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Link to original content: https://doi.org/10.1007/s11517-015-1347-y
Fully automatic and nonparametric quantification of adipose tissue in fat–water separation MR imaging | Medical & Biological Engineering & Computing Skip to main content
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Fully automatic and nonparametric quantification of adipose tissue in fat–water separation MR imaging

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Abstract

Despite increasing demand and research efforts, currently there is no consensus on the protocol for automated and reliable quantification of adipose tissue (AT) and visceral adipose tissue (VAT) using MRI. The purpose of this study was to propose a novel computational method with enhanced objectiveness for the quantification of AT and VAT in fat–water separation MRI. 3T data from IDEAL were acquired for the fat–water separation. Fat tissues were separated from nonfat regions (background air, bone, water, and other nonfat tissues) using K-means clustering (K = 2). From the binary fat mask, arm regions were separated from body based on the relative size of connected component. AT was obtained from the binary body fat mask. With the initial contour as the outer boundary of body fat, the subcutaneous adipose tissue (SAT) and VAT were separated using deformable model driven by a specifically generated deformation field pointing to the inner boundary of SAT. The proposed method was tested on 16 patients with dyslipidemia and evaluated by comparing the correlation with semi-automatic segmentation results. Good robustness was also observed in the proposed method from the Bland–Altman plots. Compared to other established fat segmentation methods, the proposed method is highly objective for fat–water separation MRI with minimal variability induced by subjective parameter settings.

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References

  1. Abate N, Burns D, Peshock RM, Garg A, Grundy SM (1994) Estimation of adipose tissue mass by magnetic resonance imaging: validation against dissection in human cadavers. J Lipid Res 35:1490–1496

    CAS  PubMed  Google Scholar 

  2. Alabousi A, Al-Attar S, Joy T, Hegele R, McKenzie C (2009) Validation of fat volume quantification with IDEAL MRI. In: Proceedings of the 17th Scientific meeting international society for magnetic resonance in medicine, Honolulu, p 2880

  3. Armao D, Guyon JP, Firat Z, Brown MA, Semelka RC (2006) Accurate quantification of visceral adipose tissue (VAT) using water-saturation MRI and computer segmentation: preliminary results. J Magn Reson Imaging 23:736–741

    Article  PubMed  Google Scholar 

  4. Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1:307–310

    Article  CAS  PubMed  Google Scholar 

  5. Bonekamp S, Ghosh P, Crawford S et al (2008) Quantitative comparison and evaluation of software packages for assessment of abdominal adipose tissue distribution by magnetic resonance imaging. Int J Obes (Lond) 32:100–111

    Article  CAS  Google Scholar 

  6. Cabezas M, Oliver A, Lladó X, Freixenet J, Bach Cuadra M (2011) A review of atlas-based segmentation for magnetic resonance brain images. Comput Methods Programs Biomed 104(3):e158–e177

    Article  PubMed  Google Scholar 

  7. Canny JA (1986) Computational approach to edge detection. IEEE Trans Pattern Anal Mach Intell 8:679–714

    Article  CAS  PubMed  Google Scholar 

  8. Cheung MR, Krishnan K (2012) Using manual prostate contours to enhance deformable registration of endorectal MRI. Comput Methods Programs Biomed 108(1):330–337

    Article  CAS  PubMed  Google Scholar 

  9. Delibasis KK, Kechriniotis A, Maglogiannis I (2013) A novel tool for segmenting 3D medical images based on generalized cylinders and active surfaces. Comput Methods Programs Biomed 111(1):148–165

    Article  PubMed  Google Scholar 

  10. Depres JP (1994) Visceral obesity and dyslipidemia: contribution of insulin resistance and genetic susceptibility. In: Angel A, Anderson H, Bunchard C, Lau D, Leiter L, Mendelson R, (eds). Progress in obesity research: proceedings of the seventeenth interventional congress of Obesity, Toronto, Canada. 20–25 August 1994. vol 7. Jhon Libbey and Co., London, pp 525–532

  11. Egger J, Zukić D, Freisleben B, Kolb A, Nimsky C (2013) Segmentation of pituitary adenoma: a graph-based method versus a balloon inflation method. Comput Methods Programs Biomed 110(3):268–278

    Article  PubMed  Google Scholar 

  12. Eggers H, Brendel B, Duijndam A, Herigault G (2011) Dual-echo Dixon imaging with flexible choice of echo times. Magn Reson Med 65:96–107

    Article  PubMed  Google Scholar 

  13. Gastaldelli A, Miyazaki Y, Pettiti M et al (2002) Metabolic effects of visceral fat accumulation in type 2 diabetes. J Clin Endocrinol Metab 87:5098–5103

    Article  CAS  PubMed  Google Scholar 

  14. Jørgensen PS, Larsen R, Wraae K (2009) Unsupervised assessment of subcutaneous and visceral fat by MRI. In: Lecture notes in computer science (including subseries lecture notes in artificial intelligence and lecture notes in bioinformatics), LNCS (5575), pp 179–188

  15. Kamel E, McNeill G, Han T et al (1999) Measurement of abdominal fat by magnetic resonance imaging, dual-energy X-ray absorptiometry and anthropometry in nonobese men and women. Int J Obes Relat Metab Disord 23:686–692

