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, it allows direct calculation of regional measures such as myocardial thickness. We enforce robustness of shape and pose prediction by simultaneously constructing a segmentation distance map during training. We evaluated the proposed method in a fivefold cross validation on a in-house clinical dataset with 75 subjects containing a total of 1539 delineated short-axis slices covering LV from apex to base, and achieved a correlation of 99% for LV area, 94% for myocardial area, 98% for LV dimensions and 88% for regional wall thicknesses. The method was additionally validated on the LVQuan18 and LVQuan19 public datasets and achieved state-of-the-art results.
NVIDIA（英伟达）；MGH and BWH Center for Clinical Data Science（麻省总医院与布列根和妇女医院临床数据科学中心）
We propose a 4D convolutional neural network (CNN) for the segmentation of retrospective ECG-gated cardiac CT, a series of single-channel volumetric data over time. While only a small subset of volumes in the temporal sequence is annotated, we define a sparse loss function on available labels to allow the network to leverage unlabeled images during training and generate a fully segmented sequence. We investigate the accuracy of the proposed 4D network to predict temporally consistent segmentations and compare with traditional 3D segmentation approaches. We demonstrate the feasibility of the 4D…
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…
Rochester Institute of Technology（罗切斯特理工学院）；National Institute of Allergy and Infectious Diseases（国家过敏和传染病研究所）；MSC LLC.（MSC有限责任公司）
Cardiac image segmentation is a critical process for generating personalized models of the heart and for quantifying cardiac performance parameters. Several convolutional neural network (CNN) architectures have been proposed to segment the heart chambers from cardiac cine MR images. Here we propose a multi-task learning (MTL)-based regularization framework for cardiac MR image segmentation. The network is trained to perform the main task of semantic segmentation, along with a simultaneous, auxiliary task of pixel-wise distance map regression. The proposed distance map regularizer is a decoder …
University of Central Florida（中佛罗里达大学）；Florida Hospital（佛罗里达医院）
Anatomical and biophysical modeling of left atrium (LA) and proximal pulmonary veins (PPVs) is important for clinical management of several cardiac diseases. Magnetic resonance imaging (MRI) allows qualitative assessment of LA and PPVs through visualization. However, there is a strong need for an advanced image segmentation method to be applied to cardiac MRI for quantitative analysis of LA and PPVs. In this study, we address this unmet clinical need by exploring a new deep learning-based segmentation strategy for quantification of LA and PPVs with high accuracy and heightened efficiency. Our …
LA-CaRe-CNN: Cascading Refinement CNN for Left Atrial Scar Segmentation
Gottfried Schatz Research Center: Medical Physics and Biophysics（戈特弗里德·施蔡茨研究所以及生物物理学）；Medical University of Graz（格拉茨医科大学）；Institute of Computer Graphics and Vision（计算机图形学与视觉研究所）；Graz University of Technology（格拉茨理工大学）；AVL List GmbH；Institute for Medical Informatics, Statistics and Documentation（医学信息学、统计学与文档研究所）
Nanjing University of Science and Technology（南京理工大学）
Convolutional Neural Networks (CNNs) have achieved high accuracy for cardiac structure segmentation if training cases and testing cases are from the same distribution. However, the performance would be degraded if the testing cases are from a distinct domain (e.g., new MRI scanners, clinical centers). In this paper, we propose a histogram matching (HM) data augmentation method to eliminate the domain gap. Specifically, our method generates new training cases by using HM to transfer the intensity distribution of testing cases to existing training cases. The proposed method is quite simple and c…
LGE CMR is an efficient technology for detecting infarcted myocardium. An efficient and objective ventricle segmentation method in LGE can benefit the location of the infarcted myocardium. In this paper, we proposed an automatic framework for LGE image segmentation. There are just 5 labeled LGE volumes with about 15 slices of each volume. We adopted histogram match, an invariant of rotation registration method, on the other labeled modalities to achieve effective augmentation of the training data. A CNN segmentation model was trained based on the augmented training data by leave-one-out strate…
