242 research outputs found
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
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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
Methodology for Jointly Assessing Myocardial Infarct Extent and Regional Contraction in 3-D CMRI
Automated extraction of quantitative parameters from Cardiac Magnetic
Resonance Images (CMRI) is crucial for the management of patients with
myocardial infarct. This work proposes a post-processing procedure to jointly
analyze Cine and Delayed-Enhanced (DE) acquisitions in order to provide an
automatic quantification of myocardial contraction and enhancement parameters
and a study of their relationship. For that purpose, the following processes
are performed: 1) DE/Cine temporal synchronization and 3D scan alignment, 2) 3D
DE/Cine rigid registration in a region about the heart, 3) segmentation of the
myocardium on Cine MRI and superimposition of the epicardial and endocardial
contours on the DE images, 4) quantification of the Myocardial Infarct Extent
(MIE), 5) study of the regional contractile function using a new index, the
Amplitude to Time Ratio (ATR). The whole procedure was applied to 10 patients
with clinically proven myocardial infarction. The comparison between the MIE
and the visually assessed regional function scores demonstrated that the MIE is
highly related to the severity of the wall motion abnormality. In addition, it
was shown that the newly developed regional myocardial contraction parameter
(ATR) decreases significantly in delayed enhanced regions. This largely
automated approach enables a combined study of regional MIE and left
ventricular function
Developing advanced mathematical models for detecting abnormalities in 2D/3D medical structures.
Detecting abnormalities in two-dimensional (2D) and three-dimensional (3D) medical structures is among the most interesting and challenging research areas in the medical imaging field. Obtaining the desired accurate automated quantification of abnormalities in medical structures is still very challenging. This is due to a large and constantly growing number of different objects of interest and associated abnormalities, large variations of their appearances and shapes in images, different medical imaging modalities, and associated changes of signal homogeneity and noise for each object. The main objective of this dissertation is to address these problems and to provide proper mathematical models and techniques that are capable of analyzing low and high resolution medical data and providing an accurate, automated analysis of the abnormalities in medical structures in terms of their area/volume, shape, and associated abnormal functionality. This dissertation presents different preliminary mathematical models and techniques that are applied in three case studies: (i) detecting abnormal tissue in the left ventricle (LV) wall of the heart from delayed contrast-enhanced cardiac magnetic resonance images (MRI), (ii) detecting local cardiac diseases based on estimating the functional strain metric from cardiac cine MRI, and (iii) identifying the abnormalities in the corpus callosum (CC) brain structure—the largest fiber bundle that connects the two hemispheres in the brain—for subjects that suffer from developmental brain disorders. For detecting the abnormal tissue in the heart, a graph-cut mathematical optimization model with a cost function that accounts for the object’s visual appearance and shape is used to segment the the inner cavity. The model is further integrated with a geometric model (i.e., a fast marching level set model) to segment the outer border of the myocardial wall (the LV). Then the abnormal tissue in the myocardium wall (also called dead tissue, pathological tissue, or infarct area) is identified based on a joint Markov-Gibbs random field (MGRF) model of the image and its region (segmentation) map that accounts for the pixel intensities and the spatial interactions between the pixels. Experiments with real in-vivo data and comparative results with ground truth (identified by a radiologist) and other approaches showed that the proposed framework can accurately detect the pathological tissue and can provide useful metrics for radiologists and clinicians. To estimate the strain from cardiac cine MRI, a novel method based on tracking the LV wall geometry is proposed. To achieve this goal, a partial differential equation (PDE) method is applied to track the LV wall points by solving the Laplace equation between the LV contours of each two successive image frames over the cardiac cycle. The main advantage of the proposed tracking method over traditional texture-based methods is its ability to track the movement and rotation of the LV wall based on tracking the geometric features of the inner, mid-, and outer walls of the LV. This overcomes noise sources that come from scanner and heart motion. To identify the abnormalities in the CC from brain MRI, the CCs are aligned using a rigid registration model and are segmented using a shape-appearance model. Then, they are mapped to a simple unified space for analysis. This work introduces a novel cylindrical mapping model, which is conformal (i.e., one to one transformation and bijective), that enables accurate 3D shape analysis of the CC in the cylindrical domain. The framework can detect abnormalities in all divisions of the CC (i.e., splenium, rostrum, genu and body). In addition, it offers a whole 3D analysis of the CC abnormalities instead of only area-based analysis as done by previous groups. The initial classification results based on the centerline length and CC thickness suggest that the proposed CC shape analysis is a promising supplement to the current techniques for diagnosing dyslexia. The proposed techniques in this dissertation have been successfully tested on complex synthetic and MR images and can be used to advantage in many of today’s clinical applications of computer-assisted medical diagnostics and intervention
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/)
Computer Aided Analysis of Late Gadolinium Enhanced Cardiac MRI
Ph.DDOCTOR OF PHILOSOPH
Myocardial Infarction Quantification From Late Gadolinium Enhancement MRI Using Top-hat Transforms and Neural Networks
Significance: Late gadolinium enhanced magnetic resonance imaging (LGE-MRI)
is the gold standard technique for myocardial viability assessment. Although
the technique accurately reflects the damaged tissue, there is no clinical
standard for quantifying myocardial infarction (MI), demanding most algorithms
to be expert dependent. Objectives and Methods: In this work a new automatic
method for MI quantification from LGE-MRI is proposed. Our novel segmentation
approach is devised for accurately detecting not only hyper-enhanced lesions,
but also microvascular-obstructed areas. Moreover, it includes a myocardial
disease detection step which extends the algorithm for working under healthy
scans. The method is based on a cascade approach where firstly, diseased slices
are identified by a convolutional neural network (CNN). Secondly, by means of
morphological operations a fast coarse scar segmentation is obtained. Thirdly,
the segmentation is refined by a boundary-voxel reclassification strategy using
an ensemble of CNNs. For its validation, reproducibility and further comparison
against other methods, we tested the method on a big multi-field expert
annotated LGE-MRI database including healthy and diseased cases. Results and
Conclusion: In an exhaustive comparison against nine reference algorithms, the
proposal achieved state-of-the-art segmentation performances and showed to be
the only method agreeing in volumetric scar quantification with the expert
delineations. Moreover, the method was able to reproduce the intra- and
inter-observer variability ranges. It is concluded that the method could
suitably be transferred to clinical scenarios.Comment: Submitted to IEE
Improved graph cut model with features of superpixels and neighborhood patches for myocardium segmentation from ultrasound image
Ultrasound (US) imaging has the technical advantages for the functional evaluation of myocardium compared with other imaging modalities. However, it is a challenge of extracting the myocardial tissues from the background due to low quality of US imaging. To better extract the myocardial tissues, this study proposes a semi-supervised segmentation method of fast Superpixels and Neighborhood Patches based Continuous Min-Cut (fSP-CMC). The US image is represented by a graph, which is constructed depending on the features of superpixels and neighborhood patches
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