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AUTOMATIC SEGMENTATION OF SPINAL CANALS IN CT IMAGES VIA
ITERATIVE TOPOLOGY REFINEMENT
ABSTRACT
Accurate segmentation of the spinal canals in computed tomography (CT) images is an
important task in many relatedstudies. In this paper, we propose an automatic
segmentationmethod and apply it to our highly challenging image cohort that isacquired from
multiple clinical sites and from the CT channel ofthe PET-CT scans. To this end, we adapt the
interactive randomwalksolvers to be a fully automatic cascaded pipeline. The
automaticsegmentation pipeline is initialized with robust voxel wise classification using Haar-
like features and probabilistic boostingtree. Then, the topology of the spinal canal is extracted
from thetentative segmentation and further refined for the subsequentrandom-walk solver. In
particular, the refined topology leads toimproved seeding voxels or boundary conditions, which
allowthe subsequent random-walk solver to improve the segmentationresult. Therefore, by
iteratively refining the spinal canal topologyand cascading the random-walk solvers, satisfactory
segmentationresults can be acquired within only a few iterations, even forcases with scoliosis,
bone fractures and lesions. Our experimentsvalidate the capability of the proposed method with
promisingsegmentation performance, even though the resolution and thecontrast of our dataset
with 110 patient cases (90 for testingand 20 for training) are low and various bone pathologies
occurfrequently.

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Automatic segmentation of spinal canals in ct images via iterative topology refinement

  • 1. AUTOMATIC SEGMENTATION OF SPINAL CANALS IN CT IMAGES VIA ITERATIVE TOPOLOGY REFINEMENT ABSTRACT Accurate segmentation of the spinal canals in computed tomography (CT) images is an important task in many relatedstudies. In this paper, we propose an automatic segmentationmethod and apply it to our highly challenging image cohort that isacquired from multiple clinical sites and from the CT channel ofthe PET-CT scans. To this end, we adapt the interactive randomwalksolvers to be a fully automatic cascaded pipeline. The automaticsegmentation pipeline is initialized with robust voxel wise classification using Haar- like features and probabilistic boostingtree. Then, the topology of the spinal canal is extracted from thetentative segmentation and further refined for the subsequentrandom-walk solver. In particular, the refined topology leads toimproved seeding voxels or boundary conditions, which allowthe subsequent random-walk solver to improve the segmentationresult. Therefore, by iteratively refining the spinal canal topologyand cascading the random-walk solvers, satisfactory segmentationresults can be acquired within only a few iterations, even forcases with scoliosis, bone fractures and lesions. Our experimentsvalidate the capability of the proposed method with promisingsegmentation performance, even though the resolution and thecontrast of our dataset with 110 patient cases (90 for testingand 20 for training) are low and various bone pathologies occurfrequently.