Quantifying tissue volumes in pediatric brains from magnetic resonance (MR) images can provide insight into etiology and onset of neurological disease. Unbiased volumetric analysis can be applied to large population studies when automated image processing is possible. Standard segmentation strategies using adult atlases fail to account for varying tissue contrasts and types associated with the rapid growth and maturational changes seen in early neurodevelopment. The goal of this project was to develop an automated pipeline and two age-specific atlases capable of providing accurate tissue classification despite these challenges.
The automated pipeline consisted of a stepwise initial atlas-to-subject registration, expectation maximization (EM) atlas based segmentation, and a post-processing level set segmentation for improved white/gray matter separation. This level set segmentation is a 3D and multiphase adaptation of a 2D method intended for use on images with the types of intensity Inhomogeneities found in MR images.
The initial tissue maps required to determine spatial priors for the one-year-old atlas were created by manually cleaning the results of an adult atlas and the automated pipeline. Additional tissue maps were incrementally added until the spatial priors were sufficiently representative. The neonate atlas was similarly created, starting with the one-year-old atlas.