Myocardial Infarct Localization using Neighborhood Approximation Forests

International audienceThis paper presents a machine-learning algorithm for the automatic localization of myocardial infarct in the left ventricle. Our method constructs neighbourhood approximation forests, which are trained with previously diagnosed 4D cardiac sequences. We introduce a new set of features that simultaneously exploit information from the shape and motion of the myocardial wall along the cardiac cycle. More precisely, characteristics are extracted from a hyper surface that represents the profile of the myocardial thickness. The method has been tested on a database of 65 cardiac MRI images in order to retrieve the diagnosed infarct area. The results demonstrate the effectiveness of the NAF in predicting the left ventricular infarct location in 7 distinct regions. We evaluated our method by verifying the database ground truth. Followinga new examination of the 4D cardiac images, our algorithm may detect misclassified infarct locations in the database

Segmentation and registration coupling from short-axis Cine MRI: application to infarct diagnosis

In pressInternational audienceEstimating regional deformation of the myocardium from Cine MRI has the potential to locate abnormal tissue. Regional deformation of the left ventricle is commonly estimated using either segmentation or 3D+t registration. Segmentation is often performed at each instant separately from the others. It can be tedious and does not guarantee temporal causality. On the other hand, extracting regional parameters through image registration is highly dependent on the initial segmenta-tion chosen to propagate the deformation fields and may not be consistent with the myocardial contours. In this paper, we propose an intermediate approach that couples segmentation and registration in order to improve temporal causality while removing the influence of the chosen initial segmentation. We propose to apply the deformation fields from image registration (sparse Bayesian registration) to every segmentation of the cardiac cycle and combine them for more robust regional measurements. As an illustration, we describe local deformation through the measurement of AHA regional volumes. Maximum regional volume change is extracted and compared across scar and non-scar regions defined from delayed enhancement MRI on 20 ST-elevation myocardial infarction patients. The proposed approach shows (i) more robustness in extracting regional volumes than direct segmentation or standard registration and (ii) better performance in detecting scar

Atlas-Based Quantification of Cardiac Remodeling Due to Myocardial Infarction

Myocardial infarction leads to changes in the geometry (remodeling) of the left ventricle (LV) of the heart. The degree and type of remodeling provides important diagnostic information for the therapeutic management of ischemic heart disease. In this paper, we present a novel analysis framework for characterizing remodeling after myocardial infarction, using LV shape descriptors derived from atlas-based shape models. Cardiac magnetic resonance images from 300 patients with myocardial infarction and 1991 asymptomatic volunteers were obtained from the Cardiac Atlas Project. Finite element models were customized to the spatio-temporal shape and function of each case using guide-point modeling. Principal component analysis was applied to the shape models to derive modes of shape variation across all cases. A logistic regression analysis was performed to determine the modes of shape variation most associated with myocardial infarction. Goodness of fit results obtained from end-diastolic and end-systolic shapes were compared against the traditional clinical indices of remodeling: end-diastolic volume, end-systolic volume and LV mass. The combination of end-diastolic and endsystolic shape parameter analysis achieved the lowest deviance, Akaike information criterion and Bayesian information criterion, and the highest area under the receiver operating characteristic curve. Therefore, our framework quantitatively characterized remodeling features associated with myocardial infarction, better than current measures. These features enable quantification of the amount of remodeling, the progression of disease over time, and the effect of treatments designed to reverse remodeling effects