Automatic Cardiac LV Segmentation in MRI Using Modified Graph Cuts with Smoothness and Interslice Constraints

Automatic Cardiac LV Segmentation in MRI Using Modified Graph Cuts with Smoothness and Interslice Constraints
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DOI:
10.1002/mrm.25079
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发表时间:
2014-12-01
影响因子:
3.3
通讯作者:
Frangi, Alejandro F.
Frangi, Alejandro F.
中科院分区:
医学3区
文献类型:
--
作者:
Alba, Xenia;Figueras i Ventura, Rosa M.;Frangi, Alejandro F.

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PurposeMagnetic resonance imaging (MRI), specifically late-enhanced MRI, is the standard clinical imaging protocol to assess cardiac viability. Segmentation of myocardial walls is a prerequisite for this assessment. Automatic and robust multisequence segmentation is required to support processing massive quantities of data.MethodsA generic rule-based framework to automatically segment the left ventricle myocardium is presented here. We use intensity information, and include shape and interslice smoothness constraints, providing robustness to subject- and study-specific changes. Our automatic initialization considers the geometrical and appearance properties of the left ventricle, as well as interslice information. The segmentation algorithm uses a decoupled, modified graph cut approach with control points, providing a good balance between flexibility and robustness.ResultsThe method was evaluated on late-enhanced MRI images from a 20-patient in-house database, and on cine-MRI images from a 15-patient open access database, both using as reference manually delineated contours. Segmentation agreement, measured using the Dice coefficient, was 0.810.05 and 0.92 +/- 0.04 for late-enhanced MRI and cine-MRI, respectively. The method was also compared favorably to a three-dimensional Active Shape Model approach.ConclusionThe experimental validation with two magnetic resonance sequences demonstrates increased accuracy and versatility. Magn Reson Med 72:1775-1784, 2014. (c) 2013 Wiley Periodicals, Inc.