Abstract
Atlas-based whole-heart segmentation is a well-established technique for the extraction of key cardiac structures of the adult heart. Despite its relative success in this domain, its implementation in whole-heart segmentation of paediatric patients suffering from a form of congenital heart disease is not straightforward. The aim of this work is to evaluate the current strengths and limitations of whole-heart atlas based segmentation techniques within the context of the Whole-Heart and Great Vessel Segmentation from 3D Cardiovascular MRI in Congenital Heart Disease Challenge (HVSMR). Obtained results suggest that there are no significant differences in the accuracies of state-of-the-art methods, reporting maximum Dice scores of 0.73 for the myocardium and 0.90 for the blood pool.
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References
Cardoso, M.J., Leung, K., Modat, M., Keihaninejad, S., Cash, D., Barnes, J., Fox, N.C., Ourselin, S.: Steps: similarity and truth estimation for propagated segmentations and its application to hippocampal segmentation and brain parcelation. Med. Image Anal. 17(6), 671–684 (2013)
Gilbert, K., Cowan, B.R., Suinesiaputra, A., Occleshaw, C., Young, A.A.: Rapid D-Affine biventricular cardiac function with polar prediction. In: Golland, P., Hata, N., Barillot, C., Hornegger, J., Howe, R. (eds.) MICCAI 2014. LNCS, vol. 8674, pp. 546–553. Springer, Heidelberg (2014). doi:10.1007/978-3-319-10470-6_68
Iglesias, J.E., Sabuncu, M.R.: Multi-atlas segmentation of biomedical images: a survey. Med. Image Anal. 24(1), 205–219 (2015)
Išgum, I., Staring, M., Rutten, A., Prokop, M., Viergever, M., van Ginneken, B.: Multi-atlas-based segmentation with local decision fusion application to cardiac and aortic segmentation in CT scans. IEEE Trans. Med. Imaging 28(7), 100–1010 (2009)
Jacobs, S., Grunert, R., Mohr, F.W., Falk, V.: 3D-imaging of cardiac structures using 3D heart models for planning in heart surgery: a preliminary study. Interact. Cardiovasc. Thorac. Surg. 7(1), 6–9 (2008)
Kirisli, H.A., Schaap, M., Klein, S., Papadopoulou, S., Bonardi, M., Chen, C., Weustink, A., Mollet, N., Vonken, E.P.A., Geest, R., Walsum, T., Niessen, W.: Evaluation of a multi-atlas based method for segmentation of cardiac CTA data: a large-scale, multicenter, and multivendor study. Med. Phys. 37(12), 6279–6292 (2010)
Lorenzo-Valdes, M., Sanchez-Ortiz, G., Elkington, A., Mohiaddin, R., Rueckert, D.: Segmentation of 4D cardiac MR images using a probabilistic atlas and the EM algorithm. Med. Image Anal. 8, 255–265 (2004)
Marelli, A.J., Mackie, A.S., Ionescu-Ittu, R., Rahme, E., Pilote, L.: Congenital heart disease in the general population changing prevalence and age distribution. Circulation 115, 163–172 (2007)
Ntsinjana, H.N., Hughes, M.L., Taylor, A.M.: The role of cardiovascular magnetic resonance in pediatric congenital heart disease. J. Cardiovasc. Magn. Reson. 13(51) (2011)
Pace, D.F., Dalca, A.V., Geva, T., Powell, A.J., Moghari, M.H., Golland, P.: Interactive whole-heart segmentation in congenital heart disease. In: Navab, N., Hornegger, J., Wells, W.M., Frangi, A.F. (eds.) MICCAI 2015. LNCS, vol. 9351, pp. 80–88. Springer, Heidelberg (2015). doi:10.1007/978-3-319-24574-4_10
Prakash, A., Powell, A.J., Geva, T.: Multimodality noninvasive imaging for assessment of congenital heart disease. Circulation 3, 112–125 (2010)
Warfield, S., Zou, K., Wells, W.: Simultaneous truth and performance level estimation (staple): an algorithm for the validation of image segmentation. IEEE Trans. Med. Imaging 23(7), 903–921 (2004)
Wren, C., O’Sullivan, J.: Survival with congenital heart disease and need for follow up in adult life. Heart 85, 438–443 (2001)
Zhuang, X.: Challenges and methodologies of fully automatic whole heart segmentation: a review. J. Healthc. Eng. 4, 371–407 (2013)
Zhuang, X., Rhode, K., Razavi, R., Hawkes, D., Ourselin, S.: A registration-based propagation framework for automatic whole heart segmentation of cardiac MRI. IEEE Trans. Med. Imaging 29(9), 1612–1625 (2010)
Zuluaga, M.A., Burgos, N., Mendelson, A., Taylor, A., Ourselin, S.: Voxelwise atlas rating for computer assisted diagnosis: application to congenital heart diseases of the great arteries. Med. Image Anal. 26(1), 185–194 (2015)
Zuluaga, M.A., Cardoso, M.J., Modat, M., Ourselin, S.: Multi-atlas propagation whole heart segmentation from MRI and CTA using a local normalised correlation coefficient criterion. In: Ourselin, S., Rueckert, D., Smith, N. (eds.) FIMH 2013. LNCS, vol. 7945, pp. 174–181. Springer, Heidelberg (2013). doi:10.1007/978-3-642-38899-6_21
Acknowledgements
This work was supported through an Innovative Engineering for Health award by the Wellcome Trust [WT101957]; Engineering and Physical Sciences Research Council (EPSRC) [NS/A000027/1]. BB is funded by UCL EPSRC Centre for Doctoral Training in Medical Imaging Scholarship Award. AMT and SS receive funding from Heart Research UK, the British Heart Foundation and the National Institute for Health Research Biomedical Research Centre at GOSH and UCL. SO receives funding from the National Institute for Health Research University College London Hospitals Biomedical Research Centre (NIHR BRC UCLH/UCL High Impact Initiative BW.mn.BRC10269) and the EPSRC (EP/K005278/1).
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Zuluaga, M.A., Biffi, B., Taylor, A.M., Schievano, S., Vercauteren, T., Ourselin, S. (2017). Strengths and Pitfalls of Whole-Heart Atlas-Based Segmentation in Congenital Heart Disease Patients. In: Zuluaga, M., Bhatia, K., Kainz, B., Moghari, M., Pace, D. (eds) Reconstruction, Segmentation, and Analysis of Medical Images. RAMBO HVSMR 2016 2016. Lecture Notes in Computer Science(), vol 10129. Springer, Cham. https://doi.org/10.1007/978-3-319-52280-7_14
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