In this paper, we develop a 2D and 3D segmentation pipelines for fully automated cardiac MR image segmentation using Deep Convolutional Neural Networks (CNN). Our models are trained end-to-end from scratch using the ACD Challenge 2017 dataset comprising of 100 studies, each containing Cardiac MR images in End Diastole and End Systole phase. We show that both our segmentation models achieve near state-of-the-art performance scores in terms of distance metrics and have convincing accuracy in terms of clinical parameters. A comparative analysis is provided by introducing a novel dice loss functio…
Cardiovascular Research Institute, University of California, San Francisco（加州大学旧金山分校心血管研究所）；Department of Electrical Engineering and Computer Science, University of California at Berkeley（加州大学伯克利分校电气工程与计算机科学系）；Department of Medicine, University of California, San Francisco（加州大学旧金山分校医学系）；Division of Cardiology, Department of Medicine, and Feinberg Cardiovascular Research Institute（医学系心脏病学科及范伯格心血管研究所）
Automated cardiac image interpretation has the potential to transform clinical practice in multiple ways including enabling low-cost serial assessment of cardiac function in the primary care and rural setting. We hypothesized that advances in computer vision could enable building a fully automated, scalable analysis pipeline for echocardiogram (echo) interpretation. Our approach entailed: 1) preprocessing; 2) convolutional neural networks (CNN) for view identification, image segmentation, and phasing of the cardiac cycle; 3) quantification of chamber volumes and left ventricular mass; 4) parti…
CAMS: Convolution and Attention-Free Mamba-based Cardiac Image Segmentation
School of Electronic Engineering and Computer Science, Queen Mary University of London（伦敦玛丽女王大学电子工程与计算机科学学院）；Queen Mary’s Digital Environment Research Institute (DERI)（伦敦玛丽女王大学数字环境研究所）；Department of Computer Science, University College London（伦敦大学学院计算机科学系）；School of Engineering and Materials Science, Queen Mary University of London（伦敦玛丽女王大学工程与材料科学学院）
Compositional Segmentation of Cardiac Images Leveraging Metadata
School of Electronic Engineering and Computer Science, Queen Mary University of London（伦敦玛丽女王大学电子工程与计算机科学学院）；Queen Mary’s Digital Environment Research Institute (DERI)（玛丽女王数字环境研究所）；Department of Computer Science, University College London（伦敦大学学院计算机科学系）；School of Engineering and Materials Science, Queen Mary University of London（伦敦玛丽女王大学工程与材料科学学院）
Medical image segmentation has significantly benefitted thanks to deep learning architectures. Furthermore, semi-supervised learning (SSL) has recently been a growing trend for improving a model's overall performance by leveraging abundant unlabeled data. Moreover, learning multiple tasks within the same model further improves model generalizability. To generate smoother and accurate segmentation masks from 3D cardiac MR images, we present a Multi-task Cross-task learning consistency approach to enforce the correlation between the pixel-level (segmentation) and the geometric-level (distance ma…
University of Kansas（堪萨斯大学）；Rochester Institute of Technology（罗切斯特理工学院）
Patient-specific left ventricle (LV) myocardial models have the potential to be used in a variety of clinical scenarios for improved diagnosis and treatment plans. Cine cardiac magnetic resonance (MR) imaging provides high resolution images to reconstruct patient-specific geometric models of the LV myocardium. With the advent of deep learning, accurate segmentation of cardiac chambers from cine cardiac MR images and unsupervised learning for image registration for cardiac motion estimation on a large number of image datasets is attainable. Here, we propose a deep leaning-based framework for th…
Rutgers University（罗格斯大学）；SenseBrain Research（SenseBrain研究院）；University of Arkansas for Medical Sciences（阿肯色大学医学院）；Lund University（隆德大学）；New York University（纽约大学）
