Zhu Xiliang, Wei Yang, Lu Yu, Zhao Ming, Yang Ke, Wu Shiqian, Zhang Hui, Wong Kelvin K L
Department of Cardiovascular Surgery, Henan Province People's Hospital, Fuwai Central China Cardiovascular Hospital, Henan Cardiovascular Hospital and Zhengzhou University, Zhengzhou, China.
School of Computer Science and Engineering, Central South University, Changsha, China.
Comput Methods Programs Biomed. 2021 Feb;199:105914. doi: 10.1016/j.cmpb.2020.105914. Epub 2020 Dec 17.
In cardiology, ultrasound is often used to diagnose heart disease associated with myocardial infarction. This study aims to develop robust segmentation techniques for segmenting the left ventricle (LV) in ultrasound images to check myocardium movement during heartbeat. The proposed technique utilizes machine learning (ML) techniques such as the active contour (AC) and convolutional neural networks (CNNs) for segmentation. Medical experts determine the consistency between the proposed ML approach, which is a state-of-the-art deep learning method, and the manual segmentation approach. These methods are compared in terms of performance indicators such as the ventricular area (VA), ventricular maximum diameter (VMXD), ventricular minimum diameter (VMID), and ventricular long axis angle (AVLA) measurements. Furthermore, the Dice similarity coefficient, Jaccard index, and Hausdorff distance are measured to estimate the agreement of the LV segmented results between the automatic and visual approaches. The obtained results indicate that the proposed techniques for LV segmentation are useful and practical. There is no significant difference between the use of AC and CNN in image segmentation; however, the AC method could obtain comparable accuracy as the CNN method using less training data and less run-time.
在心脏病学中,超声常用于诊断与心肌梗死相关的心脏病。本研究旨在开发强大的分割技术,用于在超声图像中分割左心室(LV),以检查心跳期间心肌的运动。所提出的技术利用主动轮廓(AC)和卷积神经网络(CNN)等机器学习(ML)技术进行分割。医学专家确定所提出的ML方法(一种先进的深度学习方法)与手动分割方法之间的一致性。这些方法根据心室面积(VA)、心室最大直径(VMXD)、心室最小直径(VMID)和心室长轴角度(AVLA)测量等性能指标进行比较。此外,还测量了Dice相似系数、Jaccard指数和豪斯多夫距离,以估计自动和视觉方法之间LV分割结果的一致性。获得的结果表明,所提出的LV分割技术是有用且实用的。在图像分割中使用AC和CNN之间没有显著差异;然而,AC方法使用较少的训练数据和较少的运行时间,可以获得与CNN方法相当的准确性。