MagicMagic-55 Medical Applications in a GRID Infrastructure Connection

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MagicMagic-55 Medical Applications in a GRID Infrastructure Connection
Magic-5
        Medical Applications
 in a GRID Infrastructure Connection

                                           Ivan De Mitri*
                                  on behalf of MAGIC-5 collaboration

                          *Dipartimento di Fisica dell’Università di Lecce and
                          Istituto Nazionale di Fisica Nucleare, Sez. di Lecce
                                         ivan.demitri@le.infn.it

TCN CAE 2005
International Conference on CAE and Computational Technologies for Industry
Lecce, October 2005
MagicMagic-55 Medical Applications in a GRID Infrastructure Connection
What is Magic-5?
     INFN project             (Medical Applications in a GRID Infrastructure Connection)

               • Development of software tools for medical applications:
                        o 2D-3D Image Analysis
                        o Computer Assisted Diagnosis (CAD)
               • Grid virtual organization (distributed databases and code)

INFN:                    Bari, Cagliari/Sassari, Catania/Palermo, Lecce, Napoli, Pisa, Torino/Alessandria
Universities:            Bari, Genova, Lecce, Napoli, Palermo, Piemonte Orientale, Pisa, Sassari
Hospitals:               Alessandria, Bari, (Lecce), Livorno, Milano, Napoli, Palermo, Pisa, Sassari, Torino, Udine

International Collaborations: Centro de Applicaciones Tecnologicas y Desarrollo Nuclear (CEADEN) ,
                                            La Habana, Cuba
                                            ALICE collaboration (CERN)
Agreement with BRACCO.

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MagicMagic-55 Medical Applications in a GRID Infrastructure Connection
Magic-5 chronology
CALMA (Computer Assisted Library for Mammography)
Study of image analysis algorithms for computer assisted diagnosis in mammographic
screening. Development of an annotated mammographic database.

GP-CALMA (GRID Platform CALMA)
Implementation of a GRID prototype for accessing the database
(e.g. for remote diagnosis, training, …. )

MAGIC-5
Refinement of Mammographic (2D) image analysis algorithms
Extended development of the GRID-ware and the GUI. (GPCALMA VO)
Study of 3D image analysis algorithms and setting up of a distributed lung CT images
database. (VO ANPI)
Apply GRID facilities to PET image analysis for an early diagnosy of Alzheimer Desease

 3   I. De Mitri - Magic-5
MagicMagic-55 Medical Applications in a GRID Infrastructure Connection
MAGIC-5 activity

 The medical applications of the MAGIC-5
 project cover at present three main fields:
 1. breast cancer detection in mammograms
 2. nodule detection in lung CT images
 3. the diagnosis of the Alzheimer disease (AD)

…of course by using the GRID !

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MagicMagic-55 Medical Applications in a GRID Infrastructure Connection
GPCALMA CAD Station

Massive Lesion Microcalcifications   • Image Selection
                                     • Image manipulation
                                     • Metadata insertion
                                     • Diagnosis insertion
                                     • CAD execution
                                     • Data Registration
                                     • Data Search

                                     • Installations
                                        Hospitals:
                                          Torino
                                          Palermo
                                          (Lecce)
                                        INFN-Universities:
                                          Bari, Lecce, Napoli,
                                          Palermo,Torino, Sassari

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MagicMagic-55 Medical Applications in a GRID Infrastructure Connection
… more details

9 determination of
ROIs (Region Of
Interest)
9 analysis of several
ROIs features
9 discrimination
between normal and
abnormal patterns

  6   I. De Mitri - Magic-5
The GRID approach
     The example of mammographic screening

               –   4 mammograms (about 60 MB) per exam
               –   In Italy: 6.8 millions of women in the 49-69 age range
               –   1 exam / (2 years), gives 3.4 M scans per year, ≈ 200 TB/year
               –   In Europe: about 1 PB/year

    Therefore…
          1.       … we are facing with an intrinsically distributed database (hospitals) with…
          2.       … a huge amount of data
          3.       … which must reside in a secure environment
          4.       … and have to be accessed interactively and remotely
          5.       … in order to share common datasets for algorithm comparison and validation
          6.       … with the possibility to use also a meta-data catalogue

                                                                              GRID!
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Tele-diagnosis for breast cancer screening

              Data Collection Centre        Data & MetaData Catalogue

                                                         Diagnostic Centre

 1 - Data                                    4 - Transfer
 Collection                                 Selected Data
                                   3 - Run CAD          5 - Interactive
                                     remotely             Diagnosis

 2 - Data Registration
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….the prototype solutions

Share the images without (systematically) moving them (move code, not data!)

                                     PROOF ( http://root.cern.ch )

Access control
Distributed database management
Computational resources management

                                         AliEn ( http://alien.cern.ch )

     One of the future prospects of our project is the migration from AliEn to the EGEE/gLite
     middleware, which might become a European standard, in the case it will provide more
                sophisticated tools with respect to the present AliEn functionality.

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High-Level Interface to Data
Management Services
                                         Catalogue query

                              Patient
                              creation

                                                 Image
                                                 registration

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Status of GPCALMA
(the mammographic CAD)

                              The basic functionality is available and tested
                              Prototype based on:
                                AliEn for Data Management
                                PROOF for interactive remote analysis
                              Data are analysed where taken
                      Demos at SC2003, HG2004, IEEE2004
       The near future:
 ¾ set up local CAD station in more hospitals
 ¾ operate it locally
 ¾ keep improving the algorithm performances
 ¾ move to EGEE/gLite as Grid Service Provider?
 ¾ Yes, but we need:
    ¾ single-VO mode & easy installation/configuration - run in hospitals
    ¾ reliable Data Management and Storage Element Services
    ¾ access GRID Services from GUI application

 11   I. De Mitri - Magic-5
Nodule detection in lung CT
scans
      Two initial steps have been already implemented:
      1. automated extraction of the pulmonary parenchyma;
      2. detection of nodule candidates based on a dot-enhancement filter

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A “sw developer” GUI

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The GUI prototype
Graphic User Interface
slices browsing
DICOMDIR
 decoding
 splitting
Metadata management

                             Region growing

                             Preliminary
                             Algorithm

3d - reconstruction of                        3d visualization under study
Vessel tree in the lung

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The case of the Alzheimer
desease
The quantitative comparison,
through the SPM (Statistical
    Parametric Mapping)
  software, of PET images
from suspected AD patients
   with images of “normal”
   cases, allows powerful
 suggestions to an early AD
          diagnosis.

  The use of an integrated
 GRID environment for the
   remote and distributed
   processing of the PET
 images at a large scale, is
     strongly desirable.
This application is now being
implemented in the MAGIC-5
    GRID infrastructure.

  15   I. De Mitri - Magic-5
Summary …
 9 The AliEn server managing the VO services has been installed and configured. Moreover
 some AliEn clients already in use.
 9 The remote analysis of mammographic images successfully works, thanks to the PROOF
 facilities.
 9 All blocks required for the tele-diagnosis and screening use cases are integrated into a
 working prototype system

     … and Future plans
 9 Further improvements of the mammographic CAD are under study, showing promising
 results
 9 New algorithms are being successfully developed in lung CT image analysis for early
 nodule detection
 9A new VO is now being implemented in order to manage the PET image analysis for an
 early AD diagnosis

                                   Industrial applications
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