Joint 2D cardiac segmentation and 3D volume reconstruction are fundamental to building statistical cardiac anatomy models and understanding functional mechanisms from motion patterns. However, due to the low through-plane resolution of cine MR and high inter-subject variance, accurately segmenting cardiac images and reconstructing the 3D volume are challenging. In this study, we propose an end-to-end latent-space-based framework, DeepRecon, that generates multiple clinically essential outcomes, including accurate image segmentation, synthetic high-resolution 3D image, and 3D reconstructed volu…
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…
Seven million people suffer surgical complications each year, but with sufficient surgical training and review, 50\% of these complications could be prevented. To improve surgical performance, existing research uses various deep learning (DL) technologies including convolutional neural networks (CNN) and recurrent neural networks (RNN) to automate surgical tool and workflow detection. However, there is room to improve accuracy; real-time analysis is also minimal due to the complexity of CNN. In this research, a novel DL architecture is proposed to integrate visual simultaneous localization and…
Deep neural network architectures have traditionally been designed and explored with human expertise in a long-lasting trial-and-error process. This process requires huge amount of time, expertise, and resources. To address this tedious problem, we propose a novel algorithm to optimally find hyperparameters of a deep network architecture automatically. We specifically focus on designing neural architectures for medical image segmentation task. Our proposed method is based on a policy gradient reinforcement learning for which the reward function is assigned a segmentation evaluation utility (i.…
With the advent of Cardiac Cine Magnetic Resonance (CMR) Imaging, there has been a paradigm shift in medical technology, thanks to its capability of imaging different structures within the heart without ionizing radiation. However, it is very challenging to conduct pre-operative planning of minimally invasive cardiac procedures without accurate segmentation and identification of the left ventricle (LV), right ventricle (RV) blood-pool, and LV-myocardium. Manual segmentation of those structures, nevertheless, is time-consuming and often prone to error and biased outcomes. Hence, automatic and c…
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 t…
Sano Centre for Computational Medicine（萨诺计算医学中心）；Informatics Institute, University of Amsterdam（阿姆斯特丹大学信息学研究所）；Massachusetts General Hospital（麻省总医院）；Harvard Medical School（哈佛医学院）
Cardiac Magnetic Resonance Imaging is commonly used for the assessment of the cardiac anatomy and function. The delineations of left and right ventricle blood pools and left ventricular myocardium are important for the diagnosis of cardiac diseases. Unfortunately, the movement of a patient during the CMR acquisition procedure may result in motion artifacts appearing in the final image. Such artifacts decrease the diagnostic quality of CMR images and force redoing of the procedure. In this paper, we present a Multi-task Swin UNEt TRansformer network for simultaneous solving of two tasks in the …
Indian Institute of Technology Madras（印度理工学院马德拉斯分校）
Deep fully convolutional neural network (FCN) based architectures have shown great potential in medical image segmentation. However, such architectures usually have millions of parameters and inadequate number of training samples leading to over-fitting and poor generalization. In this paper, we present a novel highly parameter and memory efficient FCN based architecture for medical image analysis. We propose a novel up-sampling path which incorporates long skip and short-cut connections to overcome the feature map explosion in FCN like architectures. In order to processes the input images at …
Quantification of cardiac structures in non-contrast CT (NCCT) could improve cardiovascular risk stratification. However, setting a manual reference to train a fully convolutional network (FCN) for automatic segmentation of NCCT images is hardly feasible, and an FCN trained on coronary CT angiography (CCTA) images would not generalize to NCCT. Therefore, we propose to train an FCN with virtual non-contrast (VNC) images from a dual-layer detector CT scanner and a reference standard obtained on perfectly aligned CCTA images.
