image intensities or DTI scalars within lesion boundaries.&lt;br /&gt;
&lt;br /&gt;
* How does the pipeline compare to state of the art?&lt;br /&gt;
**Brain lesion classification in NPSLE is currently accomplished manually or by various algorithms developed for other disorders, such as multiple sclerosis (MS).There are many approaches that attempt to solve lesion classification in MS. Some of these approaches are automated or semi-automated; however, all automatic approaches suffer a lack of ground truth.  It is difficult for human manual raters to agree on fuzzy boundaries across different image contrasts (e.g., T1, T2, FLAIR).  &lt;br /&gt;
&lt;br /&gt;
A good examples of the challenges that remains in terms of lesion segmentation were represented at the 2008 MICCAI Conference [http://www.ia.unc.edu/MSseg/ MS Lesion Segmentation Challenge(organized by Warfield and Styner)] in the form of a grand challenge in segmentation. Our participation in this lesion segmentation contest, in which participants were provided training data-sets with two manual labellings, allowed us to experiment with several approaches to lesion segmentation, e.g., EM-Segment (S. Wells), k-means/bayesian (V. Magnotta), and outlier detection (M. Prastawa). Drawing from this experience and a thorough review of the current literature, we have optimized a novel combination of methods that appears to perform well for lesion mapping in NPSLE. Additionally, this approach may generalize to other neurological disorders, such as MS or vascular dementia.&lt;br /&gt;
&lt;br /&gt;
==Detailed Information about the Pipeline==&lt;br /&gt;
*Method&lt;br /&gt;
**An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classification&lt;br /&gt;
***The method makes use of local morphometric features based on multiple MR sequences, including T1-weighted, T2-weighted, and Fluid Attenuated Inversion Recovery. After preprocessing, including co-registration, brain extraction, bias correction, and intensity standardization, 49 features are calculated for each brain voxel based on local morphometry. At each level of segmenta- tion a supervised classifier takes advantage of a different subset of the features to conservatively segment lesion voxels, passing on more difficult voxels to the next classifier. This multi-level approach allows for a fast lesion classification method with tunable trade-offs between sensitivity and specificity producing accuracy comparable to a human rater. &lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure1.png|thumb|400px|General Lesion Segmentation Protocol]]&lt;br /&gt;
|[[Image:Scully Figure2.jpg|thumb|400px|Feature Subset]]&lt;br /&gt;
|}&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure3.jpg|thumb|400px|Predicted Heat Map, Manual Segmentation, Thresholded Heat Map]]&lt;br /&gt;
|[[Image:Scully Figure4.png|thumb|400px| ROC Curve]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
==Software &amp;amp; documentation==&lt;br /&gt;
*We have a very active project for this pipeline on the NITRC resource [http://www.nitrc.org/frs/?group_id=180 3DSlicerLupusLesionModule]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/570/LesionSegmentationApplications.tgz tutorial software]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/569/LesionSegmentationTutorialData.tgz tutorial data] &lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/571/Slicer3Training_WhiteMatterLesions_v2.0.ppt.pdf end-user tutorial]&lt;br /&gt;
&lt;br /&gt;
==Team==&lt;br /&gt;
* DBP: H Jeremy Bockholt (PI), Charles Gasparovic(co-PI), Mark Scully(Engineer), The Mind Research Network&lt;br /&gt;
* Core 1: Ross Whitaker, University of Utah&lt;br /&gt;
* Core 2: Steve Pieper, Isomics&lt;br /&gt;
* Consultant: Vincent Magnotta, University of Iowa&lt;br /&gt;
* Contact: H. Jeremy Bockholt, jbockholt@mrn.org&lt;br /&gt;
&lt;br /&gt;
==Outreach==&lt;br /&gt;
*An end-to-end tutorial and module are provided on the NA-MIC website. Training courses were held at the Annual meeting for Human Brain Mapping Organization 2008, the Annual Meeting for Society for Neuroscience 2008, as well as to a group of 25+ investigators at the MIND Research Network (2007) who are working in translational neuroscience. A Manuscript summarizing improved clinical results resulting from automated lesion analyses has been prepared and submitted at the time of writing this report. &lt;br /&gt;
* Publication Links to the PubDB.&lt;br /&gt;
** H. J. Bockholt, V. A. Magnotta, M. Scully, C. Gasparovic, B. Davis, K. Pohl, R. Whitaker, S. Pieper, C. Roldan, R. Jung, R. Hayek, W. Sibbitt, J. Sharrar, P. Pellegrino, R. Kikinis. A novel automated method for classification of white matter lesions in systemic lupus erythematosus. Presented at the 38th annual meeting of the Society for Neuroscience, Washingto, DC, 15 – 19 November 2008&lt;br /&gt;
** Scully M., Magnotta V., Gasparovic C., Pelligrimo P., Feis D., Bockholt H.J. 3D Segmentation In The Clinic: A Grand Challenge II at MICCAI 2008 - MS Lesion Segmentation. IJ - 2008 MICCAI Workshop - MS Lesion Segmentation. Available  http://grand-challenge2008.bigr.nl/proceedings/pdfs/msls08/282_Scully.pdf&lt;br /&gt;
** H Jeremy Bockholt, Josef Ling, Mark Scully, Adam Scott, Susan Lane, Vincent Magnotta, Tonya White, Kelvin Lim, Randy Gollub, Vince Calhoun. Real-time Web-scale Image Annotation for Semantic-based Retrieval of Neuropsychiatric Research Images. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** H Jeremy Bockholt, Sumner Williams, Mark Scully, Vincent Magnotta, Randy Gollub, John Lauriello, Kelvin Lim, Tonya White, Rex Jung, Charles Schulz, Nancy Andreasen, Vince Calhoun. The MIND Clinical Imaging Consortium as an application for novel comprehensive quality assurance procedures in a multi-site heterogeneous clinical research study. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** M Scully, B H Anderson, C Gasparovic, V A Magnotta, S Pieper, R Kikinis, P Pellegrino, T Lane, H J Bockholt. A Synergistic Combination of Supervised Machine Learning Methods for Analysis of White Matter Lesions in Neuropsychiatric Systemic Lupus Erythematosus. Presented at the 15th Annual Meeting of the Organization for Human Brain Mapping, San Francisco June, 2009.&lt;br /&gt;
** Bockholt HJ, Scully M, Courtney W, Rachakonda S, Scott A, Caprihan A, Fries J, Kalyanam R, Segall J, de la Garza R, Lane S and Calhoun VD (2009) Mining the mind research network: a novel framework for exploring large scale, heterogeneous translational neuroscience research data sources. Front. Neuroinform. 3:36. doi:10.3389/neuro.11.036.2009&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classiﬁcation (submitted to Frontiers in Neuroscience 11/2009).&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Longitudinal Analysis of White Matter Lesions in Lupus (''in preparation'' for submission).&lt;br /&gt;
** Bockholt, H.J.,  Gasparovic, C., Scully, M., Magnotta, V., Sibbitt, W., Kikinis, R., Roldan,C. A novel white matter lesion analysis for improved clinical application in lupus. (''in preparation'' for submission).&lt;br /&gt;
&lt;br /&gt;
==In Progress since last AHM==&lt;br /&gt;
*Longitudinal Analyses&lt;br /&gt;
**Almost completed full pipeline for longitudinal analysis which detects changes in lesions allowing for more clinical applications.  The following 3 figures demonstrate some of the longitudinal functionality comparing a baseline FLAIR with a followup FLAIR.  The label map shows the change in lesion voxels where gained lesion is red, recovered tissue is blue, and lesion that remained lesion is yellow.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWholeBrain.png|thumb|333px|CompareViewFlairLesionDiffWholeBrain]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWControls.png|thumb|333px|CompareViewFlairLesionDiffWControls]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiff.png|thumb|333px|CompareViewFlairLesionDiff]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
*DWI/DTI Analyses&lt;br /&gt;
*** Population differences in Scalar values&lt;br /&gt;
*** Tract based statistics&lt;br /&gt;
***Identifying structural connectivity network&lt;br /&gt;
***Approximating Disrupted Tractography Fibers&lt;br /&gt;
****Similar in purpose to current methods being applied to tumors, the objective is to estimate the tracts the would exist were lesion not present.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:TractsLesionZoomOverlay.png‎|thumb|380px|White Matter Lesion Track Disruption]]&lt;br /&gt;
|}&lt;br /&gt;
*Morphometry&lt;br /&gt;
**Examine cortical thicknesses especially in regions where lesions have interrupted connecting fibers.&lt;br /&gt;
**Investigate relationship between diseased tissue and fractal dimension of the white matter boundary.&lt;br /&gt;
*Spectroscopic Imaging&lt;br /&gt;
*Functional rest task&lt;br /&gt;
**Functional Network&lt;br /&gt;
*ASL&lt;br /&gt;
**Perfusion&lt;br /&gt;
***Relationship between cerebral blood volume, cerebral blood flow, and NPSLE &lt;br /&gt;
*Multiscale Analyses&lt;br /&gt;
**Incorporate all previous results into a comprehensive statistical analysis to fully characterize NPSLE.&lt;br /&gt;
&lt;br /&gt;
==Future Collaboration==&lt;br /&gt;
Two grants are under preparation to continue this collaboration. The first grant in progress with a planned submission of Feb 5, 2010 will use the Collaborations with NCBC R01 mechanism. The grant will be titled, “Enhancing Brain Lesion Segmentation in Neurological Disorders.” The aim of this project will be to extend the tools developed in the lupus DBP to other vascular disorders, multiple sclerosis, vascular dementia and other disorders with brain lesions. The grant will be a natural extension of work in the lupus DBP and fits in well with the mission of the NA-MIC by extending tools, analyses and approaches across multiple diseases and challenges. &lt;br /&gt;
&lt;br /&gt;
The second grant will utilize the GPL-style license found within the NA-MIC to explore the commercialization potential of the lesion analysis toolkit. A grant entitled “Novel White Matter Lesion Application” has a planned submission of April 5, 2010 and will use the Neurotechnology Research, Development, and Enhancement SBIR mechanism. This grant will be submitted by PI Bockholt who has recently founded and formed Advanced Biomedical Informatics Group, LLC, an independent for-profit company based in Iowa City, IA. This project will also extend the lupus DBP work through further development of turnkey solution that can be placed directly in the hands of clinicians for evaluating white matter lesions in their lupus patients&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
#Adaboost and Support Vector Machines for White Matter Lesion Segmentation in MR Images. Quddus A, Fieguth P, Basir O. PAMI Lab, Department of Electrical and Computer Engineering, University of Waterloo, Waterloo, ON, Canada. Conf Proc IEEE Eng Med Biol Soc. 2005;1:463-6. http://www.ncbi.nlm.nih.gov/pubmed/17282216&lt;br /&gt;
#Architecture for an Artificial Immune System Steven A. Hofmeyr, Stephanie Forrest Evolutionary Computation Winter 2000, Vol. 8, No. 4, Pages 443-473 http://www.mitpressjournals.org/doi/abs/10.1162/106365600568257&lt;br /&gt;
#Automated segmentation of white matter lesions in 3D brain MR images, using multivariate pattern classification Zhiqiang Lao; Dinggang Shen; Jawad, A.; Karacali, B.; Dengfeng Liu; Melhem, E.R.; Bryan, R.N.; Davatzikos, C. Biomedical Imaging: Nano to Macro, 2006. 3rd IEEE International Symposium on Volume , Issue , 6-9 April 2006 Page(s): 307 - 310 http://ieeexplore.ieee.org/Xplore/login.jsp?url=/iel5/10818/34114/01624914.pdf?temp=x&lt;br /&gt;
