Atlas-based Segmentation using a Model of Lesion Growth

We propose a method for brain atlas deformation in presence of large space-occupying tumors or lesions, based on an a priori model of lesion growth that assumes radial expansion of the lesion from its central point. Atlas-based methods have been of limited use for segmenting brains that have been drastically altered by the presence of large space-occupying lesions. Our approach involves four steps. First, an affine registration brings the atlas and the patient into global correspondence. Secondly, a local registration warps the atlas onto the patient volume. Then, the seeding of a synthetic tumor into the brain atlas provides a template for the lesion. The last step is the deformation of the seeded atlas, combining a method derived from optical flow principles and a model of lesion growth. Results show that a good registration is performed and that method can be applied to automatic segmentation of structures and substructures in brains with gross deformation, with important medical applications in neurosurgery, radiosurgery and