MIDA: A multimodal imaging-based detailed anatomical model of the human head and neck

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Abstract

Computational modeling and simulations are increasingly being used to complement experimental testing for analysis of safety and efficacy of medical devices. Multiple voxel- and surface-based whole- and partial-body models have been proposed in the literature, typically with spatial resolution in the range of 1-2 mm and with 10-50 different tissue types resolved. We have developed a multimodal imaging-based detailed anatomical model of the human head and neck, named "MIDA". The model was obtained by integrating three different magnetic resonance imaging (MRI) modalities, the parameters of which were tailored to enhance the signals of specific tissues: i) structural T1- and T2-weighted MRIs; a specific heavily T2-weighted MRI slab with high nerve contrast optimized to enhance the structures of the ear and eye; ii) magnetic resonance angiography (MRA) data to image the vasculature, and iii) diffusion tensor imaging (DTI) to obtain information on anisotropy and fiber orientation. The unique multimodal high-resolution approach allowed resolving 153 structures, including several distinct muscles, bones and skull layers, arteries and veins, nerves, as well as salivary glands. The model offers also a detailed characterization of eyes, ears, and deep brain structures. A special automatic atlas-based segmentation procedure was adopted to include a detailed map of the nuclei of the thalamus and midbrain into the head model. The suitability of the model to simulations involving different numerical methods, discretization approaches, as well as DTI-based tensorial electrical conductivity, was examined in a case-study, in which the electric field was generated by transcranial alternating current stimulation. The voxel- and the surface-based versions of the models are freely available to the scientific community.

Figures

  • Fig 1. Structural MRI scans used for segmentation. Axial (left), coronal (middle), and sagittal (right) views of the T1- (top) and T2-weighted (bottom) structural MRIs. A specific T2-weighted MRI sequence with high nerve contrast optimized to enhance the structures of the ear and eye was also acquired (data not shown).
  • Fig 2. Vasculature information and DTI. Axial view of maximum intensity projection from the 3D TOF (left) and the 3D PCA (middle) MRA. The TOF was optimized to highlight blood flowing in the cranial direction, i.e., mostly arteries, whereas the velocity window of the PCA was chosen such to highlight mostly veins. On the right an axial view of the principal eigenvector map is shown. In the color-coded fiber map, red, green, and blue represent the principal diffusion directions. It is possible to distinguish the corpus callosum in red with its fibers running mostly in left-right direction and the internal capsule bundle in blue with fibers running mostly in superior-inferior direction. Diffusion imaging is not directly used for the segmentation and generation of the anatomical model, but it provides anisotropic electrical properties of the tissues for electromagnetic applications and nerve orientation.
  • Fig 3. T1- and T2-weighted MRI registration. Sagittal view of the registered and integrated T1- and T2-weighted MRIs. The contrast betweenWM, e.g., corpus callosum, and GM signals is higher in T1, while the CSF, e.g., ventricle, is enhanced in T2. The tissue segmentation was performed by reaping the benefits of both MRI datasets.
  • Fig 4. Segmentation procedure. (a) Coronal section of the T2-weighted MRI centered on the nasal region, (b) the result of the automatic segmentation of the nasal mucosa, nasal septum, and air cavity by means of a region growing technique (step ii), (c) the result of the segmentation after the application of semi-automatic smoothing algorithms (step iii), and (d) the final segmentation result after manual delineation of the bone (not captured automatically) and global manual refinement (step iv).
  • Table 1. List of the segmented structures.
  • Table 2. Nuclei obtained via atlas-based segmentation.
  • Fig 5. Final segmentation. Axial, coronal, and sagittal views of the outlines of the segmented head and neck structures (top row) and the color-coded label maps (bottom row).
  • Fig 6. 3D Surfaces. 3D reconstruction of a few representative structures of the head and neck. The muscles are shown with the skull structures. The vessels are shown both without and with the GM. The dura mater is shown on top of the brain and vessels.

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CITATION STYLE

APA

Iacono, M. I., Neufeld, E., Akinnagbe, E., Bower, K., Wolf, J., Oikonomidis, I. V., … Angelone, L. M. (2015). MIDA: A multimodal imaging-based detailed anatomical model of the human head and neck. PLoS ONE, 10(4). https://doi.org/10.1371/journal.pone.0124126

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