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An automated method for left ventricular localization and identification of end-systolic and end-diastolic images from cine cardiac MRI
Journal of Cardiovascular Magnetic Resonance volume 11, Article number: P222 (2009)
A critical component in computing quantitative diagnostic metrics, such as ejection fraction, as well as image segmentation and registration is the accurate identification of the end-systolic (ES) and end-diastolic (ED) frames in cine MRI. Localization of the LV is also important, to assist further analysis (ie., myocardial segmentation). Currently, these tasks are performed in a manual, semi- or fully-automated fashion. Fully-automated methods are desirable since they can eliminate manual labor and inter- and intra-observer variability. Most methods rely on measuring the area of the blood pool in the LV chamber, but they are computationally intensive, susceptible to noise, and require prior localization and segmentation of the LV. An image-driven statistical method is presented that utilizes cross-correlation to detect ES and ED from cine MRI acquired from canines under control conditions.
To develop a fully automated, computationally efficient, post-processing method for reliable LV localization and identification of ES and ED frames from cine cardiac MR images.
Experimental setup and imaging
Short-axis cine cardiac MR images were acquired on Siemens 1.5 T scanner from three canines that were sedated and mechanically ventilated. ECG-gated and breath-held SSFP acquisitions were prescribed over the mid-ventricle following scout scans at various temporal resolutions (TRes:7–153 ms). Scan parameters: voxel size = 1.2 × 1.2 × 6 mm3; flip angle = 60°; TR/TE = 3.5/1.8 ms.
Each cine set was denoted as I(x, y, t), where x, y are pixel locations (NxM), and t denotes 1,..., F phases. Each image was smoothed by convolution with a Gaussian filter (width = 10 and sigma = 1). The normalized cross correlation is computed between all images, giving an FxF matrix C(i, j), (i, j corresponds to image pairs). The i, j corresponding to the minimum of C are the ES, ED images, since they are uncorrelated in the heart region (high motion). Using the same principle, the LV chamber can be localized by finding the temporal variation of I(x, y, t), as matrix V (NxM). V was then denoised using a Gaussian and binarized (Otsu's method). The centroid of the largest connected component was chosen as the LV center. The proposed identification method was compared against LV blood volume segmentation methods. A seeded-region-growing method (SRGM) was chosen for segmentation instead of level-set-active-contours since it proved more robust to noise and the limited spatial resolution of the cine MRI images.
Cine images with varying TRes were tested and additive-white-Gaussian-noise was introduced to demonstrate robustness. The seed location for SRGM was manually set inside the ventricle for each image. Average number of frames away from the true ES, ED images (manually chosen) was used as the performance metric. For each noise level, 40 trials were performed and the results were averaged.
Figure 1 shows an image with added noise. Figures 2 to 4 demonstrate the performance of the proposed method when the whole image is used (Figure 2), and when a ROI around the heart is manually chosen (Figure 3) and compares it to SRGM (Figure 4). Figure 5 shows the Euclidean distance between the centers found using the proposed and the reader delineation of all cine images.
Pre-selection of an ROI, necessary with other methods, does not offer any significant gain. SRGM underperformed in cases when image noise or TRes was high (14 ms and 24 ms), did not always yield a unique global maximum and minimum, and was not robust against the appearance of papillary muscles, thus hindering the identification of ES and ED. The proposed method reliably identifies the cardiac phases, localizes the LV, without any parameterization (SRGM requires the localization of the seed and the determination of the growing threshold), is computationally elegant (~10 times faster than SRGM), could be easily extended to 4D MRI, and implemented in cardiac image analysis software.
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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution 2.0 International License (https://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Tsaftaris, S.A., Zhou, X., Tang, R. et al. An automated method for left ventricular localization and identification of end-systolic and end-diastolic images from cine cardiac MRI. J Cardiovasc Magn Reson 11 (Suppl 1), P222 (2009). https://doi.org/10.1186/1532-429X-11-S1-P222
- Normalize Cross Correlation
- Propose Identification Method
- Unique Global Maximum
- Scout Scan
- Diagnostic Metrics