VCBM 19: Eurographics Workshop on Visual Computing for Biology and Medicine

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https://diglib.eg.org/handle/10.2312/2632802

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Colonic Content Assessment from MRI Imaging Using a Semi-automatic Approach
(The Eurographics Association, 2019) Ceballos, Victor; Monclús, Eva; Vázquez, Pere-Pau; Bendezú, Álvaro; Mego, Marianela; Merino, Xavier; Azpiroz, Fernando; Navazo, Isabel; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
The analysis of the morphology and content of the gut is necessary in order to achieve a better understanding of its metabolic and functional activity. Magnetic resonance imaging (MRI) has become an important imaging technique since it is able to visualize soft tissues in an undisturbed bowel using no ionizing radiation. In the last few years, MRI of gastrointestinal function has advanced substantially. However, few studies have focused on the colon, because the analysis of colonic content is time consuming and cumbersome. This paper presents a semi-automatic segmentation tool for the quantitative assessment of the unprepared colon from MRI images. The techniques developed here have been crucial for a number of clinical experiments.
preha: Establishing Precision Rehabilitation with Visual Analytics
(The Eurographics Association, 2019) Bernold, Georg; Matkovic, Kresimir; Gröller, Eduard; Raidou, Renata Georgia; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
This design study paper describes preha, a novel visual analytics application in the field of in-patient rehabilitation. We conducted extensive interviews with the intended users, i.e., engineers and clinical rehabilitation experts, to determine specific requirements of their analytical process.We identified nine tasks, for which suitable solutions have been designed and developed in the flexible environment of kibana. Our application is used to analyze existing rehabilitation data from a large cohort of 46,000 patients, and it is the first integrated solution of its kind. It incorporates functionalities for data preprocessing (profiling, wrangling and cleansing), storage, visualization, and predictive analysis on the basis of retrospective outcomes. A positive feedback from the first evaluation with domain experts indicates the usefulness of the newly proposed approach and represents a solid foundation for the introduction of visual analytics to the rehabilitation domain.
VCBM 2019: Frontmatter
(Eurographics Association, 2019) Kozlíková, Barbora; Raidou, Renata Georgia; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
Visual Analytics in Digital Pathology: Challenges and Opportunities
(The Eurographics Association, 2019) Corvò, Alberto; Westenberg, Michel A.; Wimberger-Friedl, Reinhold; Fromme, Stephan; Peeters, Michel M. R.; Driel, Marc A. van; Wijk, Jarke J. van; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
The advances in high-throughput digitization, digital pathology systems, and quantitative image analysis opened new horizons in pathology. The diagnostic work of the pathologists and their role is likely to be augmented with computer-assistance and more quantitative information at hand. The recent success of artificial intelligence (AI) and computer vision methods demonstrated that in the coming years machines will support pathologists in typically tedious and highly subjective tasks and also in better patient stratification. In spite of clear future improvements in the diagnostic workflow, questions on how to effectively support the pathologists and how to integrate current data sources and quantitative information still persist. In this context, Visual Analytics (VA) - as the discipline that aids users to solve complex problems with an interactive and visual approach - can play a vital role to support the cognitive skills of pathologists and the large volumes of data available. To identify the main opportunities to employ VA in digital pathology systems, we conducted a survey with 20 pathologists to characterize the diagnostic practice and needs from a user perspective. From our findings, we discuss how VA can leverage quantitative image data to empower pathologists with new advanced digital pathology systems.
Pelvis Runner: Visualizing Pelvic Organ Variability in a Cohort of Radiotherapy Patients
(The Eurographics Association, 2019) Grossmann, Nicolas; Casares-Magaz, Oscar; Muren, Ludvig Paul; Moiseenko, Vitali; Einck, John P.; Gröller, Eduard; Raidou, Renata Georgia; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
In radiation therapy, anatomical changes in the patient might lead to deviations between the planned and delivered dose- including inadequate tumor coverage, and overradiation of healthy tissues. Exploring and analyzing anatomical changes throughout the entire treatment period can help clinical researchers to design appropriate treatment strategies, while identifying patients that are more prone to radiation-induced toxicity. We present the Pelvis Runner, a novel application for exploring the variability of segmented pelvic organs in multiple patients, across the entire radiation therapy treatment process. Our application addresses (i) the global exploration and analysis of pelvic organ shape variability in an abstracted tabular view and (ii) the local exploration and analysis thereof in anatomical 2D/3D views, where comparative and ensemble visualizations are integrated. The workflow is based on available retrospective cohort data, which incorporate segmentations of the bladder, the prostate, and the rectum through the entire radiation therapy process. The Pelvis Runner is applied to four usage scenarios, which were conducted with two clinical researchers, i.e., medical physicists. Our application provides clinical researchers with promising support in demonstrating the significance of treatment plan adaptation to anatomical changes.
