Four-dimensional (4D) left ventricular myocardial velocity mapping (MVM) is a cardiac magnetic resonance (CMR) technique that allows assessment of cardiac motion in three orthogonal directions. Accurate and reproducible delineation of the myocardium is crucial for accurate analysis of peak systolic and diastolic myocardial velocities. In addition to the conventionally available magnitude CMR data, 4D MVM also acquires three velocity-encoded phase datasets which are used to generate velocity maps. These can be used to facilitate and improve myocardial delineation. Based on the success of deep learning in medical image processing, we propose a novel automated framework that improves the standard U-Net based methods on these CMR multi-channel data (magnitude and phase) by cross-channel fusion with attention module and shape information based post-processing to achieve accurate delineation of both epicardium and endocardium contours. To evaluate the results, we employ the widely used Dice scores and the quantification of myocardial longitudinal peak velocities. Our proposed network trained with multi-channel data shows enhanced performance compared to standard U-Net based networks trained with single-channel data. Based on the results, our method provides compelling evidence for the design and application for the multi-channel image analysis of the 4D MVM CMR data.
Automatic segmentation of myocardial contours and relevant areas like infraction and no-reflow is an important step for the quantitative evaluation of myocardial infarction. In this work, we propose a cascaded convolutional neural network for automatic myocardial infarction segmentation from delayed-enhancement cardiac MRI. We first use a 2D U-Net to focus on the intra-slice information to perform a preliminary segmentation. After that, we use a 3D U-Net to utilize the volumetric spatial information for a subtle segmentation. Our method is evaluated on the MICCAI 2020 EMIDEC challenge dataset …
Guangdong Cardiovascular Institute（广东省心血管病研究所）；Guangdong Provincial People’s Hospital（广东省人民医院）；Guangdong Academy of Medical Sciences（广东省医学科学院）；University of Notre Dame（圣母大学）
Coronary artery disease (CAD) is the most common cause of death globally, and its diagnosis is usually based on manual myocardial segmentation of Magnetic Resonance Imaging (MRI) sequences. As the manual segmentation is tedious, time-consuming and with low applicability, automatic myocardial segmentation using machine learning techniques has been widely explored recently. However, almost all the existing methods treat the input MRI sequences independently, which fails to capture the temporal information between sequences, e.g., the shape and location information of the myocardium in sequences …
Nanjing University of Science and Technology（南京理工大学）
Automatic evaluation of myocardium and pathology plays an important role in the quantitative analysis of patients suffering from myocardial infarction. In this paper, we present a cascaded convolutional neural network framework for myocardial infarction segmentation and classification in delayed-enhancement cardiac MRI. Specifically, we first use a 2D U-Net to segment the whole heart, including the left ventricle and the myocardium. Then, we crop the whole heart as a region of interest (ROI). Finally, a new 2D U-Net is used to segment the infraction and no-reflow areas in the whole heart ROI. …
University of Virginia（弗吉尼亚大学）；University of Virginia Health System（弗吉尼亚大学卫生系统）
Automated identification of myocardial scar from late gadolinium enhancement cardiac magnetic resonance images (LGE-CMR) is limited by image noise and artifacts such as those related to motion and partial volume effect. This paper presents a novel joint deep learning (JDL) framework that improves such tasks by utilizing simultaneously learned myocardium segmentations to eliminate negative effects from non-region-of-interest areas. In contrast to previous approaches treating scar detection and myocardium segmentation as separate or parallel tasks, our proposed method introduces a message passin…
ImViA Laboratory, University of Burgundy（勃艮第大学ImViA实验室）；CHU Dijon（第戎大学医院）；CGFL；Institut Curie（居里研究所）
In this paper, we propose a new deep learning framework for an automatic myocardial infarction evaluation from clinical information and delayed enhancement-MRI (DE-MRI). The proposed framework addresses two tasks. The first task is automatic detection of myocardial contours, the infarcted area, the no-reflow area, and the left ventricular cavity from a short-axis DE-MRI series. It employs two segmentation neural networks. The first network is used to segment the anatomical structures such as the myocardium and left ventricular cavity. The second network is used to segment the pathological area…
