Fully-automatic left ventricular segmentation from long-axis cardiac cine MR scans.

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Title: Fully-automatic left ventricular segmentation from long-axis cardiac cine MR scans.
Authors: Shahzad, Rahil1 r.shahzad@lumc.nl, Tao, Qian1, Dzyubachyk, Oleh1, Staring, Marius1, Lelieveldt, Boudewijn P.F.1,2, van der Geest, Rob J.1
Source: Medical Image Analysis. Jul2017, Vol. 39, p44-55. 12p.
Subjects: Left heart ventricle, Image segmentation, Image analysis, Cost effectiveness, Health risk assessment, Magnetic resonance imaging
Abstract: With an increasing number of large-scale population-based cardiac magnetic resonance (CMR) imaging studies being conducted nowadays, there comes the mammoth task of image annotation and image analysis. Such population-based studies would greatly benefit from automated pipelines, with an efficient CMR image analysis workflow. The purpose of this work is to investigate the feasibility of using a fully-automatic pipeline to segment the left ventricular endocardium and epicardium simultaneously on two orthogonal (vertical and horizontal) long-axis cardiac cine MRI scans. The pipeline is based on a multi-atlas-based segmentation approach and a spatio-temporal registration approach. The performance of the method was assessed by: ( i ) comparing the automatic segmentations to those obtained manually at both the end-diastolic and end-systolic phase, ( ii ) comparing the automatically obtained clinical parameters, including end-diastolic volume, end-systolic volume, stroke volume and ejection fraction, with those defined manually and ( iii ) by the accuracy of classifying subjects to the appropriate risk category based on the estimated ejection fraction. Automatic segmentation of the left ventricular endocardium was achieved with a Dice similarity coefficient (DSC) of 0.93 on the end-diastolic phase for both the vertical and horizontal long-axis scan; on the end-systolic phase the DSC was 0.88 and 0.85, respectively. For the epicardium, a DSC of 0.94 and 0.95 was obtained on the end-diastolic vertical and horizontal long-axis scans; on the end-systolic phase the DSC was 0.90 and 0.88, respectively. With respect to the clinical volumetric parameters, Pearson correlation coefficient ( R ) of 0.97 was obtained for the end-diastolic volume, 0.95 for end-systolic volume, 0.87 for stroke volume and 0.84 for ejection fraction. Risk category classification based on ejection fraction showed that 80% of the subjects were assigned to the correct risk category and only one subject (< 1%) was more than one risk category off. We conclude that the proposed automatic pipeline presents a viable and cost-effective alternative for manual annotation. [ABSTRACT FROM AUTHOR]
Copyright of Medical Image Analysis is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Fully-automatic left ventricular segmentation from long-axis cardiac cine MR scans.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Shahzad%2C+Rahil%22&quot;&gt;Shahzad, Rahil&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;i&gt; r.shahzad@lumc.nl&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Tao%2C+Qian%22&quot;&gt;Tao, Qian&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Dzyubachyk%2C+Oleh%22&quot;&gt;Dzyubachyk, Oleh&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Staring%2C+Marius%22&quot;&gt;Staring, Marius&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lelieveldt%2C+Boudewijn+P%2EF%2E%22&quot;&gt;Lelieveldt, Boudewijn P.F.&lt;/searchLink&gt;&lt;relatesTo&gt;1,2&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22van+der+Geest%2C+Rob+J%2E%22&quot;&gt;van der Geest, Rob J.&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Medical+Image+Analysis%22&quot;&gt;Medical Image Analysis&lt;/searchLink&gt;. Jul2017, Vol. 39, p44-55. 12p.
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– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: With an increasing number of large-scale population-based cardiac magnetic resonance (CMR) imaging studies being conducted nowadays, there comes the mammoth task of image annotation and image analysis. Such population-based studies would greatly benefit from automated pipelines, with an efficient CMR image analysis workflow. The purpose of this work is to investigate the feasibility of using a fully-automatic pipeline to segment the left ventricular endocardium and epicardium simultaneously on two orthogonal (vertical and horizontal) long-axis cardiac cine MRI scans. The pipeline is based on a multi-atlas-based segmentation approach and a spatio-temporal registration approach. The performance of the method was assessed by: ( i ) comparing the automatic segmentations to those obtained manually at both the end-diastolic and end-systolic phase, ( ii ) comparing the automatically obtained clinical parameters, including end-diastolic volume, end-systolic volume, stroke volume and ejection fraction, with those defined manually and ( iii ) by the accuracy of classifying subjects to the appropriate risk category based on the estimated ejection fraction. Automatic segmentation of the left ventricular endocardium was achieved with a Dice similarity coefficient (DSC) of 0.93 on the end-diastolic phase for both the vertical and horizontal long-axis scan; on the end-systolic phase the DSC was 0.88 and 0.85, respectively. For the epicardium, a DSC of 0.94 and 0.95 was obtained on the end-diastolic vertical and horizontal long-axis scans; on the end-systolic phase the DSC was 0.90 and 0.88, respectively. With respect to the clinical volumetric parameters, Pearson correlation coefficient ( R ) of 0.97 was obtained for the end-diastolic volume, 0.95 for end-systolic volume, 0.87 for stroke volume and 0.84 for ejection fraction. Risk category classification based on ejection fraction showed that 80% of the subjects were assigned to the correct risk category and only one subject (&lt; 1%) was more than one risk category off. We conclude that the proposed automatic pipeline presents a viable and cost-effective alternative for manual annotation. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Medical Image Analysis is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1016/j.media.2017.04.004
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      – Code: eng
        Text: English
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        PageCount: 12
        StartPage: 44
    Subjects:
      – SubjectFull: Left heart ventricle
        Type: general
      – SubjectFull: Image segmentation
        Type: general
      – SubjectFull: Image analysis
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      – SubjectFull: Cost effectiveness
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      – SubjectFull: Health risk assessment
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      – SubjectFull: Magnetic resonance imaging
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      – TitleFull: Fully-automatic left ventricular segmentation from long-axis cardiac cine MR scans.
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            NameFull: Shahzad, Rahil
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              M: 07
              Text: Jul2017
              Type: published
              Y: 2017
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