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Deep Neural Network for Cardiac Magnetic Resonance Image Segmentation
David Chen1, Huzefa Bhopalwala2, Nakeya Dewaswala2
1Department of Cardiovascular Surgery, Cleveland Clinic, Cleveland, OH 44195, USA.
Journal of Imaging
|May 27, 2022
Summary
Automated cardiac magnetic resonance (CMR) image segmentation is faster with a new multi-image type UNet (MI-UNet). This AI model improves segmentation accuracy for left ventricular structures in multiple CMR image types, aiding clinical analysis.
Area of Science:
- Cardiovascular Imaging
- Artificial Intelligence in Medicine
- Medical Image Analysis
Background:
- Cardiac magnetic resonance (CMR) image analysis is time-consuming.
- Automated segmentation of cardiac structures can significantly reduce analysis time.
- Leveraging spatial similarities across different CMR image types can enhance segmentation accuracy.
Purpose of the Study:
- To develop and evaluate a multi-image type UNet (MI-UNet) model for joint segmentation of multiple CMR image sequences.
- To compare the segmentation performance of MI-UNet against single-image type UNet models.
- To assess the impact of MI-UNet on the accuracy of cardiac structure segmentation in hypertrophic cardiomyopathy patients.
Main Methods:
- A multi-image type UNet (MI-UNet) model was developed using data from 72 patient exams.
- The model was trained to jointly segment multiple CMR image types, including steady-state free precession (SSFP) and late gadolinium enhancement (LGE).
- Segmentation accuracy was quantified using the Dice similarity coefficient (DSC) and compared between MI-UNet and single-image type UNet models.
Main Results:
- MI-UNet achieved a superior DSC of 0.92 ± 0.06 for SSFP images versus 0.87 ± 0.08 for single-image UNet (p < 0.001).
- MI-UNet achieved a superior DSC of 0.86 ± 0.11 for LGE images versus 0.78 ± 0.11 for single-image UNet (p = 0.001).
- Improved accuracy was most notable for left ventricular structures in SSFP and LGE images; no significant difference was observed for the right ventricle.
Conclusions:
- Joint segmentation of multiple CMR image types using MI-UNet enhances segmentation accuracy for left ventricular structures compared to single-image models.
- The MI-UNet model shows potential to expedite the analysis and interpretation of multi-sequence CMR datasets in clinical practice.
- This AI-driven approach offers a promising solution for improving efficiency in cardiovascular imaging analysis.

