Skip to main content

Left Atrial Appendage Segmentation Based on Ranking 2-D Segmentation Proposals

  • Conference paper
  • First Online:

Part of the book series: Lecture Notes in Computer Science ((LNIP,volume 10124))

Abstract

The left atrial appendage (LAA) is the main source of thrombus in patients with atrial fibrillation (AF). Automated segmentation of the LAA can greatly help doctors diagnose thrombosis and plan LAA closure surgery. Considering large anatomical variations of the LAA, we present a non-model based semi-automated approach for LAA segmentation on CTA data. The method requires only manual selection of four fiducial points to obtain the bounding box for the LAA. Subsequently we generate a pool of segmentation proposals using parametric max-flow for each 2-D slice. Then a random forest regressor is trained to pick out the best 2-D proposal for each slice. Finally all selected 2-D proposals are merged into a 3-D model using spatial continuity. Experimental results on 60 CTA data showed that our approach was robust when dealing with large anatomical variations. Compared to manual annotation, we obtained an average dice overlap of 95.12%.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Rosendaal, F.R., Raskob, G.E.: On world thrombosis day. The Lancet 384(9955), 1653–1654 (2014)

    Article  Google Scholar 

  2. Patti, G., Pengo, V., et al. The left atrial appendage: from embryology to prevention of thromboembolism. Eur. Heart J. doi: http://dx.doi.org/10.1093/eurheartj/ehw159. Epub 2016 Apr 26

  3. Wang, Y., Di Biase, L., et al.: Left atrial appendage studied by computed tomography to help planning for appendage closure device placement. J. Cardiovasc. Electrophysiol. 21(9), 973–982 (2010)

    Article  Google Scholar 

  4. Grasland-Mongrain, P., Peters, J., Ecabert, O.: Combination of shape-constrained and inflation deformable models with application to the segmentation of the left atrial appendage. In: ISBI, pp. 428–431 (2010)

    Google Scholar 

  5. Grasland-Mongrain, P.: Segmentation of the left atrial appendage from 3D images. Master Thesis. ENS Cachan (2009)

    Google Scholar 

  6. Ecabert, O., Peters, J., Schramm, H., Lorenz, C., et al.: Automatic model-based segmentation of the heart in CT images. IEEE Trans. Med. Imaging 27(9), 1189–1201 (2008)

    Article  Google Scholar 

  7. Zheng, Y., Yang, D., John, M., Comaniciu, D.: Multi-part modeling and segmentation of left atrium in C-arm CT for image-guided ablation of atrial fibrillation. IEEE Trans. Med. Imaging 33(2), 318–331 (2014)

    Article  Google Scholar 

  8. Boykov, Y., Funka-Lea, G.: Graph cuts and efficient N-D image segmentation. Int. J. Comput. Vis. 70(2), 109–131 (2006)

    Article  Google Scholar 

  9. Kolmogorov, V., Boykov, Y., Rother, C.: Applications of parametric maxflow in computer vision. In: ICCV 2007, pp. 1–8 (2007)

    Google Scholar 

  10. Carreira, J., Sminchisescu, C.: CPMC: automatic object segmentation using constrained parametric min-cuts. IEEE Trans. Pattern Anal. Mach. Intell. 34(7), 1312–1328 (2012)

    Article  Google Scholar 

  11. Hochbaum, D.S.: The pseudoflow algorithm: a new algorithm for the maximum-flow problem. Oper. Res. 56(4), 992–1009 (2008)

    Article  MathSciNet  MATH  Google Scholar 

  12. Carreira, J., Sminchisescu, C.: Constrained parametric min-cuts for automatic object segmentation, release 1. http://sminchisescu.ins.uni-bonn.de/code/cpmc/

  13. Wertheimer, M.: Laws of organization in perceptual forms (partial translation). In: A Source-Book of Gestalt Psycychology, pp. 71–88 (1938)

    Google Scholar 

  14. Fedorov, A., Beichel, R., et al.: 3D slicer as an image computing platform for the quantitative imaging network. Magn. Reson. Imaging 30(9), 1323–1341 (2012)

    Article  Google Scholar 

Download references

Acknowledgements

This work is supported by the National Natural Science Foundation of China under Grants 61225008, 61373074, 61572271, 61527808 and 61373090, the National Basic Research Program of China under Grant 2014CB349304, the Ministry of Education of China under Grant 20120002110033, and the Tsinghua University Initiative Scientific Research Program.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jianjiang Feng .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this paper

Cite this paper

Wang, L., Feng, J., Jin, C., Lu, J., Zhou, J. (2017). Left Atrial Appendage Segmentation Based on Ranking 2-D Segmentation Proposals. In: Mansi, T., McLeod, K., Pop, M., Rhode, K., Sermesant, M., Young, A. (eds) Statistical Atlases and Computational Models of the Heart. Imaging and Modelling Challenges. STACOM 2016. Lecture Notes in Computer Science(), vol 10124. Springer, Cham. https://doi.org/10.1007/978-3-319-52718-5_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-52718-5_3

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-52717-8

  • Online ISBN: 978-3-319-52718-5

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics