Robust Atlas-Based Segmentation of Highly Variable Anatomy: Left Atrium Segmentation

Automatic segmentation of the heart's left atrium offers great benefits for planning and outcome evaluation of atrial ablation procedures. However, the high anatomical variability of the left atrium presents significant challenges for atlas-guided segmentation. In this paper, we demonstrate an automatic method for left atrium segmentation using weighted voting label fusion and a variant of the demons registration algorithm adapted to handle images with different intensity distributions. We achieve accurate automatic segmentation that is robust to the high anatomical variations in the shape of the left atrium in a clinical dataset of MRA images.

[1]  Nicholas Ayache,et al.  Three-dimensional multimodal brain warping using the Demons algorithm and adaptive intensity corrections , 2001, IEEE Transactions on Medical Imaging.

[2]  Cristian Lorenz,et al.  A comprehensive shape model of the heart , 2006, Medical Image Anal..

[3]  Dorin Comaniciu,et al.  Four-chamber heart modeling and automatic segmentation for 3D cardiac CT volumes , 2008, SPIE Medical Imaging.

[4]  Lasse Riis Østergaard,et al.  Active Surface Approach for Extraction of the Human Cerebral Cortex from MRI , 2006, MICCAI.

[5]  Mert R. Sabuncu,et al.  Supervised Nonparametric Image Parcellation , 2009, MICCAI.

[6]  Guido Gerig,et al.  Medical Image Computing and Computer-Assisted Intervention - MICCAI 2005, 8th International Conference, Palm Springs, CA, USA, October 26-29, 2005, Proceedings, Part I , 2005, MICCAI.

[7]  Nicholas Ayache,et al.  A Log-Euclidean Framework for Statistics on Diffeomorphisms , 2006, MICCAI.

[8]  L. R. Dice Measures of the Amount of Ecologic Association Between Species , 1945 .

[9]  Olivier Ecabert,et al.  Modeling shape variability for full heart segmentation in cardiac computed-tomography images , 2006, SPIE Medical Imaging.

[10]  Max A. Viergever,et al.  Multi-Atlas-Based Segmentation With Local Decision Fusion—Application to Cardiac and Aortic Segmentation in CT Scans , 2009, IEEE Transactions on Medical Imaging.

[11]  Daniel Rueckert,et al.  Automatic anatomical brain MRI segmentation combining label propagation and decision fusion , 2006, NeuroImage.

[12]  Torsten Rohlfing,et al.  Evaluation of atlas selection strategies for atlas-based image segmentation with application to confocal microscopy images of bee brains , 2004, NeuroImage.

[13]  Tom Vercauteren,et al.  An ITK Implementation of the Symmetric Log-Domain Diffeomorphic Demons Algorithm , 2009, The Insight Journal.

[14]  Daniel Rueckert,et al.  Left atrium pulmonary veins: segmentation and quantification for planning atrial fibrillation ablation , 2009, Medical Imaging.

[15]  Mert R. Sabuncu,et al.  Image-driven population analysis through mixture modeling , 2009, 2009 IEEE International Symposium on Biomedical Imaging: From Nano to Macro.

[16]  Tom Vercauteren,et al.  Diffeomorphic demons: Efficient non-parametric image registration , 2009, NeuroImage.

[17]  Jean-Philippe Thirion,et al.  Image matching as a diffusion process: an analogy with Maxwell's demons , 1998, Medical Image Anal..

[18]  V. Reddy,et al.  Arrhythmia Recurrence After Atrial Fibrillation Ablation: Can Magnetic Resonance Imaging Identify Gaps in Atrial Ablation Lines? , 2008, Journal of cardiovascular electrophysiology.

[19]  Polina Golland,et al.  Nonparametric Mixture Models for Supervised Image Parcellation. , 2009, Medical image computing and computer-assisted intervention : MICCAI ... International Conference on Medical Image Computing and Computer-Assisted Intervention.

[20]  Koenraad Van Leemput,et al.  Automated model-based tissue classification of MR images of the brain , 1999, IEEE Transactions on Medical Imaging.

[21]  Norbert Rahn,et al.  Automatic Left Atrium Segmentation by Cutting the Blood Pool at Narrowings , 2005, MICCAI.

[22]  G. Marchal,et al.  Multi-modal volume registration by maximization of mutual information , 1997 .

[23]  B. Gersh,et al.  Atrial Fibrillation and Ventricular Dysfunction: A Vicious Electromechanical Cycle , 2004, Circulation.

[24]  Daniel Rueckert,et al.  Left atrium segmentation for atrial fibrillation ablation , 2008, SPIE Medical Imaging.

[25]  G. Rose,et al.  RISK OF STROKE IN NON-RHEUMATIC ATRIAL FIBRILLATION , 1987, The Lancet.