Automating Cardiac Disease Detection

Automating the detection and localization of segmental (regional) left ventricle (LV) abnormalities in magnetic resonance imaging (MRI) is challenging, with much room for improvements in regard to accuracy. The purpose of the study is to investigate a real-time machine-learning approach which uses some image features that can be easily computed, but that correlate well with the segmental cardiac function. Starting from a minimum user input in only one frame in a subject dataset, we build for all the regional segments and all subsequent frames a set of statistical MRI features based on a measure of similarity between distributions. We demonstrate that, over a cardiac cycle, the statistical features are related to the proportion of blood within each segment. Therefore, they can characterize segmental contraction without the need for delineating the LV boundaries in all the frames. Compared against ground-truth evaluations by experienced radiologists, the proposed algorithm performed competitively, with an overall classification accuracy of 86.09% and a kappa measure of 0.73. Key words: image statistics, linear support vector machine, LSVM, magnetic resonance imaging, MRI

[1]  Caroline Petitjean,et al.  A review of segmentation methods in short axis cardiac MR images , 2011, Medical Image Anal..

[2]  Enric Martí,et al.  A Normalized Framework for the Design of Feature Spaces Assessing the Left Ventricular Function , 2010, IEEE Transactions on Medical Imaging.

[3]  Alejandro F. Frangi,et al.  Automated regional wall motion abnormality detection by combining rest and stress cardiac MRI: Correlation with contrast‐enhanced MRI , 2011, Journal of magnetic resonance imaging : JMRI.

[4]  Qingshan Liu,et al.  Identifying Regional Cardiac Abnormalities from Myocardial Strains Using Spatio-temporal Tensor Analysis , 2008, MICCAI.

[5]  Alejandro F. Frangi,et al.  Automated Detection of Regional Wall Motion Abnormalities Based on a Statistical Model Applied to Multislice Short-Axis Cardiac MR Images , 2009, IEEE Transactions on Medical Imaging.

[6]  Shuo Li,et al.  Regional heart motion abnormality detection: An information theoretic approach , 2013, Medical Image Anal..

[7]  Albert Hofman,et al.  Quantifying the heart failure epidemic: prevalence, incidence rate, lifetime risk and prognosis of heart failure The Rotterdam Study. , 2004, European heart journal.

[8]  Andrew D McCulloch,et al.  Left ventricular form and function: scientific priorities and strategic planning for development of new views of disease. , 2004, Circulation.

[9]  Guang-Zhong Yang,et al.  An Inter-Landmark Approach to 4-D Shape Extraction and Interpretation: Application to Myocardial Motion Assessment in MRI , 2011, IEEE Transactions on Medical Imaging.

[10]  M. Cerqueira,et al.  Standardized myocardial segmentation and nomenclature for tomographic imaging of the heart: A statement for healthcare professionals from the Cardiac Imaging Committee of the Council on Clinical Cardiology of the American Heart Association , 2002, The international journal of cardiovascular imaging.

[11]  Alexander Dick,et al.  Pattern Recognition of Abnormal Left Ventricle Wall Motion in Cardiac MR , 2009, MICCAI.

[12]  Harald Becher,et al.  Analysis of regional left ventricular function by cineventriculography, cardiac magnetic resonance imaging, and unenhanced and contrast-enhanced echocardiography: a multicenter comparison of methods. , 2006, Journal of the American College of Cardiology.

[13]  Shuo Li,et al.  Regional Heart Motion Abnormality Detection via Information Measures and Unscented Kalman Filtering , 2010, MICCAI.

[14]  Frédérique Frouin,et al.  Interobserver variability in assessing segmental function can be reduced by combining visual analysis of CMR cine sequences with corresponding parametric images of myocardial contraction. , 2007, Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance.