@article{SuinesiaputraAlbinAlbaetal., author = {Suinesiaputra, Avan and Albin, Pierre and Alba, Xenia and Alessandrini, Martino and Allen, Jack and Bai, Wenjia and Cimen, Serkan and Claes, Peter and Cowan, Brett and D'hooge, Jan and Duchateau, Nicolas and Ehrhardt, Jan and Frangi, Alejandro and Gooya, Ali and Grau, Vicente and Lekadir, Karim and Lu, Allen and Mukhopadhyay, Anirban and Oksuz, Ilkay and Parajuli, Nripesh and Pennec, Xavier and Pereanez, Marco and Pinto, Catarina and Piras, Paolo and Rohe, Marc-Michael and Rueckert, Daniel and Saring, Dennis and Sermesant, Maxime and Siddiqi, Kaleem and Tabassian, Mahdi and Teresi, Lusiano and Tsaftaris, Sotirios and Wilms, Matthias and Young, Alistair and Zhang, Xingyu and Medrano-Gracia, Pau}, title = {Statistical shape modeling of the left ventricle: myocardial infarct classification challenge}, series = {IEEE Journal of Biomedical and Health Informatics}, journal = {IEEE Journal of Biomedical and Health Informatics}, number = {99}, doi = {10.1109/JBHI.2017.2652449}, abstract = {Statistical shape modeling is a powerful tool for visualizing and quantifying geometric and functional patterns of the heart. After myocardial infarction (MI), the left ventricle typically remodels in response to physiological challenges. Several methods have been proposed in the literature to describe statistical shape changes. Which method best characterizes left ventricular remodeling after MI is an open research question. A better descriptor of remodeling is expected to provide a more accurate evaluation of disease status in MI patients. We therefore designed a challenge to test shape characterization in MI given a set of three-dimensional left ventricular surface points. The training set comprised 100 MI patients, and 100 asymptomatic volunteers (AV). The challenge was initiated in 2015 at the Statistical Atlases and Computational Models of the Heart workshop, in conjunction with the MICCAI conference. The training set with labels was provided to participants, who were asked to submit the likelihood of MI from a different (validation) set of 200 cases (100 AV and 100 MI). Sensitivity, specificity, accuracy and area under the receiver operating characteristic curve were used as the outcome measures. The goals of this challenge were to (1) establish a common dataset for evaluating statistical shape modeling algorithms in MI, and (2) test whether statistical shape modeling provides additional information characterizing MI patients over standard clinical measures. Eleven groups with a wide variety of classification and feature extraction approaches participated in this challenge. All methods achieved excellent classification results with accuracy ranges from 0.83 to 0.98. The areas under the receiver operating characteristic curves were all above 0.90. Four methods showed significantly higher performance than standard clinical measures. The dataset and software for evaluation are available from the Cardiac Atlas Project website1.}, language = {en} } @inproceedings{MukhopadhyayOksuzBevilacquaetal., author = {Mukhopadhyay, Anirban and Oksuz, Ilkay and Bevilacqua, Marco and Dharmakumar, Rohan and Tsaftaris, Sotirios}, title = {Data-Driven Feature Learning for Myocardial Segmentation of CP-BOLD MRI}, series = {Functional Imaging and Modeling of the Heart}, volume = {9126}, booktitle = {Functional Imaging and Modeling of the Heart}, publisher = {Springer}, doi = {10.1007/978-3-319-20309-6_22}, pages = {189 -- 197}, abstract = {Cardiac Phase-resolved Blood Oxygen-Level-Dependent (CP- BOLD) MR is capable of diagnosing an ongoing ischemia by detecting changes in myocardial intensity patterns at rest without any contrast and stress agents. Visualizing and detecting these changes require significant post-processing, including myocardial segmentation for isolating the myocardium. But, changes in myocardial intensity pattern and myocardial shape due to the heart's motion challenge automated standard CINE MR myocardial segmentation techniques resulting in a significant drop of segmentation accuracy. We hypothesize that the main reason behind this phenomenon is the lack of discernible features. In this paper, a multi scale discriminative dictionary learning approach is proposed for supervised learning and sparse representation of the myocardium, to improve the myocardial feature selection. The technique is validated on a challenging dataset of CP-BOLD MR and standard CINE MR acquired in baseline and ischemic condition across 10 canine subjects. The proposed method significantly outperforms standard cardiac segmentation techniques, including segmentation via registration, level sets and supervised methods for myocardial segmentation.