arXiv:2410.03320eess.IVcs.CV2024-10被引 3

针对心脏影像右心室基底部分割难题,提出基于不确定性的新方法提升准确率。

Lost in Tracking: Uncertainty-guided Cardiac Cine MRI Segmentation at Right Ventricle Base

  • 用贝叶斯不确定性捕捉跨平面运动导致的追踪丢失,指导分割。
  • 在ACDC数据集上改进右心室流出道标注,提升基底部分割精度。
  • 适合关注右心室功能分析的临床研究与医学影像算法开发者。

心脏磁共振动态成像(CMR cine)中双心室分割对评估心功能至关重要。相较于左心室,右心室(RV)分割更具挑战性且可重复性差,尤其在右心室基底部,此处解剖结构复杂(包含心房、瓣膜和主动脉),且受强烈跨平面运动影响。本文针对该问题提出两种策略:首先,基于心脏病专家指导,重新标注了ACDC数据集中右心室基底部区域,精细勾画右心室流出道(RVOT);其次,提出一种新型双编码器U-Net架构,利用时间不一致性信息,在跨平面运动发生时辅助分割。通过贝叶斯不确定性建模运动追踪丢失现象。实验表明,该方法显著提升了右心室基底部的分割性能。此外,研究还验证了统一标注与追踪丢失信息结合可增强深度学习分割的可重复性,有望推动大量聚焦右心室的临床研究。

原文摘要 · Abstract (English)

Accurate biventricular segmentation of cardiac magnetic resonance (CMR) cine images is essential for the clinical evaluation of heart function. However, compared to left ventricle (LV), right ventricle (RV) segmentation is still more challenging and less reproducible. Degenerate performance frequently occurs at the RV base, where the in-plane anatomical structures are complex (with atria, valve, and aorta) and vary due to the strong interplanar motion. In this work, we propose to address the currently unsolved issues in CMR segmentation, specifically at the RV base, with two strategies: first, we complemented the public resource by reannotating the RV base in the ACDC dataset, with refined delineation of the right ventricle outflow tract (RVOT), under the guidance of an expert cardiologist. Second, we proposed a novel dual encoder U-Net architecture that leverages temporal incoherence to inform the segmentation when interplanar motions occur. The inter-planar motion is characterized by loss-of-tracking, via Bayesian uncertainty of a motion-tracking model. Our experiments showed that our method significantly improved RV base segmentation taking into account temporal incoherence. Furthermore, we investigated the reproducibility of deep learning-based segmentation and showed that the combination of consistent annotation and loss of tracking could enhance the reproducibility of RV segmentation, potentially facilitating a large number of clinical studies focusing on RV.

心脏影像分割不确定性多模态

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