#Automatic Segmentation of MS Lesions Using a Contextual Model for the MICCAI Grand Challenge Jonathan H. Morra, Zhuowen Tu, Arthur W. Toga, Paul M. Thompson IJ - 2008 MICCAI Workshop - MS Lesion Segmentation http://www.midasjournal.org/browse/publication/280&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47313</id>
		<title>AHM2010:Mind</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47313"/>
		<updated>2010-01-07T00:15:09Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Detailed Information about the Pipeline */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;__NOTOC__&lt;br /&gt;
==MRN Roadmap Project==&lt;br /&gt;
&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Lupus_acquisition.png‎|thumb|280px|Image Acquisition]]&lt;br /&gt;
|[[Image:Intensity_standardize_view.png|thumb|280px|Slicer3 Module Image Intensity Standardization]]&lt;br /&gt;
|[[Image:Predict_lesion_view.png‎|thumb|280px|Slicer3 Module Lesion Classification]]&lt;br /&gt;
|[[Image:LesionInBrain-PW2009.png‎|thumb|280px|Lesion Model inside Brain]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
== Overview ==&lt;br /&gt;
* What problem does the pipeline solve, and who is the targeted user?&lt;br /&gt;
**The pipeline attempts to solve the problem of segmenting white matter lesions in Neuropsychiatric Systemic Lupus Erythematosus(NPSLE). The automated capability is aimed at clinical researchers using Slicer3 software. The utility of having accurate lesion labels permits summary of perfusion within lesions, correlation of lesion load by location with neuropsychiatric symptoms, and summary of structural image intensities or DTI scalars within lesion boundaries.&lt;br /&gt;
&lt;br /&gt;
* How does the pipeline compare to state of the art?&lt;br /&gt;
**Brain lesion classification in NPSLE is currently accomplished manually or by various algorithms developed for other disorders, such as multiple sclerosis (MS).There are many approaches that attempt to solve lesion classification in MS. Some of these approaches are automated or semi-automated; however, all automatic approaches suffer a lack of ground truth.  It is difficult for human manual raters to agree on fuzzy boundaries across different image contrasts (e.g., T1, T2, FLAIR).  &lt;br /&gt;
&lt;br /&gt;
A good examples of the challenges that remains in terms of lesion segmentation were represented at the 2008 MICCAI Conference [http://www.ia.unc.edu/MSseg/ MS Lesion Segmentation Challenge(organized by Warfield and Styner)] in the form of a grand challenge in segmentation. Our participation in this lesion segmentation contest, in which participants were provided training data-sets with two manual labellings, allowed us to experiment with several approaches to lesion segmentation, e.g., EM-Segment (S. Wells), k-means/bayesian (V. Magnotta), and outlier detection (M. Prastawa). Drawing from this experience and a thorough review of the current literature, we have optimized a novel combination of methods that appears to perform well for lesion mapping in NPSLE. Additionally, this approach may generalize to other neurological disorders, such as MS or vascular dementia.&lt;br /&gt;
&lt;br /&gt;
==Detailed Information about the Pipeline==&lt;br /&gt;
*Method&lt;br /&gt;
**An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classification&lt;br /&gt;
***The method makes use of local morphometric features based on multiple MR sequences, including T1-weighted, T2-weighted, and Fluid Attenuated Inversion Recovery. After preprocessing, including co-registration, brain extraction, bias correction, and intensity standardization, 49 features are calculated for each brain voxel based on local morphometry. At each level of segmenta- tion a supervised classifier takes advantage of a different subset of the features to conservatively segment lesion voxels, passing on more difficult voxels to the next classifier. This multi-level approach allows for a fast lesion classification method with tunable trade-offs between sensitivity and specificity producing accuracy comparable to a human rater. &lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure1.png|thumb|400px|General Lesion Segmentation Protocol]]&lt;br /&gt;
|[[Image:Scully Figure2.jpg|thumb|400px|Feature Subset]]&lt;br /&gt;
|}&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure3.jpg|thumb|400px|Predicted Heat Map, Manual Segmentation, Thresholded Heat Map]]&lt;br /&gt;
|[[Image:Scully Figure4.png|thumb|400px| ROC Curve]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
==Software &amp;amp; documentation==&lt;br /&gt;
*We have a very active project for this pipeline on the NITRC resource [http://www.nitrc.org/frs/?group_id=180 3DSlicerLupusLesionModule]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/570/LesionSegmentationApplications.tgz tutorial software]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/569/LesionSegmentationTutorialData.tgz tutorial data] &lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/571/Slicer3Training_WhiteMatterLesions_v2.0.ppt.pdf end-user tutorial]&lt;br /&gt;
&lt;br /&gt;
==Team==&lt;br /&gt;
* DBP: H Jeremy Bockholt (PI), Charles Gasparovic(co-PI), Mark Scully(Engineer), The Mind Research Network&lt;br /&gt;
* Core 1: Ross Whitaker, University of Utah&lt;br /&gt;
* Core 2: Steve Pieper, Isomics&lt;br /&gt;
* Consultant: Vincent Magnotta, University of Iowa&lt;br /&gt;
* Contact: H. Jeremy Bockholt, jbockholt@mrn.org&lt;br /&gt;
&lt;br /&gt;
==Outreach==&lt;br /&gt;
*An end-to-end tutorial and module are provided on the NA-MIC website. Training courses were held at the Annual meeting for Human Brain Mapping Organization 2008, the Annual Meeting for Society for Neuroscience 2008, as well as to a group of 25+ investigators at the MIND Research Network (2007) who are working in translational neuroscience. A Manuscript summarizing improved clinical results resulting from automated lesion analyses has been prepared and submitted at the time of writing this report. &lt;br /&gt;
* Publication Links to the PubDB.&lt;br /&gt;
** H. J. Bockholt, V. A. Magnotta, M. Scully, C. Gasparovic, B. Davis, K. Pohl, R. Whitaker, S. Pieper, C. Roldan, R. Jung, R. Hayek, W. Sibbitt, J. Sharrar, P. Pellegrino, R. Kikinis. A novel automated method for classification of white matter lesions in systemic lupus erythematosus. Presented at the 38th annual meeting of the Society for Neuroscience, Washingto, DC, 15 – 19 November 2008&lt;br /&gt;
** Scully M., Magnotta V., Gasparovic C., Pelligrimo P., Feis D., Bockholt H.J. 3D Segmentation In The Clinic: A Grand Challenge II at MICCAI 2008 - MS Lesion Segmentation. IJ - 2008 MICCAI Workshop - MS Lesion Segmentation. Available  http://grand-challenge2008.bigr.nl/proceedings/pdfs/msls08/282_Scully.pdf&lt;br /&gt;
** H Jeremy Bockholt, Josef Ling, Mark Scully, Adam Scott, Susan Lane, Vincent Magnotta, Tonya White, Kelvin Lim, Randy Gollub, Vince Calhoun. Real-time Web-scale Image Annotation for Semantic-based Retrieval of Neuropsychiatric Research Images. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** H Jeremy Bockholt, Sumner Williams, Mark Scully, Vincent Magnotta, Randy Gollub, John Lauriello, Kelvin Lim, Tonya White, Rex Jung, Charles Schulz, Nancy Andreasen, Vince Calhoun. The MIND Clinical Imaging Consortium as an application for novel comprehensive quality assurance procedures in a multi-site heterogeneous clinical research study. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** M Scully, B H Anderson, C Gasparovic, V A Magnotta, S Pieper, R Kikinis, P Pellegrino, T Lane, H J Bockholt. A Synergistic Combination of Supervised Machine Learning Methods for Analysis of White Matter Lesions in Neuropsychiatric Systemic Lupus Erythematosus. Presented at the 15th Annual Meeting of the Organization for Human Brain Mapping, San Francisco June, 2009.&lt;br /&gt;
** Bockholt HJ, Scully M, Courtney W, Rachakonda S, Scott A, Caprihan A, Fries J, Kalyanam R, Segall J, de la Garza R, Lane S and Calhoun VD (2009) Mining the mind research network: a novel framework for exploring large scale, heterogeneous translational neuroscience research data sources. Front. Neuroinform. 3:36. doi:10.3389/neuro.11.036.2009&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classiﬁcation (submitted to Frontiers in Neuroscience 11/2009).&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Longitudinal Analysis of White Matter Lesions in Lupus (''in preparation'' for submission).&lt;br /&gt;
** Bockholt, H.J.,  Gasparovic, C., Scully, M., Magnotta, V., Sibbitt, W., Kikinis, R., Roldan,C. A novel white matter lesion analysis for improved clinical application in lupus. (''in preparation'' for submission).&lt;br /&gt;
&lt;br /&gt;
==In Progress since last AHM==&lt;br /&gt;
*Longitudinal Analyses&lt;br /&gt;
**Almost completed full pipeline for longitudinal analysis which detects changes in lesions allowing for more clinical applications.  The following 3 figures demonstrate some of the longitudinal functionality comparing a baseline FLAIR with a followup FLAIR.  The label map shows the change in lesion voxels where gained lesion is red, recovered tissue is blue, and lesion that remained lesion is yellow.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWholeBrain.png|thumb|333px|CompareViewFlairLesionDiffWholeBrain]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWControls.png|thumb|333px|CompareViewFlairLesionDiffWControls]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiff.png|thumb|333px|CompareViewFlairLesionDiff]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
*DWI/DTI Analyses&lt;br /&gt;
*** Population differences in Scalar values&lt;br /&gt;
*** Tract based statistics&lt;br /&gt;
***Identifying structural connectivity network&lt;br /&gt;
***Approximating Disrupted Tractography Fibers&lt;br /&gt;
****Similar in purpose to current methods being applied to tumors, the objective is to estimate the tracts the would exist were lesion not present.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:TractsLesionZoomOverlay.png‎|thumb|380px|White Matter Lesion Track Disruption]]&lt;br /&gt;
|}&lt;br /&gt;
*Morphometry&lt;br /&gt;
**Examine cortical thicknesses especially in regions where lesions have interrupted connecting fibers.&lt;br /&gt;
**Investigate relationship between diseased tissue and fractal dimension of the white matter boundary.&lt;br /&gt;
*Spectroscopic Imaging&lt;br /&gt;
*Functional rest task&lt;br /&gt;
**Functional Network&lt;br /&gt;
*ASL&lt;br /&gt;
**Perfusion&lt;br /&gt;
***Relationship between cerebral blood volume, cerebral blood flow, and NPSLE &lt;br /&gt;
*Multiscale Analyses&lt;br /&gt;
**Incorporate all previous results into a comprehensive statistical analysis to fully characterize NPSLE.&lt;br /&gt;
&lt;br /&gt;
==Future Collaboration==&lt;br /&gt;
Two grants are under preparation to continue this collaboration. The first grant in progress with a planned submission of Feb 5, 2010 will use the Collaborations with NCBC R01 mechanism. The grant will be titled, “Enhancing Brain Lesion Segmentation in Neurological Disorders.” The aim of this project will be to extend the tools developed in the lupus DBP to other vascular disorders, multiple sclerosis, vascular dementia and other disorders with brain lesions. The grant will be a natural extension of work in the lupus DBP and fits in well with the mission of the NA-MIC by extending tools, analyses and approaches across multiple diseases and challenges. &lt;br /&gt;
&lt;br /&gt;