Rutgers University（罗格斯大学）；Nvidia Corporation（英伟达公司）；New York University（纽约大学）
The 3D volumetric shape of the heart's left ventricle (LV) myocardium (MYO) wall provides important information for diagnosis of cardiac disease and invasive procedure navigation. Many cardiac image segmentation methods have relied on detection of region-of-interest as a pre-requisite for shape segmentation and modeling. With segmentation results, a 3D surface mesh and a corresponding point cloud of the segmented cardiac volume can be reconstructed for further analyses. Although state-of-the-art methods (e.g., U-Net) have achieved decent performance on cardiac image segmentation in terms of ac…
University of Oslo（奥斯陆大学）；GE Vingmed Ultrasound（GE维ingmed超声公司）；GE Research（通用电气研究中心）
Accurate and consistent predictions of echocardiography parameters are important for cardiovascular diagnosis and treatment. In particular, segmentations of the left ventricle can be used to derive ventricular volume, ejection fraction (EF) and other relevant measurements. In this paper we propose a new automated method called EchoGraphs for predicting ejection fraction and segmenting the left ventricle by detecting anatomical keypoints. Models for direct coordinate regression based on Graph Convolutional Networks (GCNs) are used to detect the keypoints. GCNs can learn to represent the cardiac…
VinAI Research（VinAI研究院）；University of Arkansas（阿肯色大学）
Medical image segmentation has been so far achieving promising results with Convolutional Neural Networks (CNNs). However, it is arguable that in traditional CNNs, its pooling layer tends to discard important information such as positions. Moreover, CNNs are sensitive to rotation and affine transformation. Capsule network is a data-efficient network design proposed to overcome such limitations by replacing pooling layers with dynamic routing and convolutional strides, which aims to preserve the part-whole relationships. Capsule network has shown a great performance in image recognition and nat…
University of Sherbrooke（舍布鲁克大学）；Université de Bourgogne Franche-Comté（勃艮第-弗朗什孔泰大学）；CArdiac Simulation & Imaging Software（心脏模拟与成像软件公司）；Université de Lyon（里昂大学）
Recent publications have shown that the segmentation accuracy of modern-day convolutional neural networks (CNN) applied on cardiac MRI can reach the inter-expert variability, a great achievement in this area of research. However, despite these successes, CNNs still produce anatomically inaccurate segmentations as they provide no guarantee on the anatomical plausibility of their outcome, even when using a shape prior. In this paper, we propose a cardiac MRI segmentation method which always produces anatomically plausible results. At the core of the method is an adversarial variational autoencod…
With respect to spatial overlap, CNN-based segmentation of short axis cardiovascular magnetic resonance (CMR) images has achieved a level of performance consistent with inter observer variation. However, conventional training procedures frequently depend on pixel-wise loss functions, limiting optimisation with respect to extended or global features. As a result, inferred segmentations can lack spatial coherence, including spurious connected components or holes. Such results are implausible, violating the anticipated topology of image segments, which is frequently known a priori. Addressing thi…
Amsterdam UMC, University of Amsterdam（阿姆斯特丹大学阿姆斯特丹大学医学中心）；Amsterdam University Medical Center, University of Amsterdam（阿姆斯特丹大学阿姆斯特丹大学医学中心）；University Medical Center Utrecht（乌得勒支大学医学中心）
Segmentation of cardiac anatomical structures in cardiac magnetic resonance images (CMRI) is a prerequisite for automatic diagnosis and prognosis of cardiovascular diseases. To increase robustness and performance of segmentation methods this study combines automatic segmentation and assessment of segmentation uncertainty in CMRI to detect image regions containing local segmentation failures. Three state-of-the-art convolutional neural networks (CNN) were trained to automatically segment cardiac anatomical structures and obtain two measures of predictive uncertainty: entropy and a measure deriv…
