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Segmentation and quantitative analysis of intrathoracic airway trees from computed tomography images
Journal article   Open access

Segmentation and quantitative analysis of intrathoracic airway trees from computed tomography images

Juerg Tschirren, Eric A Hoffman, Geoffrey McLennan and Milan Sonka
Proceedings of the American Thoracic Society, Vol.2(6), pp.484-487
2005
DOI: 10.1513/pats.200507-078DS
PMCID: PMC2713337
PMID: 16352753
url
https://doi.org/10.1513/pats.200507-078DSView
Published (Version of record) Open Access

Abstract

The segmentation of the human airway tree from volumetric multidetector-row computed tomography images is an important prerequisite for many clinical applications and physiologic studies. We present a new airway segmentation method based on fuzzy connectivity. Small adaptive regions of interest are used that follow the airway branches as they are segmented. This method works on various types of scans (low dose and regular dose, normal subjects and diseased subjects) without the need for the user to manually adjust any parameters. Comparison with a commonly used region-growing segmentation algorithm shows that this method retrieves a significantly higher count of airway branches. In an additional processing step, this method provides accurate cross-sectional airway measurements that are conducted in the original gray-level volume. Validation on a phantom shows that subvoxel accuracy is achieved for all airway sizes and airway orientations. The utility of the reported method is demonstrated in a comparative analysis of normal and cystic fibrosis airway trees.
Reproducibility of Results Algorithms Humans Tomography, X-Ray Computed - methods Lung - diagnostic imaging Imaging, Three-Dimensional Cystic Fibrosis - diagnostic imaging

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