F.P. Siddiqui
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This thesis explores the integration of fiber tracking uncertainty visualization into neurosurgical workflow, aiming to enhance the interpretability and transparency of the results in a clinical context. A key challenge lies in balancing computational complexity with clear representation, while ensuring the solutions remain aligned with clinical workflows.
To address this, we introduce interactive and computationally efficient visualization approaches that represent uncertainties and support clinicians in understanding how fiber tracking results may vary with inherent uncertainties. These techniques are evaluated through collaborations with medical experts and incorporated into decisionmaking studies to assess their practical relevance.
The contributions presented in this thesis advance the integration of uncertainty into clinical fiber tracking visualization and highlight how embracing uncertainty, rather than ignoring it, can lead to safer and more informed clinical decisions. ...
This thesis explores the integration of fiber tracking uncertainty visualization into neurosurgical workflow, aiming to enhance the interpretability and transparency of the results in a clinical context. A key challenge lies in balancing computational complexity with clear representation, while ensuring the solutions remain aligned with clinical workflows.
To address this, we introduce interactive and computationally efficient visualization approaches that represent uncertainties and support clinicians in understanding how fiber tracking results may vary with inherent uncertainties. These techniques are evaluated through collaborations with medical experts and incorporated into decisionmaking studies to assess their practical relevance.
The contributions presented in this thesis advance the integration of uncertainty into clinical fiber tracking visualization and highlight how embracing uncertainty, rather than ignoring it, can lead to safer and more informed clinical decisions.
Diffusion Tensor Imaging (DTI) is a non-invasive magnetic resonance imaging technique that, combined with fiber tracking algorithms, allows the characterization and visualization of white matter structures in the brain. The resulting fiber tracts are used, for example, in tumor surgery to evaluate the potential brain functional damage due to tumor resection. The DTI processing pipeline from image acquisition to the final visualization is rather complex generating undesirable uncertainties in the final results. Most DTI visualization techniques do not provide any information regarding the presence of uncertainty. When planning surgery, a fixed safety margin around the fiber tracts is often used; however, it cannot capture local variability and distribution of the uncertainty, thereby limiting the informed decision-making process. Stochastic techniques are a possibility to estimate uncertainty for the DTI pipeline. However, it has high computational and memory requirements that make it infeasible in a clinical setting. The delay in the visualization of the results adds hindrance to the workflow. We propose a progressive approach that relies on a combination of wild-bootstrapping and fiber tracking to be used within the progressive visual analytics paradigm. We present a local bootstrapping strategy, which reduces the computational and memory costs, and provides fiber-tracking results in a progressive manner. We have also implemented a progressive aggregation technique that computes the distances in the fiber ensemble during progressive bootstrap computations. We present experiments with different scenarios to highlight the benefits of using our progressive visual analytic pipeline in a clinical workflow along with a use case and analysis obtained by discussions with our collaborators.