An improved algorithm for the automatic isolation of lungs in CT studies

The complexity of detecting pulmonary nodules has led to the development of Computer Aided Systems (CAD) that automate and reduce the cost of this task. The first phase of such systems usually consists in preprocessing the Computer Tomography (CT) scans, with the aim of segmenting the lungs and eliminating the elements that might interfere with the process. This paper presents an automatic method for the segmentation of lungs into three-dimensional pulmonary high resolution CT images. The proposed method has three main steps, that combine both 3D and 2D techniques. Firstly the trachea and the main airways are removed from the volume; then the lung region is segmented by grey-level thresholding, separating the right and left lungs if a junction is visible in the image, and the lung contour is smoothed; finally, a ”region growing” is applied using two seeds from each identified lung, avoiding as such the incorporation of other elements that do not belong to the lungs.

[1]  S. Armato,et al.  Automated lung segmentation for thoracic CT impact on computer-aided diagnosis. , 2004, Academic radiology.

[2]  N. Otsu A threshold selection method from gray level histograms , 1979 .

[3]  Wen Li,et al.  A Fast Automatic Method of Lung Segmentation in CT Images Using Mathematical Morphology , 2007 .

[4]  Y. Kawata,et al.  Computer-aided diagnosis for pulmonary nodules based on helical CT images , 1998, Proceedings. Fourteenth International Conference on Pattern Recognition (Cat. No.98EX170).

[5]  Xiao-Cheng Wu,et al.  Annual Report to the Nation on the Status of Cancer, 1975–2005, Featuring Trends in Lung Cancer, Tobacco Use, and Tobacco Control , 2008, Journal of the National Cancer Institute.

[6]  Hiroshi Fujita,et al.  Automated detection of pulmonary nodules in helical CT images based on an improved template-matching technique , 2001, IEEE Transactions on Medical Imaging.

[7]  Joseph M. Reinhardt,et al.  Automatic generation of object shape models and their application to tomographic image segmentation , 2001, SPIE Medical Imaging.

[8]  Richard C. Pais,et al.  The Lung Image Database Consortium (LIDC) and Image Database Resource Initiative (IDRI): a completed reference database of lung nodules on CT scans. , 2011, Medical physics.

[9]  Eric A. Hoffman,et al.  Automatic lung segmentation for accurate quantitation of volumetric X-ray CT images , 2001, IEEE Transactions on Medical Imaging.

[10]  Eric A. Hoffman,et al.  Automatic lung lobe segmentation in x-ray CT images by 3D watershed transform using anatomic information from the segmented airway tree , 2005, SPIE Medical Imaging.