Hybrid Visualization of Protein-Lipid and Protein-Protein Interaction
(The Eurographics Association, 2019) Alharbi, Naif; Krone, Michael; Chavent, Matthieu; Laramee, Robert S.; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
In the Molecular Dynamics (MD) visualization literature, different approaches are utilized to study protein-lipid interactions (PLI) and protein-protein interaction (PPI) in decoupled contexts. However, the two types of interaction occur in the same space-time domain. It is beneficial to study the PLI and PPI in a unified context. Nevertheless, the simulation's size, length, and complexity increase the challenge of understanding the dynamic behavior. We propose a novel framework consisting of four linked views, a time-dependent 3D view, a novel hybrid view, a clustering timeline, and a details-on-demand window. We introduce a selection of visual designs to convey the behavior of PLI and PPI through a unified coordinate system. Abstraction is used to present proteins in hybrid 2D space, a projected tiled space is used to present both PLI and PPI at the particle level in a heat-map style visual design while glyphs are used to represent PPI at the molecular level. We couple visually separable visual designs in a unified coordinate space. The result lets the user study both PLI and PPI separately or together in a unified visual analysis framework. We also exemplify its use with case studies focusing on protein clustering and we report domain expert feedback.
Robustness Evaluation of CFD Simulations to Mesh Deformation
(The Eurographics Association, 2019) Scheid-Rehder, Alexander; Lawonn, Kai; Meuschke, Monique; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
CFD simulations are an increasingly important method for the non-invasive analysis of risk factors for aneurysm rupture. Their robustness, however, has to be examined more thoroughly before clinical use is possible. We present a novel framework that enables robustness evaluation of CFD simulation according to mesh deformation on patient-specific blood vessel geometry. Our tool offers a guided workflow to generate, run, and visualize OpenFOAM simulations, which significantly decreases the usual overhead of CFD simulations with OpenFOAM. Besides, the deformation of the original geometry allows the user to evaluate the robustness of the simulation without the need to repeat expensive operations of the data pre-processing phase. We assessed the robustness of CFD simulations by applying our framework to several aneurysm data sets.
Interactive CPU-based Ray Tracing of Solvent Excluded Surfaces
(The Eurographics Association, 2019) Rau, Tobias; Zahn, Sebastian; Krone, Michael; Reina, Guido; Ertl, Thomas; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
Depictions of molecular surfaces such as the Solvent Excluded Surface (SES) can provide crucial insight into functional molecular properties, such as the molecule's potential to react. The interactive visualization of single and multiple molecule surfaces is essential for the data analysis by domain experts. Nowadays, the SES can be rendered at high frame rates using shader-based ray casting on the GPU. However, rendering large molecules or larger molecule complexes requires large amounts of memory that has the potential to exceed the memory limitations of current hardware. Here we show that rendering using CPU ray tracing also reaches interactive frame rates without hard limitations to memory. In our results large molecule complexes can be rendered with only the precomputation of each individual SES, and no further involved representation or transformation. Additionally, we provide advanced visualization techniques like ambient occlusion opacity mapping (AOOM) to enhance the comprehensibility of the molecular structure. CPU ray tracing not only provides very high image quality and global illumination, which is beneficial for the perception of spatial structures, it also opens up the possibility to visualize larger data sets and to render on any HPC cluster. Our results demonstrate that simple instancing of geometry keeps the memory consumption for rendering large molecule complexes low, so the examination of much larger data is also possible.
Feasibility Study For Automatic Bird Tracking and Visualization from Time-Dependent Marine Radar Imagery
(The Eurographics Association, 2019) Ganglberger, Florian; Bühler, Katja; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
In recent years, radar technology has increasingly been used for the monitoring of bird migration. Marine radars are often utilized for this purpose because of their wide accessibility, range, and resolution. They allow the tracking of birds even at night-when most bird migration takes place-over extended periods of time. This creates a wealth of radar images, for which manual annotation of bird tracks is not feasible. We propose a tool for automatic bird tracking and visualization from marine radar imagery. For this purpose, we developed a bird tracking algorithm for vertically recorded radar images that is able to extract quantitative parameters including flight direction, height, and duration. The results can be qualitatively verified by a visualization design that enables domain experts the time-dependent visualization of bird tracks. Furthermore, it allows a preprocessing of radar images taken by screen capturing for device independence. Our tool was used in an ornithological monitoring study to analyze over 200.000 vertically recorded radar images taken in multiple observation periods and locations.
