Cardiac left ventricle (LV) quantification provides a tool for diagnosing cardiac diseases. Automatic calculation of all relevant LV indices from cardiac MR images is an intricate task due to large variations among patients and deformation during the cardiac cycle. Typical methods are based on segmentation of the myocardium or direct regression from MR images. To consider cardiac motion and deformation, recurrent neural networks and spatio-temporal convolutional neural networks (CNNs) have been proposed. We study an approach combining state-of-the-art models and emphasizing transfer learning to account for the small dataset provided for the LVQuan19 challenge. We compare 2D spatial and 3D spatio-temporal CNNs for LV indices regression and cardiac phase classification. To incorporate segmentation information, we propose an architecture-independent segmentation-based regularization. To improve the robustness further, we employ a search scheme that identifies the optimal ensemble from a set of architecture variants. Evaluating on the LVQuan19 Challenge training dataset with 5-fold cross-validation, we achieve mean absolute errors of 111 +- 76mm^2, 1.84 +- 0.9mm and 1.22 +- 0.6mm for area, dimension and regional wall thickness regression, respectively. The error rate for cardiac phase classification is 6.7%.
National Library of Medicine, National Institutes of Health（美国国立卫生研究院国家医学图书馆）；Rochester Institute of Technology（罗切斯特理工学院）；TAJ Technologies Inc.（TAJ科技公司）
Segmentation of the left ventricle and quantification of various cardiac contractile functions is crucial for the timely diagnosis and treatment of cardiovascular diseases. Traditionally, the two tasks have been tackled independently. Here we propose a convolutional neural network based multi-task learning approach to perform both tasks simultaneously, such that, the network learns better representation of the data with improved generalization performance. Probabilistic formulation of the problem enables learning the task uncertainties during the training, which are used to automatically compu…
Friedrich-Alexander-University Erlangen-Nuremberg（埃尔朗根-纽伦堡弗里德里希-亚历山大大学）；University of Leeds（利兹大学）
Quantitative assessment of cardiac left ventricle (LV) morphology is essential to assess cardiac function and improve the diagnosis of different cardiovascular diseases. In current clinical practice, LV quantification depends on the measurement of myocardial shape indices, which is usually achieved by manual contouring of the endo- and epicardial. However, this process subjected to inter and intra-observer variability, and it is a time-consuming and tedious task. In this paper, we propose a spatio-temporal multi-task learning approach to obtain a complete set of measurements quantifying cardia…
Univ Lyon, INSA-Lyon, Université Claude Bernard Lyon 1, UJM-Saint Etienne, CNRS, Inserm, CREATIS UMR 5220, U1206（里昂大学、里昂国立应用科学学院、里昂第一大学（克洛德·贝尔纳里昂第一大学）、圣艾蒂安大学、法国国家科学研究中心、法国国家健康与医学研究院、CREATIS联合研究所）；CH Avignon（阿维尼翁中心医院）
Preterm neonates are highly likely to suffer from ventriculomegaly, a dilation of the Cerebral Ventricular System (CVS). This condition can develop into life-threatening hydrocephalus and is correlated with future neuro-developmental impairments. Consequently, it must be detected and monitored by physicians. In clinical routing, manual 2D measurements are performed on 2D ultrasound (US) images to estimate the CVS volume but this practice is imprecise due to the unavailability of 3D information. A way to tackle this problem would be to develop automatic CVS segmentation algorithms for 3D US dat…
MSEG-VCUQ: Multimodal SEGmentation with Enhanced Vision Foundation Models, Convolutional Neural Networks, and Uncertainty Quantification for High-Speed Video Phase Detection Data
Spatial-temporal V-Net for automatic segmentation and quantification of right ventricles in gated myocardial perfusion SPECT images
Michigan Technological University（密歇根理工大学）；Hai’an People’s Hospital（海安市人民医院）；Rush Medical College（拉什医学院）；Cook County Health（库克县医疗系统）；The First Affiliated Hospital of Nanjing Medical University（南京医科大学第一附属医院）；Xi’an University of Posts and Telecommunications（西安邮电大学）
A Hybrid Feature Fusion Deep Learning Framework for Leukemia Cancer Detection in Microscopic Blood Sample Using Gated Recurrent Unit and Uncertainty Quantification
Jagannath University（贾格纳特大学）；Green University of Bangladesh（孟加拉国绿色大学）
Universitat Pompeu Fabra（庞培法布拉大学）；Normandie Univ（诺曼底大学）；UNICAEN（卡昂大学）；CHU de Caen Normandie（卡昂诺曼底大学医院）；Inserm Comete（法国国家健康与医学研究院Comete实验室）；GIP Cyceron（Cyceron集团利益公共机构）；Philips Research（飞利浦研究院）；ICREA（加泰罗尼亚高等研究院）；IDIBAPS（巴塞罗那生物医学研究所）；KULeuven（鲁汶大学）