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…
CONICET - FCEN, Universidad Nacional de Cuyo（阿根廷国家科学与技术研究理事会 - 库约国立大学自然科学学院）；Centro Integral de Medicina Nuclear y Radioterapia Bariloche（巴里洛切核医学与放射治疗综合中心）
Cardiac function is of paramount importance for both prognosis and treatment of different pathologies such as mitral regurgitation, ischemia, dyssynchrony and myocarditis. Cardiac behavior is determined by structural and functional features. In both cases, the analysis of medical imaging studies requires to detect and segment the myocardium. Nowadays, magnetic resonance imaging (MRI) is one of the most relevant and accurate non-invasive diagnostic tools for cardiac structure and function. In this work we propose to use a deep learning technique to assist the automatization of myocardial segmen…
Personalized 3D Myocardial Infarct Geometry Reconstruction from Cine MRI with Explicit Cardiac Motion Modeling
Department of Biomedical Engineering, National University of Singapore, Singapore（新加坡国立大学生物医学工程系）；Department of Computer Science, National University of Singapore, Singapore（新加坡国立大学计算机科学系）；Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand（奥克兰大学生物工程研究所）；School of Biomedical Engineering and Imaging Sciences, King’s College London, UK（伦敦国王学院生物医学工程与成像科学学校）；Department of Medicine, National University of Singapore, Singapore（新加坡国立大学医学系）；Department of Cardiology, National University Heart Centre Singapore, Singapore（新加坡国立心脏中心心血管科）
Contrast-Free Myocardial Scar Segmentation in Cine MRI using Motion and Texture Fusion
University of Oxford（牛津大学）；University of Southampton（南安普顿大学）；National University of Singapore（新加坡国立大学）；Fudan University（复旦大学）；Zhongshan Hospital, Fudan University（复旦大学附属中山医院）
Fudan University（复旦大学）；Shanghai Jiao Tong University（上海交通大学）；Universitat de Barcelona（巴塞罗那大学）；Universitat Autònoma de Barcelona（巴塞罗那自治大学）；University of Electronic Science and Technology of China（电子科技大学）；Northwestern Polytechnical University（西北工业大学）；Hunan University（湖南大学）；National Engineering Laboratory for Robot Visual Perception and Control Technology（机器人视觉感知与控制技术国家工程实验室）；Fuzhou University（福州大学）；Comprehensive Heart Failure Center（综合心力衰竭中心）
Assessment of myocardial viability is essential in diagnosis and treatment management of patients suffering from myocardial infarction, and classification of pathology on myocardium is the key to this assessment. This work defines a new task of medical image analysis, i.e., to perform myocardial pathology segmentation (MyoPS) combining three-sequence cardiac magnetic resonance (CMR) images, which was first proposed in the MyoPS challenge, in conjunction with MICCAI 2020. The challenge provided 45 paired and pre-aligned CMR images, allowing algorithms to combine the complementary information fr…
Imperial College London（帝国理工学院）；Technical University Munich（慕尼黑工业大学）；University of Edinburgh（爱丁堡大学）；MRC London Institute of Medical Sciences（MRC伦敦医学科学研究所）
Recovering the 3D motion of the heart from cine cardiac magnetic resonance (CMR) imaging enables the assessment of regional myocardial function and is important for understanding and analyzing cardiovascular disease. However, 3D cardiac motion estimation is challenging because the acquired cine CMR images are usually 2D slices which limit the accurate estimation of through-plane motion. To address this problem, we propose a novel multi-view motion estimation network (MulViMotion), which integrates 2D cine CMR images acquired in short-axis and long-axis planes to learn a consistent 3D motion fi…
Robust Deep Learning for Myocardial Scar Segmentation in Cardiac MRI with Noisy Labels
Department of Cardiovascular Sciences, University of Leicester, Leicester, UK（莱斯特大学心血管科学系）；NIHR Leicester Biomedical Research Centre, Glenfield Hospital, Leicester, UK（莱斯特生物医学研究中心）；Department of Information Engineering and Mathematics, University of Siena, Italy（锡耶纳大学信息工程与数学系）；Department of Mathematics, University of Leicester, Leicester, UK（莱斯特大学数学系）；Department of Computer Science, University of Copenhagen, Copenhagen, DK（哥本哈根大学计算机科学系）
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…
ScarNet: A Novel Foundation Model for Automated Myocardial Scar Quantification from LGE in Cardiac MRI
Northwestern University（西北大学）；Feinberg School of Medicine（费林伯格医学院）；University of Miami Miller School of Medicine（迈阿密大学米勒医学院）；Cedars-Sinai Medical Center（西达赛奈医疗中心）
Personalized 3D Myocardial Infarct Geometry Reconstruction from Cine MRI for Cardiac Digital Twins
Department of Biomedical Engineering, National University of Singapore（新加坡国立大学生物医学工程系）；Department of Medicine, National University of Singapore（新加坡国立大学医学系）；Department of Cardiology, National University Heart Centre Singapore（新加坡国立心脏中心心内科部）