    Article  CAS  PubMed  Google Scholar 

  16. Kobayashi J, Tadokoro N, Watanabe M, Shinomiya M (2002) A novel method of measuring intra-abdominal fat volume using helical computed tomography. Int J Obes Relat Metab Disord 26:398–402

    Article  CAS  PubMed  Google Scholar 

  17. Kopelman PG (2000) Obesity as a medical problem. Nature 404:635–643

    CAS  PubMed  Google Scholar 

  18. Kullberg J, Ahlström H, Johansson L, Frimmel H (2007) Automated and reproducible segmentation of visceral and subcutaneous adipose tissue from abdominal MRI. Int J Obes (Lond) 31:1806–1817

    Article  CAS  Google Scholar 

  19. Lancaster JL, Ghiatas AA, Alyassin A, Kilcoyne RF, Bonora E, DeFronzo RA (1991) Measurement of abdominal fat with T1-weighted MR images. J Magn Reson Imaging 1:363–369

    Article  CAS  PubMed  Google Scholar 

  20. Leinhard OD, Johansson A, Rydell J, et al. (2008) Quantitative abdominal fat estimation using MRI. In: Proceedings of the international conference on pattern recognition, 2008 (art. no. 4761764)

  21. Leinhard OD, Johansson A, Rydell J et al. (2009) Quantification of abdominal fat accumulation during hyperalimentation using MRI. In: Proceedings of the 17th scientific meeting, international society for magnetic resonance in medicine. Honolulu, Hawaii (206)

  22. Liu K, Chan Y, Chan W, Kong W, Kong M, Chan J (2003) Sonographic measurement of mesenteric fat thickness is a good correlate with cardiovascular risk factors: comparison with subcutaneous and preperitoneal fat thickness, magnetic resonance imaging and anthropometric indexes. Int J Obes Relat Metab Disord 27:1267–1273

    Article  CAS  PubMed  Google Scholar 

  23. Liu KH, Chan YL, Chan JCN et al (2005) The preferred magnetic resonance imaging planes in quantifying visceral adipose tissue and evaluating cardiovascular risk. Diabetes Obes Metab 7:547–554

    Article  CAS  PubMed  Google Scholar 

  24. Lloyd S (1982) Least squares quantization in PCM, special issue on quantization. IEEE Trans Inf Theory 28:129–137

    Article  Google Scholar 

  25. Peng Q, McColl RW, Ding Y, Wang J, Chia JM, Weatherall PT (2007) Automated method for accurate abdominal fat quantification on water-saturated magnetic resonance images. J Magn Reson Imaging 26:738–746

    Article  PubMed  Google Scholar 

  26. Poirier P, Despres JP (2003) Waist circumference, visceral obesity, and cardiovascular risk. J Cardiopulm Rehabil 23:161–169

    Article  PubMed  Google Scholar 

  27. Positano V, Gastaldelli A, Sironi AM, Santarelli MF, Lombardi M, Landini L (2004) An accurate and robust method for unsupervised assessment of abdominal fat by MRI. J Magn Reson Imaging 20:684–689

    Article  PubMed  Google Scholar 

  28. Seidell JC, Oosterlee A, Thijssen MA et al (1987) Assessment of intra-abdominal and subcutaneous abdominal fat: relation between anthropometry and computed tomography. Am J Clin Nutr 45:7–13

    CAS  PubMed  Google Scholar 

  29. Sjöberg C, Ahnesjö A (2013) Multi-atlas based segmentation using probabilistic label fusion with adaptive weighting of image similarity measures. Comput Methods Programs Biomed 110(3):308–319

    Article  PubMed  Google Scholar 

  30. Sled J, Zijdenbos AP, Evans AC (1998) A nonparametric method for automatic correction of intensity nonuniformity in MRI data. IEEE Trans Med Imaging 17:87–97

    Article  CAS  PubMed  Google Scholar 

  31. van der Kooy K, Seidell JC (1993) Techniques for the measurement of visceral fat: a practical guide. Int J Obes Relat Metab Disord 17:187–196

    PubMed  Google Scholar 

  32. Wajchenberg BL (2000) Subcutaneous and visceral adipose tissue: their relation to the metabolic syndrome. Endocr Rev 21:697–738

    Article  CAS  PubMed  Google Scholar 

  33. Wilhelm Poll L, Wittsack HJ, Koch JA et al (2003) A rapid and reliable semiautomated method for measurement of total abdominal fat volumes using magnetic resonance imaging. Magn Reson Imaging 21:631–636

    Article  PubMed  Google Scholar 

  34. Xu C, Prince JL (1998) Snakes, shapes, and gradient vector flow. IEEE Trans Image Process 7:359–369

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

The work described in this paper was supported by Grants from the Research Grants Council of the Hong Kong Special Administrative Region, China (Project Nos. CUHK 416712, 14113214, 473012, and SEG_CUHK02), Knowledge Transfer Fund at CUHK (Project ID: TBF14MED009), a grant from Lui Che Woo Foundation, and a grant from Shenzhen Science and Technology Innovation Committee (Project No. CXZZ20140606164105361).

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Correspondence to Lin Shi or Winnie C. W. Chu.

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Wang, D., Shi, L., Chu, W.C.W. et al. Fully automatic and nonparametric quantification of adipose tissue in fat–water separation MR imaging. Med Biol Eng Comput 53, 1247–1254 (2015). https://doi.org/10.1007/s11517-015-1347-y

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  • DOI: https://doi.org/10.1007/s11517-015-1347-y

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