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      A New Framework for Performing Cardiac Strain Analysis from Cine MRI Imaging in Mice

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          Abstract

          Cardiac magnetic resonance (MR) imaging is one of the most rigorous form of imaging to assess cardiac function in vivo. Strain analysis allows comprehensive assessment of diastolic myocardial function, which is not indicated by measuring systolic functional parameters using with a normal cine imaging module. Due to the small heart size in mice, it is not possible to perform proper tagged imaging to assess strain. Here, we developed a novel deep learning approach for automated quantification of strain from cardiac cine MR images. Our framework starts by an accurate localization of the LV blood pool center-point using a fully convolutional neural network (FCN) architecture. Then, a region of interest (ROI) that contains the LV is extracted from all heart sections. The extracted ROIs are used for the segmentation of the LV cavity and myocardium via a novel FCN architecture. For strain analysis, we developed a Laplace-based approach to track the LV wall points by solving the Laplace equation between the LV contours of each two successive image frames over the cardiac cycle. Following tracking, the strain estimation is performed using the Lagrangian-based approach. This new automated system for strain analysis was validated by comparing the outcome of these analysis with the tagged MR images from the same mice. There were no significant differences between the strain data obtained from our algorithm using cine compared to tagged MR imaging. Furthermore, we demonstrated that our new algorithm can determine the strain differences between normal and diseased hearts.

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          Most cited references28

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          Automated cardiovascular magnetic resonance image analysis with fully convolutional networks

          Background Cardiovascular resonance (CMR) imaging is a standard imaging modality for assessing cardiovascular diseases (CVDs), the leading cause of death globally. CMR enables accurate quantification of the cardiac chamber volume, ejection fraction and myocardial mass, providing information for diagnosis and monitoring of CVDs. However, for years, clinicians have been relying on manual approaches for CMR image analysis, which is time consuming and prone to subjective errors. It is a major clinical challenge to automatically derive quantitative and clinically relevant information from CMR images. Methods Deep neural networks have shown a great potential in image pattern recognition and segmentation for a variety of tasks. Here we demonstrate an automated analysis method for CMR images, which is based on a fully convolutional network (FCN). The network is trained and evaluated on a large-scale dataset from the UK Biobank, consisting of 4,875 subjects with 93,500 pixelwise annotated images. The performance of the method has been evaluated using a number of technical metrics, including the Dice metric, mean contour distance and Hausdorff distance, as well as clinically relevant measures, including left ventricle (LV) end-diastolic volume (LVEDV) and end-systolic volume (LVESV), LV mass (LVM); right ventricle (RV) end-diastolic volume (RVEDV) and end-systolic volume (RVESV). Results By combining FCN with a large-scale annotated dataset, the proposed automated method achieves a high performance in segmenting the LV and RV on short-axis CMR images and the left atrium (LA) and right atrium (RA) on long-axis CMR images. On a short-axis image test set of 600 subjects, it achieves an average Dice metric of 0.94 for the LV cavity, 0.88 for the LV myocardium and 0.90 for the RV cavity. The mean absolute difference between automated measurement and manual measurement is 6.1 mL for LVEDV, 5.3 mL for LVESV, 6.9 gram for LVM, 8.5 mL for RVEDV and 7.2 mL for RVESV. On long-axis image test sets, the average Dice metric is 0.93 for the LA cavity (2-chamber view), 0.95 for the LA cavity (4-chamber view) and 0.96 for the RA cavity (4-chamber view). The performance is comparable to human inter-observer variability. Conclusions We show that an automated method achieves a performance on par with human experts in analysing CMR images and deriving clinically relevant measures. Electronic supplementary material The online version of this article (10.1186/s12968-018-0471-x) contains supplementary material, which is available to authorized users.
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            A generalized Gaussian image model for edge-preserving MAP estimation.

