Why the study?
Does a combined random forests and active contour model approach improve left atrium segmentation accuracy in cardiac volumetric MRI compared to other automated methods?
Does a combined random forests and active contour model approach improve left atrium segmentation accuracy in cardiac volumetric MRI compared to other automated methods?
A combined random forests and active contour model approach significantly improves the accuracy of fully automatic left atrium segmentation from cardiac MRI compared to existing methods.
May advance automated LA segmentation in cardiac MRI; leaves open clinical translation pending prospective validation.
Segmentation of the left atrium (LA) from cardiac magnetic resonance imaging (MRI) datasets is of great importance for image guided atrial fibrillation ablation, LA fibrosis quantification, and cardiac biophysical modelling. However, automated LA segmentation from cardiac MRI is challenging due to limited image resolution, considerable variability in anatomical structures across subjects, and dynamic motion of the heart. In this work, we propose a combined random forests (RFs) and active contour model (ACM) approach for fully automatic segmentation of the LA from cardiac volumetric MRI. Specifically, we employ the RFs within an autocontext scheme to effectively integrate contextual and appearance information from multisource images together for LA shape inferring. The inferred shape is then incorporated into a volume-scalable ACM for further improving the segmentation accuracy. We validated the proposed method on the cardiac volumetric MRI datasets from the STACOM 2013 and HVSMR 2016 databases and showed that it outperforms other latest automated LA segmentation methods. Validation metrics, average Dice coefficient (DC) and average surface-to-surface distance (S2S), were computed as 0.9227 ± 0.0598 and 1.14 ± 1.205 mm, versus those of 0.6222-0.878 and 1.34-8.72 mm, obtained by other methods, respectively.
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Ma et al. (2017) studied this question.
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