The second grant will utilize the GPL-style license found within the NA-MIC to explore the commercialization potential of the lesion analysis toolkit. A grant entitled “Novel White Matter Lesion Application” has a planned submission of April 5, 2010 and will use the Neurotechnology Research, Development, and Enhancement SBIR mechanism. This grant will be submitted by PI Bockholt who has recently founded and formed Advanced Biomedical Informatics Group, LLC, an independent for-profit company based in Iowa City, IA. This project will also extend the lupus DBP work through further development of turnkey solution that can be placed directly in the hands of clinicians for evaluating white matter lesions in their lupus patients&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
#Adaboost and Support Vector Machines for White Matter Lesion Segmentation in MR Images. Quddus A, Fieguth P, Basir O. PAMI Lab, Department of Electrical and Computer Engineering, University of Waterloo, Waterloo, ON, Canada. Conf Proc IEEE Eng Med Biol Soc. 2005;1:463-6. http://www.ncbi.nlm.nih.gov/pubmed/17282216&lt;br /&gt;
#Architecture for an Artificial Immune System Steven A. Hofmeyr, Stephanie Forrest Evolutionary Computation Winter 2000, Vol. 8, No. 4, Pages 443-473 http://www.mitpressjournals.org/doi/abs/10.1162/106365600568257&lt;br /&gt;
#Automated segmentation of white matter lesions in 3D brain MR images, using multivariate pattern classification Zhiqiang Lao; Dinggang Shen; Jawad, A.; Karacali, B.; Dengfeng Liu; Melhem, E.R.; Bryan, R.N.; Davatzikos, C. Biomedical Imaging: Nano to Macro, 2006. 3rd IEEE International Symposium on Volume , Issue , 6-9 April 2006 Page(s): 307 - 310 http://ieeexplore.ieee.org/Xplore/login.jsp?url=/iel5/10818/34114/01624914.pdf?temp=x&lt;br /&gt;
#Automatic Segmentation of MS Lesions Using a Contextual Model for the MICCAI Grand Challenge Jonathan H. Morra, Zhuowen Tu, Arthur W. Toga, Paul M. Thompson IJ - 2008 MICCAI Workshop - MS Lesion Segmentation http://www.midasjournal.org/browse/publication/280&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47305</id>
		<title>AHM2010:Mind</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47305"/>
		<updated>2010-01-06T23:46:03Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Overview */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;__NOTOC__&lt;br /&gt;
==MRN Roadmap Project==&lt;br /&gt;
&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Lupus_acquisition.png‎|thumb|280px|Image Acquisition]]&lt;br /&gt;
|[[Image:Intensity_standardize_view.png|thumb|280px|Slicer3 Module Image Intensity Standardization]]&lt;br /&gt;
|[[Image:Predict_lesion_view.png‎|thumb|280px|Slicer3 Module Lesion Classification]]&lt;br /&gt;
|[[Image:LesionInBrain-PW2009.png‎|thumb|280px|Lesion Model inside Brain]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
== Overview ==&lt;br /&gt;
* What problem does the pipeline solve, and who is the targeted user?&lt;br /&gt;
**The pipeline attempts to solve the problem of segmenting white matter lesions in Neuropsychiatric Systemic Lupus Erythematosus(NPSLE). The automated capability is aimed at clinical researchers using Slicer3 software. The utility of having accurate lesion labels permits summary of perfusion within lesions, correlation of lesion load by location with neuropsychiatric symptoms, and summary of structural image intensities or DTI scalars within lesion boundaries.&lt;br /&gt;
&lt;br /&gt;
* How does the pipeline compare to state of the art?&lt;br /&gt;
**Brain lesion classification in NPSLE is currently accomplished manually or by various algorithms developed for other disorders, such as multiple sclerosis (MS).There are many approaches that attempt to solve lesion classification in MS. Some of these approaches are automated or semi-automated; however, all automatic approaches suffer a lack of ground truth.  It is difficult for human manual raters to agree on fuzzy boundaries across different image contrasts (e.g., T1, T2, FLAIR).  &lt;br /&gt;
&lt;br /&gt;
A good examples of the challenges that remains in terms of lesion segmentation were represented at the 2008 MICCAI Conference [http://www.ia.unc.edu/MSseg/ MS Lesion Segmentation Challenge(organized by Warfield and Styner)] in the form of a grand challenge in segmentation. Our participation in this lesion segmentation contest, in which participants were provided training data-sets with two manual labellings, allowed us to experiment with several approaches to lesion segmentation, e.g., EM-Segment (S. Wells), k-means/bayesian (V. Magnotta), and outlier detection (M. Prastawa). Drawing from this experience and a thorough review of the current literature, we have optimized a novel combination of methods that appears to perform well for lesion mapping in NPSLE. Additionally, this approach may generalize to other neurological disorders, such as MS or vascular dementia.&lt;br /&gt;
&lt;br /&gt;
==Detailed Information about the Pipeline==&lt;br /&gt;
*Method&lt;br /&gt;
**An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classification&lt;br /&gt;
***The method makes use of local morphometric features based on multiple MR sequences, including T1-weighted, T2-weighted, and Fluid Attenuated Inversion Recovery. After preprocessing, including co-registration, brain extraction, bias correction, and intensity standardization, 49 features are calculated for each brain voxel based on local morphometry. At each level of segmenta- tion a supervised classifier takes advantage of a different subset of the features to conservatively segment lesion voxels, passing on more difficult voxels to the next classifier. This multi-level approach allows for a fast lesion classification method with tunable trade-offs between sensitivity and specificity producing accuracy comparable to a human rater. &lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure1.png|thumb|333px|General Lesion Segmentation Protocol]]&lt;br /&gt;
|[[Image:Scully Figure2.jpg|thumb|333px|Feature Subset]]&lt;br /&gt;
|}&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure3.jpg|thumb|333px|Predicted Heat Map, Manual Segmentation, Thresholded Heat Map]]&lt;br /&gt;
|[[Image:Scully Figure4.png|thumb|333px| ROC Curve]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
==Software &amp;amp; documentation==&lt;br /&gt;
*We have a very active project for this pipeline on the NITRC resource [http://www.nitrc.org/frs/?group_id=180 3DSlicerLupusLesionModule]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/570/LesionSegmentationApplications.tgz tutorial software]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/569/LesionSegmentationTutorialData.tgz tutorial data] &lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/571/Slicer3Training_WhiteMatterLesions_v2.0.ppt.pdf end-user tutorial]&lt;br /&gt;
&lt;br /&gt;
==Team==&lt;br /&gt;
* DBP: H Jeremy Bockholt (PI), Charles Gasparovic(co-PI), Mark Scully(Engineer), The Mind Research Network&lt;br /&gt;
* Core 1: Ross Whitaker, University of Utah&lt;br /&gt;
* Core 2: Steve Pieper, Isomics&lt;br /&gt;
* Consultant: Vincent Magnotta, University of Iowa&lt;br /&gt;
* Contact: H. Jeremy Bockholt, jbockholt@mrn.org&lt;br /&gt;
&lt;br /&gt;
==Outreach==&lt;br /&gt;
*An end-to-end tutorial and module are provided on the NA-MIC website. Training courses were held at the Annual meeting for Human Brain Mapping Organization 2008, the Annual Meeting for Society for Neuroscience 2008, as well as to a group of 25+ investigators at the MIND Research Network (2007) who are working in translational neuroscience. A Manuscript summarizing improved clinical results resulting from automated lesion analyses has been prepared and submitted at the time of writing this report. &lt;br /&gt;
* Publication Links to the PubDB.&lt;br /&gt;
** H. J. Bockholt, V. A. Magnotta, M. Scully, C. Gasparovic, B. Davis, K. Pohl, R. Whitaker, S. Pieper, C. Roldan, R. Jung, R. Hayek, W. Sibbitt, J. Sharrar, P. Pellegrino, R. Kikinis. A novel automated method for classification of white matter lesions in systemic lupus erythematosus. Presented at the 38th annual meeting of the Society for Neuroscience, Washingto, DC, 15 – 19 November 2008&lt;br /&gt;
** Scully M., Magnotta V., Gasparovic C., Pelligrimo P., Feis D., Bockholt H.J. 3D Segmentation In The Clinic: A Grand Challenge II at MICCAI 2008 - MS Lesion Segmentation. IJ - 2008 MICCAI Workshop - MS Lesion Segmentation. Available  http://grand-challenge2008.bigr.nl/proceedings/pdfs/msls08/282_Scully.pdf&lt;br /&gt;
** H Jeremy Bockholt, Josef Ling, Mark Scully, Adam Scott, Susan Lane, Vincent Magnotta, Tonya White, Kelvin Lim, Randy Gollub, Vince Calhoun. Real-time Web-scale Image Annotation for Semantic-based Retrieval of Neuropsychiatric Research Images. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** H Jeremy Bockholt, Sumner Williams, Mark Scully, Vincent Magnotta, Randy Gollub, John Lauriello, Kelvin Lim, Tonya White, Rex Jung, Charles Schulz, Nancy Andreasen, Vince Calhoun. The MIND Clinical Imaging Consortium as an application for novel comprehensive quality assurance procedures in a multi-site heterogeneous clinical research study. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** M Scully, B H Anderson, C Gasparovic, V A Magnotta, S Pieper, R Kikinis, P Pellegrino, T Lane, H J Bockholt. A Synergistic Combination of Supervised Machine Learning Methods for Analysis of White Matter Lesions in Neuropsychiatric Systemic Lupus Erythematosus. Presented at the 15th Annual Meeting of the Organization for Human Brain Mapping, San Francisco June, 2009.&lt;br /&gt;
** Bockholt HJ, Scully M, Courtney W, Rachakonda S, Scott A, Caprihan A, Fries J, Kalyanam R, Segall J, de la Garza R, Lane S and Calhoun VD (2009) Mining the mind research network: a novel framework for exploring large scale, heterogeneous translational neuroscience research data sources. Front. Neuroinform. 3:36. doi:10.3389/neuro.11.036.2009&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classiﬁcation (submitted to Frontiers in Neuroscience 11/2009).&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Longitudinal Analysis of White Matter Lesions in Lupus (''in preparation'' for submission).&lt;br /&gt;
** Bockholt, H.J.,  Gasparovic, C., Scully, M., Magnotta, V., Sibbitt, W., Kikinis, R., Roldan,C. A novel white matter lesion analysis for improved clinical application in lupus. (''in preparation'' for submission).&lt;br /&gt;
&lt;br /&gt;
==In Progress since last AHM==&lt;br /&gt;
*Longitudinal Analyses&lt;br /&gt;
**Almost completed full pipeline for longitudinal analysis which detects changes in lesions allowing for more clinical applications.  The following 3 figures demonstrate some of the longitudinal functionality comparing a baseline FLAIR with a followup FLAIR.  The label map shows the change in lesion voxels where gained lesion is red, recovered tissue is blue, and lesion that remained lesion is yellow.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWholeBrain.png|thumb|333px|CompareViewFlairLesionDiffWholeBrain]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWControls.png|thumb|333px|CompareViewFlairLesionDiffWControls]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiff.png|thumb|333px|CompareViewFlairLesionDiff]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
*DWI/DTI Analyses&lt;br /&gt;
*** Population differences in Scalar values&lt;br /&gt;
*** Tract based statistics&lt;br /&gt;
***Identifying structural connectivity network&lt;br /&gt;
***Approximating Disrupted Tractography Fibers&lt;br /&gt;
****Similar in purpose to current methods being applied to tumors, the objective is to estimate the tracts the would exist were lesion not present.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:TractsLesionZoomOverlay.png‎|thumb|380px|White Matter Lesion Track Disruption]]&lt;br /&gt;
|}&lt;br /&gt;