A Visual Environment for Hypothesis Formation and Reasoning in Studies with fMRI and Multivariate Clinical Data
(The Eurographics Association, 2019) Jönsson, Daniel; Bergström, Albin; Forsell, Camilla; Simon, Rozalyn; Engström, Maria; Ynnerman, Anders; Hotz, Ingrid; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
We present an interactive visual environment for linked analysis of brain imaging and clinical measurements. The environment is developed in an iterative participatory design process involving neuroscientists investigating the causes of brain-related complex diseases. The hypotheses formation process about correlations between active brain regions and physiological or psychological factors in studies with hundreds of subjects is a central part of the investigation. Observing the reasoning patterns during hypotheses formation, we concluded that while existing tools provide powerful analysis options, they lack effective interactive exploration, thus limiting the scientific scope and preventing extraction of knowledge from available data. Based on these observations, we designed methods that support neuroscientists by integrating their existing statistical analysis of multivariate subject data with interactive visual exploration to enable them to better understand differences between patient groups and the complex bidirectional interplay between clinical measurement and the brain. These exploration concepts enable neuroscientists, for the first time during their investigations, to interactively move between and reason about questions such as 'which clinical measurements are correlated with a specific brain region?' or 'are there differences in brain activity between depressed young and old subjects?'. The environment uses parallel coordinates for effective overview and selection of subject groups, Welch's t-test to filter out brain regions with statistically significant differences, and multiple visualizations of Pearson correlations between brain regions and clinical parameters to facilitate correlation analysis. A qualitative user study was performed with three neuroscientists from different domains. The study shows that the developed environment supports simultaneous analysis of more parameters, provides rapid pathways to insights, and is an effective support tool for hypothesis formation.
HIFUpm: a Visual Environment to Plan and Monitor High Intensity Focused Ultrasound Treatments
(The Eurographics Association, 2019) Modena, Daniela; Bassano, Davide; Elevelt, Aaldert; Baragona, Marco; Hilbers, Peter A. J.; Westenberg, Michel A.; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
High Intensity Focused Ultrasound (HIFU) is a non invasive therapeutic method, which has been a subject of interest for the treatment of various kinds of tumors. Despite the numerous advantages, HIFU techniques do not reach the high delivery precision like other therapies (e.g., radiotherapy). For this reason, a correct therapy planning and monitoring in HIFU treatments remains a challenge. We propose HIFUpm, a visual analytics approach which enables the visualization of the HIFU simulation results, while guiding the user in the evaluation of the procedure. We illustrate the use of HIFUpm for an ablative treatment of an osteoid osteoma. This use case demonstrates that HIFUpm provides a flexible visual environment to plan and monitor HIFU procedures.
MedUse: A Visual Analysis Tool for Medication Use Data in the ABCD Study
(The Eurographics Association, 2019) Bartsch, Hauke; Garrison, Laura; Bruckner, Stefan; Wang, Ariel; Tapert, Susan F.; Grüner, Renate; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
The RxNorm vocabulary is a yearly-published biomedical resource providing normalized names for medications. It is used to capture medication use in the Adolescent Brain Cognitive Development (ABCD) study, an active and publicly available longitudinal research study following 11,800 children over 10 years. In this work, we present medUse, a visual tool allowing researchers to explore and analyze the relationship of drug category to cognitive or imaging derived measures using ABCD study data. Our tool provides position-based context for tree traversal and selection granularity of both study participants and drug category. Developed as part of the Data Exploration and Analysis Portal (DEAP), medUse is available to more than 600 ABCD researchers world-wide. By integrating medUse into an actively used research product we are able to reach a wide audience and increase the practical relevance of visualization for the biomedical field.
Distance Field Visualization and 2D Abstraction of Vessel Tree Structures with on-the-fly Parameterization
(The Eurographics Association, 2019) Lichtenberg, Nils; Krayer, Bastian; Hansen, Christian; Müller, Stefan; Lawonn, Kai; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
In this paper, we make contributions to the visualization of vascular structures. Based on skeletal input data, we provide a combined 2D and implicit 3D visualization of vasculature, that is parameterized on-the-fly for illustrative visualization. We use an efficient algorithm that creates a distance field volume from triangles and extend it to handle skeletal tree data. Spheretracing this volume allows to visualize the vasculature in a flexible way, without the need to recompute the volume. Illustrative techniques, that have been frequently applied to vascular visualizations often require texture coordinates. Therefore, modifying an object-based algorithm, we propose an image-based, hierarchical optimization process that allows to derive periodic texture coordinates in a frame-coherent way and suits the implicit representation of the vascular structures. In addition to the 3D surface visualization, we propose a simple layout algorithm that applies a 2D parameterization to the skeletal tree nodes. This parameterization can be used to color-code the vasculature or to plot a 2D overview-graph, that highlights the branching topology of the skeleton. We transfer measurements, done in 3D space, to the 2D plot in order to avoid visual clutter and self occlusions in the 3D representation. A visual link between the 3D and 2D views is established via color codes and texture patterns. The potential of our pipeline is shown in several prototypical application scenarios.
