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David Firmin

Publications and source records attributed to David Firmin.

20 records · Page 2Linked to original sources

Fully Automatic Segmentation and Objective Assessment of Atrial Scars for Longstanding Persistent Atrial Fibrillation Patients Using Late Gadolinium-Enhanced MRI

Purpose: Atrial fibrillation (AF) is the most common cardiac arrhythmia and is correlated with increased morbidity and mortality. It is associated with atrial fibrosis, which may be assessed non-invasively using late gadolinium-enhanced (LGE) magnetic resonance imaging (MRI) where scar tissue is visualised as a region of signal enhancement. In this study, we proposed a novel fully automatic pipeline to achieve an accurate and objective atrial scarring segmentation and assessment of LGE MRI scans for the AF patients. Methods: Our fully automatic pipeline uniquely combined: (1) a multi-atlas based whole heart segmentation (MA-WHS) to determine the cardiac anatomy from an MRI Roadmap acquisition which is then mapped to LGE MRI, and (2) a super-pixel and supervised learning based approach to delineate the distribution and extent of atrial scarring in LGE MRI. Results: Both our MA-WHS and atrial scarring segmentation showed accurate delineations of cardiac anatomy (mean Dice = 89%) and atrial scarring (mean Dice =79%) respectively compared to the established ground truth from manual segmentation. Compared with previously studied methods with manual interventions, our innovative pipeline demonstrated comparable results, but was computed fully automatically. Conclusion: The proposed segmentation methods allow LGE MRI to be used as an objective assessment tool for localisation, visualisation and quantification of atrial scarring.

cs.CV↗

Deep De-Aliasing for Fast Compressive Sensing MRI

Fast Magnetic Resonance Imaging (MRI) is highly in demand for many clinical applications in order to reduce the scanning cost and improve the patient experience. This can also potentially increase the image quality by reducing the motion artefacts and contrast washout. However, once an image field of view and the desired resolution are chosen, the minimum scanning time is normally determined by the requirement of acquiring sufficient raw data to meet the Nyquist-Shannon sampling criteria. Compressive Sensing (CS) theory has been perfectly matched to the MRI scanning sequence design with much less required raw data for the image reconstruction. Inspired by recent advances in deep learning for solving various inverse problems, we propose a conditional Generative Adversarial Networks-based deep learning framework for de-aliasing and reconstructing MRI images from highly undersampled data with great promise to accelerate the data acquisition process. By coupling an innovative content loss with the adversarial loss our de-aliasing results are more realistic. Furthermore, we propose a refinement learning procedure for training the generator network, which can stabilise the training with fast convergence and less parameter tuning. We demonstrate that the proposed framework outperforms state-of-the-art CS-MRI methods, in terms of reconstruction error and perceptual image quality. In addition, our method can reconstruct each image in 0.22ms--0.37ms, which is promising for real-time applications.

cs.CV↗