Abstract

Good quality of medical images is a prerequisite for the success of subsequent image analysis pipelines. Quality assessment of medical images is therefore an essential activity and for large population studies such as the UK Biobank (UKBB), manual identification of artefacts such as those caused by unanticipated motion is tedious and time-consuming. Therefore, there is an urgent need for automatic image quality assessment techniques. In this paper, we propose a method to automatically detect the presence of motion-related artefacts in cardiac magnetic resonance (CMR) cine images. We compare two deep learning architectures to classify poor quality CMR images: 1) 3D spatio-temporal Convolutional Neural Networks (3D-CNN), 2) Long-term Recurrent Convolutional Network (LRCN). Though in real clinical setup motion artefacts are common, high-quality imaging of UKBB, which comprises cross-sectional population data of volunteers who do not necessarily have health problems creates a highly imbalanced classification problem. Due to the high number of good quality images compared to the relatively low number of images with motion artefacts, we propose a novel data augmentation scheme based on synthetic artefact creation in k-space. We also investigate a learning approach using a predetermined curriculum based on synthetic artefact severity. We evaluate our pipeline on a subset of the UK Biobank data set consisting of 3510 CMR images. The LRCN architecture outperformed the 3D-CNN architecture and was able to detect 2D+time short axis images with motion artefacts in less than 1ms with high recall. We compare our approach to a range of state-of-the-art quality assessment methods. The novel data augmentation and curriculum learning approaches both improved classification performance achieving overall area under the ROC curve of 0.89.

Highlights

  • With developments in image acquisition schemes and machine learning algorithms, medical image analysis techniques are taking on increasingly important roles in clinical decision making

  • This paper builds upon our previously presented work (Oksuz et al, 2018), in which we proposed the use of synthetically generated mistriggering artefacts in training a Convolutional Neural Network (CNN)

  • This paper builds upon our previous work (Oksuz et al, 2018), in which we proposed the use of synthetically generated mistriggering artefacts in training a CNN

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Summary

Introduction

With developments in image acquisition schemes and machine learning algorithms, medical image analysis techniques are taking on increasingly important roles in clinical decision making. An important and often overlooked step in automated image analysis pipelines is the assurance of image quality - high accuracy requires good quality medical images. The CMR is often often acquired for patients, who already have existent cardiac diseases, more likely to have arrythmias, have difficulties with breath-holding or remaining still during acquisition. The images can contain a range of image artefacts (Ferreira et al, 2013), and assessing the quality of images acquired by MR scanners is a challenging problem. Images are visually inspected by one or more experts, and those showing an insufficient level of quality are excluded from further analysis. Visual assessment is time consuming and prone to variability due to inter-rater and intra-rater variability

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