Evolutionary Pathlines for Blood Flow Exploration in Cerebral Aneurysms
(The Eurographics Association, 2019) Behrendt, Benjamin; Engelke, Wito; Berg, Philipp; Beuing, Oliver; Preim, Bernhard; Hotz, Ingrid; Saalfeld, Sylvia; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
Blood flow simulations play an important role for the understanding of vascular diseases, such as aneurysms. However, analysis of the resulting flow patterns, especially comparisons across patient groups, are challenging. Typically, the hemodynamic analysis relies on trial and error inspection of the flow data based on pathline visualizations and surface renderings. Visualizing too many pathlines at once may obstruct interesting features, e.g., embedded vortices, whereas with too little pathlines, particularities such as flow characteristics in aneurysm blebs might be missed. While filtering and clustering techniques support this task, they require the pre-computation of pathlines densely sampled in the space-time domain. Not only does this become prohibitively expensive for large patient groups, but the results often suffer from undersampling artifacts. In this work, we propose the usage of evolutionary algorithms to reduce the overhead of computing pathlines that do not contribute to the analysis, while simultaneously reducing the undersampling artifacts. Integrated in an interactive framework, it efficiently supports the evaluation of hemodynamics for clinical research and treatment planning in case of cerebral aneurysms. The specification of general optimization criteria for entire patient groups allows the blood flow data to be batch-processed. We present clinical cases to demonstrate the benefits of our approach especially in presence of aneurysm blebs. Furthermore, we conducted an evaluation with four expert neuroradiologists. As a result, we report advantages of our method for treatment planning to underpin its clinical potential.
SpectraMosaic: An Exploratory Tool for the Interactive Visual Analysis of Magnetic Resonance Spectroscopy Data
(The Eurographics Association, 2019) Garrison, Laura; Vašíček, Jakub; Grüner, Renate; Smit, Noeska N.; Bruckner, Stefan; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
Magnetic resonance spectroscopy (MRS) allows for assessment of tissue metabolite characteristics used often for early detection and treatment evaluation of brain-related pathologies. However, a steep learning curve for metabolite interpretation, paired with limited visualization tools, have constrained the more widespread adoption of MRS in clinical practice. In this design study, we collaborated with domain experts to design a novel visualization tool for the exploration of tissue metabolite concentration ratios in MRS clinical and research studies. We present a data and task analysis for this domain, with categorization of MRS data attributes into tiers of visual priority. We furthermore introduce a novel set of visual encodings for these attributes. Our result is SpectraMosaic (Figure 1), an interactive insight-generation tool for rapid exploration and comparison of metabolite ratios. We validate our approach with two case studies from MR spectroscopy experts, providing early qualitative evidence of the efficacy of the system and affording deeper insights into these complex data.
A Visual Analytics Approach for Patient Stratification and Biomarker Discovery
(The Eurographics Association, 2019) Alemzadeh, Shiva; Kromp, Florian; Preim, Bernhard; Taschner-Mandl, Sabine; Bühler, Katja; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
We introduce discoVA as a visual analytics tool for the refinement of risk stratification of cancer patients and biomarker discovery. Currently, tools for the joint analysis of multiple biological and clinical information in this field are insufficient or lacking. Our tool fills this gap by enabling bio-medical experts to explore datasets of cancer patient cohorts. By using multiple coordinated visualization techniques, nested visual queries on various data types can be performed to generate/prove a hypothesis by identifying discrete sub-cohorts. We demonstrated the utility of discoVA by a case study involving bio-medical researchers.
