5,735 research outputs found
Deep Learning in Cardiology
The medical field is creating large amount of data that physicians are unable
to decipher and use efficiently. Moreover, rule-based expert systems are
inefficient in solving complicated medical tasks or for creating insights using
big data. Deep learning has emerged as a more accurate and effective technology
in a wide range of medical problems such as diagnosis, prediction and
intervention. Deep learning is a representation learning method that consists
of layers that transform the data non-linearly, thus, revealing hierarchical
relationships and structures. In this review we survey deep learning
application papers that use structured data, signal and imaging modalities from
cardiology. We discuss the advantages and limitations of applying deep learning
in cardiology that also apply in medicine in general, while proposing certain
directions as the most viable for clinical use.Comment: 27 pages, 2 figures, 10 table
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The role of HG in the analysis of temporal iteration and interaural correlation
MITK-ModelFit: A generic open-source framework for model fits and their exploration in medical imaging -- design, implementation and application on the example of DCE-MRI
Many medical imaging techniques utilize fitting approaches for quantitative
parameter estimation and analysis. Common examples are pharmacokinetic modeling
in DCE MRI/CT, ADC calculations and IVIM modeling in diffusion-weighted MRI and
Z-spectra analysis in chemical exchange saturation transfer MRI. Most available
software tools are limited to a special purpose and do not allow for own
developments and extensions. Furthermore, they are mostly designed as
stand-alone solutions using external frameworks and thus cannot be easily
incorporated natively in the analysis workflow. We present a framework for
medical image fitting tasks that is included in MITK, following a rigorous
open-source, well-integrated and operating system independent policy. Software
engineering-wise, the local models, the fitting infrastructure and the results
representation are abstracted and thus can be easily adapted to any model
fitting task on image data, independent of image modality or model. Several
ready-to-use libraries for model fitting and use-cases, including fit
evaluation and visualization, were implemented. Their embedding into MITK
allows for easy data loading, pre- and post-processing and thus a natural
inclusion of model fitting into an overarching workflow. As an example, we
present a comprehensive set of plug-ins for the analysis of DCE MRI data, which
we validated on existing and novel digital phantoms, yielding competitive
deviations between fit and ground truth. Providing a very flexible environment,
our software mainly addresses developers of medical imaging software that
includes model fitting algorithms and tools. Additionally, the framework is of
high interest to users in the domain of perfusion MRI, as it offers
feature-rich, freely available, validated tools to perform pharmacokinetic
analysis on DCE MRI data, with both interactive and automatized batch
processing workflows.Comment: 31 pages, 11 figures URL: http://mitk.org/wiki/MITK-ModelFi
Computer aided diagnosis of cerebrovascular disease based on DSA image
In recent years, the incidence of cerebrovascular diseases in China has shown a significant upward trend, and it has become a common disease threatening people's lives. Digital Subtraction Angiography (DSA) is the gold standard for the diagnosis of clinical cerebrovascular disease, and it is the most direct method to check the brain lesion. At present, there are the following two problems in the clinical research of DSA images: DSA is a real-time image with numerous frames, containing much useless information in frames; thus, human interpretation and annotation are time-consuming and labor-intensive. The blood vessel structure in DSA images is so complicated that high practical skills are required for clinicians. In the computer-aided diagnosis of DSA sequence images, there is currently a lack of automatic and effective computer-aided diagnosis algorithms for cerebrovascular diseases. Based on the above issues, the main work of this paper is as follows:
1.A multi-target detection algorithm based on Faster-RCNN is designed and applied to the analysis of brain DSA images. The algorithm divides DSA images into arterial phase, capillary phase, pre-venous phase and sinus phase by identifying the main blood vessel structure in each frame. And on this basis, we analyze the time relationship between the time phases.
2.On the basis of DSA phase detection, a key frame location algorithm based on single blood vessel structure detection is designed for moyamoya disease. First, the target detection model is applied to locate the internal carotid artery and the Willis circle. Then, five frames of images are extracted from the arterial period as keyframes. Finally, the nidus' ROI is determined according to the position of the internal carotid artery.
3.A diagnostic method for cerebral arteriovenous malformation (AVM) is designed, which combines temporal features and radiomics features. First, on the basis of DSA time phase detection, we propose a deep learning network to extract vascular time features from the DSA video; then, the time feature is combined with the radiomics features of the static keyframe to establish an AVM diagnosis model. While assisting diagnosis, this method does not require any human intervention, and reduces the workload of clinicians. The diagnostic model that combines time features and radiomics features is applied to the study of AVM staging. The experimental results prove that the classification model trained by fusion features has better diagnostic performance than the model trained by either time features or radiomics features.
Based on the above three parts, this paper establishes a cerebrovascular disease analysis framework based on radiomics method and deep learning. We introduce corresponding solutions for DSA automatic image reading, rapid diagnosis of moyamoya disease, and precise diagnosis of AVM. The method proposed in this paper has practical significance for assisting the diagnosis of cerebrovascular disease and reducing the burden of medical staff.Digital Subtraction Angiography(DSA), Radiomics analysis, Arteriovenous malformations, Moyamoya, Faster-RCNN, Temporal features, Fusion feature
Automated detection of brain abnormalities in neonatal hypoxia ischemic injury from MR images.
