Title
Segmentation of the heart and major vascular structures in cardiovascular CT images
Abstract
Segmentation of organs in medical images can be successfully performed with shape-constrained deformable models. A surface mesh is attracted to detected image boundaries by an external energy, while an internal energy keeps the mesh similar to expected shapes. Complex organs like the heart with its four chambers can be automatically segmented using a suitable shape variability model based on piecewise affine degrees of freedom. In this paper, we extend the approach to also segment highly variable vascular structures. We introduce a dedicated framework to adapt an extended mesh model to freely bending vessels. This is achieved by subdividing each vessel into (short) tube-shaped segments ("tubelets"). These are assigned to individual similarity transformations for local orientation and scaling. Proper adaptation is achieved by progressively adapting distal vessel parts to the image only after proximal neighbor tubelets have already converged. In addition, each newly activated tubelet inherits the local orientation and scale of the preceeding one. To arrive at a joint segmentation of chambers and vasculature, we extended a previous model comprising endocardial surfaces of the four chambers, the left ventricular epicardium, and a pulmonary artery trunk. Newly added are the aorta (ascending and descending plus arch), superior and inferior vena cava, coronary sinus, and four pulmonary veins. These vessels are organized as stacks of triangulated rings. This mesh configuration is most suitable to define tubelet segments. On 36 CT data sets reconstructed at several cardiac phases from 17 patients, segmentation accuracies of 0.61-0.80 mm are obtained for the cardiac chambers. For the visible parts of the newly added great vessels, surface accuracies of 0.47-1.17 mm are obtained (larger errors are associated with faintly contrasted venous structures).
Year
DOI
Venue
2008
10.1117/12.768494
PROCEEDINGS OF THE SOCIETY OF PHOTO-OPTICAL INSTRUMENTATION ENGINEERS (SPIE)
Keywords
Field
DocType
image segmentation,vessel segmentation,progressive segmentation,cardiovascular modeling,shape-constrained deformable models,tubelet models
Biomedical engineering,Anatomy,Data set,Left Ventricular Epicardium,Segmentation,Computer science,Great vessels,Image segmentation,Coronary sinus,Piecewise,Inferior vena cava
Conference
Volume
ISSN
Citations 
6914
0277-786X
11
PageRank 
References 
Authors
1.09
9
9
Name
Order
Citations
PageRank
Jochen Peters128425.51
Olivier Ecabert234626.28
Christine H. Lorenz3365.14
Jens Von Berg424727.11
Matthew J. Walker5655.52
Thomas Ivanc6432.57
M Vembar7517.27
m olszewski8131.54
j s weese9111.09