InkVis: A High-Particle-Count Approach for Visualization of Phase-Contrast Magnetic Resonance Imaging Data
(The Eurographics Association, 2019) de Hoon, Niels; Lawonn, Kai; Jalba, Andrei; Eisemann, Elmar; Vilanova, Anna; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
Phase-Contrast Magnetic Resonance Imaging (PC-MRI) measures volumetric and time-varying blood flow data, unsurpassed in quality and completeness. Such blood-flow data have been shown to have the potential to improve both diagnosis and risk assessment of cardiovascular diseases (CVDs) uniquely. Typically PC-MRI data is visualized using stream- or pathlines. However, time-varying aspects of the data, e.g., vortex shedding, breakdown, and formation, are not sufficiently captured by these visualization techniques. Experimental flow visualization techniques introduce a visible medium, like smoke or dye, to visualize flow aspects including time-varying aspects. We propose a framework that mimics such experimental techniques by using a high number of particles. The framework offers great flexibility which allows for various visualization approaches. These include common traditional flow visualizations, but also streak visualizations to show the temporal aspects, and uncertainty visualizations. Moreover, these patient-specific measurements suffer from noise artifacts and a coarse resolution, causing uncertainty. Traditional flow visualizations neglect uncertainty and, therefore, may give a false sense of certainty, which can mislead the user yielding incorrect decisions. Previously, the domain experts had no means to visualize the effect of the uncertainty in the data. Our framework has been adopted by domain experts to visualize the vortices present in the sinuses of the aorta root showing the potential of the framework. Furthermore, an evaluation among domain experts indicated that having the option to visualize the uncertainty contributed to their confidence on the analysis.
A Web-based Application for the Visual Exploration of Colon Morphology Data
(The Eurographics Association, 2019) Males, Jan; Monclús, Eva; Díaz, Jose; Vázquez, Pere-Pau; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
The colon is an organ whose constant motility poses difficulties to its analysis. Although morphological data can be successfully extracted from Computational Tomography, its radiative nature makes it only indicated for patients with disorders. Only recently, acquisition techniques that rely on the use of Magnetic Resonance Imaging have matured enough to enable the generation of morphological colon data of healthy patients without preparation (i. e. administration of drugs or contrast agents). As a result, a database of colon morphological data for patients under different diets, has been created. Currently, the digestologists we collaborate with analyze the measured data of the gut by inspecting a set of spreadsheets. In this paper, we propose a system for the exploratory visual analysis of the whole database of morphological data at once. It provides features for the visual comparison of data correlations, the inspection of the morphological measures, as well 3D rendering of the colon segmented models. The system solely relies on the use of web technologies, which makes it portable even to mobile devices.
Medical Animations: A Survey and a Research Agenda
(The Eurographics Association, 2019) Preim, Bernhard; Meuschke, Monique; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
Animation is a potentially powerful instrument to convey complex information with movements, smooth transitions between different states that employ the strong human capabilities to perceive and interpret motion. Animation is a natural choice to display time-dependent data where the dynamic nature of the data is mapped to a kind of video (temporal animation). Clipping planes may be smoothly translated and object transparency adapted to control visibility and further support emphasis of spatial relations, e.g. around a tumor. Animation, however, may also be employed for static data, e.g. to move a camera along a predefined path to convey complex anatomical structures. Virtual endoscopy, where the virtual camera is moved inside an air-filled or fluid-filled structure is a prominent example for these non-temporal animations. Animations, however, are complex visualizations that may depict a larger number of changes in a short period of time. Thus, they need to be assessed in their capability to actually convey information. In this paper, we give a survey of temporal and non-temporal animated visualizations focussed on medical applications and discuss the research potential that arises. To be employed more widely, cognitive limitations, e.g. change blindness, need to be considered. The reduction of complexity in temporal animations is an essential topic to enable the detection and interpretation of changes. Emphasis techniques may guide the user's attention and improve the perception of essential features. Finally, interaction beyond the typical video recorder functionality is considered. Although our focus is medicine, the discussion of a research agenda is partially based on cartography, where animation is widely used.
DockVis: Visual Analysis of Molecular Docking Data
(The Eurographics Association, 2019) Furmanová, Katarína; Kozlíková, Barbora; Vonásek, Vojtěch; Byška, Jan; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
Molecular docking is one of the key mechanisms for predicting possible interactions between ligands and proteins. This highly complex task can be simulated by several software tools, providing the biochemists with possible ligand trajectories, which have to be subsequently explored and evaluated for their biochemical relevance. This paper focuses on aiding this exploration process by introducing DockVis visual analysis tool. DockVis operates primarily with the multivariate output data from one of the latest available tools for molecular docking, CaverDock. CaverDock output consists of several parameters and properties, which have to be subsequently studied and understood. DockVis was designed in tight collaboration with protein engineers using the CaverDock tool. However, we believe that the concept of DockVis can be extended to any other molecular docking tool providing the users with corresponding computation results.

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