11,803 research outputs found
Highly automatic quantification of myocardial oedema in patients with acute myocardial infarction using bright blood T2-weighted CMR
<p>Background: T2-weighted cardiovascular magnetic resonance (CMR) is clinically-useful for imaging the ischemic area-at-risk and amount of salvageable myocardium in patients with acute myocardial infarction (MI). However, to date, quantification of oedema is user-defined and potentially subjective.</p>
<p>Methods: We describe a highly automatic framework for quantifying myocardial oedema from bright blood T2-weighted CMR in patients with acute MI. Our approach retains user input (i.e. clinical judgment) to confirm the presence of oedema on an image which is then subjected to an automatic analysis. The new method was tested on 25 consecutive acute MI patients who had a CMR within 48 hours of hospital admission. Left ventricular wall boundaries were delineated automatically by variational level set methods followed by automatic detection of myocardial oedema by fitting a Rayleigh-Gaussian mixture statistical model. These data were compared with results from manual segmentation of the left ventricular wall and oedema, the current standard approach.</p>
<p>Results: The mean perpendicular distances between automatically detected left ventricular boundaries and corresponding manual delineated boundaries were in the range of 1-2 mm. Dice similarity coefficients for agreement (0=no agreement, 1=perfect agreement) between manual delineation and automatic segmentation of the left ventricular wall boundaries and oedema regions were 0.86 and 0.74, respectively.</p>
Multi-Estimator Full Left Ventricle Quantification through Ensemble Learning
Cardiovascular disease accounts for 1 in every 4 deaths in United States.
Accurate estimation of structural and functional cardiac parameters is crucial
for both diagnosis and disease management. In this work, we develop an ensemble
learning framework for more accurate and robust left ventricle (LV)
quantification. The framework combines two 1st-level modules: direct estimation
module and a segmentation module. The direct estimation module utilizes
Convolutional Neural Network (CNN) to achieve end-to-end quantification. The
CNN is trained by taking 2D cardiac images as input and cardiac parameters as
output. The segmentation module utilizes a U-Net architecture for obtaining
pixel-wise prediction of the epicardium and endocardium of LV from the
background. The binary U-Net output is then analyzed by a separate CNN for
estimating the cardiac parameters. We then employ linear regression between the
1st-level predictor and ground truth to learn a 2nd-level predictor that
ensembles the results from 1st-level modules for the final estimation.
Preliminary results by testing the proposed framework on the LVQuan18 dataset
show superior performance of the ensemble learning model over the two base
modules.Comment: Jiasha Liu, Xiang Li and Hui Ren contribute equally to this wor
Left-ventricle myocardium segmentation using a coupled level-set with a priori knowledge
This paper presents a coupled level-set segmentation of the myocardium of the left ventricle of the heart using a priori information. From a fast marching initialisation, two fronts representing the endocardium and epicardium boundaries of the left ventricle are evolved as the zero level-set of a higher dimension function. We introduce a novel and robust stopping term using both gradient and region-based information. The segmentation is supervised both with a coupling function and using a probabilistic model built from training instances. The robustness of the segmentation scheme is evaluated by performing a segmentation on four unseen data-sets containing high variation and the performance of the segmentation is quantitatively assessed
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