National Heart, Lung and Blood Institute, National Institutes of Health（美国国立卫生研究院国家心肺血液研究所）；Barts Health NHS Trust（巴特保健国民保健信托基金）；University of Leeds（利兹大学）；Royal Free Hospital（皇家自由医院）
Recent development of quantitative myocardial blood flow (MBF) mapping allows direct evaluation of absolute myocardial perfusion, by computing pixel-wise flow maps. Clinical studies suggest quantitative evaluation would be more desirable for objectivity and efficiency. Objective assessment can be further facilitated by segmenting the myocardium and automatically generating reports following the AHA model. This will free user interaction for analysis and lead to a 'one-click' solution to improve workflow. This paper proposes a deep neural network based computational workflow for inline myocardi…
CMRINet: Joint Groupwise Registration and Segmentation for Cardiac Function Quantification from Cine-MRI
Leiden University Medical Center（莱顿大学医学中心）；University of Sheffield（谢菲尔德大学）；INSIGNEO；Institute for In Silico Medicine（计算医学研究所）；Department of Infection, Immunity and Cardiovascular Disease（感染、免疫与心血管疾病部门）；Sheffield Teaching Hospitals（谢菲尔德教学医院）；Department of Clinical Radiology（临床放射学部门）
University of Bourgogne Franche-Comté（勃艮第-弗朗什孔泰大学）；University Hospital of Dijon（第戎大学医院）；CASIS company（CASIS公司）
Cardiac left ventricular (LV) segmentation from short-axis MRI acquired 10 minutes after the injection of a contrast agent (LGE-MRI) is a necessary step in the processing allowing the identification and diagnosis of cardiac diseases such as myocardial infarction. However, this segmentation is challenging due to high variability across subjects and the potential lack of contrast between structures. Then, the main objective of this work is to develop an accurate automatic segmentation method based on deep learning models for the myocardial borders on LGE-MRI. To this end, 2.5 D residual neural n…
Magnetic Resonance Imaging (MRI) has evolved as a clinical standard-of-care imaging modality for cardiac morphology, function assessment, and guidance of cardiac interventions. All these applications rely on accurate extraction of the myocardial tissue and blood pool from the imaging data. Here we propose a framework for left ventricle (LV) segmentation from cardiac cine-MRI. First, we segment the LV blood pool using iterative graph cuts, and subsequently use this information to segment the myocardium. We formulate the segmentation procedure as an energy minimization problem in a graph subject…
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…
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…
University of Virginia（弗吉尼亚大学）；University of Virginia Health System（弗吉尼亚大学卫生系统）
The selection of an optimal pacing site, which is ideally scar-free and late activated, is critical to the response of cardiac resynchronization therapy (CRT). Despite the success of current approaches formulating the detection of such late mechanical activation (LMA) regions as a problem of activation time regression, their accuracy remains unsatisfactory, particularly in cases where myocardial scar exists. To address this issue, this paper introduces a multi-task deep learning framework that simultaneously estimates LMA amount and classify the scar-free LMA regions based on cine displacement…
CLAIM: Clinically-Guided LGE Augmentation for Realistic and Diverse Myocardial Scar Synthesis and Segmentation
Insigneo Institute for in-silico, Medicine, University of Sheffield, Sheffield, UK（Insigneo医学研究所（in-silico），谢菲尔德大学）；School of Computer Science, University of Sheffield, Sheffield, UK（谢菲尔德大学计算机科学学院）；Department of Cardiology, Nottingham University Hospitals NHS Trust, Nottingham, UK（诺丁汉大学医院心脏科）；School of Medicine, University of Nottingham, Nottingham, UK（诺丁汉大学医学院）
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…
Automated segmentation of human cardiac magnetic resonance datasets has been steadily improving during recent years. However, these methods are not directly applicable in preclinical context due to limited datasets and lower image resolution. Successful application of deep architectures for rat cardiac segmentation, although of critical importance for preclinical evaluation of cardiac function, has to our knowledge not yet been reported. We developed segmentation models that expand on the standard U-Net architecture and evaluated separate models for systole and diastole phases, 2MSA, and one m…
CineMyoPS: Segmenting Myocardial Pathologies from Cine Cardiac MR
School of Medical Imaging, Fujian Medical University（福建医科大学医学影像学院）；College of Physics and Information Engineering, Fuzhou University（福州大学物理与信息工程学院）；Department of Biomedical Engineering, National University of Singapore（新加坡国立大学生物医学工程系）；School of Data Science, Fudan University（复旦大学数据科学学院）；Department of Radiology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University（上海交通大学医学院仁济医院放射科）
