Department of Medical Imaging, Western University, London, ON, Canada; Digital Image Group (DIG), London, ON, Canada.
Med Image Anal. 2018 Jan;43:54-65. doi: 10.1016/j.media.2017.09.005. Epub 2017 Sep 28.
Cardiac left ventricle (LV) quantification is among the most clinically important tasks for identification and diagnosis of cardiac disease. However, it is still a task of great challenge due to the high variability of cardiac structure across subjects and the complexity of temporal dynamics of cardiac sequences. Full quantification, i.e., to simultaneously quantify all LV indices including two areas (cavity and myocardium), six regional wall thicknesses (RWT), three LV dimensions, and one phase (Diastole or Systole), is even more challenging since the ambiguous correlations existing among these indices may impinge upon the convergence and generalization of the learning procedure. In this paper, we propose a deep multitask relationship learning network (DMTRL) for full LV quantification. The proposed DMTRL first obtains expressive and robust cardiac representations with a deep convolution neural network (CNN); then models the temporal dynamics of cardiac sequences effectively with two parallel recurrent neural network (RNN) modules. After that, it estimates the three types of LV indices under a Bayesian framework that is capable of learning multitask relationships automatically, and estimates the cardiac phase with a softmax classifier. The CNN representation, RNN temporal modeling, Bayesian multitask relationship learning, and softmax classifier establish an effective and integrated network which can be learned in an end-to-end manner. The obtained task covariance matrix captures the correlations existing among these indices, therefore leads to accurate estimation of LV indices and cardiac phase. Experiments on MR sequences of 145 subjects show that DMTRL achieves high accurate prediction, with average mean absolute error of 180 mm, 1.39 mm, 2.51 mm for areas, RWT, dimensions and error rate of 8.2% for the phase classification. This endows our method a great potential in comprehensive clinical assessment of global, regional and dynamic cardiac function.
心脏左心室(LV)定量分析是识别和诊断心脏疾病最重要的临床任务之一。然而,由于心脏结构在个体之间存在高度变异性,以及心脏序列的时间动态复杂性,这仍然是一项极具挑战性的任务。完整的定量分析,即同时定量所有 LV 指数,包括两个区域(腔和心肌)、六个局部壁厚度(RWT)、三个 LV 尺寸和一个相位(舒张或收缩),更具挑战性,因为这些指数之间存在模糊的相关性,可能会影响学习过程的收敛和推广。在本文中,我们提出了一种用于完整 LV 定量分析的深度多任务关系学习网络(DMTRL)。所提出的 DMTRL 首先使用深度卷积神经网络(CNN)获得有表现力和稳健的心脏表示;然后使用两个并行的递归神经网络(RNN)模块有效地对心脏序列的时间动态进行建模。之后,它在一个能够自动学习多任务关系的贝叶斯框架下估计三种类型的 LV 指数,并使用 softmax 分类器估计心脏相位。CNN 表示、RNN 时间建模、贝叶斯多任务关系学习和 softmax 分类器建立了一个有效的综合网络,可以端到端地进行学习。所获得的任务协方差矩阵捕获了这些指数之间存在的相关性,从而实现了 LV 指数和心脏相位的准确估计。在 145 个受试者的 MR 序列上的实验表明,DMTRL 实现了高精度的预测,面积、RWT、尺寸的平均绝对误差分别为 180mm、1.39mm、2.51mm,相位分类的错误率为 8.2%。这使得我们的方法在全面的心脏整体、局部和动态功能临床评估中具有很大的潜力。