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…
King's College London（伦敦国王学院）；Guy’s and St Thomas’ Hospital（盖伊和圣托马斯医院）
In computer vision there has been significant research interest in assessing potential demographic bias in deep learning models. One of the main causes of such bias is imbalance in the training data. In medical imaging, where the potential impact of bias is arguably much greater, there has been less interest. In medical imaging pipelines, segmentation of structures of interest plays an important role in estimating clinical biomarkers that are subsequently used to inform patient management. Convolutional neural networks (CNNs) are starting to be used to automate this process. We present the fir…
GE Vingmed Ultrasound, GE Healthcare（通用电气医疗集团GE Vingmed超声部门）；University of Oslo（奥斯陆大学）；Norwegian Computing Center（挪威计算中心）
Two-dimensional echocardiography (2DE) measurements of left ventricle (LV) dimensions are highly significant markers of several cardiovascular diseases. These measurements are often used in clinical care despite suffering from large variability between observers. This variability is due to the challenging nature of accurately finding the correct temporal and spatial location of measurement endpoints in ultrasound images. These images often contain fuzzy boundaries and varying reflection patterns between frames. In this work, we present a convolutional neural network (CNN) based approach to aut…
University of Sherbrooke（舍布鲁克大学）；University of Bourgogne Franche-Comte（勃艮第-弗朗什孔泰大学）；CASIS inc.（CASIS公司）；University of Lyon（里昂大学）
Convolutional neural networks (CNN) have had unprecedented success in medical imaging and, in particular, in medical image segmentation. However, despite the fact that segmentation results are closer than ever to the inter-expert variability, CNNs are not immune to producing anatomically inaccurate segmentations, even when built upon a shape prior. In this paper, we present a framework for producing cardiac image segmentation maps that are guaranteed to respect pre-defined anatomical criteria, while remaining within the inter-expert variability. The idea behind our method is to use a well-trai…
A Novel Data Augmentation Tool for Enhancing Machine Learning Classification: A New Application of the Higher Order Dynamic Mode Decomposition for Improved Cardiac Disease Identification
Universidad Politécnica de Madrid（马德里理工大学）；ETSI Aeronáutica y del Espacio（航空航天高级技术工程学院）；ETSI Telecomunicación（电信高级技术工程学院）；Universidad Complutense de Madrid（马德里康普顿斯大学）；Centro Nacional de Investigaciones Cardiovasculares (CNIC)（国家心血管研究中心）；Center for Computational Simulation (CCS)（计算仿真中心）
University of Oxford（牛津大学）；National Institutes of Health（美国国立卫生研究院）；Tufts University School of Medicine（塔夫茨大学医学院）；Sackler School of Graduate Biomedical Sciences（萨克勒生物医学研究生院）；Brigham and Women’s Hospital（布莱根妇女医院）；University of Wisconsin-Madison（威斯康星大学麦迪逊分校）
Pixelwise segmentation of the left ventricular (LV) myocardium and the four cardiac chambers in 2-D steady state free precession (SSFP) cine sequences is an essential preprocessing step for a wide range of analyses. Variability in contrast, appearance, orientation, and placement of the heart between patients, clinical views, scanners, and protocols makes fully automatic semantic segmentation a notoriously difficult problem. Here, we present $Ω$-Net (Omega-Net): a novel convolutional neural network (CNN) architecture for simultaneous localization, transformation into a canonical orientation, an…
Background: Increased pericardial adipose tissue (PAT) is associated with many types of cardiovascular disease (CVD). Although cardiac magnetic resonance images (CMRI) are often acquired in patients with CVD, there are currently no tools to automatically identify and quantify PAT from CMRI. The aim of this study was to create a neural network to segment PAT from T2-weighted CMRI and explore the correlations between PAT volumes (PATV) and CVD outcomes and mortality. Methods: We trained and tested a deep learning model, PAT-CNN, to segment PAT on T2-weighted cardiac MR images. Using the segmenta…
