C.03 Deformation-based morphometry analysis of longitudinal low-grade glioma growth

Background: Diffuse low-grade gliomas (LGGs) are primary brain tumours with infiltrative, anisotropic growth related to surrounding white and grey matter structures. Deformation-based morphometry (DBM) is a simple and objective image analysis method that can identify areas of local volume change over time. In this study, we illustrate the use of DBM to study the local expansion patterns of LGGs monitored by serial magnetic resonance imaging (MRI). Methods: We developed an image processing pipeline optimized for the study of LGG growth involving the fusion of follow-up MRIs for a given patient into an average template space using nonlinear registration. The displacement maps derived from nonlinear registration were converted to Jacobian maps, which estimate local tissue expansion and contraction over time. Results: Our results demonstrate that neoplastic growth occurs primarily around the edges of the tumour while the lesion core and areas adjacent to obstacles, such as the skull, show no significant expansion. Regions of normal brain tissue surrounding the lesion show slight contraction over time, representing compression due to mass effect of the tumour. Conclusions: DBM is a useful tool to understand the long-term clinical course of individual tumours and identify areas of rapid growth, which may explain the current presentation and/or predict future symptoms.

High resolution nonlinear registration with simultaneous modelling of intensities

This paper describes and evaluates FMRIB’s nonlinear image registration tool (FNIRT), that is part of the FMRIB software library (FSL). It is a small deformation framework using sum of squared differences (SSD) as its cost function and Gauss-Newton for minimisation. The framework uses a joint shape and intensity model that attempts to explain the observed differences between two images in terms of having different shape and/or contrast, being differently affected by intensity bias-fields etc. Thus the estimation of the warps will be relatively unaffected by intensity differences that would otherwise violate the assumptions behind the SSD cost function. It uses a projection onto a manifold defined by a specified range of allowed Jacobian determinants to ensure that the warps are diffeomorphic. The utility of the model is demonstrated on a variety of simulated and experimental data with good results. FNIRT is also quantitatively evaluated using previously published datasets consisting of scans from multiple subjects, all with anatomically defined brain regions that are manually outlined. In this evaluation FNIRT performs well in comparison to previously published results with other registration algorithms.