3D echocardiography is an increasingly popular tool for assessing cardiac remodelling in the right ventricle (RV). It allows quantification of the cardiac chambers without any geometric assumptions, which is the main weakness of 2D echocardiography. However, regional quantification of geometry and function is limited by the lower spatial and temporal resolution and the scarcity of identifiable anatomical landmarks. We developed a technique for regionally assessing the 3 relevant RV regions: apical, inlet and outflow. The method's inputs are end-diastolic (ED) and end-systolic (ES) segmented 3D…
Hospital Virgen de la Arrixaca（拉阿里克萨卡圣母医院）；University of Murcia（穆尔西亚大学）
Left ventricular non-compaction (LVNC) is a rare cardiomyopathy characterized by abnormal trabeculations in the left ventricle cavity. Although traditional computer vision approaches exist for LVNC diagnosis, deep learning-based tools could not be found in the literature. In this paper, a first approach using convolutional neural networks (CNNs) is presented. Four CNNs are trained to automatically segment the compacted and trabecular areas of the left ventricle for a population of patients diagnosed with Hypertrophic cardiomyopathy. Inference results confirm that deep learning-based approaches…
Imperial College London（帝国理工学院）；Queen Mary University of London（伦敦玛丽女王大学）；University of Oxford（牛津大学）
Cardiovascular magnetic resonance (CMR) imaging is a standard imaging modality for assessing cardiovascular diseases (CVDs), the leading cause of death globally. CMR enables accurate quantification of the cardiac chamber volume, ejection fraction and myocardial mass, providing information for diagnosis and monitoring of CVDs. However, for years, clinicians have been relying on manual approaches for CMR image analysis, which is time consuming and prone to subjective errors. It is a major clinical challenge to automatically derive quantitative and clinically relevant information from CMR images.…
National Heart, Lung and Blood Institute（国家心肺血液研究所）；National Institutes of Health（美国国立卫生研究院）；Barts Heart Centre（巴特心脏中心）；Royal Free Hospital（皇家自由医院）；University of Leeds（利兹大学）
Quantification of myocardial perfusion has the potential to improve detection of regional and global flow reduction. Significant effort has been made to automate the workflow, where one essential step is the arterial input function (AIF) extraction. Since failure here invalidates quantification, high accuracy is required. For this purpose, this study presents a robust AIF detection method using the convolutional neural net (CNN) model. CNN models were trained by assembling 25,027 scans (N=12,984 patients) from three hospitals, seven scanners. A test set of 5,721 scans (N=2,805 patients) evalua…
Uncertainty Quantification for Cardiac Shape Reconstruction with Deep Signed Distance Functions via MCMC methods
Department of Mathematics and Scientific Computing, University of Graz, Austria（格拉茨大学数学与科学计算系，奥地利）；PRIN-PNRR project no. P2022N5ZNP（PRIN-PNRR项目编号P2022N5ZNP）；INdAM-GNCS
Convolutional neural network (CNN) methods have been proposed to quantify lesions in medical imaging. Commonly more than one imaging examination is available for a patient, but the serial information in these images often remains unused. CNN-based methods have the potential to extract valuable information from previously acquired imaging to better quantify current imaging of the same patient. A pre-trained CNN can be updated with a patient's previously acquired imaging: patient-specific fine-tuning. In this work, we studied the improvement in performance of lesion quantification methods on MR …
Imperial College London（帝国理工学院）；University College London（伦敦大学学院）；Barts Heart Centre, St Bartholomew’s Hospital（巴茨心脏中心，圣巴塞洛缪医院）；Queen Mary University of London（伦敦玛丽女王大学）
Convolutional neural network (CNN) based segmentation methods provide an efficient and automated way for clinicians to assess the structure and function of the heart in cardiac MR images. While CNNs can generally perform the segmentation tasks with high accuracy when training and test images come from the same domain (e.g. same scanner or site), their performance often degrades dramatically on images from different scanners or clinical sites. We propose a simple yet effective way for improving the network generalization ability by carefully designing data normalization and augmentation strateg…
