180 research outputs found
Medical Image Analysis on Left Atrial LGE MRI for Atrial Fibrillation Studies: A Review
Late gadolinium enhancement magnetic resonance imaging (LGE MRI) is commonly
used to visualize and quantify left atrial (LA) scars. The position and extent
of scars provide important information of the pathophysiology and progression
of atrial fibrillation (AF). Hence, LA scar segmentation and quantification
from LGE MRI can be useful in computer-assisted diagnosis and treatment
stratification of AF patients. Since manual delineation can be time-consuming
and subject to intra- and inter-expert variability, automating this computing
is highly desired, which nevertheless is still challenging and
under-researched.
This paper aims to provide a systematic review on computing methods for LA
cavity, wall, scar and ablation gap segmentation and quantification from LGE
MRI, and the related literature for AF studies. Specifically, we first
summarize AF-related imaging techniques, particularly LGE MRI. Then, we review
the methodologies of the four computing tasks in detail, and summarize the
validation strategies applied in each task. Finally, the possible future
developments are outlined, with a brief survey on the potential clinical
applications of the aforementioned methods. The review shows that the research
into this topic is still in early stages. Although several methods have been
proposed, especially for LA segmentation, there is still large scope for
further algorithmic developments due to performance issues related to the high
variability of enhancement appearance and differences in image acquisition.Comment: 23 page
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Deep learning for cardiac image segmentation: A review
Deep learning has become the most widely used approach for cardiac image segmentation in recent years. In this paper, we provide a review of over 100 cardiac image segmentation papers using deep learning, which covers common imaging modalities including magnetic resonance imaging (MRI), computed tomography (CT), and ultrasound (US) and major anatomical structures of interest (ventricles, atria and vessels). In addition, a summary of publicly available cardiac image datasets and code repositories are included to provide a base for encouraging reproducible research. Finally, we discuss the challenges and limitations with current deep learning-based approaches (scarcity of labels, model generalizability across different domains, interpretability) and suggest potential directions for future research
MyoPS A Benchmark of Myocardial Pathology Segmentation Combining Three-Sequence Cardiac Magnetic Resonance Images
Assessment of myocardial viability is essential in diagnosis and treatment
management of patients suffering from myocardial infarction, and classification
of pathology on myocardium is the key to this assessment. This work defines a
new task of medical image analysis, i.e., to perform myocardial pathology
segmentation (MyoPS) combining three-sequence cardiac magnetic resonance (CMR)
images, which was first proposed in the MyoPS challenge, in conjunction with
MICCAI 2020. The challenge provided 45 paired and pre-aligned CMR images,
allowing algorithms to combine the complementary information from the three CMR
sequences for pathology segmentation. In this article, we provide details of
the challenge, survey the works from fifteen participants and interpret their
methods according to five aspects, i.e., preprocessing, data augmentation,
learning strategy, model architecture and post-processing. In addition, we
analyze the results with respect to different factors, in order to examine the
key obstacles and explore potential of solutions, as well as to provide a
benchmark for future research. We conclude that while promising results have
been reported, the research is still in the early stage, and more in-depth
exploration is needed before a successful application to the clinics. Note that
MyoPS data and evaluation tool continue to be publicly available upon
registration via its homepage
(www.sdspeople.fudan.edu.cn/zhuangxiahai/0/myops20/)
Evaluation of state-of-the-art segmentation algorithms for left ventricle infarct from late Gadolinium enhancement MR images
Studies have demonstrated the feasibility of late Gadolinium enhancement (LGE) cardiovascular magnetic
resonance (CMR) imaging for guiding the management of patients with sequelae to myocardial infarction,
such as ventricular tachycardia and heart failure. Clinical implementation of these developments necessitates
a reproducible and reliable segmentation of the infarcted regions. It is challenging to compare
new algorithms for infarct segmentation in the left ventricle (LV) with existing algorithms. Benchmarking
datasets with evaluation strategies are much needed to facilitate comparison. This manuscript presents
a benchmarking evaluation framework for future algorithms that segment infarct from LGE CMR of the
LV. The image database consists of 30 LGE CMR images of both humans and pigs that were acquired
from two separate imaging centres. A consensus ground truth was obtained for all data using maximum
likelihood estimation.