*Morphometry&lt;br /&gt;
**Examine cortical thicknesses especially in regions where lesions have interrupted connecting fibers.&lt;br /&gt;
**Investigate relationship between diseased tissue and fractal dimension of the white matter boundary.&lt;br /&gt;
*Spectroscopic Imaging&lt;br /&gt;
*Functional rest task&lt;br /&gt;
**Functional Network&lt;br /&gt;
*ASL&lt;br /&gt;
**Perfusion&lt;br /&gt;
***Relationship between cerebral blood volume, cerebral blood flow, and NPSLE &lt;br /&gt;
*Multiscale Analyses&lt;br /&gt;
**Incorporate all previous results into a comprehensive statistical analysis to fully characterize NPSLE.&lt;br /&gt;
&lt;br /&gt;
==Future Collaboration==&lt;br /&gt;
Two grants are under preparation to continue this collaboration. The first grant in progress with a planned submission of Feb 5, 2010 will use the Collaborations with NCBC R01 mechanism. The grant will be titled, “Enhancing Brain Lesion Segmentation in Neurological Disorders.” The aim of this project will be to extend the tools developed in the lupus DBP to other vascular disorders, multiple sclerosis, vascular dementia and other disorders with brain lesions. The grant will be a natural extension of work in the lupus DBP and fits in well with the mission of the NA-MIC by extending tools, analyses and approaches across multiple diseases and challenges. &lt;br /&gt;
&lt;br /&gt;
The second grant will utilize the GPL-style license found within the NA-MIC to explore the commercialization potential of the lesion analysis toolkit. A grant entitled “Novel White Matter Lesion Application” has a planned submission of April 5, 2010 and will use the Neurotechnology Research, Development, and Enhancement SBIR mechanism. This grant will be submitted by PI Bockholt who has recently founded and formed Advanced Biomedical Informatics Group, LLC, an independent for-profit company based in Iowa City, IA. This project will also extend the lupus DBP work through further development of turnkey solution that can be placed directly in the hands of clinicians for evaluating white matter lesions in their lupus patients&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
#Adaboost and Support Vector Machines for White Matter Lesion Segmentation in MR Images. Quddus A, Fieguth P, Basir O. PAMI Lab, Department of Electrical and Computer Engineering, University of Waterloo, Waterloo, ON, Canada. Conf Proc IEEE Eng Med Biol Soc. 2005;1:463-6. http://www.ncbi.nlm.nih.gov/pubmed/17282216&lt;br /&gt;
#Architecture for an Artificial Immune System Steven A. Hofmeyr, Stephanie Forrest Evolutionary Computation Winter 2000, Vol. 8, No. 4, Pages 443-473 http://www.mitpressjournals.org/doi/abs/10.1162/106365600568257&lt;br /&gt;
#Automated segmentation of white matter lesions in 3D brain MR images, using multivariate pattern classification Zhiqiang Lao; Dinggang Shen; Jawad, A.; Karacali, B.; Dengfeng Liu; Melhem, E.R.; Bryan, R.N.; Davatzikos, C. Biomedical Imaging: Nano to Macro, 2006. 3rd IEEE International Symposium on Volume , Issue , 6-9 April 2006 Page(s): 307 - 310 http://ieeexplore.ieee.org/Xplore/login.jsp?url=/iel5/10818/34114/01624914.pdf?temp=x&lt;br /&gt;
#Automatic Segmentation of MS Lesions Using a Contextual Model for the MICCAI Grand Challenge Jonathan H. Morra, Zhuowen Tu, Arthur W. Toga, Paul M. Thompson IJ - 2008 MICCAI Workshop - MS Lesion Segmentation http://www.midasjournal.org/browse/publication/280&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47299</id>
		<title>AHM2010:Mind</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47299"/>
		<updated>2010-01-06T23:23:24Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Outreach */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;__NOTOC__&lt;br /&gt;
==MRN Roadmap Project==&lt;br /&gt;
&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Lupus_acquisition.png‎|thumb|280px|Image Acquisition]]&lt;br /&gt;
|[[Image:Intensity_standardize_view.png|thumb|280px|Slicer3 Module Image Intensity Standardization]]&lt;br /&gt;
|[[Image:Predict_lesion_view.png‎|thumb|280px|Slicer3 Module Lesion Classification]]&lt;br /&gt;
|[[Image:LesionInBrain-PW2009.png‎|thumb|280px|Lesion Model inside Brain]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
== Overview ==&lt;br /&gt;
* What problem does the pipeline solve, and who is the targeted user?&lt;br /&gt;
**The pipeline attempts to solve the problem of segmenting white matter lesions in Neuropsychiatric Systemic Lupus Erythematosus(NPSLE). The automated capability is aimed at clinical researchers using Slicer3 software. The utility of having accurate lesion labels permits summary of perfusion within lesions, correlation of lesion load by location with neuropsychiatric symptoms, and summary of structural image intensities or DTI scalars within lesion boundaries.&lt;br /&gt;
&lt;br /&gt;
* How does the pipeline compare to state of the art?&lt;br /&gt;
**The state of the art in brain lesion classification is a work in progress in NPSLE, as well as, other disorders. There are many approaches that attempt to solve lesion classification in Multiple Sclerosis (where it is much more common to perform neuroimaging studies). Some of these approaches are automated or semi-automated; however, all automatic approaches suffer a lack of ground truth.  It is difficult for human manual raters to agree on fuzzy boundaries across different image contrasts (e.g., T1, T2, FLAIR).  &lt;br /&gt;
&lt;br /&gt;
A good example of the challenge that remains in terms of lesion segmentation was well represented at the 2008 MICCAI Conference [http://www.ia.unc.edu/MSseg/ MS Lesion Segmentation Challenge(organized by Warfield and Styner)] this past September in the form of a grand challenge in segmentation.  Several groups, including this DBP, competed in lesion segmentation contest, participants were first provided training data-sets with two manual labellings, their respective approaches were judged in an on-site, real-time competition on additional novel data sets. &lt;br /&gt;
&lt;br /&gt;
Through participation in the recent lesion challenge, a thorough literature review of recent advances, and trying out several approaches (EM-Segment(S. Wells), k-means/bayesian(V. Magnotta), outlier detection(M. Prastawa), etc.), we think we have honed in on a novel methodology that will perform well for providing lesion maps in NPSLE; in addition, generalize well (following training) for other neurological disorders, such as MS, vascular dementia, and other disorders of the brain.&lt;br /&gt;
&lt;br /&gt;
==Detailed Information about the Pipeline==&lt;br /&gt;
*Method&lt;br /&gt;
**An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classification&lt;br /&gt;
***The method makes use of local morphometric features based on multiple MR sequences, including T1-weighted, T2-weighted, and Fluid Attenuated Inversion Recovery. After preprocessing, including co-registration, brain extraction, bias correction, and intensity standardization, 49 features are calculated for each brain voxel based on local morphometry. At each level of segmenta- tion a supervised classifier takes advantage of a different subset of the features to conservatively segment lesion voxels, passing on more difficult voxels to the next classifier. This multi-level approach allows for a fast lesion classification method with tunable trade-offs between sensitivity and specificity producing accuracy comparable to a human rater. &lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure1.png|thumb|333px|General Lesion Segmentation Protocol]]&lt;br /&gt;
|[[Image:Scully Figure2.jpg|thumb|333px|Feature Subset]]&lt;br /&gt;
|}&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure3.jpg|thumb|333px|Predicted Heat Map, Manual Segmentation, Thresholded Heat Map]]&lt;br /&gt;
|[[Image:Scully Figure4.png|thumb|333px| ROC Curve]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
==Software &amp;amp; documentation==&lt;br /&gt;
*We have a very active project for this pipeline on the NITRC resource [http://www.nitrc.org/frs/?group_id=180 3DSlicerLupusLesionModule]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/570/LesionSegmentationApplications.tgz tutorial software]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/569/LesionSegmentationTutorialData.tgz tutorial data] &lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/571/Slicer3Training_WhiteMatterLesions_v2.0.ppt.pdf end-user tutorial]&lt;br /&gt;
&lt;br /&gt;
==Team==&lt;br /&gt;
* DBP: H Jeremy Bockholt (PI), Charles Gasparovic(co-PI), Mark Scully(Engineer), The Mind Research Network&lt;br /&gt;
* Core 1: Ross Whitaker, University of Utah&lt;br /&gt;
* Core 2: Steve Pieper, Isomics&lt;br /&gt;
* Consultant: Vincent Magnotta, University of Iowa&lt;br /&gt;
* Contact: H. Jeremy Bockholt, jbockholt@mrn.org&lt;br /&gt;
&lt;br /&gt;
==Outreach==&lt;br /&gt;
*An end-to-end tutorial and module are provided on the NA-MIC website. Training courses were held at the Annual meeting for Human Brain Mapping Organization 2008, the Annual Meeting for Society for Neuroscience 2008, as well as to a group of 25+ investigators at the MIND Research Network (2007) who are working in translational neuroscience. A Manuscript summarizing improved clinical results resulting from automated lesion analyses has been prepared and submitted at the time of writing this report. &lt;br /&gt;
* Publication Links to the PubDB.&lt;br /&gt;
** H. J. Bockholt, V. A. Magnotta, M. Scully, C. Gasparovic, B. Davis, K. Pohl, R. Whitaker, S. Pieper, C. Roldan, R. Jung, R. Hayek, W. Sibbitt, J. Sharrar, P. Pellegrino, R. Kikinis. A novel automated method for classification of white matter lesions in systemic lupus erythematosus. Presented at the 38th annual meeting of the Society for Neuroscience, Washingto, DC, 15 – 19 November 2008&lt;br /&gt;
** Scully M., Magnotta V., Gasparovic C., Pelligrimo P., Feis D., Bockholt H.J. 3D Segmentation In The Clinic: A Grand Challenge II at MICCAI 2008 - MS Lesion Segmentation. IJ - 2008 MICCAI Workshop - MS Lesion Segmentation. Available  http://grand-challenge2008.bigr.nl/proceedings/pdfs/msls08/282_Scully.pdf&lt;br /&gt;
** H Jeremy Bockholt, Josef Ling, Mark Scully, Adam Scott, Susan Lane, Vincent Magnotta, Tonya White, Kelvin Lim, Randy Gollub, Vince Calhoun. Real-time Web-scale Image Annotation for Semantic-based Retrieval of Neuropsychiatric Research Images. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** H Jeremy Bockholt, Sumner Williams, Mark Scully, Vincent Magnotta, Randy Gollub, John Lauriello, Kelvin Lim, Tonya White, Rex Jung, Charles Schulz, Nancy Andreasen, Vince Calhoun. The MIND Clinical Imaging Consortium as an application for novel comprehensive quality assurance procedures in a multi-site heterogeneous clinical research study. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** M Scully, B H Anderson, C Gasparovic, V A Magnotta, S Pieper, R Kikinis, P Pellegrino, T Lane, H J Bockholt. A Synergistic Combination of Supervised Machine Learning Methods for Analysis of White Matter Lesions in Neuropsychiatric Systemic Lupus Erythematosus. Presented at the 15th Annual Meeting of the Organization for Human Brain Mapping, San Francisco June, 2009.&lt;br /&gt;
** Bockholt HJ, Scully M, Courtney W, Rachakonda S, Scott A, Caprihan A, Fries J, Kalyanam R, Segall J, de la Garza R, Lane S and Calhoun VD (2009) Mining the mind research network: a novel framework for exploring large scale, heterogeneous translational neuroscience research data sources. Front. Neuroinform. 3:36. doi:10.3389/neuro.11.036.2009&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classiﬁcation (submitted to Frontiers in Neuroscience 11/2009).&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Longitudinal Analysis of White Matter Lesions in Lupus (''in preparation'' for submission).&lt;br /&gt;
** Bockholt, H.J.,  Gasparovic, C., Scully, M., Magnotta, V., Sibbitt, W., Kikinis, R., Roldan,C. A novel white matter lesion analysis for improved clinical application in lupus. (''in preparation'' for submission).&lt;br /&gt;
&lt;br /&gt;
