Segmentation of 4D Flow MRI: Comparison between 3D Deep Learning and Velocity-Based Level Sets

A thoracic aortic aneurysm is an abnormal dilatation of the aorta that can progress and lead to rupture. The decision to conduct surgery is made by considering the maximum diameter, but it is now well known that this metric alone is not completely reliable. The advent of 4D flow magnetic resonance i...

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Main Authors: Armando Barrera-Naranjo, Diana M. Marin-Castrillon, Thomas Decourselle, Siyu Lin, Sarah Leclerc, Marie-Catherine Morgant, Chloé Bernard, Shirley De Oliveira, Arnaud Boucher, Benoit Presles, Olivier Bouchot, Jean-Joseph Christophe, Alain Lalande
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Journal of Imaging
Subjects:
Online Access:https://www.mdpi.com/2313-433X/9/6/123
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author Armando Barrera-Naranjo
Diana M. Marin-Castrillon
Thomas Decourselle
Siyu Lin
Sarah Leclerc
Marie-Catherine Morgant
Chloé Bernard
Shirley De Oliveira
Arnaud Boucher
Benoit Presles
Olivier Bouchot
Jean-Joseph Christophe
Alain Lalande
author_facet Armando Barrera-Naranjo
Diana M. Marin-Castrillon
Thomas Decourselle
Siyu Lin
Sarah Leclerc
Marie-Catherine Morgant
Chloé Bernard
Shirley De Oliveira
Arnaud Boucher
Benoit Presles
Olivier Bouchot
Jean-Joseph Christophe
Alain Lalande
author_sort Armando Barrera-Naranjo
collection DOAJ
description A thoracic aortic aneurysm is an abnormal dilatation of the aorta that can progress and lead to rupture. The decision to conduct surgery is made by considering the maximum diameter, but it is now well known that this metric alone is not completely reliable. The advent of 4D flow magnetic resonance imaging has allowed for the calculation of new biomarkers for the study of aortic diseases, such as wall shear stress. However, the calculation of these biomarkers requires the precise segmentation of the aorta during all phases of the cardiac cycle. The objective of this work was to compare two different methods for automatically segmenting the thoracic aorta in the systolic phase using 4D flow MRI. The first method is based on a level set framework and uses the velocity field in addition to 3D phase contrast magnetic resonance imaging. The second method is a U-Net-like approach that is only applied to magnitude images from 4D flow MRI. The used dataset was composed of 36 exams from different patients, with ground truth data for the systolic phase of the cardiac cycle. The comparison was performed based on selected metrics, such as the Dice similarity coefficient (DSC) and Hausdorf distance (HD), for the whole aorta and also three aortic regions. Wall shear stress was also assessed and the maximum wall shear stress values were used for comparison. The U-Net-based approach provided statistically better results for the 3D segmentation of the aorta, with a DSC of 0.92 ± 0.02 vs. 0.86 ± 0.5 and an HD of 21.49 ± 24.8 mm vs. 35.79 ± 31.33 mm for the whole aorta. The absolute difference between the wall shear stress and ground truth slightly favored the level set method, but not significantly (0.754 ± 1.07 Pa vs. 0.737 ± 0.79 Pa). The results showed that the deep learning-based method should be considered for the segmentation of all time steps in order to evaluate biomarkers based on 4D flow MRI.