University of Bourgogne Franche-Comte（勃艮第-弗朗什-孔泰大学）；CASIS inc.（CASIS公司）；University of Sherbrooke（舍布鲁克大学）；University Hospital of Dijon（第戎大学医院）
Deep learning methods are the de-facto solutions to a multitude of medical image analysis tasks. Cardiac MRI segmentation is one such application which, like many others, requires a large number of annotated data so a trained network can generalize well. Unfortunately, the process of having a large number of manually curated images by medical experts is both slow and utterly expensive. In this paper, we set out to explore whether expert knowledge is a strict requirement for the creation of annotated datasets that machine learning can successfully train on. To do so, we gauged the performance o…
Deep learning-based segmentation of T1 and T2 cardiac MRI maps for automated disease detection
Transilvania University of Brasov（布拉索夫特兰西瓦尼亚大学）；Siemens SRL（西门子有限责任公司）；Robert Bosch Hospital（罗伯特·博世医院）；Siemens Healthcare GmbH（西门子医疗有限责任公司）；Siemens Medical Solutions USA, Inc.（西门子医疗解决方案美国公司）；Siemens Healthineers AG（西门子医疗股份公司）
Imperial College London（帝国理工学院）；Royal Brompton Hospital（皇家布朗普顿医院）
Segmentation of cardiac fibrosis and scar are essential for clinical diagnosis and can provide invaluable guidance for the treatment of cardiac diseases. Late Gadolinium enhancement (LGE) cardiovascular magnetic resonance (CMR) has been successful for its efficacy in guiding the clinical diagnosis and treatment reliably. For LGE CMR, many methods have demonstrated success in accurately segmenting scarring regions. Co-registration with other non-contrast-agent (non-CA) modalities, balanced steady-state free precession (bSSFP) and cine magnetic resonance imaging (MRI) for example, can further en…
Automated cardiac segmentation from magnetic resonance imaging datasets is an essential step in the timely diagnosis and management of cardiac pathologies. We propose to tackle the problem of automated left and right ventricle segmentation through the application of a deep fully convolutional neural network architecture. Our model is efficiently trained end-to-end in a single learning stage from whole-image inputs and ground truths to make inference at every pixel. To our knowledge, this is the first application of a fully convolutional neural network architecture for pixel-wise labeling in ca…
University of Leeds（利兹大学）；INRIA Saclay（法国国家信息与自动化研究所萨克莱分部）；Ecole Polytechnique（巴黎综合理工学院）
In silico tissue models enable evaluating quantitative models of magnetic resonance imaging. This includes validating and sensitivity analysis of imaging biomarkers and tissue microstructure parameters. We propose a novel method to generate a realistic numerical phantom of myocardial microstructure. We extend previous studies accounting for the cardiomyocyte shape variability, water exchange between the cardiomyocytes (intercalated discs), myocardial microstructure disarray, and four sheetlet orientations. In the first stage of the method, cardiomyocytes and sheetlets are generated by consider…
University of Edinburgh（爱丁堡大学）；Cedars Sinai Medical Center（西达赛奈医疗中心）
The success and generalisation of deep learning algorithms heavily depend on learning good feature representations. In medical imaging this entails representing anatomical information, as well as properties related to the specific imaging setting. Anatomical information is required to perform further analysis, whereas imaging information is key to disentangle scanner variability and potential artefacts. The ability to factorise these would allow for training algorithms only on the relevant information according to the task. To date, such factorisation has not been attempted. In this paper, we …
King’s College London（伦敦国王学院）；The Alan Turing Institute（艾伦·图灵研究所）；Eindhoven University of Technology（埃因霍温理工大学）；Philips Healthcare（飞利浦医疗）
The quantification of myocardial perfusion MRI has the potential to provide a fast, automated and user-independent assessment of myocardial ischaemia. However, due to the relatively high noise level and low temporal resolution of the acquired data and the complexity of the tracer-kinetic models, the model fitting can yield unreliable parameter estimates. A solution to this problem is the use of Bayesian inference which can incorporate prior knowledge and improve the reliability of the parameter estimation. This, however, uses Markov chain Monte Carlo sampling to approximate the posterior distr…