Six widely-used fixed-thresholding methods and five recently developed algorithms are tested on the
benchmarking framework. Results demonstrate that the algorithms have better overlap with the consensus
ground truth than most of the n-SD fixed-thresholding methods, with the exception of the FullWidth-at-Half-Maximum
(FWHM) fixed-thresholding method. Some of the pitfalls of fixed thresholding
methods are demonstrated in this work. The benchmarking evaluation framework, which is a contribution
of this work, can be used to test and benchmark future algorithms that detect and quantify infarct
in LGE CMR images of the LV. The datasets, ground truth and evaluation code have been made publicly
available through the website: https://www.cardiacatlas.org/web/guest/challenges
Accuracy of Segment-Anything Model (SAM) in medical image segmentation tasks
The segment-anything model (SAM), was introduced as a fundamental model for
segmenting images. It was trained using over 1 billion masks from 11 million
natural images. The model can perform zero-shot segmentation of images by using
various prompts such as masks, boxes, and points. In this report, we explored
(1) the accuracy of SAM on 12 public medical image segmentation datasets which
cover various organs (brain, breast, chest, lung, skin, liver, bowel, pancreas,
and prostate), image modalities (2D X-ray, histology, endoscropy, and 3D MRI
and CT), and health conditions (normal, lesioned). (2) if the computer vision
foundational segmentation model SAM can provide promising research directions
for medical image segmentation. We found that SAM without re-training on
medical images does not perform as accurately as U-Net or other deep learning
models trained on medical images.Comment: Technical Repor
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Evaluation of current algorithms for segmentation of scar tissue from late Gadolinium enhancement cardiovascular magnetic resonance of the left atrium: an open-access grand challenge
Background: Late Gadolinium enhancement (LGE) cardiovascular magnetic resonance (CMR) imaging can be used to visualise regions of fibrosis and scarring in the left atrium (LA) myocardium. This can be important for treatment stratification of patients with atrial fibrillation (AF) and for assessment of treatment after radio frequency catheter ablation (RFCA). In this paper we present a standardised evaluation benchmarking framework for algorithms segmenting fibrosis and scar from LGE CMR images. The algorithms reported are the response to an open challenge that was put to the medical imaging community through an ISBI (IEEE International Symposium on Biomedical Imaging) workshop. Methods: The image database consisted of 60 multicenter, multivendor LGE CMR image datasets from patients with AF, with 30 images taken before and 30 after RFCA for the treatment of AF. A reference standard for scar and fibrosis was established by merging manual segmentations from three observers. Furthermore, scar was also quantified using 2, 3 and 4 standard deviations (SD) and full-width-at-half-maximum (FWHM) methods. Seven institutions responded to the challenge: Imperial College (IC), Mevis Fraunhofer (MV), Sunnybrook Health Sciences (SY), Harvard/Boston University (HB), Yale School of Medicine (YL), King’s College London (KCL) and Utah CARMA (UTA, UTB). There were 8 different algorithms evaluated in this study. Results: Some algorithms were able to perform significantly better than SD and FWHM methods in both pre- and post-ablation imaging. Segmentation in pre-ablation images was challenging and good correlation with the reference standard was found in post-ablation images. Overlap scores (out of 100) with the reference standard were as follows: Pre: IC = 37, MV = 22, SY = 17, YL = 48, KCL = 30, UTA = 42, UTB = 45; Post: IC = 76, MV = 85, SY = 73, HB = 76, YL = 84, KCL = 78, UTA = 78, UTB = 72. Conclusions: The study concludes that currently no algorithm is deemed clearly better than others. There is scope for further algorithmic developments in LA fibrosis and scar quantification from LGE CMR images. Benchmarking of future scar segmentation algorithms is thus important. The proposed benchmarking framework is made available as open-source and new participants can evaluate their algorithms via a web-based interface
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