771 research outputs found
Robust Cardiac Motion Estimation using Ultrafast Ultrasound Data: A Low-Rank-Topology-Preserving Approach
Cardiac motion estimation is an important diagnostic tool to detect heart
diseases and it has been explored with modalities such as MRI and conventional
ultrasound (US) sequences. US cardiac motion estimation still presents
challenges because of the complex motion patterns and the presence of noise. In
this work, we propose a novel approach to estimate the cardiac motion using
ultrafast ultrasound data. -- Our solution is based on a variational
formulation characterized by the L2-regularized class. The displacement is
represented by a lattice of b-splines and we ensure robustness by applying a
maximum likelihood type estimator. While this is an important part of our
solution, the main highlight of this paper is to combine a low-rank data
representation with topology preservation. Low-rank data representation
(achieved by finding the k-dominant singular values of a Casorati Matrix
arranged from the data sequence) speeds up the global solution and achieves
noise reduction. On the other hand, topology preservation (achieved by
monitoring the Jacobian determinant) allows to radically rule out distortions
while carefully controlling the size of allowed expansions and contractions.
Our variational approach is carried out on a realistic dataset as well as on a
simulated one. We demonstrate how our proposed variational solution deals with
complex deformations through careful numerical experiments. While maintaining
the accuracy of the solution, the low-rank preprocessing is shown to speed up
the convergence of the variational problem. Beyond cardiac motion estimation,
our approach is promising for the analysis of other organs that experience
motion.Comment: 15 pages, 10 figures, Physics in Medicine and Biology, 201
Temporal Diffeomorphic Free-Form Deformation for Strain Quantification in 3D-US Images
International audienceThis paper presents a new diffeomorphic temporal registration algorithm and its application to motion and strain quantification from a temporal sequence of 3D images. The displacement field is computed by forward eulerian integration of a non-stationary velocity field. The originality of our approach resides in enforcing time consistency by representing the velocity field as a sum of continuous spatiotemporal B-Spline kernels. The accuracy of the developed diffeomorphic technique was first compared to a simple pairwise strategy on synthetic US images with known ground truth motion and with several noise levels, being the proposed algorithm more robust to noise than the pairwise case. Our algorithm was then applied to a database of cardiac 3D+t Ultrasound (US) images of the left ventricle acquired from height healthy volunteers and three Cardiac Resynchronization Therapy (CRT) patients. On healthy cases, the measured regional strain curves provided uniform strain patterns over all myocardial segments in accordance with clinical literature. On CRT patients, the obtained normalization of the strain pattern after CRT agreed with clinical outcome for the three cases
Fast left ventricle tracking using localized anatomical affine optical flow
Fast left ventricle tracking using localized anatomical affine optical flowIn daily clinical cardiology practice, left ventricle (LV) global and regional function assessment is crucial for disease diagnosis, therapy selection, and patient follow-up. Currently, this is still a time-consuming task, spending valuable human resources. In this work, a novel fast methodology for automatic LV tracking is proposed based on localized anatomically constrained affine optical flow. This novel method can be combined to previously proposed segmentation frameworks or manually delineated surfaces at an initial frame to obtain fully delineated datasets and, thus, assess both global and regional myocardial function. Its feasibility and accuracy were investigated in 3 distinct public databases, namely in realistically simulated 3D ultrasound, clinical 3D echocardiography, and clinical cine cardiac magnetic resonance images. The method showed accurate tracking results in all databases, proving its applicability and accuracy for myocardial function assessment. Moreover, when combined to previous state-of-the-art segmentation frameworks, it outperformed previous tracking strategies in both 3D ultrasound and cardiac magnetic resonance data, automatically computing relevant cardiac indices with smaller biases and narrower limits of agreement compared to reference indices. Simultaneously, the proposed localized tracking method showed to be suitable for online processing, even for 3D motion assessment. Importantly, although here evaluated for LV tracking only, this novel methodology is applicable for tracking of other target structures with minimal adaptations.The authors acknowledge funding support from FCT - Fundacao para a CiĂŞncia e a Tecnologia, Portugal, and
the European Social Found, European Union, through the Programa Operacional Capital Humano (POCH) in
the scope of the PhD grants SFRH/BD/93443/2013 (S. Queiros) and SFRH/BD/95438/2013 (P. Morais), and
by the project ’PersonalizedNOS (01-0145-FEDER-000013)’ co-funded by Programa Operacional Regional
do Norte (Norte2020) through the European Regional Development Fund (ERDF).info:eu-repo/semantics/publishedVersio
Sliding to predict: vision-based beating heart motion estimation by modeling temporal interactions
Purpose:
Technical advancements have been part of modern medical solutions as they promote better surgical alternatives that serve to the benefit of patients. Particularly with cardiovascular surgeries, robotic surgical systems enable surgeons to perform delicate procedures on a beating heart, avoiding the complications of cardiac arrest. This advantage comes with the price of having to deal with a dynamic target which presents technical challenges for the surgical system. In this work, we propose a solution for cardiac motion estimation.