Delayed-enhancement cardiac magnetic resonance (DE-CMR)provides important diagnostic and prognostic information on myocardial viability. The presence and extent of late gadolinium enhancement (LGE)in DE-CMR is negatively associated with the probability of improvement in left ventricular function after revascularization. Moreover, LGE findings can support the diagnosis of several other cardiomyopathies, but their absence does not rule them out, making disease classification by visual assessment difficult. In this work, we propose deep learning neural networks that can automatically predict myoc…
Southeast University（东南大学）；Shenzhen University（深圳大学）；Fudan University（复旦大学）；Shanghai Jiao Tong University（上海交通大学）；Kings College London（伦敦国王学院）；Affiliated Drum Tower Hospital of Nanjing University Medical School（南京大学医学院附属鼓楼医院）
Multi-sequence cardiac magnetic resonance (CMR) provides essential pathology information (scar and edema) to diagnose myocardial infarction. However, automatic pathology segmentation can be challenging due to the difficulty of effectively exploring the underlying information from the multi-sequence CMR data. This paper aims to tackle the scar and edema segmentation from multi-sequence CMR with a novel auto-weighted supervision framework, where the interactions among different supervised layers are explored under a task-specific objective using reinforcement learning. Furthermore, we design a c…
We propose a method to classify cardiac pathology based on a novel approach to extract image derived features to characterize the shape and motion of the heart. An original semi-supervised learning procedure, which makes efficient use of a large amount of non-segmented images and a small amount of images segmented manually by experts, is developed to generate pixel-wise apparent flow between two time points of a 2D+t cine MRI image sequence. Combining the apparent flow maps and cardiac segmentation masks, we obtain a local apparent flow corresponding to the 2D motion of myocardium and ventricu…
Continuous 3D Myocardial Motion Tracking via Echocardiography
School of Electronic Science and Engineering, Nanjing University（南京大学电子科学与工程学院）；Medical School, Nanjing University（南京大学医学院）；Zhongshan Hospital, Fudan University（复旦大学中山医院）；College of Optical Sciences, University of Arizona（亚利桑那大学光学科学学院）
Myocardial Strain Drift Correction in Deep Learning Based Ultrasound Tracking
University of Sherbrooke（舍布鲁克大学）；INSA（法国国立应用科学学院）；Université Lyon 1（里昂第一大学）；CREATIS（CREATIS实验室）；Institut Universitaire de France (IUF)（法国大学研究院（IUF））；NTNU（挪威科技大学）；St. Olavs Hospital（圣奥拉夫医院）；SINTEF Digital（SINTEF数字研究所）；Levanger Hospital（莱旺厄尔医院）；Nord-Trøndelag Hospital Trust（北特伦德拉格医院信托）；Hôpital Croix-Rousse（克鲁瓦鲁斯医院）；Hospices Civils de Lyon（里昂民用医院集团）；Hôpital Lyon Sud（里昂南部医院）
Accurate cardiac computing, analysis and modeling from multi-modality images are important for the diagnosis and treatment of cardiac disease. Late gadolinium enhancement magnetic resonance imaging (LGE MRI) is a promising technique to visualize and quantify myocardial infarction (MI) and atrial scars. Automating quantification of MI and atrial scars can be challenging due to the low image quality and complex enhancement patterns of LGE MRI. Moreover, compared with the other sequences LGE MRIs with gold standard labels are particularly limited, which represents another obstacle for developing …
University of Edinburgh（爱丁堡大学）；Fudan University（复旦大学）；Imperial College London（帝国理工学院）；Technical University of Munich（慕尼黑工业大学）
Myocardial motion and deformation are rich descriptors that characterize cardiac function. Image registration, as the most commonly used technique for myocardial motion tracking, is an ill-posed inverse problem which often requires prior assumptions on the solution space. In contrast to most existing approaches which impose explicit generic regularization such as smoothness, in this work we propose a novel method that can implicitly learn an application-specific biomechanics-informed prior and embed it into a neural network-parameterized transformation model. Particularly, the proposed method …
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…
National Heart and Lung Institute, Imperial College London（帝国理工学院国家心肺研究所）；Royal Brompton Hospital（皇家布朗普顿医院）；University of the Basque Country UPV/EHU（巴斯克大学）；TECNALIA, Basque Research and Technology Alliance（巴斯克研究与技术联盟TECNALIA）；Beihang University（北京航空航天大学）；Shenzhen Second People’s Hospital（深圳市第二人民医院）
Synthetic digital twins based on medical data accelerate the acquisition, labelling and decision making procedure in digital healthcare. A core part of digital healthcare twins is model-based data synthesis, which permits the generation of realistic medical signals without requiring to cope with the modelling complexity of anatomical and biochemical phenomena producing them in reality. Unfortunately, algorithms for cardiac data synthesis have been so far scarcely studied in the literature. An important imaging modality in the cardiac examination is three-directional CINE multi-slice myocardial…