            The authors present a Markov random field model which allows realistic edge modeling while providing stable maximum a posterior (MAP) solutions. The model, referred to as a generalized Gaussian Markov random field (GGMRF), is named for its similarity to the generalized Gaussian distribution used in robust detection and estimation. The model satisfies several desirable analytical and computational properties for map estimation, including continuous dependence of the estimate on the data, invariance of the character of solutions to scaling of data, and a solution which lies at the unique global minimum of the a posteriori log-likelihood function. The GGMRF is demonstrated to be useful for image reconstruction in low-dosage transmission tomography.
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              Three-dimensional mapping of cortical thickness using Laplace's equation.

              We present a novel, computerized method of examining cerebral cortical thickness. The normal cortex varies in thickness from 2 to 4 mm, reflecting the morphology of neuronal sublayers. Cortical pathologies often manifest abnormal variations in thickness, with examples of Alzheimer's disease and cortical dysplasia as thin and thick cortex, respectively. Radiologically, images are 2-D slices through a highly convoluted 3-D object. Depending on the relative orientation of the slices with respect to the object, it is impossible to deduce abnormal cortical thickness without additional information from neighboring slices. We approach the problem by applying Laplace's Equation (V2psi = 0) from mathematical physics. The volume of the cortex is represented as the domain for the solution of the differential equation, with separate boundary conditions at the gray-white junction and the gray-CSF junction. Normalized gradients of psi form a vector field, representing tangent vectors along field lines connecting both boundaries. We define the cortical thickness at any point in the cortex to be the pathlength along such lines. Key advantages of this method are that it is fully three-dimensional, and the thickness is uniquely defined for any point in the cortex. We present graphical results that map cortical thickness everywhere in a normal brain. Results show global variations in cortical thickness consistent with known neuroanatomy. The application of this technique to visualization of cortical thickness in brains with known pathology has broad clinical implications.
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                Author and article information

                Contributors
                aselba01@louisville.edu
                Journal
                Sci Rep
                Sci Rep
                Scientific Reports
                Nature Publishing Group UK (London )
                2045-2322
                7 May 2020
                7 May 2020
                2020
                : 10
                : 7725
                Affiliations
                [1 ]ISNI 0000 0001 2113 1622, GRID grid.266623.5, BioImaging Laboratory, Department of Bioengineering, University of Louisville, ; Louisville, KY USA
                [2 ]ISNI 0000000103426662, GRID grid.10251.37, Electronics and Communications Engineering Department, Faculty of Engineeering, Mansoura University, ; Mansoura, Egypt
                [3 ]ISNI 0000 0001 2113 1622, GRID grid.266623.5, Department of Radiology, Department of Medicine, University of Louisville, ; Louisville, KY USA
                [4 ]ISNI 0000 0001 2113 1622, GRID grid.266623.5, Diabetes and Obesity Center, Department of Medicine, University of Louisville, ; Louisville, KY USA
                [5 ]ISNI 0000 0001 2113 1622, GRID grid.266623.5, Department of Bioinformatics and Biostatistics, SPHIS, University of Louisville, ; Louisville, KY USA
                [6 ]ISNI 0000000103426662, GRID grid.10251.37, Mathematics Department, Faculty of Science, Mansoura University, ; Mansoura, Egypt
                [7 ]ISNI 0000 0001 2113 1622, GRID grid.266623.5, Division of Cardiovascular Medicine, Department of Medicine, University of Louisville, ; Louisville, KY USA
                Author information
                http://orcid.org/0000-0003-3318-2851
                http://orcid.org/0000-0001-6084-3622
                http://orcid.org/0000-0001-7264-1323
                Article
                64206
                10.1038/s41598-020-64206-x
                7205890
                32382124
                d4f98863-fcf1-4719-a262-9266bfbf6dc7
                © The Author(s) 2020

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 11 November 2019
                : 13 April 2020
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                © The Author(s) 2020

                Uncategorized
                cardiology,medical research
                Uncategorized
                cardiology, medical research

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