==In Progress since last AHM==&lt;br /&gt;
*Longitudinal Analyses&lt;br /&gt;
**Almost completed full pipeline for longitudinal analysis which detects changes in lesions allowing for more clinical applications.  The following 3 figures demonstrate some of the longitudinal functionality comparing a baseline FLAIR with a followup FLAIR.  The label map shows the change in lesion voxels where gained lesion is red, recovered tissue is blue, and lesion that remained lesion is yellow.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWholeBrain.png|thumb|333px|CompareViewFlairLesionDiffWholeBrain]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWControls.png|thumb|333px|CompareViewFlairLesionDiffWControls]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiff.png|thumb|333px|CompareViewFlairLesionDiff]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
*DWI/DTI Analyses&lt;br /&gt;
*** Population differences in Scalar values&lt;br /&gt;
*** Tract based statistics&lt;br /&gt;
***Identifying structural connectivity network&lt;br /&gt;
***Approximating Disrupted Tractography Fibers&lt;br /&gt;
****Similar in purpose to current methods being applied to tumors, the objective is to estimate the tracts the would exist were lesion not present.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:TractsLesionZoomOverlay.png‎|thumb|380px|White Matter Lesion Track Disruption]]&lt;br /&gt;
|}&lt;br /&gt;
*Morphometry&lt;br /&gt;
**Examine cortical thicknesses especially in regions where lesions have interrupted connecting fibers.&lt;br /&gt;
**Investigate relationship between diseased tissue and fractal dimension of the white matter boundary.&lt;br /&gt;
*Spectroscopic Imaging&lt;br /&gt;
*Functional rest task&lt;br /&gt;
**Functional Network&lt;br /&gt;
*ASL&lt;br /&gt;
**Perfusion&lt;br /&gt;
***Relationship between cerebral blood volume, cerebral blood flow, and NPSLE &lt;br /&gt;
*Multiscale Analyses&lt;br /&gt;
**Incorporate all previous results into a comprehensive statistical analysis to fully characterize NPSLE.&lt;br /&gt;
&lt;br /&gt;
==Future Collaboration==&lt;br /&gt;
Two grants are under preparation to continue this collaboration. The first grant in progress with a planned submission of Feb 5, 2010 will use the Collaborations with NCBC R01 mechanism. The grant will be titled, “Enhancing Brain Lesion Segmentation in Neurological Disorders.” The aim of this project will be to extend the tools developed in the lupus DBP to other vascular disorders, multiple sclerosis, vascular dementia and other disorders with brain lesions. The grant will be a natural extension of work in the lupus DBP and fits in well with the mission of the NA-MIC by extending tools, analyses and approaches across multiple diseases and challenges. &lt;br /&gt;
&lt;br /&gt;
The second grant will utilize the GPL-style license found within the NA-MIC to explore the commercialization potential of the lesion analysis toolkit. A grant entitled “Novel White Matter Lesion Application” has a planned submission of April 5, 2010 and will use the Neurotechnology Research, Development, and Enhancement SBIR mechanism. This grant will be submitted by PI Bockholt who has recently founded and formed Advanced Biomedical Informatics Group, LLC, an independent for-profit company based in Iowa City, IA. This project will also extend the lupus DBP work through further development of turnkey solution that can be placed directly in the hands of clinicians for evaluating white matter lesions in their lupus patients&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
#Adaboost and Support Vector Machines for White Matter Lesion Segmentation in MR Images. Quddus A, Fieguth P, Basir O. PAMI Lab, Department of Electrical and Computer Engineering, University of Waterloo, Waterloo, ON, Canada. Conf Proc IEEE Eng Med Biol Soc. 2005;1:463-6. http://www.ncbi.nlm.nih.gov/pubmed/17282216&lt;br /&gt;
#Architecture for an Artificial Immune System Steven A. Hofmeyr, Stephanie Forrest Evolutionary Computation Winter 2000, Vol. 8, No. 4, Pages 443-473 http://www.mitpressjournals.org/doi/abs/10.1162/106365600568257&lt;br /&gt;
#Automated segmentation of white matter lesions in 3D brain MR images, using multivariate pattern classification Zhiqiang Lao; Dinggang Shen; Jawad, A.; Karacali, B.; Dengfeng Liu; Melhem, E.R.; Bryan, R.N.; Davatzikos, C. Biomedical Imaging: Nano to Macro, 2006. 3rd IEEE International Symposium on Volume , Issue , 6-9 April 2006 Page(s): 307 - 310 http://ieeexplore.ieee.org/Xplore/login.jsp?url=/iel5/10818/34114/01624914.pdf?temp=x&lt;br /&gt;
#Automatic Segmentation of MS Lesions Using a Contextual Model for the MICCAI Grand Challenge Jonathan H. Morra, Zhuowen Tu, Arthur W. Toga, Paul M. Thompson IJ - 2008 MICCAI Workshop - MS Lesion Segmentation http://www.midasjournal.org/browse/publication/280&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47287</id>
		<title>AHM2010:Mind</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47287"/>
		<updated>2010-01-06T22:25:54Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* MRN Roadmap Project */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;__NOTOC__&lt;br /&gt;
==MRN Roadmap Project==&lt;br /&gt;
&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Lupus_acquisition.png‎|thumb|280px|Image Acquisition]]&lt;br /&gt;
|[[Image:Intensity_standardize_view.png|thumb|280px|Slicer3 Module Image Intensity Standardization]]&lt;br /&gt;
|[[Image:Predict_lesion_view.png‎|thumb|280px|Slicer3 Module Lesion Classification]]&lt;br /&gt;
|[[Image:LesionInBrain-PW2009.png‎|thumb|280px|Lesion Model inside Brain]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
== Overview ==&lt;br /&gt;
* What problem does the pipeline solve, and who is the targeted user?&lt;br /&gt;
**The pipeline attempts to solve the problem of segmenting white matter lesions in Neuropsychiatric Systemic Lupus Erythematosus(NPSLE). The automated capability is aimed at clinical researchers using Slicer3 software. The utility of having accurate lesion labels permits summary of perfusion within lesions, correlation of lesion load by location with neuropsychiatric symptoms, and summary of structural image intensities or DTI scalars within lesion boundaries.&lt;br /&gt;
&lt;br /&gt;
* How does the pipeline compare to state of the art?&lt;br /&gt;
**The state of the art in brain lesion classification is a work in progress in NPSLE, as well as, other disorders. There are many approaches that attempt to solve lesion classification in Multiple Sclerosis (where it is much more common to perform neuroimaging studies). Some of these approaches are automated or semi-automated; however, all automatic approaches suffer a lack of ground truth.  It is difficult for human manual raters to agree on fuzzy boundaries across different image contrasts (e.g., T1, T2, FLAIR).  &lt;br /&gt;
&lt;br /&gt;
A good example of the challenge that remains in terms of lesion segmentation was well represented at the 2008 MICCAI Conference [http://www.ia.unc.edu/MSseg/ MS Lesion Segmentation Challenge(organized by Warfield and Styner)] this past September in the form of a grand challenge in segmentation.  Several groups, including this DBP, competed in lesion segmentation contest, participants were first provided training data-sets with two manual labellings, their respective approaches were judged in an on-site, real-time competition on additional novel data sets. &lt;br /&gt;
&lt;br /&gt;
Through participation in the recent lesion challenge, a thorough literature review of recent advances, and trying out several approaches (EM-Segment(S. Wells), k-means/bayesian(V. Magnotta), outlier detection(M. Prastawa), etc.), we think we have honed in on a novel methodology that will perform well for providing lesion maps in NPSLE; in addition, generalize well (following training) for other neurological disorders, such as MS, vascular dementia, and other disorders of the brain.&lt;br /&gt;
&lt;br /&gt;
==Detailed Information about the Pipeline==&lt;br /&gt;
*Method&lt;br /&gt;
**An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classification&lt;br /&gt;
***The method makes use of local morphometric features based on multiple MR sequences, including T1-weighted, T2-weighted, and Fluid Attenuated Inversion Recovery. After preprocessing, including co-registration, brain extraction, bias correction, and intensity standardization, 49 features are calculated for each brain voxel based on local morphometry. At each level of segmenta- tion a supervised classifier takes advantage of a different subset of the features to conservatively segment lesion voxels, passing on more difficult voxels to the next classifier. This multi-level approach allows for a fast lesion classification method with tunable trade-offs between sensitivity and specificity producing accuracy comparable to a human rater. &lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure1.png|thumb|333px|General Lesion Segmentation Protocol]]&lt;br /&gt;
|[[Image:Scully Figure2.jpg|thumb|333px|Feature Subset]]&lt;br /&gt;
|}&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure3.jpg|thumb|333px|Predicted Heat Map, Manual Segmentation, Thresholded Heat Map]]&lt;br /&gt;
|[[Image:Scully Figure4.png|thumb|333px| ROC Curve]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
==Software &amp;amp; documentation==&lt;br /&gt;
*We have a very active project for this pipeline on the NITRC resource [http://www.nitrc.org/frs/?group_id=180 3DSlicerLupusLesionModule]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/570/LesionSegmentationApplications.tgz tutorial software]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/569/LesionSegmentationTutorialData.tgz tutorial data] &lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/571/Slicer3Training_WhiteMatterLesions_v2.0.ppt.pdf end-user tutorial]&lt;br /&gt;
&lt;br /&gt;
==Team==&lt;br /&gt;
* DBP: H Jeremy Bockholt (PI), Charles Gasparovic(co-PI), Mark Scully(Engineer), The Mind Research Network&lt;br /&gt;
* Core 1: Ross Whitaker, University of Utah&lt;br /&gt;
* Core 2: Steve Pieper, Isomics&lt;br /&gt;
* Consultant: Vincent Magnotta, University of Iowa&lt;br /&gt;
* Contact: H. Jeremy Bockholt, jbockholt@mrn.org&lt;br /&gt;
&lt;br /&gt;
==Outreach==&lt;br /&gt;
*An end-to-end tutorial and module are provided on the NA-MIC website. Training courses were held at the Annual meeting for Human Brain Mapping Organization 2008, the Annual Meeting for Society for Neuroscience 2008, as well as to a group of 25+ investigators at the MIND Research Network (2007) who are working in translational neuroscience. A Manuscript summarizing improved clinical results resulting from automated lesion analyses has been prepared and submitted at the time of writing this report. &lt;br /&gt;
* Publication Links to the PubDB.&lt;br /&gt;