We compared the efficacy of three automated brain injury detection methods, namely symmetry-integrated region growing (SIRG), hierarchical region splitting (HRS) and modified watershed segmentation (MWS) in human and animal magnetic resonance imaging (MRI) datasets for the detection of hypoxic ischemic injuries (HIIs). Diffusion weighted imaging (DWI, 1.5T) data from neonatal arterial ischemic stroke (AIS) patients, as well as T2-weighted imaging (T2WI, 11.7T, 4.7T) at seven different time-points (1, 4, 7, 10, 17, 24 and 31 days post HII) in rat-pup model of hypoxic ischemic injury were used to assess the temporal efficacy of our computational approaches. Sensitivity, specificity, and similarity were used as performance metrics based on manual ('gold standard') injury detection to quantify comparisons. When compared to the manual gold standard, automated injury location results from SIRG performed the best in 62% of the data, while 29% for HRS and 9% for MWS. Injury severity detection revealed that SIRG performed the best in 67% cases while 33% for HRS. Prior information is required by HRS and MWS, but not by SIRG. However, SIRG is sensitive to parameter-tuning, while HRS and MWS are not. Among these methods, SIRG performs the best in detecting lesion volumes; HRS is the most robust, while MWS lags behind in both respects
autoTICI: Automatic Brain Tissue Reperfusion Scoring on 2D DSA Images of Acute Ischemic Stroke Patients
The Thrombolysis in Cerebral Infarction (TICI) score is an important metric
for reperfusion therapy assessment in acute ischemic stroke. It is commonly
used as a technical outcome measure after endovascular treatment (EVT).
Existing TICI scores are defined in coarse ordinal grades based on visual
inspection, leading to inter- and intra-observer variation. In this work, we
present autoTICI, an automatic and quantitative TICI scoring method. First,
each digital subtraction angiography (DSA) sequence is separated into four
phases (non-contrast, arterial, parenchymal and venous phase) using a
multi-path convolutional neural network (CNN), which exploits spatio-temporal
features. The network also incorporates sequence level label dependencies in
the form of a state-transition matrix. Next, a minimum intensity map (MINIP) is
computed using the motion corrected arterial and parenchymal frames. On the
MINIP image, vessel, perfusion and background pixels are segmented. Finally, we
quantify the autoTICI score as the ratio of reperfused pixels after EVT. On a
routinely acquired multi-center dataset, the proposed autoTICI shows good
correlation with the extended TICI (eTICI) reference with an average area under
the curve (AUC) score of 0.81. The AUC score is 0.90 with respect to the
dichotomized eTICI. In terms of clinical outcome prediction, we demonstrate
that autoTICI is overall comparable to eTICI.Comment: 10 pages; submitted to IEEE TM
Testing Foundations of Biological Scaling Theory Using Automated Measurements of Vascular Networks
Scientists have long sought to understand how vascular networks supply blood
and oxygen to cells throughout the body. Recent work focuses on principles that
constrain how vessel size changes through branching generations from the aorta
to capillaries and uses scaling exponents to quantify these changes. Prominent
scaling theories predict that combinations of these exponents explain how
metabolic, growth, and other biological rates vary with body size.
Nevertheless, direct measurements of individual vessel segments have been
limited because existing techniques for measuring vasculature are invasive,
time consuming, and technically difficult. We developed software that extracts
the length, radius, and connectivity of in vivo vessels from contrast-enhanced
3D Magnetic Resonance Angiography. Using data from 20 human subjects, we
calculated scaling exponents by four methods--two derived from local properties
of branching junctions and two from whole-network properties. Although these
methods are often used interchangeably in the literature, we do not find
general agreement between these methods, particularly for vessel lengths.
Measurements for length of vessels also diverge from theoretical values, but
those for radius show stronger agreement. Our results demonstrate that vascular
network models cannot ignore certain complexities of real vascular systems and
indicate the need to discover new principles regarding vessel lengths
Deep learning for image-based liver analysis — A comprehensive review focusing on malignant lesions
Deep learning-based methods, in particular, convolutional neural networks and fully convolutional networks are now widely used in the medical image analysis domain. The scope of this review focuses on the analysis using deep learning of focal liver lesions, with a special interest in hepatocellular carcinoma and metastatic cancer; and structures like the parenchyma or the vascular system. Here, we address several neural network architectures used for analyzing the anatomical structures and lesions in the liver from various imaging modalities such as computed tomography, magnetic resonance imaging and ultrasound. Image analysis tasks like segmentation, object detection and classification for the liver, liver vessels and liver lesions are discussed. Based on the qualitative search, 91 papers were filtered out for the survey, including journal publications and conference proceedings. The papers reviewed in this work are grouped into eight categories based on the methodologies used. By comparing the evaluation metrics, hybrid models performed better for both the liver and the lesion segmentation tasks, ensemble classifiers performed better for the vessel segmentation tasks and combined approach performed better for both the lesion classification and detection tasks. The performance was measured based on the Dice score for the segmentation, and accuracy for the classification and detection tasks, which are the most commonly used metrics.publishedVersio
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