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Imaging Biomarkers Automated
 Structured Assembly Pipeline
          (IB-ASAP)


     CARLOS PÉREZ CASTILLO




                     www.cuantificacionquironvalencia.es
                              www.quiron.es
Digital Radiology

• The workspace of radiologists
  has changed dramatically with
  the development and                                            Engineers

  implementation of digital imaging          Radiologists




   Radiologist’s Workspace                                  Technology




                                        Multidisciplinary collaboration
                                                New workflows
                                              New challenges…
Imaging Biomarkers

 Objective characteristics extracted from
  medical images
 Indicators and measures of normal
  biological processes, diseases or
  responses to therapeutic interventions
 Obtained before a lesion or biological
  process becomes evident in the
  radiological observation, by analyzing
  properties and multivariate combination
  of medical images and data
 Non invasive
Purpose: Workflow improvement
Brain: Morphometry

 Sequence optimization for brain morphometry
Brain: Functional MRI




Schizophrenia      Brain injury           Other diseases
  Auditory         Patients with        Tumours, language
hallucinations   mobility restriction       disorders
Brain: Neuro-tractography




o Diffusion Tensor Imaging
o Neuronal Pathway
o Surgical Planning
Prostate: Diffusion


   microscopic mobility of tissue water




Healthy tissue              Pathological tissue
Prostate: Perfusion




          Overlay a
           vascular
         permeability
       parametric map
        on anatomical
            images
Prostate: Spectroscopy




Biochemical and metabolic profile of the gland.
Indicators of tumor presence :

    -increased choline

    - regional reduction in the levels of citrate
Data Pipeline
Workflow Description




   DICOM
                  Organized           Data                          Post-        Post-         Post-
 images and
                 data storage      preparation                   processing    Processing    Processing
data reception                                   Notifications
                      and                                        Algorithms     Results       Results
                 classification                                  Execution    Management    Management
IB-ASAP


 The developments have provided
  an innovative service that follows
  an organized process, as a proper
  technological support to leverage
  the usability and ease the
  development and
  implementation of quantitative
  imaging

 In addition, the software is fully
  automated, vendor independent
  and compatible with DICOM
  standards
cvREMOD (CENIT-E)

 Quantify and understand the
    mechanisms of cardiovascular
    remodeling, improving the
    knowledge of the
    pathophysiological mechanisms
   Apply new imaging and modeling
    technologies
   Help with diagnosis
   Optimize planning and
    personalized treatment decisions
   Improve the monitoring and
    prevention of future diseases
Thank you


 Supported by grants from SERAM (Sociedad
 Española de Radiología Médica)

 The authors also thank the Radiology Department of
 Hospital Quirón Valencia for their help and
 continuous support with image acquisition and for
 the clinical validation

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Carlos Perez Castillo - Imaging biomarkers automated structured

  • 1. Imaging Biomarkers Automated Structured Assembly Pipeline (IB-ASAP) CARLOS PÉREZ CASTILLO www.cuantificacionquironvalencia.es www.quiron.es
  • 2. Digital Radiology • The workspace of radiologists has changed dramatically with the development and Engineers implementation of digital imaging Radiologists Radiologist’s Workspace Technology Multidisciplinary collaboration New workflows New challenges…
  • 3. Imaging Biomarkers  Objective characteristics extracted from medical images  Indicators and measures of normal biological processes, diseases or responses to therapeutic interventions  Obtained before a lesion or biological process becomes evident in the radiological observation, by analyzing properties and multivariate combination of medical images and data  Non invasive
  • 5. Brain: Morphometry  Sequence optimization for brain morphometry
  • 6. Brain: Functional MRI Schizophrenia Brain injury Other diseases Auditory Patients with Tumours, language hallucinations mobility restriction disorders
  • 7. Brain: Neuro-tractography o Diffusion Tensor Imaging o Neuronal Pathway o Surgical Planning
  • 8. Prostate: Diffusion microscopic mobility of tissue water Healthy tissue Pathological tissue
  • 9. Prostate: Perfusion Overlay a vascular permeability parametric map on anatomical images
  • 10. Prostate: Spectroscopy Biochemical and metabolic profile of the gland. Indicators of tumor presence : -increased choline - regional reduction in the levels of citrate
  • 12. Workflow Description DICOM Organized Data Post- Post- Post- images and data storage preparation processing Processing Processing data reception Notifications and Algorithms Results Results classification Execution Management Management
  • 13. IB-ASAP  The developments have provided an innovative service that follows an organized process, as a proper technological support to leverage the usability and ease the development and implementation of quantitative imaging  In addition, the software is fully automated, vendor independent and compatible with DICOM standards
  • 14. cvREMOD (CENIT-E)  Quantify and understand the mechanisms of cardiovascular remodeling, improving the knowledge of the pathophysiological mechanisms  Apply new imaging and modeling technologies  Help with diagnosis  Optimize planning and personalized treatment decisions  Improve the monitoring and prevention of future diseases
  • 15. Thank you  Supported by grants from SERAM (Sociedad Española de Radiología Médica)  The authors also thank the Radiology Department of Hospital Quirón Valencia for their help and continuous support with image acquisition and for the clinical validation