arXiv subjects

Rebecca Thornhill

Publications and source records attributed to Rebecca Thornhill.

3 recordsLinked to original sources

arXiv2026

Few-Shot Left Atrial Wall Segmentation in 3D LGE MRI via Meta-Learning

Segmenting the left atrial (LA) wall from late gadolinium enhancement magnetic resonance imaging (LGE-MRI) is challenging because of its thin geometry, low contrast, and limited expert annotations. We propose a model-agnostic meta-learning (MAML) framework with a 3D residual U-Net backbone for K-shot (K = 5, 10, 20) LA wall segmentation. The framework is meta-trained on LA wall tasks together with auxiliary LA and right atrial (RA) cavity tasks and uses a boundary-aware composite loss to improve thin-structure delineation. We evaluated MAML on a held-out clean test set and assessed its robustness under an unseen synthetic domain shift and on a local cohort. On the held-out clean test set, MAML outperformed the K-shot fine-tuning baseline at 5-shot, achieving Dice coefficient (DSC) = 0.54 versus 0.48 and Hausdorff distance (HD95) = 4.60 versus 6.40 mm. At 20-shot, MAML approached the fully supervised model trained from scratch, with DSC = 0.59 versus 0.61. Under unseen shifts, performance decreased relative to clean testing but improved consistently as K increased. At 5-shot, MAML achieved DSC = 0.52 and HD95 = 5.02 mm under the unseen synthetic shift, and DSC = 0.50 and HD95 = 5.43 mm on the local cohort. These results suggest that meta-learning can improve thin-wall delineation in low-shot adaptation and may reduce the annotation burden for atrial remodeling assessment.

cs.CV↗

arXiv2026

C2W-Tune: Cavity-to -Wall Transfer Learning for Thin Atrial Wall Segmentation in 3D LGE-MRI

Accurate segmentation of the left atrial (LA) wall in 3D late gadolinium-enhanced MRI (LGE-MRI) is essential for wall thickness mapping and fibrosis quantification, yet it remains challenging due to the wall's thin geometry, complex anatomy, and low contrast. We propose C2W-Tune, a two-stage cavity-to-wall transfer framework that leverages a high-accuracy LA cavity model as an anatomical prior to improve thin-wall delineation. Using a 3D U-Net with a ResNeXt encoder and instance normalization, Stage 1 pre-trains the network to segment the LA cavity, learning robust atrial representations. Stage 2 transfers these weights and adapts the network to LA wall segmentation using a progressive layer-unfreezing schedule to preserve cavity features while enabling wall-specific refinement. On the 2018 LA Segmentation Challenge dataset, C2W-Tune outperformed an architecture-matched baseline trained from scratch. The wall Dice score increased from 0.623 to 0.814, surface Dice at 1 mm increased from 0.553 to 0.731, 95th-percentile Hausdorff distance (HD95) decreased from 2.95 mm to 2.55 mm, and average symmetric surface distance (ASSD) decreased from 0.71 mm to 0.63 mm. Under reduced supervision using 70 training volumes sampled from the same training set, C2W-Tune achieved a Dice of 0.78, remaining competitive with recent multi-class bi-atrial benchmarks, typically 0.6-0.7. These results show that anatomically grounded task transfer with controlled fine-tuning improves accuracy for thin LA wall segmentation in 3D LGE-MRI.

cs.CV↗

arXiv2026

3D Conditional Image Synthesis of Left Atrial LGE MRI from Composite Semantic Masks

Segmentation of the left atrial (LA) wall and endocardium from late gadolinium-enhanced (LGE) MRI is essential for quantifying atrial fibrosis in patients with atrial fibrillation. The development of accurate machine learning-based segmentation models remains challenging due to the limited availability of data and the complexity of anatomical structures. In this work, we investigate 3D conditional generative models as potential solution for augmenting scarce LGE training data and improving LA segmentation performance. We develop a pipeline to synthesize high-fidelity 3D LGE MRI volumes from composite semantic label maps combining anatomical expert annotations with unsupervised tissue clusters, using three 3D conditional generators (Pix2Pix GAN, SPADE-GAN, and SPADE-LDM). The synthetic images are evaluated for realism and their impact on downstream LA segmentation. SPADE-LDM generates the most realistic and structurally accurate images, achieving an FID of 4.063 and surpassing GAN models, which have FIDs of 40.821 and 7.652 for Pix2Pix and SPADE-GAN, respectively. When augmented with synthetic LGE images, the Dice score for LA cavity segmentation with a 3D U-Net model improved from 0.908 to 0.936, showing a statistically significant improvement (p < 0.05) over the baseline.These findings demonstrate the potential of label-conditioned 3D synthesis to enhance the segmentation of under-represented cardiac structures.

cs.CV↗