Computational Medical Image Analysis : With a Focus on Real-Time fMRI and Non-Parametric Statistics

Functional magnetic resonance imaging (fMRI) is a prime example of multi-disciplinary research. Without the beautiful physics of MRI, there wouldnot be any images to look at in the first place. To obtain images of goodquality, it is necessary to fully understand the concepts of the frequencydomain. The analysis of fMRI data requires understanding of signal pro-cessing, statistics and knowledge about the anatomy and function of thehuman brain. The resulting brain activity maps are used by physicians,neurologists, psychologists and behaviourists, in order to plan surgery andto increase their understanding of how the brain works. This thesis presents methods for real-time fMRI and non-parametric fMRIanalysis. Real-time fMRI places high demands on the signal processing,as all the calculations have to be made in real-time in complex situations.Real-time fMRI can, for example, be used for interactive brain mapping.Another possibility is to change the stimulus that is given to the subject, inreal-time, such that the brain and the computer can work together to solvea given task, yielding a brain computer interface (BCI). Non-parametricfMRI analysis, for example, concerns the problem of calculating signifi-cance thresholds and p-values for test statistics without a parametric nulldistribution. Two BCIs are presented in this thesis. In the first BCI, the subject wasable to balance a virtual inverted pendulum by thinking of activating theleft or right hand or resting. In the second BCI, the subject in the MRscanner was able to communicate with a person outside the MR scanner,through a virtual keyboard. A graphics processing unit (GPU) implementation of a random permuta-tion test for single subject fMRI analysis is also presented. The randompermutation test is used to calculate significance thresholds and p-values forfMRI analysis by canonical correlation analysis (CCA), and to investigatethe correctness of standard parametric approaches. The random permuta-tion test was verified by using 10 000 noise datasets and 1484 resting statefMRI datasets. The random permutation test is also used for a non-localCCA approach to fMRI analysis