Ventricle In Cardiac Magnetic Resonance Images Research Articles

A cascaded FC-DenseNet and level set method (FCDL) for fully automatic segmentation of the right ventricle in cardiac MRI

Accurate segmentation of the right ventricle (RV) from cardiac magnetic resonance imaging (MRI) images is an essential step in estimating clinical indices such as stroke volume and ejection fraction. Recently, image segmentation methods based on fully convolutional neural networks (FCN) have drawn much attention and shown promising results. In this paper, a new fully automatic RV segmentation method combining the FC-DenseNet and the level set method (FCDL) is proposed. The FC-DenseNet is efficiently trained end-to-end, using RV images and ground truth masks to make a per-pixel semantic inference. As a result, probability images are produced, followed by the level set method responsible for smoothing and converging contours to improve accuracy. It is noted that the iteration times of the level set method is only 4 times, which is due to the semantic segmentation of the FC-DenseNet for RV. Finally, multi-object detection algorithm is applied to locate the RV. Experimental results (including 45 cases, 15 cases for training, 30 cases for testing) show that the FCDL method outperforms the U-net + level set (UL) and the level set methods that use the same dataset and the cardiac functional parameters are computed robustly by the FCDL method. The results validate the FCDL method as an efficient and satisfactory approach to RV segmentation.

Left Ventricle Segmentation in Cardiac MR Images Using Fully Convolutional Network.

Medical image analysis, especially segmenting a specific organ, has an important role in developing clinical decision support systems. In cardiac magnetic resonance (MR) imaging, segmenting the left and right ventricles helps physicians diagnose different heart abnormalities. There are challenges for this task, including the intensity and shape similarity between the left ventricle and other organs, inaccurate boundaries, and presence of noise in most of the images. In this paper, we propose an automated method for segmenting the left ventricle in cardiac MR images. We first automatically extract the region of interest and then employ it as an input of a fully convolutional network. We train the network accurately despite the small number of left ventricle pixels in comparison with the whole image. Thresholding on the output map of the fully convolutional network and selection of regions based on their roundness are performed in our proposed post-processing phase. The Dice score of our method reaches 87.24% by applying this algorithm on the York dataset of heart images.

Automatic segmentation of the left ventricle in cardiac MRI using local binary fitting model and dynamic programming techniques.

Segmentation of the left ventricle is very important to quantitatively analyze global and regional cardiac function from magnetic resonance. The aim of this study is to develop a novel algorithm for segmenting left ventricle on short-axis cardiac magnetic resonance images (MRI) to improve the performance of computer-aided diagnosis (CAD) systems. In this research, an automatic segmentation method for left ventricle is proposed on the basis of local binary fitting (LBF) model and dynamic programming techniques. The validation experiments are performed on a pool of data sets of 45 cases. For both endo- and epi-cardial contours of our results, percentage of good contours is about 93.5%, the average perpendicular distance are about 2 mm. The overlapping dice metric is about 0.91. The regression and determination coefficient between the experts and our proposed method on the LV mass is 1.038 and 0.9033, respectively; they are 1.076 and 0.9386 for ejection fraction (EF). The proposed segmentation method shows the better performance and has great potential in improving the accuracy of computer-aided diagnosis systems in cardiovascular diseases.

Multiphase B-spline level set and incremental shape priors with applications to segmentation and tracking of left ventricle in cardiac MR images

This paper presents a new multiphase active contour model for object segmentation and tracking. The paper introduces an energy functional which incorporates image feature information to drive contours toward desired boundaries, and shape priors to constrain the evolution of the contours with respect to reference shapes. The shape priors, in the model, are constructed by performing the incremental principal component analysis (iPCA) on a set of training shapes and newly available shapes which are the resulted shapes derived from preceding segmented images. By performing iPCA, the shape priors are updated without repeatedly performing PCA on the entire training set including the existing shapes and the newly available shapes. In addition, by incrementally updating the resulted shape information of consecutive frames, the approach allows to encode shape priors even when the database of training shapes is not available. Moreover, in shape alignment steps, we exploit the shape normalization procedure, which takes into account the affine transformation, to directly calculate pose transformations instead of solving a set of coupled partial differential equations as in gradient descent-based approaches. Besides, we represent the level set functions as linear combinations of continuous basic functions expressed on B-spline basics for a fast convergence to the segmentation solution. The model is applied to simultaneously segment/track both the endocardium and epicardium of left ventricle from cardiac magnetic resonance (MR) images. Experimental results show the desired performances of the proposed model.