}, language = {en} } @inproceedings{MukhopadhyayOksuzBevilacquaetal., author = {Mukhopadhyay, Anirban and Oksuz, Ilkay and Bevilacqua, Marco and Dharmakumar, Rohan and Tsaftaris, Sotirios}, title = {Unsupervised myocardial segmentation for cardiac MRI}, series = {Medical Image Computing and Computer-Assisted Intervention -- MICCAI 2015}, volume = {LNCS 9351}, booktitle = {Medical Image Computing and Computer-Assisted Intervention -- MICCAI 2015}, doi = {10.1007/978-3-319-24574-4_2}, pages = {12 -- 20}, abstract = {Though unsupervised segmentation was a de-facto standard for cardiac MRI segmentation early on, recently cardiac MRI segmentation literature has favored fully supervised techniques such as Dictionary Learning and Atlas-based techniques. But, the benefits of unsupervised techniques e.g., no need for large amount of training data and better potential of handling variability in anatomy and image contrast, is more evident with emerging cardiac MR modalities. For example, CP-BOLD is a new MRI technique that has been shown to detect ischemia without any contrast at stress but also at rest conditions. Although CP-BOLD looks similar to standard CINE, changes in myocardial intensity patterns and shape across cardiac phases, due to the heart's motion, BOLD effect and artifacts affect the underlying mechanisms of fully supervised segmentation techniques resulting in a significant drop in segmentation accuracy. In this paper, we present a fully unsupervised technique for segmenting myocardium from the background in both standard CINE MR and CP-BOLD MR. We combine appearance with motion information (obtained via Optical Flow) in a dictionary learning framework to sparsely represent important features in a low dimensional space and separate myocardium from background accordingly. Our fully automated method learns background-only models and one class classifier provides myocardial segmentation. The advantages of the proposed technique are demonstrated on a dataset containing CP-BOLD MR and standard CINE MR image sequences acquired in baseline and ischemic condition across 10 canine subjects, where our method outperforms state-of-the-art supervised segmentation techniques in CP-BOLD MR and performs at-par for standard CINE MR.}, language = {en} } @inproceedings{OksuzMukhopadhyayBevilacquaetal., author = {Oksuz, Ilkay and Mukhopadhyay, Anirban and Bevilacqua, Marco and Dharmakumar, Rohan and Tsaftaris, Sotirios}, title = {Dictionary Learning Based Image Descriptor for Myocardial Registration of CP-BOLD MR}, series = {Medical Image Computing and Computer-Assisted Intervention -- MICCAI 2015}, volume = {9350}, booktitle = {Medical Image Computing and Computer-Assisted Intervention -- MICCAI 2015}, publisher = {Springer}, doi = {10.1007/978-3-319-24571-3_25}, pages = {205 -- 213}, abstract = {Cardiac Phase-resolved Blood Oxygen-Level-Dependent (CP- BOLD) MRI is a new contrast agent- and stress-free imaging technique for the assessment of myocardial ischemia at rest. The precise registration among the cardiac phases in this cine type acquisition is essential for automating the analysis of images of this technique, since it can potentially lead to better specificity of ischemia detection. However, inconsistency in myocardial intensity patterns and the changes in myocardial shape due to the heart's motion lead to low registration performance for state- of-the-art methods. This low accuracy can be explained by the lack of distinguishable features in CP-BOLD and inappropriate metric defini- tions in current intensity-based registration frameworks. In this paper, the sparse representations, which are defined by a discriminative dictionary learning approach for source and target images, are used to improve myocardial registration. This method combines appearance with Gabor and HOG features in a dictionary learning framework to sparsely represent features in a low dimensional space. The sum of squared differences of these distinctive sparse representations are used to define a similarity term in the registration framework. The proposed descriptor is validated on a challenging dataset of CP-BOLD MR and standard CINE MR acquired in baseline and ischemic condition across 10 canines.}, language = {en} }