Myocardium segmentation of late gadolinium enhancement (LGE) Cardiac MR images is important for evaluation of infarction regions in clinical practice. The pathological myocardium in LGE images presents distinctive brightness and textures compared with the healthy tissues, making it much more challenging to be segment. Instead, the balanced-Steady State Free Precession (bSSFP) cine images show clearly boundaries and can be easily segmented. Given this fact, we propose a novel shape-transfer GAN for LGE images, which can 1) learn to generate realistic LGE images from bSSFP with the anatomical sh…
Myocardial T1 mapping is a cardiac MRI technique, used to assess myocardial fibrosis. In this technique, a series of T1-weighted MRI images are acquired with different saturation or inversion times. These images are fitted to the T1 model to estimate the model parameters and construct the desired T1 maps. In the presence of motion, the different T1-weighted images are not aligned. This, in turn, will cause errors and inaccuracies in the final estimation of the T1 maps. Therefore, motion correction is a necessary process for myocardial T1 mapping. We present a deep-learning (DL) based system fo…
NVIDIA（英伟达）；Lenovo Research（联想研究院）；Piedmont Heart Institute（皮埃蒙特心脏研究所）；Tencent Medical AI Lab（腾讯医疗人工智能实验室）；University of California, Irvine（加州大学欧文分校）
Echocardiography has become routinely used in the diagnosis of cardiomyopathy and abnormal cardiac blood flow. However, manually measuring myocardial motion and cardiac blood flow from echocardiogram is time-consuming and error-prone. Computer algorithms that can automatically track and quantify myocardial motion and cardiac blood flow are highly sought after, but have not been very successful due to noise and high variability of echocardiography. In this work, we propose a neural multi-scale self-supervised registration (NMSR) method for automated myocardial and cardiac blood flow dense track…
College of Physics and Information Engineering, Fuzhou University（福州大学物理与信息工程学院）；School of Basic Medical Science, Fudan University（复旦大学基础医学院）
Multi-sequence of cardiac magnetic resonance (CMR) images can provide complementary information for myocardial pathology (scar and edema). However, it is still challenging to fuse these underlying information for pathology segmentation effectively. This work presents an automatic cascade pathology segmentation framework based on multi-modality CMR images. It mainly consists of two neural networks: an anatomical structure segmentation network (ASSN) and a pathological region segmentation network (PRSN). Specifically, the ASSN aims to segment the anatomical structure where the pathology may exis…
TAI-GAN: A Temporally and Anatomically Informed Generative Adversarial Network for early-to-late frame conversion in dynamic cardiac PET inter-frame motion correction
Yale University（耶鲁大学）；IBM Research（IBM研究院）；Yale New Haven Hospital（耶鲁-纽黑文医院）；Yale School of Medicine（耶鲁医学院）
National University of Singapore（新加坡国立大学）；National University Heart Centre（新加坡国立大学心脏中心）
Automatic segmentation of myocardium in Late Gadolinium Enhanced (LGE) Cardiac MR (CMR) images is often difficult due to the intensity heterogeneity resulting from accumulation of contrast agent in infarcted areas. In this paper, we propose an automatic segmentation framework that fully utilizes shared information between corresponding cine and LGE images of a same patient. Given myocardial contours in cine CMR images, the proposed framework achieves accurate segmentation of LGE CMR images in a coarse-to-fine manner. Affine registration is first performed between the corresponding cine and LGE…
Fuzhou University（福州大学）；University of Oxford（牛津大学）；Fudan University（复旦大学）；Zhongshan Hospital, Fudan University（复旦大学附属中山医院）；Shanghai Medical School, Fudan University（复旦大学上海医学院）；Shanghai Institute of Medical Imaging（上海医学影像研究所）
Myocardial pathology segmentation (MyoPS) is critical for the risk stratification and treatment planning of myocardial infarction (MI). Multi-sequence cardiac magnetic resonance (MS-CMR) images can provide valuable information. For instance, balanced steady-state free precession cine sequences present clear anatomical boundaries, while late gadolinium enhancement and T2-weighted CMR sequences visualize myocardial scar and edema of MI, respectively. Existing methods usually fuse anatomical and pathological information from different CMR sequences for MyoPS, but assume that these images have bee…
