Intensity and volume features of the hippocampus from MR images of the brain are known to be useful in detecting the abnormality and consequently candidacy of the hippocampus for temporal lobe epilepsy surgery. However, currently, intracranial EEG exams are required to determine the abnormal hippocampus. These exams are lengthy, painful and costly. The aim of this study is to evaluate texture characteristics of the hippocampi from MR images to help physicians determine the candidate hippocampus for surgery. We studied the MR images of 20 epileptic patients. Intracranial EEG results as well as surgery outcome were used as gold standard. The hippocampi were manually segmented by an expert from T1-weighted MR images. Then the segmented regions were mapped on the corresponding FLAIR images for texture analysis. We calculate the average energy features from 2D wavelet transform of each slice of hippocampus as well as the energy features produced by 3D wavelet transform of the whole hippocampus volume. The 2D wavelet transform is calculated both from the original slices as well as from the slices perpendicular to the principal axis of the hippocampus. In order to calculate the 3D wavelet transform we first rotate each hippocampus to fit it in a rectangular prism and then fill the empty area by extrapolating the intensity values. We combine the resulting features with volume feature and compare their ability to distinguish between normal and abnormal hippocampi using linear classifier and fuzzy c-means clustering algorithm. Experimental results show that the texture features can correctly classify the hippocampi.

Date Published: 30 April 2004
PDF: 9 pages
Proc. SPIE 5369, Medical Imaging 2004: Physiology, Function, and Structure from Medical Images, (30 April 2004); doi: 10.1117/12.536804

Published in SPIE Proceedings Vol. 5369:
Medical Imaging 2004: Physiology, Function, and Structure from Medical Images
Amir A. Amini; Armando Manduca, Editor(s)