Semantic segmentation using convolutional neural networks (CNNs) is the state-of-the-art for many medical segmentation tasks including left ventricle (LV) segmentation in cardiac MR images. However, a drawback is that these CNNs lack explicit shape constraints, occasionally resulting in unrealistic segmentations. In this paper, we perform LV and myocardial segmentation by regression of pose and shape parameters derived from a statistical shape model. The integrated shape model regularizes predicted segmentations and guarantees realistic shapes. Furthermore, in contrast to semantic segmentation…
Segmentation of brain structures from magnetic resonance (MR) scans plays an important role in the quantification of brain morphology. Since 3D deep learning models suffer from high computational cost, 2D deep learning methods are favored for their computational efficiency. However, existing 2D deep learning methods are not equipped to effectively capture 3D spatial contextual information that is needed to achieve accurate brain structure segmentation. In order to overcome this limitation, we develop an Anatomical Context-Encoding Network (ACEnet) to incorporate 3D spatial and anatomical conte…
The MYOSAIQ Challenge: Myocardial Segmentation with Automated Infarct Quantification
INSA-Lyon, Universite Claude Bernard Lyon 1, UJM-Saint Etienne, CNRS, Inserm, CREATIS UMR 5220, U1294（里昂国立应用科学学院、里昂第一大学克洛德·贝尔纳大学、圣艾蒂安大学、法国国家科学研究中心、法国国家健康与医学研究院、CREATIS联合研究机构）；Institut Universitaire de France (IUF)（法兰西大学研究院）；University of Sherbrooke（谢布鲁克大学）；Huazhong University of Science and Technology（华中科技大学）；Sunnybrook Research Institute, University of Toronto（多伦多大学桑尼布鲁克研究所）；Imperial College London（伦敦帝国理工学院）；University College London（伦敦大学学院）；Fudan University（复旦大学）；Medical University of Graz（格拉茨医科大学）；Graz University of Technology（格拉茨技术大学）；Universidad de Zaragoza（萨拉戈萨大学）；Instituto de Investigación Sanitaria de Aragón (IIS Aragón)（阿拉贡卫生研究所）；Centre Hospitalier Annecy Genevois（阿讷西日内瓦中心医院）；Hôpital Universitaire Cardiologique Louis Pradel（路易·普拉德尔大学心脏病医院）
Enhancing Global Sensitivity and Uncertainty Quantification in Medical Image Reconstruction with Monte Carlo Arbitrary-Masked Mamba
Imperial College London（帝国理工学院）；Royal Brompton Hospital（皇家布朗普顿医院）；College of Computer Science and Technology, Nanjing University of Aeronautics and Astronautics（南京航空航天大学计算机科学与技术学院）；School of Biomedical Engineering, Shenzhen Campus of Sun Yat-sen University（中山大学深圳校区生物医学工程学院）；Human Phenome Institute, Fudan University（复旦大学人类表型组研究院）；Inselspital, University of Bern（伯尔尼大学因塞尔医院）；Technical University of Munich（慕尼黑工业大学）
Sandia National Laboratories（桑迪亚国家实验室）；University of Southern California（南加州大学）
Deep learning has been successfully applied to the segmentation of 3D Computed Tomography (CT) scans. Establishing the credibility of these segmentations requires uncertainty quantification (UQ) to identify untrustworthy predictions. Recent UQ architectures include Monte Carlo dropout networks (MCDNs), which approximate deep Gaussian processes, and Bayesian neural networks (BNNs), which learn the distribution of the weight space. BNNs are advantageous over MCDNs for UQ but are thought to be computationally infeasible in high dimension, and neither architecture has produced interpretable geomet…
Heart Institute (InCor/HC.FMUSP)（心脏研究所（InCor/HC.FMUSP））
CNN (Convolutional Neural Network) models have been successfully used for segmentation of the left ventricle (LV) in cardiac MRI (Magnetic Resonance Imaging), providing clinical measurements. In practice, two questions arise with deployment of CNNs: 1) when is it better to use a shallow model instead of a deeper one? 2) how the size of a dataset might change the network performance? We propose a framework to answer them, by experimenting with deep and shallow versions of three U-Net families, trained from scratch in six subsets varying from 100 to 10,000 images, different network sizes, learni…
University of West London（西伦敦大学）；Imperial College（帝国理工学院）
Echocardiography image quality assessment is not a trivial issue in transthoracic examination. As the in vivo examination of heart structures gained prominence in cardiac diagnosis, it has been affirmed that accurate diagnosis of the left ventricle functions is hugely dependent on the quality of echo images. Up till now, visual assessment of echo images is highly subjective and requires specific definition under clinical pathologies. While poor-quality images impair quantifications and diagnosis, the inherent variations in echocardiographic image quality standards indicates the complexity face…