** H. J. Bockholt, V. A. Magnotta, M. Scully, C. Gasparovic, B. Davis, K. Pohl, R. Whitaker, S. Pieper, C. Roldan, R. Jung, R. Hayek, W. Sibbitt, J. Sharrar, P. Pellegrino, R. Kikinis. A novel automated method for classification of white matter lesions in systemic lupus erythematosus. Presented at the 38th annual meeting of the Society for Neuroscience, Washingto, DC, 15 – 19 November 2008&lt;br /&gt;
** Scully M., Magnotta V., Gasparovic C., Pelligrimo P., Feis D., Bockholt H.J. 3D Segmentation In The Clinic: A Grand Challenge II at MICCAI 2008 - MS Lesion Segmentation. IJ - 2008 MICCAI Workshop - MS Lesion Segmentation. Available  http://grand-challenge2008.bigr.nl/proceedings/pdfs/msls08/282_Scully.pdf&lt;br /&gt;
** H Jeremy Bockholt, Josef Ling, Mark Scully, Adam Scott, Susan Lane, Vincent Magnotta, Tonya White, Kelvin Lim, Randy Gollub, Vince Calhoun. Real-time Web-scale Image Annotation for Semantic-based Retrieval of Neuropsychiatric Research Images. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** H Jeremy Bockholt, Sumner Williams, Mark Scully, Vincent Magnotta, Randy Gollub, John Lauriello, Kelvin Lim, Tonya White, Rex Jung, Charles Schulz, Nancy Andreasen, Vince Calhoun. The MIND Clinical Imaging Consortium as an application for novel comprehensive quality assurance procedures in a multi-site heterogeneous clinical research study. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** M Scully, B H Anderson, C Gasparovic1, V A Magnotta, S Pieper, R Kikinis, P Pellegrino, T Lane, H J Bockholt. A Synergistic Combination of Supervised Machine Learning Methods for Analysis of White Matter Lesions in Neuropsychiatric Systemic Lupus Erythematosus. Presented at the 15th Annual Meeting of the Organization for Human Brain Mapping, San Francisco June, 2009.&lt;br /&gt;
** Bockholt HJ, Scully M, Courtney W, Rachakonda S, Scott A, Caprihan A, Fries J, Kalyanam R, Segall J, de la Garza R, Lane S and Calhoun VD (2009) Mining the mind research network: a novel framework for exploring large scale, heterogeneous translational neuroscience research data sources. Front. Neuroinform. 3:36. doi:10.3389/neuro.11.036.2009&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classiﬁcation (submitted to Frontiers in Neuroscience 11/2009).&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Longitudinal Analysis of White Matter Lesions in Lupus (''in preparation'' for submission).&lt;br /&gt;
** Bockholt, H.J.,  Gasparovic, C., Scully, M., Magnotta, V., Sibbitt, W., Kikinis, R., Roldan,C. A novel white matter lesion analysis for improved clinical application in lupus. (''in preparation'' for submission).&lt;br /&gt;
&lt;br /&gt;
==In Progress since last AHM==&lt;br /&gt;
*Longitudinal Analyses&lt;br /&gt;
**Almost completed full pipeline for longitudinal analysis which detects changes in lesions allowing for more clinical applications.  The following 3 figures demonstrate some of the longitudinal functionality comparing a baseline FLAIR with a followup FLAIR.  The label map shows the change in lesion voxels where gained lesion is red, recovered tissue is blue, and lesion that remained lesion is yellow.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWholeBrain.png|thumb|333px|CompareViewFlairLesionDiffWholeBrain]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWControls.png|thumb|333px|CompareViewFlairLesionDiffWControls]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiff.png|thumb|333px|CompareViewFlairLesionDiff]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
*DWI/DTI Analyses&lt;br /&gt;
*** Population differences in Scalar values&lt;br /&gt;
*** Tract based statistics&lt;br /&gt;
***Identifying structural connectivity network&lt;br /&gt;
***Approximating Disrupted Tractography Fibers&lt;br /&gt;
****Similar in purpose to current methods being applied to tumors, the objective is to estimate the tracts the would exist were lesion not present.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:TractsLesionZoomOverlay.png‎|thumb|380px|White Matter Lesion Track Disruption]]&lt;br /&gt;
|}&lt;br /&gt;
*Morphometry&lt;br /&gt;
**Examine cortical thicknesses especially in regions where lesions have interrupted connecting fibers.&lt;br /&gt;
**Investigate relationship between diseased tissue and fractal dimension of the white matter boundary.&lt;br /&gt;
*Spectroscopic Imaging&lt;br /&gt;
*Functional rest task&lt;br /&gt;
**Functional Network&lt;br /&gt;
*ASL&lt;br /&gt;
**Perfusion&lt;br /&gt;
***Relationship between cerebral blood volume, cerebral blood flow, and NPSLE &lt;br /&gt;
*Multiscale Analyses&lt;br /&gt;
**Incorporate all previous results into a comprehensive statistical analysis to fully characterize NPSLE.&lt;br /&gt;
&lt;br /&gt;
==Future Collaboration==&lt;br /&gt;
Two grants are under preparation to continue this collaboration. The first grant in progress with a planned submission of Feb 5, 2010 will use the Collaborations with NCBC R01 mechanism. The grant will be titled, “Enhancing Brain Lesion Segmentation in Neurological Disorders.” The aim of this project will be to extend the tools developed in the lupus DBP to other vascular disorders, multiple sclerosis, vascular dementia and other disorders with brain lesions. The grant will be a natural extension of work in the lupus DBP and fits in well with the mission of the NA-MIC by extending tools, analyses and approaches across multiple diseases and challenges. &lt;br /&gt;
&lt;br /&gt;
The second grant will utilize the GPL-style license found within the NA-MIC to explore the commercialization potential of the lesion analysis toolkit. A grant entitled “Novel White Matter Lesion Application” has a planned submission of April 5, 2010 and will use the Neurotechnology Research, Development, and Enhancement SBIR mechanism. This grant will be submitted by PI Bockholt who has recently founded and formed Advanced Biomedical Informatics Group, LLC, an independent for-profit company based in Iowa City, IA. This project will also extend the lupus DBP work through further development of turnkey solution that can be placed directly in the hands of clinicians for evaluating white matter lesions in their lupus patients&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
#Adaboost and Support Vector Machines for White Matter Lesion Segmentation in MR Images. Quddus A, Fieguth P, Basir O. PAMI Lab, Department of Electrical and Computer Engineering, University of Waterloo, Waterloo, ON, Canada. Conf Proc IEEE Eng Med Biol Soc. 2005;1:463-6. http://www.ncbi.nlm.nih.gov/pubmed/17282216&lt;br /&gt;
#Architecture for an Artificial Immune System Steven A. Hofmeyr, Stephanie Forrest Evolutionary Computation Winter 2000, Vol. 8, No. 4, Pages 443-473 http://www.mitpressjournals.org/doi/abs/10.1162/106365600568257&lt;br /&gt;
#Automated segmentation of white matter lesions in 3D brain MR images, using multivariate pattern classification Zhiqiang Lao; Dinggang Shen; Jawad, A.; Karacali, B.; Dengfeng Liu; Melhem, E.R.; Bryan, R.N.; Davatzikos, C. Biomedical Imaging: Nano to Macro, 2006. 3rd IEEE International Symposium on Volume , Issue , 6-9 April 2006 Page(s): 307 - 310 http://ieeexplore.ieee.org/Xplore/login.jsp?url=/iel5/10818/34114/01624914.pdf?temp=x&lt;br /&gt;
#Automatic Segmentation of MS Lesions Using a Contextual Model for the MICCAI Grand Challenge Jonathan H. Morra, Zhuowen Tu, Arthur W. Toga, Paul M. Thompson IJ - 2008 MICCAI Workshop - MS Lesion Segmentation http://www.midasjournal.org/browse/publication/280&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47286</id>
		<title>AHM2010:Mind</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47286"/>
		<updated>2010-01-06T22:25:20Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* MRN Roadmap Project */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;__NOTOC__&lt;br /&gt;
==MRN Roadmap Project==&lt;br /&gt;
&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Lupus_acquisition.png‎|thumb|280px|Image Acquisition]]&lt;br /&gt;
|[[Image:Intensity_standardize_view.png|thumb|280px|Slicer3 Module Image Intensity Standardization]]&lt;br /&gt;
|[[Image:Predict_lesion_view.png‎|thumb|280px|Slicer3 Module Lesion Classification]]&lt;br /&gt;
|[[Image:LesionBrain-PW2009.png‎|thumb|280px|Lesion Model inside Brain]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
== Overview ==&lt;br /&gt;
* What problem does the pipeline solve, and who is the targeted user?&lt;br /&gt;
**The pipeline attempts to solve the problem of segmenting white matter lesions in Neuropsychiatric Systemic Lupus Erythematosus(NPSLE). The automated capability is aimed at clinical researchers using Slicer3 software. The utility of having accurate lesion labels permits summary of perfusion within lesions, correlation of lesion load by location with neuropsychiatric symptoms, and summary of structural image intensities or DTI scalars within lesion boundaries.&lt;br /&gt;
&lt;br /&gt;
* How does the pipeline compare to state of the art?&lt;br /&gt;
**The state of the art in brain lesion classification is a work in progress in NPSLE, as well as, other disorders. There are many approaches that attempt to solve lesion classification in Multiple Sclerosis (where it is much more common to perform neuroimaging studies). Some of these approaches are automated or semi-automated; however, all automatic approaches suffer a lack of ground truth.  It is difficult for human manual raters to agree on fuzzy boundaries across different image contrasts (e.g., T1, T2, FLAIR).  &lt;br /&gt;
&lt;br /&gt;
A good example of the challenge that remains in terms of lesion segmentation was well represented at the 2008 MICCAI Conference [http://www.ia.unc.edu/MSseg/ MS Lesion Segmentation Challenge(organized by Warfield and Styner)] this past September in the form of a grand challenge in segmentation.  Several groups, including this DBP, competed in lesion segmentation contest, participants were first provided training data-sets with two manual labellings, their respective approaches were judged in an on-site, real-time competition on additional novel data sets. &lt;br /&gt;
&lt;br /&gt;
Through participation in the recent lesion challenge, a thorough literature review of recent advances, and trying out several approaches (EM-Segment(S. Wells), k-means/bayesian(V. Magnotta), outlier detection(M. Prastawa), etc.), we think we have honed in on a novel methodology that will perform well for providing lesion maps in NPSLE; in addition, generalize well (following training) for other neurological disorders, such as MS, vascular dementia, and other disorders of the brain.&lt;br /&gt;
&lt;br /&gt;
==Detailed Information about the Pipeline==&lt;br /&gt;
*Method&lt;br /&gt;
**An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classification&lt;br /&gt;
***The method makes use of local morphometric features based on multiple MR sequences, including T1-weighted, T2-weighted, and Fluid Attenuated Inversion Recovery. After preprocessing, including co-registration, brain extraction, bias correction, and intensity standardization, 49 features are calculated for each brain voxel based on local morphometry. At each level of segmenta- tion a supervised classifier takes advantage of a different subset of the features to conservatively segment lesion voxels, passing on more difficult voxels to the next classifier. This multi-level approach allows for a fast lesion classification method with tunable trade-offs between sensitivity and specificity producing accuracy comparable to a human rater. &lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure1.png|thumb|333px|General Lesion Segmentation Protocol]]&lt;br /&gt;
|[[Image:Scully Figure2.jpg|thumb|333px|Feature Subset]]&lt;br /&gt;
