AHM’04, Nottingham
Designing Grid-Enabled Image Registration Services for MIAKT
Yalin Zheng, Christine Tanner, Derek L. G. Hill, David J.
Hawkes
Division of Imaging Sciences, King's College London, UK
AHM’04, Nottingham
MIAKTAim: to develop a collaborative
problem solving environment in medical informatics
Application: support surgeons, radiologists, pathologists and oncologists in the detection, diagnosis and management of breast cancer
AHM’04, Nottingham
MIAKT Overview
AHM’04, Nottingham
Image Registration To establish spatial correspondence between
images and possibly physical space Application: Contrast-enhanced breast MRI
pre-contrast post-contrast difference after registration
AHM’04, Nottingham
Image registration of contrast-enhanced breast MR images
User friendlyIntegrated with other standard
assessment toolsAccessible from many hospitalsAcceptable response time for a
small number of casesConsistent and well validated
AHM’04, Nottingham
Design ofImage Registration Service
AHM’04, Nottingham
Image Registration TechniqueNon-rigid registration is based on
evenly spaced control points interpolated by B-Splines
Rueckert D. et al, IEEE TMI, vol. 18(8), pp. 712-721, 1999.
Accuracy for registering contrast-enhanced breast MR images has been carefully validated
Schnabel J. et al, IEEE TMI, vol. 22(2), pp. 238-247, 2003.
Tanner C. et al, MICCAI02, pp. 307-314, 2002.http://www-ipg.umds.ac.ukhttp://www.imageregistration.com
AHM’04, Nottingham
WorkflowA simple and validated workflow is
provided for registering breast MR imagesIndividual registration of left and right sideLesion alignment: rigid registration followed by
non-rigid registration with 40mm control point spacing (~0.5 hours)
Whole breast alignment: 10mm multi-resolution registration (rigid -> 20mm non-rigid -> 10mm non-rigid) (~2.8 hours)
Optimal parameter as defaultsMakes service consistent and user-friendly
AHM’04, Nottingham
as above
Workflow
AHM’04, Nottingham
Response Time Requirement30 minutes to 3 hours per side x 2 sides x
5 images = 5 hours to 30 hours on single machine
BUT, want results within hours not days10 individual jobs -> distribute them on 10
machinesCondor 6.4.5
Distributes jobs to available machinesJob priority and dependencyFault tolerance (checkpointing, rollback
recovery)
AHM’04, Nottingham
Accessibility RequirementMany hospitalsService and images at different sitesGlobus Toolkit 2.4
SecurityResource Management
Combine condor and globus (Condor-G)
AHM’04, Nottingham
Security Requirement Communications among organizations over
Internet are essential for Grid applications, but Internet may be untrusted
Globus with FirewallConfigurations on firewall are required on both
Client and Server sides to allow communications between them
Issues:• System admin should gain experiences for open ports
required by Globus, e.g., 2811, 2119 and others• Great care should be taken to ensure security
- Von Welch ,Globus Toolkit Firewall Requirements
AHM’04, Nottingham
Integrated ServiceTomcat Web Server, JSP/ServletWSDL file defines registration serviceClients can dynamically invoke the
servicesRegistration submissionRegistration monitoring
MIAKT calls it via SOAP through a Web-Service invocation architecture
AHM’04, Nottingham
Configuration Overview
Globus Server
(Job Manager,
GSI-FTP etc.)
Tomcat Web
Server Engine
CondorSubmit
Machine
Successfully integrated with MIAKT demonstrator (Southampton
booth)
AHM’04, Nottingham
Multi-Centre TrialMARIBS: to test if MRI is an effective
way of screening young women with high risk of breast cancer1500 women (35-49 yrs old) with
high breast cancer riskAnnual MRI as well as X-ray
mammograms for up to five years17 major screening centres
AHM’04, Nottingham
MIAKT Overview
AHM’04, Nottingham
Segmentation refinement and classification of MR
breast lesions
AHM’04, Nottingham
Classification
of MR Breast Lesions
FeaturesShapeMarginsEnhancement PatternContrast-change
Characteristics
pre post-pre
malignant
Time
Inte
nsi
ty
benign
suspiciousTime
AHM’04, Nottingham
MotivationSegmentation Refinement
Feature extraction requires segmentation of MR breast lesion
Manual segmentation labour-intensive and difficult for 4D data
Derive most probable region from crude outline of lesion
OverallSupport radiologists in the diagnosis of MR
breast lesionsEase creation of large databases of
annotated MR breast lesions with known ground truth (pathology / follow up)
AHM’04, Nottingham
Extract most probable region from 4D data of crude outline
– Tanner C., MICCAI, September 2004
Derive features from segmented region Classifier: Linear discriminate analysis
and leave-one-out ROC training Online retraining of classifier MATLAB program called from a Tomcat
Web-Service implementation
Functionality & Design
AHM’04, Nottingham
Results
Gold Standard
Refined
Initial
pre post1-pre post4-pre
Segmentation
Classification Accuracy 10 benign, 16 malignant cases from MARIBS data
set 69% for features from gold standard segmentation 82% for features from refined segmentation
Result
MIAKT demonstrato
r
AHM’04, Nottingham
Conclusions
KCL servicesGRID-enabled Image Registration ServiceSegmentation Refinement and Classification
Service for MR Breast Lesions
Services were successfully integrated with the MIAKT demonstrator
Future: from demonstrator to clinical usability
AHM’04, Nottingham
Thank you! Funding from EPSRC
MIAKT MIAS-IRC
MIAKT collaborators University of Southampton
• Sri Dasmahapatra, David Dupplaw, Bo Hu, Hugh Lewis, Paul Lewis, Nigel Shadbold,
University of Sheffield• Kalina Bontcheva, Fabio Ciravegna, Yorick Wilks
Open University• Liliana Cabral, John Domingue, Enrico Motto
University of Oxford• Mike Brady, Maud Poissonnier
Clinical Support Guy’s Hospital London
• Nick Beechy-Newman, Corrado D’Arrigio, Annette Jones