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基于超声序列图像的心脏四腔运动同步特性提取

Extraction of synchronous characteristics of four cardiac cavity motion from ultrasound image sequences

作者: 张耀楠  李显  宋谦  陈中舟 
单位:西安思源学院电子信息工程学院 (西安710038)
关键词: 超声;心脏;医学影像;图像分割;主动形状模型;同步 
分类号:R318.04; R445.1
出版年·卷·期(页码):2016·35·5(476-482)
摘要:

目的 心脏四腔运动的同步特性对于精确描述心脏机械活动有重要作用,特别对于心脏再同步治疗患者的诊断和术后评估非常重要,但目前此特性尚无较好的无创定量测定方法。全心脏B型超声序列图像含有丰富的心脏运动信息,可从超声心脏序列图像中提取心脏四腔运动的同步特性。方法 首先将全心脏超声序列图像中每一帧图像的四腔分割出来,得到四腔的切面面积,进而从时间序列图像得到四腔面积随时间变化数据,通过特征分析得到心脏四腔运动的同步特性。为克服超声图像空间分辨率不高、信噪比较低及四腔边界不清晰的缺点,本文以主动形状模型(active shape model, ASM)为主,并针对此方法的不足提出了基于图像局部方差的改进方法。结果 仿真超声图像序列和实际超声图像序列的实验结果初步证明本文提出的方法可行。结论 基于改进的ASM分割方法,可达到较好的分割结果,并获得比较准确的心脏四腔运动的同步特性。


Objective The synchronous characteristics of the motion in the four cardiac cavities is important to accurately describe the mechanical activity of the heart, and especially important for the diagnosis and evaluation of post surgery of cardiac resynchronization therapy, yet currently there is no good quantitative measurement method. The whole heart ultrasound image sequence is rich with heart motion information and the aim of this paper is to extract the synchronous characteristics of the four-chamber motion of the heart from this kind of image sequence. Methods The basic idea of this paper is to segment the four cavities of each frame image in the whole heart ultrasound image sequence, and consequently calculate the plane areas of the four cavities, then record these plane areas over time, and finally obtain the synchronous characteristics of the four cavities through the feature analysis of the area curves. In this paper, the segmentation method is based on active shape model (ASM), which may overcome the low spatial resolution of ultrasound image, low SNR and vague cavity boundaries. To further optimize the method, this paper proposes an improved method based on local variance of images. Results Experimental results using simulated and real ultrasound images show that the method proposed in this paper is feasible. Conclusions Based on the improved ASM segmentation method, a good segmentation result and more accurate synchronous characteristics of the four cardiac cavities can be achieved.

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