|}&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Scully Figure3.jpg|thumb|333px|Predicted Heat Map, Manual Segmentation, Thresholded Heat Map]]&lt;br /&gt;
|[[Image:Scully Figure4.png|thumb|333px| ROC Curve]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
==Software &amp;amp; documentation==&lt;br /&gt;
*We have a very active project for this pipeline on the NITRC resource [http://www.nitrc.org/frs/?group_id=180 3DSlicerLupusLesionModule]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/570/LesionSegmentationApplications.tgz tutorial software]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/569/LesionSegmentationTutorialData.tgz tutorial data] &lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/571/Slicer3Training_WhiteMatterLesions_v2.0.ppt.pdf end-user tutorial]&lt;br /&gt;
&lt;br /&gt;
==Team==&lt;br /&gt;
* DBP: H Jeremy Bockholt (PI), Charles Gasparovic(co-PI), Mark Scully(Engineer), The Mind Research Network&lt;br /&gt;
* Core 1: Ross Whitaker, University of Utah&lt;br /&gt;
* Core 2: Steve Pieper, Isomics&lt;br /&gt;
* Consultant: Vincent Magnotta, University of Iowa&lt;br /&gt;
* Contact: H. Jeremy Bockholt, jbockholt@mrn.org&lt;br /&gt;
&lt;br /&gt;
==Outreach==&lt;br /&gt;
*An end-to-end tutorial and module are provided on the NA-MIC website. Training courses were held at the Annual meeting for Human Brain Mapping Organization 2008, the Annual Meeting for Society for Neuroscience 2008, as well as to a group of 25+ investigators at the MIND Research Network (2007) who are working in translational neuroscience. A Manuscript summarizing improved clinical results resulting from automated lesion analyses has been prepared and submitted at the time of writing this report. &lt;br /&gt;
* Publication Links to the PubDB.&lt;br /&gt;
** H. J. Bockholt, V. A. Magnotta, M. Scully, C. Gasparovic, B. Davis, K. Pohl, R. Whitaker, S. Pieper, C. Roldan, R. Jung, R. Hayek, W. Sibbitt, J. Sharrar, P. Pellegrino, R. Kikinis. A novel automated method for classification of white matter lesions in systemic lupus erythematosus. Presented at the 38th annual meeting of the Society for Neuroscience, Washingto, DC, 15 – 19 November 2008&lt;br /&gt;
** Scully M., Magnotta V., Gasparovic C., Pelligrimo P., Feis D., Bockholt H.J. 3D Segmentation In The Clinic: A Grand Challenge II at MICCAI 2008 - MS Lesion Segmentation. IJ - 2008 MICCAI Workshop - MS Lesion Segmentation. Available  http://grand-challenge2008.bigr.nl/proceedings/pdfs/msls08/282_Scully.pdf&lt;br /&gt;
** H Jeremy Bockholt, Josef Ling, Mark Scully, Adam Scott, Susan Lane, Vincent Magnotta, Tonya White, Kelvin Lim, Randy Gollub, Vince Calhoun. Real-time Web-scale Image Annotation for Semantic-based Retrieval of Neuropsychiatric Research Images. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** H Jeremy Bockholt, Sumner Williams, Mark Scully, Vincent Magnotta, Randy Gollub, John Lauriello, Kelvin Lim, Tonya White, Rex Jung, Charles Schulz, Nancy Andreasen, Vince Calhoun. The MIND Clinical Imaging Consortium as an application for novel comprehensive quality assurance procedures in a multi-site heterogeneous clinical research study. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** M Scully, B H Anderson, C Gasparovic1, V A Magnotta, S Pieper, R Kikinis, P Pellegrino, T Lane, H J Bockholt. A Synergistic Combination of Supervised Machine Learning Methods for Analysis of White Matter Lesions in Neuropsychiatric Systemic Lupus Erythematosus. Presented at the 15th Annual Meeting of the Organization for Human Brain Mapping, San Francisco June, 2009.&lt;br /&gt;
** Bockholt HJ, Scully M, Courtney W, Rachakonda S, Scott A, Caprihan A, Fries J, Kalyanam R, Segall J, de la Garza R, Lane S and Calhoun VD (2009) Mining the mind research network: a novel framework for exploring large scale, heterogeneous translational neuroscience research data sources. Front. Neuroinform. 3:36. doi:10.3389/neuro.11.036.2009&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classiﬁcation (submitted to Frontiers in Neuroscience 11/2009).&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Longitudinal Analysis of White Matter Lesions in Lupus (''in preparation'' for submission).&lt;br /&gt;
** Bockholt, H.J.,  Gasparovic, C., Scully, M., Magnotta, V., Sibbitt, W., Kikinis, R., Roldan,C. A novel white matter lesion analysis for improved clinical application in lupus. (''in preparation'' for submission).&lt;br /&gt;
&lt;br /&gt;
==In Progress since last AHM==&lt;br /&gt;
*Longitudinal Analyses&lt;br /&gt;
**Almost completed full pipeline for longitudinal analysis which detects changes in lesions allowing for more clinical applications.  The following 3 figures demonstrate some of the longitudinal functionality comparing a baseline FLAIR with a followup FLAIR.  The label map shows the change in lesion voxels where gained lesion is red, recovered tissue is blue, and lesion that remained lesion is yellow.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWholeBrain.png|thumb|333px|CompareViewFlairLesionDiffWholeBrain]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWControls.png|thumb|333px|CompareViewFlairLesionDiffWControls]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiff.png|thumb|333px|CompareViewFlairLesionDiff]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
*DWI/DTI Analyses&lt;br /&gt;
*** Population differences in Scalar values&lt;br /&gt;
*** Tract based statistics&lt;br /&gt;
***Identifying structural connectivity network&lt;br /&gt;
***Approximating Disrupted Tractography Fibers&lt;br /&gt;
****Similar in purpose to current methods being applied to tumors, the objective is to estimate the tracts the would exist were lesion not present.&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:TractsLesionZoomOverlay.png‎|thumb|380px|White Matter Lesion Track Disruption]]&lt;br /&gt;
|}&lt;br /&gt;
*Morphometry&lt;br /&gt;
**Examine cortical thicknesses especially in regions where lesions have interrupted connecting fibers.&lt;br /&gt;
**Investigate relationship between diseased tissue and fractal dimension of the white matter boundary.&lt;br /&gt;
*Spectroscopic Imaging&lt;br /&gt;
*Functional rest task&lt;br /&gt;
**Functional Network&lt;br /&gt;
*ASL&lt;br /&gt;
**Perfusion&lt;br /&gt;
***Relationship between cerebral blood volume, cerebral blood flow, and NPSLE &lt;br /&gt;
*Multiscale Analyses&lt;br /&gt;
**Incorporate all previous results into a comprehensive statistical analysis to fully characterize NPSLE.&lt;br /&gt;
&lt;br /&gt;
==Future Collaboration==&lt;br /&gt;
Two grants are under preparation to continue this collaboration. The first grant in progress with a planned submission of Feb 5, 2010 will use the Collaborations with NCBC R01 mechanism. The grant will be titled, “Enhancing Brain Lesion Segmentation in Neurological Disorders.” The aim of this project will be to extend the tools developed in the lupus DBP to other vascular disorders, multiple sclerosis, vascular dementia and other disorders with brain lesions. The grant will be a natural extension of work in the lupus DBP and fits in well with the mission of the NA-MIC by extending tools, analyses and approaches across multiple diseases and challenges. &lt;br /&gt;
&lt;br /&gt;
The second grant will utilize the GPL-style license found within the NA-MIC to explore the commercialization potential of the lesion analysis toolkit. A grant entitled “Novel White Matter Lesion Application” has a planned submission of April 5, 2010 and will use the Neurotechnology Research, Development, and Enhancement SBIR mechanism. This grant will be submitted by PI Bockholt who has recently founded and formed Advanced Biomedical Informatics Group, LLC, an independent for-profit company based in Iowa City, IA. This project will also extend the lupus DBP work through further development of turnkey solution that can be placed directly in the hands of clinicians for evaluating white matter lesions in their lupus patients&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
#Adaboost and Support Vector Machines for White Matter Lesion Segmentation in MR Images. Quddus A, Fieguth P, Basir O. PAMI Lab, Department of Electrical and Computer Engineering, University of Waterloo, Waterloo, ON, Canada. Conf Proc IEEE Eng Med Biol Soc. 2005;1:463-6. http://www.ncbi.nlm.nih.gov/pubmed/17282216&lt;br /&gt;
#Architecture for an Artificial Immune System Steven A. Hofmeyr, Stephanie Forrest Evolutionary Computation Winter 2000, Vol. 8, No. 4, Pages 443-473 http://www.mitpressjournals.org/doi/abs/10.1162/106365600568257&lt;br /&gt;
#Automated segmentation of white matter lesions in 3D brain MR images, using multivariate pattern classification Zhiqiang Lao; Dinggang Shen; Jawad, A.; Karacali, B.; Dengfeng Liu; Melhem, E.R.; Bryan, R.N.; Davatzikos, C. Biomedical Imaging: Nano to Macro, 2006. 3rd IEEE International Symposium on Volume , Issue , 6-9 April 2006 Page(s): 307 - 310 http://ieeexplore.ieee.org/Xplore/login.jsp?url=/iel5/10818/34114/01624914.pdf?temp=x&lt;br /&gt;
#Automatic Segmentation of MS Lesions Using a Contextual Model for the MICCAI Grand Challenge Jonathan H. Morra, Zhuowen Tu, Arthur W. Toga, Paul M. Thompson IJ - 2008 MICCAI Workshop - MS Lesion Segmentation http://www.midasjournal.org/browse/publication/280&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
	<entry>
		<id>https://www.na-mic.org/w/index.php?title=File:Scully_Figure2.jpg&amp;diff=47250</id>
		<title>File:Scully Figure2.jpg</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=File:Scully_Figure2.jpg&amp;diff=47250"/>
		<updated>2010-01-06T20:56:19Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: &lt;/p&gt;
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&lt;div&gt;&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
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	<entry>
		<id>https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47248</id>
		<title>AHM2010:Mind</title>
		<link rel="alternate" type="text/html" href="https://www.na-mic.org/w/index.php?title=AHM2010:Mind&amp;diff=47248"/>
		<updated>2010-01-06T20:54:25Z</updated>

		<summary type="html">&lt;p&gt;Hjbockholt: /* Outreach */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;__NOTOC__&lt;br /&gt;
==MRN Roadmap Project==&lt;br /&gt;
&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:Lupus_acquisition.png‎|thumb|280px|Image Acquisition]]&lt;br /&gt;
|[[Image:Intensity_standardize_view.png|thumb|280px|Slicer3 Module Image Intensity Standardization]]&lt;br /&gt;
|[[Image:Predict_lesion_view.png‎|thumb|280px|Slicer3 Module Lesion Classification]]&lt;br /&gt;
|[[Image:Lupus_lesion_label_map.png‎|thumb|280px|Lesion Classification Result]]&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
== Overview ==&lt;br /&gt;
* What problem does the pipeline solve, and who is the targeted user?&lt;br /&gt;
**The pipeline attempts to solve the problem of segmenting white matter lesions in Neuropsychiatric Systemic Lupus Erythematosus(NPSLE). The automated capability is aimed at clinical researchers using Slicer3 software. The utility of having accurate lesion labels permits summary of perfusion within lesions, correlation of lesion load by location with neuropsychiatric symptoms, and summary of structural image intensities or DTI scalars within lesion boundaries.&lt;br /&gt;
&lt;br /&gt;
* How does the pipeline compare to state of the art?&lt;br /&gt;
