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Anatomically Constrained Neural Networks (ACNNs): Application to Cardiac Image Enhancement and Segmentation

IEEE Transactions on Medical Imaging · 2017 · Vol. 37(2) · pp. 384–395
Ozan OktayEnzo FerranteKonstantinos KamnitsasMattias P. Heinrich‬Wenjia BaiJosé CaballeroStuart A. CookAntonio de MarvaoTimothy J. W. DawesDeclan P. O’ReganBernhard KainzBen GlockerDaniel Rueckert

Abstract

Incorporation of prior knowledge about organ shape and location is key to improve performance of image analysis approaches. In particular, priors can be useful in cases where images are corrupted and contain artefacts due to limitations in image acquisition. The highly constrained nature of anatomical objects can be well captured with learning-based techniques. However, in most recent and promising techniques such as CNN-based segmentation it is not obvious how to incorporate such prior knowledge. State-of-the-art methods operate as pixel-wise classifiers where the training objectives do not incorporate the structure and inter-dependencies of the output. To overcome this limitation, we propose a generic training strategy that incorporates anatomical prior knowledge into CNNs through a new regularisation model, which is trained end-to-end. The new framework encourages models to follow the global anatomical properties of the underlying anatomy (e.g. shape, label structure) via learnt non-linear representations of the shape. We show that the proposed approach can be easily adapted to different analysis tasks (e.g. image enhancement, segmentation) and improve the prediction accuracy of the state-of-the-art models. The applicability of our approach is shown on multi-modal cardiac data sets and public benchmarks. In addition, we demonstrate how the learnt deep models of 3-D shapes can be interpreted and used as biomarkers for classification of cardiac pathologies.

Medical Imaging and AnalysisMedical Image Segmentation TechniquesRadiomics and Machine Learning in Medical ImagingComputer scienceArtificial intelligenceSegmentationPrior probabilityImage segmentationPattern recognition (psychology)Deep learningImage (mathematics)PixelKey (lock)

MeSH terms

AlgorithmsHeartHumansMagnetic Resonance ImagingCardiomyopathiesDatabases, FactualNeural Networks, ComputerImaging, Three-DimensionalCardiac Imaging Techniques

Funding

  • National Institute for Health and Care Research
  • British Heart Foundation
  • Engineering and Physical Sciences Research Council
Citations
728
FWCI
38.19
field-weighted impact
References
60
Percentile
100%
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Citations per year
Cited by
Automatic Multi-Organ Segmentation on Abdominal CT With Dense V-Networks
IEEE Transactions on Medical Imaging · 2018 · 698 citations
References
Image quality assessment: from error visibility to structural similarity
IEEE Transactions on Image Processing · 2004 · 54,590 citations
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