Segmentation and analysis of the human airway tree from three-dimensional X-ray CT images

Deniz Aykac, Eric A. Huffman, Geoffrey McLennan, Joseph M. Reinhardt

Research output: Contribution to journalArticlepeer-review

212 Scopus citations

Abstract

The lungs exchange air with the external environment via the pulmonary airways. Computed tomography (CT) scanning can be used to obtain detailed images of the pulmonary anatomy, including the airways. These images have been used to measure airway geometry, study airway reactivity, and guide surgical interventions. Prior to these applications, airway segmentation can be used to identify the airway lumen in the CT images. Airway tree segmentation can be performed manually by an image analyst, but the complexity of the tree makes manual segmentation tedious and extremely time-consuming. We describe a fully automatic technique for segmenting the airway tree in three-dimensional (3-D) CT images of the thorax. We use grayscale morphological reconstruction to identify candidate airways on CT slices and then reconstruct a connected 3-D airway tree. After segmentation, we estimate airway branchpoints based on connectivity changes in the reconstructed tree. Compared to manual analysis on 3-mm-thick electron-beam CT images, the automatic approach has an overall, airway branch detection sensitivity of approximately 73%.

Original languageEnglish
Pages (from-to)940-950
Number of pages11
JournalIEEE Transactions on Medical Imaging
Volume22
Issue number8
DOIs
StatePublished - Aug 2003

Funding

Manuscript received December 5, 2002; revised January 10, 2003. This work was supported in part by a Biomedical Engineering Research Grant from the Whitaker Foundation, in part by a CAREER Award from the National Science Foundation (NSF), and in part by the National Institutes of Health (NIH) under Grant HL64368-01 and Grant HL60158-02. The Associate Editor responsible for coordinating the review of this paper and recommending its publication was P. Cinquin. Asterisk indicates corresponding author.

FundersFunder number
National Science Foundation
National Institutes of HealthHL60158-02, HL64368-01
National Heart, Lung, and Blood InstituteR01HL060158
Whitaker Foundation

    Keywords

    • Airway segmentation
    • Pulmonary imaging
    • Volumetric imaging
    • X-ray CT

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