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arXiv 2002.00440eess.IVcs.CV

Simultaneous Left Atrium Anatomy and Scar Segmentations via Deep Learning in Multiview Information with Attention

Cardiovascular Research Centre, Royal Brompton Hospital(皇家布朗普顿医院心血管研究中心);National Heart and Lung Institute, Imperial College London(帝国理工学院国家心肺研究所);Anhui University(安徽大学);Western University(西安大略大学);University College London(伦敦大学学院);Alan Turing Institute(阿兰·图灵研究所);NIHR Imperial Biomedical Research Centre(NIHR帝国生物医学研究中心);Beijing Anzhen Hospital, Capital Medical University(首都医科大学附属北京安贞医院);School of Biomedical Engineering, Sun Yat-Sen University(中山大学医学院生物医学工程学院)
Guang Yang, Jun Chen, Zhifan Gao, Shuo Li, Hao Ni, Elsa Angelini, Tom Wong, Raad Mohiaddin, Eva Nyktari, Ricardo Wage, Lei Xu, Yanping Zhang, Xiuquan Du, Heye Z… 展开作者

Guang Yang, Jun Chen, Zhifan Gao, Shuo Li, Hao Ni, Elsa Angelini, Tom Wong, Raad Mohiaddin, Eva Nyktari, Ricardo Wage, Lei Xu, Yanping Zhang, Xiuquan Du, Heye Zhang, David Firmin, Jennifer Keegan

英文摘要:

Three-dimensional late gadolinium enhanced (LGE) cardiac MR (CMR) of left atrial scar in patients with atrial fibrillation (AF) has recently emerged as a promising technique to stratify patients, to guide ablation therapy and to predict treatment success. This requires a segmentation of the high intensity scar tissue and also a segmentation of the left atrium (LA) anatomy, the latter usually being derived from a separate bright-blood acquisition. Performing both segmentations automatically from a single 3D LGE CMR acquisition would eliminate the need for an additional acquisition and avoid subsequent registration issues. In this paper, we propose a joint segmentation method based on multiview two-task (MVTT) recursive attention model working directly on 3D LGE CMR images to segment the LA (and proximal pulmonary veins) and to delineate the scar on the same dataset. Using our MVTT recursive attention model, both the LA anatomy and scar can be segmented accurately (mean Dice score of 93% for the LA anatomy and 87% for the scar segmentations) and efficiently (~0.27 seconds to simultaneously segment the LA anatomy and scars directly from the 3D LGE CMR dataset with 60-68 2D slices). Compared to conventional unsupervised learning and other state-of-the-art deep learning based methods, the proposed MVTT model achieved excellent results, leading to an automatic generation of a patient-specific anatomical model combined with scar segmentation for patients in AF.

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