Improved automated brachytherapy seed localization in trans-urethral ultrasound data

David R. Holmes, Richard A. Robb

Research output: Contribution to journalConference articlepeer-review

9 Scopus citations


The utility of Trans-urethral ultrasound(TUUS) for permanent prostate brachytherapy is dependent on the quality of the data acquired. Previous work on Trans-urethral ultrasound suggested that TUUS acquires higher quality images than Trans-rectal ultrasound. Manual segmentation of TUUS data limits the utility of TUUS intra-operative, however, automated segmentation methods can be used to reduce the processing time. This research describes a segmentation paradigm which incorporates a priori information about the implanted seeds in order to provide a reasonable segmentation. The segmentation framework incorporates information about the size, shape, and orientation of the seeds. The paradigm integrates this information using fuzzy inference rules. The results show that the automated method is at least 4 times faster than manual segmentation. The sensitivity and specificity of the method were 76% and 93%, respectively. The decrease sensitivity is acceptable because it is the specificity which is more critical in determining if adequate dose has been delivered. Future work with this method will increase accuracy by incorporating additional information about the seeds.

Original languageEnglish (US)
Pages (from-to)353-360
Number of pages8
JournalProceedings of SPIE - The International Society for Optical Engineering
StatePublished - 2004
EventProgress in Biomedical Optics and Imaging 2004 - Medical Imaging: Visualization, Image-Guided Procedures, and Display - San Diego, CA, United States
Duration: Feb 15 2004Feb 17 2004


  • Brachytherapy
  • Fuzzy logic
  • Intra-operative guidance
  • Segmentation
  • Trans-urethral ultrasound (TUUS)

ASJC Scopus subject areas

  • Electronic, Optical and Magnetic Materials
  • Condensed Matter Physics
  • Computer Science Applications
  • Applied Mathematics
  • Electrical and Electronic Engineering


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