Methods:
Our estimation approach uses a variational framework that guarantees preservation of the complex anatomy of the heart. An advantage of our approach is that it takes into account different disturbances, such as specular reflections and occlusion events. This is achieved by performing a preprocessing step that eliminates the specular highlights and a predicting step, based on a conditional restricted Boltzmann machine, that recovers missing information caused by partial occlusions.
Results:
We carried out exhaustive experimentations on two datasets, one from a phantom and the other from an in vivo procedure. The results show that our visual approach reaches an average minima in the order of magnitude of 10-7 while preserving the heart’s anatomical structure and providing stable values for the Jacobian determinant ranging from 0.917 to 1.015. We also show that our specular elimination approach reaches an accuracy of 99% compared to a ground truth. In terms of prediction, our approach compared favorably against two well-known predictors, NARX and EKF, giving the lowest average RMSE of 0.071.
Conclusion:
Our approach avoids the risks of using mechanical stabilizers and can also be effective for acquiring the motion of organs other than the heart, such as the lung or other deformable objects.Peer ReviewedPostprint (published version
Analysis of cardiac motion using MRI and nonrigid image registration
Imperial Users onl
Coronary Artery Segmentation and Motion Modelling
Conventional coronary artery bypass surgery requires invasive sternotomy and the
use of a cardiopulmonary bypass, which leads to long recovery period and has high
infectious potential. Totally endoscopic coronary artery bypass (TECAB) surgery
based on image guided robotic surgical approaches have been developed to allow the
clinicians to conduct the bypass surgery off-pump with only three pin holes incisions
in the chest cavity, through which two robotic arms and one stereo endoscopic camera
are inserted. However, the restricted field of view of the stereo endoscopic images leads
to possible vessel misidentification and coronary artery mis-localization. This results
in 20-30% conversion rates from TECAB surgery to the conventional approach.
We have constructed patient-specific 3D + time coronary artery and left ventricle
motion models from preoperative 4D Computed Tomography Angiography (CTA)
scans. Through temporally and spatially aligning this model with the intraoperative
endoscopic views of the patient's beating heart, this work assists the surgeon to identify
and locate the correct coronaries during the TECAB precedures. Thus this work has
the prospect of reducing the conversion rate from TECAB to conventional coronary
bypass procedures.
This thesis mainly focus on designing segmentation and motion tracking methods
of the coronary arteries in order to build pre-operative patient-specific motion models.
Various vessel centreline extraction and lumen segmentation algorithms are presented,
including intensity based approaches, geometric model matching method and
morphology-based method. A probabilistic atlas of the coronary arteries is formed
from a group of subjects to facilitate the vascular segmentation and registration procedures.
Non-rigid registration framework based on a free-form deformation model
and multi-level multi-channel large deformation diffeomorphic metric mapping are
proposed to track the coronary motion. The methods are applied to 4D CTA images
acquired from various groups of patients and quantitatively evaluated
A Deep Learning Framework for Unsupervised Affine and Deformable Image Registration
Image registration, the process of aligning two or more images, is the core
technique of many (semi-)automatic medical image analysis tasks. Recent studies
have shown that deep learning methods, notably convolutional neural networks
(ConvNets), can be used for image registration. Thus far training of ConvNets
for registration was supervised using predefined example registrations.
However, obtaining example registrations is not trivial. To circumvent the need
for predefined examples, and thereby to increase convenience of training
ConvNets for image registration, we propose the Deep Learning Image
Registration (DLIR) framework for \textit{unsupervised} affine and deformable
image registration. In the DLIR framework ConvNets are trained for image
registration by exploiting image similarity analogous to conventional
intensity-based image registration. After a ConvNet has been trained with the
DLIR framework, it can be used to register pairs of unseen images in one shot.
We propose flexible ConvNets designs for affine image registration and for
deformable image registration. By stacking multiple of these ConvNets into a
larger architecture, we are able to perform coarse-to-fine image registration.
We show for registration of cardiac cine MRI and registration of chest CT that
performance of the DLIR framework is comparable to conventional image
registration while being several orders of magnitude faster.Comment: Accepted: Medical Image Analysis - Elsevie
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