Follow up of the Multiple Sclerosis Lesion's Evolution in Brain MRI by Automated Registration Approach

Magnetic Resonance Imaging is considered as a powerful tool for no-invasive diagnosis and description of brain pathologies. This is particularly the case of Multiple Sclerosis, for monitoring this disease and its treatment. Multiple sclerosis is an autoimmune inflammatory disease of the central nervous system which clinical markers are used today for diagnosis and for therapeutic evaluation. In order to automate a long and hard process for the clinician, we propose a semi-automatic segmentation approach of multi sclerosis lesions in longitudinal MRI sequences. We use firstly a robust algorithm that allows spatiotemporal extraction of these lesions by geodesic active contour model. Then, we recommend an original scheme based on an automated image registration technique for evaluating the evolution of the detected lesions. A quantitative study is presented in this paper to validate our results using the BrainWeb simulator. Very promising results are obtained in the case of clinical data.