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spelling doaj.art-68ac183901fd42a38335ea17455cfd1f2023-11-18T11:04:31ZengMDPI AGJournal of Imaging2313-433X2023-06-019612310.3390/jimaging9060123Segmentation of 4D Flow MRI: Comparison between 3D Deep Learning and Velocity-Based Level SetsArmando Barrera-Naranjo0Diana M. Marin-Castrillon1Thomas Decourselle2Siyu Lin3Sarah Leclerc4Marie-Catherine Morgant5Chloé Bernard6Shirley De Oliveira7Arnaud Boucher8Benoit Presles9Olivier Bouchot10Jean-Joseph Christophe11Alain Lalande12CASIS—Cardiac Simulation & Imaging Software, 21800 Quetigny, FranceIFTIM, ICMUB Laboratory, University of Burgundy, 21078 Dijon, FranceCASIS—Cardiac Simulation & Imaging Software, 21800 Quetigny, FranceIFTIM, ICMUB Laboratory, University of Burgundy, 21078 Dijon, FranceIFTIM, ICMUB Laboratory, University of Burgundy, 21078 Dijon, FranceIFTIM, ICMUB Laboratory, University of Burgundy, 21078 Dijon, FranceIFTIM, ICMUB Laboratory, University of Burgundy, 21078 Dijon, FranceCASIS—Cardiac Simulation & Imaging Software, 21800 Quetigny, FranceIFTIM, ICMUB Laboratory, University of Burgundy, 21078 Dijon, FranceIFTIM, ICMUB Laboratory, University of Burgundy, 21078 Dijon, FranceIFTIM, ICMUB Laboratory, University of Burgundy, 21078 Dijon, FranceCASIS—Cardiac Simulation & Imaging Software, 21800 Quetigny, FranceIFTIM, ICMUB Laboratory, University of Burgundy, 21078 Dijon, FranceA thoracic aortic aneurysm is an abnormal dilatation of the aorta that can progress and lead to rupture. The decision to conduct surgery is made by considering the maximum diameter, but it is now well known that this metric alone is not completely reliable. The advent of 4D flow magnetic resonance imaging has allowed for the calculation of new biomarkers for the study of aortic diseases, such as wall shear stress. However, the calculation of these biomarkers requires the precise segmentation of the aorta during all phases of the cardiac cycle. The objective of this work was to compare two different methods for automatically segmenting the thoracic aorta in the systolic phase using 4D flow MRI. The first method is based on a level set framework and uses the velocity field in addition to 3D phase contrast magnetic resonance imaging. The second method is a U-Net-like approach that is only applied to magnitude images from 4D flow MRI. The used dataset was composed of 36 exams from different patients, with ground truth data for the systolic phase of the cardiac cycle. The comparison was performed based on selected metrics, such as the Dice similarity coefficient (DSC) and Hausdorf distance (HD), for the whole aorta and also three aortic regions. Wall shear stress was also assessed and the maximum wall shear stress values were used for comparison. The U-Net-based approach provided statistically better results for the 3D segmentation of the aorta, with a DSC of 0.92 ± 0.02 vs. 0.86 ± 0.5 and an HD of 21.49 ± 24.8 mm vs. 35.79 ± 31.33 mm for the whole aorta. The absolute difference between the wall shear stress and ground truth slightly favored the level set method, but not significantly (0.754 ± 1.07 Pa vs. 0.737 ± 0.79 Pa). The results showed that the deep learning-based method should be considered for the segmentation of all time steps in order to evaluate biomarkers based on 4D flow MRI.https://www.mdpi.com/2313-433X/9/6/123segmentation4D flow MRIdeep learningaorta
spellingShingle Armando Barrera-Naranjo
Diana M. Marin-Castrillon
Thomas Decourselle
Siyu Lin
Sarah Leclerc
Marie-Catherine Morgant
Chloé Bernard
Shirley De Oliveira
Arnaud Boucher
Benoit Presles
Olivier Bouchot
Jean-Joseph Christophe
Alain Lalande
Segmentation of 4D Flow MRI: Comparison between 3D Deep Learning and Velocity-Based Level Sets
Journal of Imaging
segmentation
4D flow MRI
deep learning
aorta
title Segmentation of 4D Flow MRI: Comparison between 3D Deep Learning and Velocity-Based Level Sets
title_full Segmentation of 4D Flow MRI: Comparison between 3D Deep Learning and Velocity-Based Level Sets
title_fullStr Segmentation of 4D Flow MRI: Comparison between 3D Deep Learning and Velocity-Based Level Sets
title_full_unstemmed Segmentation of 4D Flow MRI: Comparison between 3D Deep Learning and Velocity-Based Level Sets
title_short Segmentation of 4D Flow MRI: Comparison between 3D Deep Learning and Velocity-Based Level Sets
title_sort segmentation of 4d flow mri comparison between 3d deep learning and velocity based level sets
topic segmentation
4D flow MRI
deep learning
aorta
url https://www.mdpi.com/2313-433X/9/6/123
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