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Fast and Automatic Heart Isolation in 3D CT Volumes: Optimal Shape Initialization

机译:3D CT量中的快速自动心脏隔离:最佳形状初始化

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Heart isolation (separating the heart from the proximity tissues, e.g., lung, liver, and rib cage) is a prerequisite to clearly visualize the coronary arteries in 3D. Such a 3D visualization provides an intuitive view to physicians to diagnose suspicious coronary segments. Heart isolation is also necessary in radiotherapy planning to mask out the heart for the treatment of lung or liver tumors. In this paper, we propose an efficient and robust method for heart isolation in computed tomography (CT) volumes. Marginal space learning (MSL) is used to efficiently estimate the position, orientation, and scale of the heart. An optimal mean shape (which optimally represents the whole shape population) is then aligned with detected pose, followed by boundary refinement using a learning-based boundary detector. Post-processing is further exploited to exclude the rib cage from the heart mask. A large-scale experiment on 589 volumes (including both contrasted and non-contrasted scans) from 288 patients demonstrates the robustness of the approach. It achieves a mean point-to-mesh error of 1.91 mm. Running at a speed of 1.5 s/volume, it is at least 10 times faster than the previous methods.
机译:心脏隔离(将心脏与邻近组织,例如肺,肝和肋骨保持架分离)是清晰显示3D冠状动脉的先决条件。这种3D可视化为医生提供了直观的视图,以诊断可疑的冠状动脉节段。在放射治疗计划中要屏蔽心脏以治疗肺部或肝脏肿瘤,也必须进行心脏隔离。在本文中,我们提出了一种在计算机断层扫描(CT)卷中进行心脏隔离的有效且鲁棒的方法。边际空间学习(MSL)用于有效地估计心脏的位置,方向和规模。然后将最佳平均形状(最佳表示整个形状总体)与检测到的姿势对齐,然后使用基于学习的边界检测器进行边界细化。后处理被进一步利用以从心脏面罩中排除肋骨。一项来自288位患者的589卷(包括对比扫描和非对比扫描)的大规模实验证明了该方法的鲁棒性。它实现的平均点对网格误差为1.91 mm。它以1.5秒/卷的速度运行,至少比以前的方法快10倍。

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