Imperial College London（帝国理工学院）；MRC London Institute of Medical Sciences（MRC伦敦医学科学研究所）；National Heart and Lung Institute（国家心肺研究所）
Deep learning approaches have achieved state-of-the-art performance in cardiac magnetic resonance (CMR) image segmentation. However, most approaches have focused on learning image intensity features for segmentation, whereas the incorporation of anatomical shape priors has received less attention. In this paper, we combine a multi-task deep learning approach with atlas propagation to develop a shape-constrained bi-ventricular segmentation pipeline for short-axis CMR volumetric images. The pipeline first employs a fully convolutional network (FCN) that learns segmentation and landmark localisat…
Many strides have been made in semantic segmentation of multiple classes within an image. This has been largely due to advancements in deep learning and convolutional neural networks (CNNs). Features within a CNN are automatically learned during training, which allows for the abstraction of semantic information within the images. These deep learning models are powerful enough to handle the segmentation of multiple classes without the need for multiple networks. Despite these advancements, few attempts have been made to automatically segment multiple anatomical features within medical imaging d…
University of Alberta（阿尔伯塔大学）；Mazankowski Alberta Heart Institute（马赞科夫斯基阿尔伯塔心脏研究所）
Myocardial characterization is essential for patients with myocardial infarction and other myocardial diseases, and the assessment is often performed using cardiac magnetic resonance (CMR) sequences. In this study, we propose a fully automated approach using deep convolutional neural networks (CNN) for cardiac pathology segmentation, including left ventricular (LV) blood pool, right ventricular blood pool, LV normal myocardium, LV myocardial edema (ME) and LV myocardial scars (MS). The input to the network consists of three CMR sequences, namely, late gadolinium enhancement (LGE), T2 and balan…
University of Dundee（邓迪大学）；Technical University of Munich（慕尼黑工业大学）；Shenzhen Institute of Artificial Intelligence and Robotics for Society（深圳人工智能与机器人研究院）；Southern University of Science and Technology（南方科技大学）
Analysis and modeling of the ventricles and myocardium are important in the diagnostic and treatment of heart diseases. Manual delineation of those tissues in cardiac MR (CMR) scans is laborious and time-consuming. The ambiguity of the boundaries makes the segmentation task rather challenging. Furthermore, the annotations on some modalities such as Late Gadolinium Enhancement (LGE) MRI, are often not available. We propose an end-to-end segmentation framework based on convolutional neural network (CNN) and adversarial learning. A dilated residual U-shape network is used as a segmentor to genera…
Department of Electrical Engineering, Syed Babar Ali School of Science and Engineering, LUMS（拉合尔管理科学大学，赛义德·巴巴尔·阿里科学与工程学院，电气工程系）
We proposed a multi-view SA-LA model for simultaneous segmentation of RV on the short-axis (SA) and long-axis (LA) cardiac MR images. The multi-view SA-LA model is a multi-encoder, multi-decoder U-Net architecture based on the U-Net model. One encoder-decoder pair segments the RV on SA images and the other pair on LA images. Multi-view SA-LA model assembles an extremely rich set of synergistic features, at the root of the encoder branch, by combining feature maps learned from matched SA and LA cardiac MR images. Segmentation performance is further enhanced by: (1) incorporating spatial context…
Université de Bourgogne Franche-Comté（勃艮第-弗朗什-孔泰大学）；Cardiac Simulation & Imaging Software（心脏模拟与成像软件公司）；University of Sherbrooke（舍布鲁克大学）；University Hospital of Dijon（第戎大学医院）