Multiphase segmentation using an implicit dual shape prior: Application to detection of left ventricle in cardiac MRI

Cardiac magnetic resonance imaging (MRI) has been extensively used in the diagnosis of cardiovascular disease and its quantitative evaluation. Cardiac MRI techniques have been progressively improved, providing high-resolution anatomical and functional information. One of the key steps in the assessment of cardiovascular disease is the quantitative analysis of the left ventricle (LV) contractile function. Thus, the accurate delineation of LV boundary is of great interest to improve diagnostic performance. In this work, we present a novel segmentation algorithm of LV from cardiac MRI incorporating an implicit shape prior without any training phase using level sets in a variational framework. The segmentation of LV still remains a challenging problem due to its subtle boundary, occlusion, and inhomogeneity. In order to overcome such difficulties, a shape prior knowledge on the anatomical constraint of LV is integrated into a region-based segmentation framework. The shape prior is introduced based on the anatomical shape similarity between endocardium and epicardium. The shape of endocardium is assumed to be mutually similar under scaling to the shape of epicardium. An implicit shape representation using signed distance function is introduced and their discrepancy is measured in a probabilistic way. Our shape constraint is imposed by a mutual similarity of shapes without any training phase that requires a collection of shapes to learn their statistical properties. The performance of the proposed method has been demonstrated on fifteen clinical datasets, showing its potential as the basis in the clinical diagnosis of cardiovascular disease.

Hybrid segmentation of left ventricle in cardiac MRI using gaussian-mixture model and region restricted dynamic programming

Segmentation of the left ventricle from cardiac magnetic resonance images (MRI) is very important to quantitatively analyze global and regional cardiac function. The aim of this study is to develop a novel and robust algorithm which can improve the accuracy of automatic left ventricle segmentation on short-axis cardiac MRI. The database used in this study consists of three data sets obtained from the Sunnybrook Health Sciences Centre. Each data set contains 15 cases (4 ischemic heart failures, 4 non-ischemic heart failures, 4 left ventricle (LV) hypertrophies and 3 normal cases). Three key techniques are developed in this segmentation algorithm: (1) ray scanning approach is designed for segmentation of images with left ventricular outflow tract (LVOT), (2) a region restricted technique is employed for epicardial contour extraction, and (3) an edge map with non-maxima gradient suppression approach is put forward to improve the dynamic programming to derive the epicardial boundary. The validation experiments were performed on a pool of data sets of 45 cases. For both endo- and epi-cardial contours of our results, percentage of good contours is about 91%, the average perpendicular distance is about 2mm. The overlapping dice metric is about 0.92. The regression and determination coefficient between the experts and our proposed method on the ejection fraction (EF) is 1.01 and 0.9375, respectively; they are 0.9 and 0.8245 for LV mass. The proposed segmentation method shows the better performance and is very promising in improving the accuracy of computer-aided diagnosis systems in cardiovascular diseases.

Detection of Left Ventricular Myocardial Contours from Ischemic Cardiac MR Images

Quantitative evaluation of cardiac function from cardiac magnetic resonance (CMR) images requires the identification of the myocardial walls. This generally requires the clinician to view the image and interactively trace the contours. The myocardial wall of the left ventricle in CMR images, obtained from subjects having serious diseases, is obscure, henceforth, its detection is a tough task. In this paper, an approach to outlining the left ventricular contour is proposed. The utilization of a random walk approach is shown in order to extract the blood pool boundary or endocardium (the inner side of the left ventricular myocardial wall). Inaccurate segmentation is resulted, while applying the approach to ischemic CMR images, because this type of images bear multilabeled blood pool and the manual seed(s) selection in these images introduces variability in the results. In view of this, the paper presents two modifications in the algorithm: (1) automatic seed(s) selection and (2) introduction of Laplacian of difference of Gaussian weighting function. Subsequently, a modified version of an active contour method is implemented to extract the epicardium (the outer side of the left ventricular myocardial wall). This outer contour is achieved by taking the blood pool boundary as its initial contour. Basically, this method is based on active contour without edges. Promising experimental results in CMR images demonstrate the potentials of our approach.