Left ventricular myocardium segmentation on arterial phase of multi-detector row computed tomography

Implementation of hybrid image fusion technique for feature enhancement in medical diagnosis

Image fusion is used to enhance the quality of images by combining two images of same scene obtained from different techniques. In medical diagnosis by combining the images obtained by Computed Tomography (CT) scan and Magnetic Resonance Imaging (MRI) we get more information and additional data from fused image. This paper presents a hybrid technique using curvelet and wavelet transform used in medical diagnosis. In this technique the image is segmented into bands using wavelet transform, the segmented image is then fused into sub bands using curvelet transform which breaks the bands into overlapping tiles and efficiently converting the curves in images using straight lines. These tiles are integrated together using inverse wavelet transform to produce a highly informative fused image. Wavelet based fusion extracts spatial details from high resolution bands but its limitation lies in the fusion of curved shapes. Therefore for better information and higher resolution on curved shapes we are blending wavelet transform with curvelet transform as we know that curvelet transform deals effectively with curves areas, corners and profiles. These two fusion techniques are extracted and then fused implementing hybrid image fusion algorithm, findings shows that fused image has minimum errors and present better quality results. The peak signal to noise ratio value for the hybrid method was higher in comparison to that of wavelet and curvelet transform fused images. Also we get improved statistics results in terms of Entropy, Peak signal to noise ratio, correlation coefficient, mutual information and edge association. This shows that the quality of fused image was better in case of hybrid method.

Left ventricular myocardium segmentation on delayed phase of multi-detector row computed tomography

RATIONALE AND OBJECTIVES

Advanced ischemic heart disease is usually accompanied by left ventricular (LV) myocardial volume loss and an abnormal enhancing pattern on delayed phase of multi-detector row computed tomography (MDCT). To assist radiologists and physicians in estimating the LV myocardial volume on delayed phase, this paper proposes an adaptive segmentation method for contouring the myocardial region in the delayed-phase MDCT and for computing the volume.

MATERIALS AND METHODS

The proposed method uses an anisotropic diffusion filter as a preprocessing procedure to enhance contrast and reduce specks in MDCT imaging. This work picks the middle of mid-ventricular level image slices as the lead slice. The proposed method develops two contouring modes to sketch the myocardium contour on the lead slice. By establishing the obtained contours as the initial contours, the region-growing method is employed to identify the contour of the myocardial region for each slice. The convex-hull finding algorithm is then used to refine the extracted contour. Finally, the width properties of the myocardial region and the morphological operators are used to obtain the entire LV myocardial volume.

RESULTS

Twenty-seven healthy patients who had no symptoms of ischemic heart disease are examined to evaluate the performance of the proposed method. Compared with manual contours delineated by two experienced experts, the contouring results using computer simulation reveal that the proposed method reliably identifies contours similar to those obtained using manual sketching.

CONCLUSION

The proposed method provides robust contouring for the LV myocardium on delayed-phase MDCT. The potential role of this technique may substantially reduce the time required to sketch manually a precise contour with high stability.