In this work, we propose a Variational Autoencoder (VAE) - Generative Adversarial Networks (GAN) model that can produce highly realistic MRI together with its pixel accurate groundtruth for the application of cine-MR image cardiac segmentation. On one side of our model is a Variational Autoencoder (VAE) trained to learn the latent representations of cardiac shapes. On the other side is a GAN that uses "SPatially-Adaptive (DE)Normalization" (SPADE) modules to generate realistic MR images tailored to a given anatomical map. At test time, the sampling of the VAE latent space allows to generate an…
Friedrich-Alexander-Universität Erlangen-Nürnberg（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）
Left ventricle segmentation and morphological assessment are essential for improving diagnosis and our understanding of cardiomyopathy, which in turn is imperative for reducing risk of myocardial infarctions in patients. Convolutional neural network (CNN) based methods for cardiac magnetic resonance (CMR) image segmentation rely on supervision with pixel-level annotations, and may not generalize well to images from a different domain. These methods are typically sensitive to variations in imaging protocols and data acquisition. Since annotating multi-sequence CMR images is tedious and subject …
National Heart, Lung and Blood Institute, National Institutes of Health（美国国立卫生研究院心肺血液研究所）；Barts Heart Centre, Barts Health NHS Trust（巴特健康国民保健信托巴特心脏中心）；National Amyloidosis Centre, Royal Free Hospital（皇家自由医院国家淀粉样变性病中心）
Purpose: To develop a convolutional neural network (CNN) solution for robust landmark detection in cardiac MR images. Methods: This retrospective study included cine, LGE and T1 mapping scans from two hospitals. The training set included 2,329 patients and 34,019 images. A hold-out test set included 531 patients and 7,723 images. CNN models were developed to detect two mitral valve plane and apical points on long-axis (LAX) images. On short-axis (SAX) images, anterior and posterior RV insertion points and LV center were detected. Model outputs were compared to manual labels by two operators fo…
University of Sherbrooke（舍布鲁克大学）；Univ Lyon（里昂大学）；Université Claude Bernard Lyon 1（里昂第一大学）；UJM-Saint Etienne（圣艾蒂安大学）；CNRS（法国国家科学研究中心）；Inserm（法国国家健康与医学研究院）；Institut Universitaire de France（法国大学研究院）
Convolutional neural networks (CNN) have demonstrated their ability to segment 2D cardiac ultrasound images. However, despite recent successes according to which the intra-observer variability on end-diastole and end-systole images has been reached, CNNs still struggle to leverage temporal information to provide accurate and temporally consistent segmentation maps across the whole cycle. Such consistency is required to accurately describe the cardiac function, a necessary step in diagnosing many cardiovascular diseases. In this paper, we propose a framework to learn the 2D+time apical long-axi…
Auckland Bioengineering Institute, University of Auckland（奥克兰大学生物工程研究所）；Beihang University（北京航空航天大学）；Peking University（北京大学）；SenseTime Inc（商汤科技）；Tencent Jarvis Laboratory（腾讯Jarvis实验室）；Friedrich-Alexander-Universität Erlangen-Nürnberg（埃尔朗根-纽伦堡弗里德里希-亚历山大大学）；The Chinese University of Hong Kong（香港中文大学）；Shenzhen University（深圳大学）；Wuhan University（武汉大学）；Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences（中国科学院深圳先进技术研究院）；EPITA Research and Development Laboratory（EPITA研发实验室）；Imperial College London（伦敦帝国学院）；Shanghai Jiao Tong University（上海交通大学）；Fudan University（复旦大学）；Harbin Institute of Technology（哈尔滨工业大学）；University of Bologna（博洛尼亚大学）；Eindhoven University of Technology（埃因霍温理工大学）；Kings College London（伦敦国王学院）；University of Magdeburg（马格德堡大学）；Heidelberg University Hospital（海德堡大学医院）；Leiden University Medical Center（莱顿大学医学中心）；Universitat Pompeu Fabra（庞培法布拉大学）；Physense（Physense机构）
