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Automatic segmentation of echocardiographic sequences by active appearance motion models
Journal article   Peer reviewed

Automatic segmentation of echocardiographic sequences by active appearance motion models

Johan G BOSCH, Steven C MITCHELL, Boudewijn P. F LELIEVELDT, Francisca NIJLAND, Otto KAMP, Milan SONKA and Johan H. C. SR REIBER
IEEE transactions on medical imaging, Vol.21(11), pp.1374-1383
2002
DOI: 10.1109/TMI.2002.806427
PMID: 12575874

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Abstract

A novel extension of active appearance models (AAMs) for automated border detection in echocardiographic image sequences is reported. The active appearance motion model (AAMM) technique allows fully automated robust and time-continuous delineation of left ventricular (LV) endocardial contours over the full heart cycle with good results. Nonlinear intensity normalization was developed and employed to accommodate ultrasound-specific intensity distributions. The method was trained and tested on 16-frame phase-normalized transthoracic four-chamber sequences of 129 unselected infarct patients, split randomly into a training set (n=65) and a test set (n=64). Borders were compared to expert drawn endocardial contours. On the test set, fully automated AAMM performed well in 97% of the cases (average distance between manual and automatic landmark points was 3.3 mm, comparable to human interobserver variabilities). The ultrasound-specific intensity normalization proved to be of great value for good results in echocardiograms. The AAMM was significantly more accurate than an equivalent set of two-dimensional AAMs.
Cardiovascular System Ultrasonic investigative techniques Biological and medical sciences Investigative techniques, diagnostic techniques (general aspects) Medical sciences

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