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      Left ventricle quantification through spatio-temporal CNNs

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          Abstract

          Cardiovascular diseases are among the leading causes of death globally. Cardiac left ventricle (LV) quantification is known to be one of the most important tasks for the identification and diagnosis of such pathologies. In this paper, we propose a deep learning method that incorporates 3D spatio-temporal convolutions to perform direct left ventricle quantification from cardiac MR sequences. Instead of analysing slices independently, we process stacks of temporally adjacent slices by means of 3D convolutional kernels which fuse the spatio-temporal information, incorporating the temporal dynamics of the heart to the learned model. We show that incorporating such information by means of spatio-temporal convolutions into standard LV quantification architectures improves the accuracy of the predictions when compared with single-slice models, achieving competitive results for all cardiac indices and significantly breaking the state of the art (Xue et al., 2018, MedIA) for cardiac phase estimation.

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          A review of segmentation methods in short axis cardiac MR images.

          For the last 15 years, Magnetic Resonance Imaging (MRI) has become a reference examination for cardiac morphology, function and perfusion in humans. Yet, due to the characteristics of cardiac MR images and to the great variability of the images among patients, the problem of heart cavities segmentation in MRI is still open. This paper is a review of fully and semi-automated methods performing segmentation in short axis images using a cardiac cine MRI sequence. Medical background and specific segmentation difficulties associated to these images are presented. For this particularly complex segmentation task, prior knowledge is required. We thus propose an original categorization for cardiac segmentation methods, with a special emphasis on what level of external information is required (weak or strong) and how it is used to constrain segmentation. After reviewing method principles and analyzing segmentation results, we conclude with a discussion and future trends in this field regarding methodological and medical issues. Copyright © 2010 Elsevier B.V. All rights reserved.
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            The role of cardiovascular magnetic resonance imaging in heart failure.

            Noninvasive imaging plays a central role in the diagnosis of heart failure, assessment of prognosis, and monitoring of therapy. Cardiovascular magnetic resonance (CMR) offers a comprehensive assessment of heart failure patients and is now the gold standard imaging technique to assess myocardial anatomy, regional and global function, and viability. Furthermore, it allows assessment of perfusion and acute tissue injury (edema and necrosis), whereas in nonischemic heart failure, fibrosis, infiltration, and iron overload can be detected. The information derived from CMR often reveals the underlying etiology of heart failure, and its high measurement accuracy makes it an ideal technique for monitoring disease progression and the effects of treatment. Evidence on the prognostic value of CMR-derived parameters in heart failure is rapidly emerging. This review summarizes the advantages of CMR for patients with heart failure and its important role in key areas.
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              A review of heart chamber segmentation for structural and functional analysis using cardiac magnetic resonance imaging

              Cardiovascular magnetic resonance (CMR) has become a key imaging modality in clinical cardiology practice due to its unique capabilities for non-invasive imaging of the cardiac chambers and great vessels. A wide range of CMR sequences have been developed to assess various aspects of cardiac structure and function, and significant advances have also been made in terms of imaging quality and acquisition times. A lot of research has been dedicated to the development of global and regional quantitative CMR indices that help the distinction between health and pathology. The goal of this review paper is to discuss the structural and functional CMR indices that have been proposed thus far for clinical assessment of the cardiac chambers. We include indices definitions, the requirements for the calculations, exemplar applications in cardiovascular diseases, and the corresponding normal ranges. Furthermore, we review the most recent state-of-the art techniques for the automatic segmentation of the cardiac boundaries, which are necessary for the calculation of the CMR indices. Finally, we provide a detailed discussion of the existing literature and of the future challenges that need to be addressed to enable a more robust and comprehensive assessment of the cardiac chambers in clinical practice.
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                Author and article information

                Journal
                23 August 2018
                Article
                1808.07967
                85e54d5c-c77b-4dec-90b7-230b611a7d3b

                http://arxiv.org/licenses/nonexclusive-distrib/1.0/

                History
                Custom metadata
                Accepted for publication at Statistical Atlases and Computational Modeling of the Heart (STACOM) workshop @ MICCAI 2018
                cs.CV

                Computer vision & Pattern recognition
                Computer vision & Pattern recognition

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