**The state of the art in brain lesion classification is a work in progress in NPSLE, as well as, other disorders. There are many approaches that attempt to solve lesion classification in Multiple Sclerosis (where it is much more common to perform neuroimaging studies). Some of these approaches are automated or semi-automated; however, all automatic approaches suffer a lack of ground truth.  It is difficult for human manual raters to agree on fuzzy boundaries across different image contrasts (e.g., T1, T2, FLAIR).  &lt;br /&gt;
&lt;br /&gt;
A good example of the challenge that remains in terms of lesion segmentation was well represented at the 2008 MICCAI Conference [http://www.ia.unc.edu/MSseg/ MS Lesion Segmentation Challenge(organized by Warfield and Styner)] this past September in the form of a grand challenge in segmentation.  Several groups, including this DBP, competed in lesion segmentation contest, participants were first provided training data-sets with two manual labellings, their respective approaches were judged in an on-site, real-time competition on additional novel data sets. &lt;br /&gt;
&lt;br /&gt;
Through participation in the recent lesion challenge, a thorough literature review of recent advances, and trying out several approaches (EM-Segment(S. Wells), k-means/bayesian(V. Magnotta), outlier detection(M. Prastawa), etc.), we think we have honed in on a novel methodology that will perform well for providing lesion maps in NPSLE; in addition, generalize well (following training) for other neurological disorders, such as MS, vascular dementia, and other disorders of the brain.&lt;br /&gt;
&lt;br /&gt;
==Detailed Information about the Pipeline==&lt;br /&gt;
*Illustrate the components and workflow of the pipeline using your own data&lt;br /&gt;
**Method&lt;br /&gt;
***A synergistic combination of supervised machine learning methods&lt;br /&gt;
**Training [[Image:Sle_wmls_model_generation.png|thumb|280px|Training]]&lt;br /&gt;
***Approximately 90 features were computed based on the T1, T2, and FLAIR, including neighborhood means with varying radii, mathematical morphometry dilation and erosion, kmeans clustering, and gradients, among others&lt;br /&gt;
***Adaboost was applied to the data to find the 20 features that best discriminate lesion from non-lesion&lt;br /&gt;
***Those 20 features were then calculated for all lesions, for all subjects, then zero-meaned and the standard deviation was set to one.  &lt;br /&gt;
***The centroid of the lesions was then calculated and the max distance found between the centroid and the lesion voxels&lt;br /&gt;
***The max distance threshold was used to exclude voxels that had no chance of being lesions&lt;br /&gt;
***The features for all voxels within the distance threshold were calculated and scaled to a range of negative one to positive one&lt;br /&gt;
***The means and covariance of these features were calculated for both the lesion and non-lesion classes and used to define the two classes in a Bayesian classifier&lt;br /&gt;
***A parameter search was then performed to find the prior that gave the best combination of Specificity and Sensitivity.  &lt;br /&gt;
**Classifying [[Image:Sle_wmls_model_creation.png|thumb|280px|Classifying]]&lt;br /&gt;
***The 20 relevant features are calculated, zero-meaned and sigma set to one, thresholded based on the distance to the lesion centroid, and then passed to the Bayesian classifier&lt;br /&gt;
&lt;br /&gt;
==Software &amp;amp; documentation==&lt;br /&gt;
*We have a very active project for this pipeline on the NITRC resource [http://www.nitrc.org/frs/?group_id=180 3DSlicerLupusLesionModule][[Image:Lupus_nitrc_weekly_stat.png‎|thumb|175px|Image Acquisition]]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/570/LesionSegmentationApplications.tgz tutorial software]&lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/569/LesionSegmentationTutorialData.tgz tutorial data] &lt;br /&gt;
**[http://www.nitrc.org/frs/download.php/571/Slicer3Training_WhiteMatterLesions_v2.0.ppt.pdf end-user tutorial]&lt;br /&gt;
&lt;br /&gt;
==Team==&lt;br /&gt;
* DBP: H Jeremy Bockholt (PI), Charles Gasparovic(co-PI), Mark Scully(Engineer), The Mind Research Network&lt;br /&gt;
* Core 1: Ross Whitaker, University of Utah&lt;br /&gt;
* Core 2: Steve Pieper, Isomics&lt;br /&gt;
* Consultant: Vincent Magnotta, University of Iowa&lt;br /&gt;
* Contact: H. Jeremy Bockholt, jbockholt@mrn.org&lt;br /&gt;
&lt;br /&gt;
==Outreach==&lt;br /&gt;
*An end-to-end tutorial and module are provided on the NA-MIC website. Training courses were held at the Annual meeting for Human Brain Mapping Organization 2008, the Annual Meeting for Society for Neuroscience 2008, as well as to a group of 25+ investigators at the MIND Research Network (2007) who are working in translational neuroscience. A Manuscript summarizing improved clinical results resulting from automated lesion analyses has been prepared and submitted at the time of writing this report. &lt;br /&gt;
* Publication Links to the PubDB.&lt;br /&gt;
** H. J. Bockholt, V. A. Magnotta, M. Scully, C. Gasparovic, B. Davis, K. Pohl, R. Whitaker, S. Pieper, C. Roldan, R. Jung, R. Hayek, W. Sibbitt, J. Sharrar, P. Pellegrino, R. Kikinis. A novel automated method for classification of white matter lesions in systemic lupus erythematosus. Presented at the 38th annual meeting of the Society for Neuroscience, Washingto, DC, 15 – 19 November 2008&lt;br /&gt;
** Scully M., Magnotta V., Gasparovic C., Pelligrimo P., Feis D., Bockholt H.J. 3D Segmentation In The Clinic: A Grand Challenge II at MICCAI 2008 - MS Lesion Segmentation. IJ - 2008 MICCAI Workshop - MS Lesion Segmentation. Available  http://grand-challenge2008.bigr.nl/proceedings/pdfs/msls08/282_Scully.pdf&lt;br /&gt;
** H Jeremy Bockholt, Josef Ling, Mark Scully, Adam Scott, Susan Lane, Vincent Magnotta, Tonya White, Kelvin Lim, Randy Gollub, Vince Calhoun. Real-time Web-scale Image Annotation for Semantic-based Retrieval of Neuropsychiatric Research Images. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** H Jeremy Bockholt, Sumner Williams, Mark Scully, Vincent Magnotta, Randy Gollub, John Lauriello, Kelvin Lim, Tonya White, Rex Jung, Charles Schulz, Nancy Andreasen, Vince Calhoun. The MIND Clinical Imaging Consortium as an application for novel comprehensive quality assurance procedures in a multi-site heterogeneous clinical research study. Presented at the 14th Annual Meeting of the Organization for Human Brain Mapping, Melbourne, Australia, 15 – 19 June, 2008.&lt;br /&gt;
** M Scully, B H Anderson, C Gasparovic1, V A Magnotta, S Pieper, R Kikinis, P Pellegrino, T Lane, H J Bockholt. A Synergistic Combination of Supervised Machine Learning Methods for Analysis of White Matter Lesions in Neuropsychiatric Systemic Lupus Erythematosus. Presented at the 15th Annual Meeting of the Organization for Human Brain Mapping, San Francisco June, 2009.&lt;br /&gt;
** Bockholt HJ, Scully M, Courtney W, Rachakonda S, Scott A, Caprihan A, Fries J, Kalyanam R, Segall J, de la Garza R, Lane S and Calhoun VD (2009) Mining the mind research network: a novel framework for exploring large scale, heterogeneous translational neuroscience research data sources. Front. Neuroinform. 3:36. doi:10.3389/neuro.11.036.2009&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Segmenting White Matter Lesions in Lupus Through Multi-level Morphometric Feature Classiﬁcation (submitted to Frontiers in Neuroscience 11/2009).&lt;br /&gt;
** Scully, M., Anderson, B., Lane, T., Gasparovic, C., Magnotta, V., Sibbitt, W., Roldan,C. , Kikinis, R., Bockholt, H. J. An Automated Method For Longitudinal Analysis of White Matter Lesions in Lupus (''in preparation'' for submission).&lt;br /&gt;
** Bockholt, H.J.,  Gasparovic, C., Scully, M., Magnotta, V., Sibbitt, W., Kikinis, R., Roldan,C. A novel white matter lesion analysis for improved clinical application in lupus. (''in preparation'' for submission).&lt;br /&gt;
&lt;br /&gt;
==Progress since last AHM==&lt;br /&gt;
*Longitudinal Analyses&lt;br /&gt;
filling this in still&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWholeBrain.png|thumb|333px|CompareViewFlairLesionDiffWholeBrain]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiffWControls.png|thumb|333px|CompareViewFlairLesionDiffWControls]]&lt;br /&gt;
|[[Image:CompareViewFlairLesionDiff.png|thumb|333px|CompareViewFlairLesionDiff]]&lt;br /&gt;
|}&lt;br /&gt;
Time1,      Time2,       Color&lt;br /&gt;
lesion,       lesion,       yellow&lt;br /&gt;
lesion,       notLesion, blue&lt;br /&gt;
notLesion, lesion,       red&lt;br /&gt;
*DTI Analyses&lt;br /&gt;
filling this in still&lt;br /&gt;
{|&lt;br /&gt;
|[[Image:TractsLesionZoomOverlay.png‎|thumb|380px|White Matter Lesion Track Disruption]]&lt;br /&gt;
|}&lt;br /&gt;
*Multiscale Analyses&lt;br /&gt;
filling this in still&lt;br /&gt;
&lt;br /&gt;
==Future Collaboration==&lt;br /&gt;
Two grants are under preparation to continue this collaboration. The first grant in progress with a planned submission of Feb 5, 2010 will use the Collaborations with NCBC R01 mechanism. The grant will be titled, “Enhancing Brain Lesion Segmentation in Neurological Disorders.” The aim of this project will be to extend the tools developed in the lupus DBP to other vascular disorders, multiple sclerosis, vascular dementia and other disorders with brain lesions. The grant will be a natural extension of work in the lupus DBP and fits in well with the mission of the NA-MIC by extending tools, analyses and approaches across multiple diseases and challenges. &lt;br /&gt;
&lt;br /&gt;
The second grant will utilize the GPL-style license found within the NA-MIC to explore the commercialization potential of the lesion analysis toolkit. A grant entitled “Novel White Matter Lesion Application” has a planned submission of April 5, 2010 and will use the Neurotechnology Research, Development, and Enhancement SBIR mechanism. This grant will be submitted by PI Bockholt who has recently founded and formed Advanced Biomedical Informatics Group, LLC, an independent for-profit company based in Iowa City, IA. This project will also extend the lupus DBP work through further development of turnkey solution that can be placed directly in the hands of clinicians for evaluating white matter lesions in their lupus patients&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
#Adaboost and Support Vector Machines for White Matter Lesion Segmentation in MR Images. Quddus A, Fieguth P, Basir O. PAMI Lab, Department of Electrical and Computer Engineering, University of Waterloo, Waterloo, ON, Canada. Conf Proc IEEE Eng Med Biol Soc. 2005;1:463-6. http://www.ncbi.nlm.nih.gov/pubmed/17282216&lt;br /&gt;
#Architecture for an Artificial Immune System Steven A. Hofmeyr, Stephanie Forrest Evolutionary Computation Winter 2000, Vol. 8, No. 4, Pages 443-473 http://www.mitpressjournals.org/doi/abs/10.1162/106365600568257&lt;br /&gt;
#Automated segmentation of white matter lesions in 3D brain MR images, using multivariate pattern classification Zhiqiang Lao; Dinggang Shen; Jawad, A.; Karacali, B.; Dengfeng Liu; Melhem, E.R.; Bryan, R.N.; Davatzikos, C. Biomedical Imaging: Nano to Macro, 2006. 3rd IEEE International Symposium on Volume , Issue , 6-9 April 2006 Page(s): 307 - 310 http://ieeexplore.ieee.org/Xplore/login.jsp?url=/iel5/10818/34114/01624914.pdf?temp=x&lt;br /&gt;
#Automatic Segmentation of MS Lesions Using a Contextual Model for the MICCAI Grand Challenge Jonathan H. Morra, Zhuowen Tu, Arthur W. Toga, Paul M. Thompson IJ - 2008 MICCAI Workshop - MS Lesion Segmentation http://www.midasjournal.org/browse/publication/280&lt;/div&gt;</summary>
		<author><name>Hjbockholt</name></author>
		
	</entry>
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