Segmentation of cardiac images, particularly late gadolinium-enhanced magnetic resonance imaging (LGE-MRI) widely used for visualizing diseased cardiac structures, is a crucial first step for clinical diagnosis and treatment. However, direct segmentation of LGE-MRIs is challenging due to its attenuated contrast. Since most clinical studies have relied on manual and labor-intensive approaches, automatic methods are of high interest, particularly optimized machine learning approaches. To address this, we organized the "2018 Left Atrium Segmentation Challenge" using 154 3D LGE-MRIs, currently the…
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…
Guizhou University（贵州大学）；Harbin Medical University Cancer Hospital（哈尔滨医科大学附属肿瘤医院）；Beijing Jiaotong University（北京交通大学）；Shanghai Jiao Tong University（上海交通大学）；University Lyon, INSA Lyon, CNRS, Inserm, IRP Metislab CREATIS UMR5220, U1206（里昂大学、里昂国立应用科学学院、法国国家科学研究中心、法国国家健康与医学研究院、IRP Metislab CREATIS UMR5220、U1206）
In vivo diffusion tensor imaging (DTI) is a promising technique to investigate noninvasively the fiber structures of the in vivo human heart. However, signal loss due to motions remains a persistent problem in in vivo cardiac DTI. We propose a novel motion-compensation method for investigating in vivo myocardium structures in DTI with free-breathing acquisitions. The method is based on an invertible Wavelet Scattering achieved by means of Convolutional Neural Network (WSCNN). It consists of first extracting translation-invariant wavelet scattering features from DW images acquired at different …
Massachusetts General Hospital（麻省总医院）；Harvard Medical School（哈佛医学院）；National Taiwan University（台湾大学）；University of Southern California（南加州大学）
Assessment of cardiovascular disease (CVD) with cine magnetic resonance imaging (MRI) has been used to non-invasively evaluate detailed cardiac structure and function. Accurate segmentation of cardiac structures from cine MRI is a crucial step for early diagnosis and prognosis of CVD, and has been greatly improved with convolutional neural networks (CNN). There, however, are a number of limitations identified in CNN models, such as limited interpretability and high complexity, thus limiting their use in clinical practice. In this work, to address the limitations, we propose a lightweight and i…
National Heart and Lung Institute, Imperial College London（帝国理工学院国家心肺研究所）；Imperial College London（帝国理工学院）；Royal Brompton Hospital（皇家布朗普顿医院）
Temporal patterns of cardiac motion provide important information for cardiac disease diagnosis. This pattern could be obtained by three-directional CINE multi-slice left ventricular myocardial velocity mapping (3Dir MVM), which is a cardiac MR technique providing magnitude and phase information of the myocardial motion simultaneously. However, long acquisition time limits the usage of this technique by causing breathing artifacts, while shortening the time causes low temporal resolution and may provide an inaccurate assessment of cardiac motion. In this study, we proposed a frame synthesis al…
University of Leeds（利兹大学）；University of Oxford（牛津大学）；Queen Mary University of London（伦敦玛丽女王大学）；Barts Health NHS Trust（巴茨健康国民保健制度信托基金）
Large prospective epidemiological studies acquire cardiovascular magnetic resonance (CMR) images for pre-symptomatic populations and follow these over time. To support this approach, fully automatic large-scale 3D analysis is essential. In this work, we propose a novel deep neural network using both CMR images and patient metadata to directly predict cardiac shape parameters. The proposed method uses the promising ability of statistical shape models to simplify shape complexity and variability together with the advantages of convolutional neural networks for the extraction of solid visual feat…
A versatile foundation model for cine cardiac magnetic resonance image analysis tasks
UCL Hawkes Institute, Department of Medical Physics and Biomedical Engineering, University College London（伦敦大学霍克斯研究所、医学物理与生物医学工程系、伦敦大学学院）；InstaDeep；Department of Computing, Imperial College London（伦敦帝国学院计算机系）；Department of Brain Sciences, Imperial College London（伦敦帝国学院脑科学系）；Institute of Cardiovascular Sciences, University College London（伦敦大学学院心血管科学研究所）；Barts Heart Centre, Barts Health NHS Trust（巴特斯心脏中心、巴特斯健康 NHS信托）