Recently, the combination of robust one-dimensional convolutional neural networks (1-D CNNs) and Raman spectroscopy has shown great promise in rapid identification of unknown substances with good accuracy. Using this technique, researchers can recognize a pure compound and distinguish it from unknown substances in a mixture. The novelty of this approach is that the trained neural network operates automatically without any pre- or post-processing of data. Some studies have attempted to extend this technique to the classification of pure compounds in an unknown mixture. However, the application …
Semantic segmentation using convolutional neural networks (CNNs) is the state-of-the-art for many medical image segmentation tasks including myocardial segmentation in cardiac MR images. However, the predicted segmentation maps obtained from such standard CNN do not allow direct quantification of regional shape properties such as regional wall thickness. Furthermore, the CNNs lack explicit shape constraints, occasionally resulting in unrealistic segmentations. In this paper, we use a CNN to predict shape parameters of an underlying statistical shape model of the myocardium learned from a train…
University of Amsterdam（阿姆斯特丹大学）；University Medical Center Utrecht（乌得勒支大学医学中心）
Deep learning-based whole-heart segmentation in coronary CT angiography (CCTA) allows the extraction of quantitative imaging measures for cardiovascular risk prediction. Automatic extraction of these measures in patients undergoing only non-contrast-enhanced CT (NCCT) scanning would be valuable. In this work, we leverage information provided by a dual-layer detector CT scanner to obtain a reference standard in virtual non-contrast (VNC) CT images mimicking NCCT images, and train a 3D convolutional neural network (CNN) for the segmentation of VNC as well as NCCT images. Contrast-enhanced acquis…
Brigham and Women’s Hospital（布莱根妇女医院）；Harvard Medical School（哈佛医学院）
Accurately and precisely characterizing the morphology of small pulmonary structures from Computed Tomography (CT) images, such as airways and vessels, is becoming of great importance for diagnosis of pulmonary diseases. The smaller conducting airways are the major site of increased airflow resistance in chronic obstructive pulmonary disease (COPD), while accurately sizing vessels can help identify arterial and venous changes in lung regions that may determine future disorders. However, traditional methods are often limited due to image resolution and artifacts. We propose a Convolutional Neur…
The University of Winnipeg（温尼伯大学）；Qatar University（卡塔尔大学）；Hamad Medical Corporation（哈马德医疗公司）
Cardiac imaging known as echocardiography is a non-invasive tool utilized to produce data including images and videos, which cardiologists use to diagnose cardiac abnormalities in general and myocardial infarction (MI) in particular. Echocardiography machines can deliver abundant amounts of data that need to be quickly analyzed by cardiologists to help them make a diagnosis and treat cardiac conditions. However, the acquired data quality varies depending on the acquisition conditions and the patient's responsiveness to the setup instructions. These constraints are challenging to doctors especi…
King’s College London（伦敦国王学院）；National Hospital for Neurology and Neurosurgery（国家神经内科和神经外科医院）；Thomas Jefferson University（托马斯·杰斐逊大学）；University of Washington（华盛顿大学）
Laser interstitial thermal therapy (LITT) is a novel minimally invasive treatment that is used to ablate intracranial structures to treat mesial temporal lobe epilepsy (MTLE). Region of interest (ROI) segmentation before and after LITT would enable automated lesion quantification to objectively assess treatment efficacy. Deep learning techniques, such as convolutional neural networks (CNNs) are state-of-the-art solutions for ROI segmentation, but require large amounts of annotated data during the training. However, collecting large datasets from emerging treatments such as LITT is impractical.…
Fetal brain magnetic resonance imaging serves as an emerging modality for prenatal counseling and diagnosis in disorders affecting the brain. Machine learning based segmentation plays an important role in the quantification of brain development. However, a limiting factor is the lack of sufficiently large, labeled training data. Our study explored the application of SPADE, a conditional general adversarial network (cGAN), which learns the mapping from the label to the image space. The input to the network was super-resolution T2-weighted cerebral MRI data of 120 fetuses (gestational age range:…
