Segmentation of left atrial intracardiac ultrasound images for image guided cardiac ablation therapy

M. E. Rettmann; T. Stephens; D. R. Holmes III; C. Linte; D. L. Packer; R. A. Robb

doi:10.1117/12.2008762

15 March 2013 Segmentation of left atrial intracardiac ultrasound images for image guided cardiac ablation therapy

M. E. Rettmann, T. Stephens, D. R. Holmes III, C. Linte, D. L. Packer, R. A. Robb

Proceedings Volume 8671, Medical Imaging 2013: Image-Guided Procedures, Robotic Interventions, and Modeling; 86712D (2013) https://doi.org/10.1117/12.2008762
Event: SPIE Medical Imaging, 2013, Lake Buena Vista (Orlando Area), Florida, United States

Abstract

Intracardiac echocardiography (ICE), a technique in which structures of the heart are imaged using a catheter navigated inside the cardiac chambers, is an important imaging technique for guidance in cardiac ablation therapy. Automatic segmentation of these images is valuable for guidance and targeting of treatment sites. In this paper, we describe an approach to segment ICE images by generating an empirical model of blood pool and tissue intensities. Normal, Weibull, Gamma, and Generalized Extreme Value (GEV) distributions are fit to histograms of tissue and blood pool pixels from a series of ICE scans. A total of 40 images from 4 separate studies were evaluated. The model was trained and tested using two approaches. In the first approach, the model was trained on all images from 3 studies and subsequently tested on the 40 images from the 4th study. This procedure was repeated 4 times using a leave-one-out strategy. This is termed the between-subjects approach. In the second approach, the model was trained on 10 randomly selected images from a single study and tested on the remaining 30 images in that study. This is termed the within-subjects approach. For both approaches, the model was used to automatically segment ICE images into blood and tissue regions. Each pixel is classified using the Generalized Liklihood Ratio Test across neighborhood sizes ranging from 1 to 49. Automatic segmentation results were compared against manual segmentations for all images. In the between-subjects approach, the GEV distribution using a neighborhood size of 17 was found to be the most accurate with a misclassification rate of approximately 17%. In the within-subjects approach, the GEV distribution using a neighborhood size of 19 was found to be the most accurate with a misclassification rate of approximately 15%. As expected, the majority of misclassified pixels were located near the boundaries between tissue and blood pool regions for both methods.

Citation Download Citation

M. E. Rettmann, T. Stephens, D. R. Holmes III, C. Linte, D. L. Packer, and R. A. Robb "Segmentation of left atrial intracardiac ultrasound images for image guided cardiac ablation therapy", Proc. SPIE 8671, Medical Imaging 2013: Image-Guided Procedures, Robotic Interventions, and Modeling, 86712D (15 March 2013); https://doi.org/10.1117/12.2008762

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