A category attention instance segmentation network for four cardiac chambers segmentation in fetal echocardiography.

Journal: Computerized medical imaging and graphics : the official journal of the Computerized Medical Imaging Society
Published Date:

Abstract

Fetal echocardiography is an essential and comprehensive examination technique for the detection of fetal heart anomalies. Accurate cardiac chambers segmentation can assist cardiologists to analyze cardiac morphology and facilitate heart disease diagnosis. Previous research mainly focused on the segmentation of single cardiac chambers, such as left ventricle (LV) segmentation or left atrium (LA) segmentation. We propose a generic framework based on instance segmentation to segment the four cardiac chambers accurately and simultaneously. The proposed Category Attention Instance Segmentation Network (CA-ISNet) has three branches: a category branch for predicting the semantic category, a mask branch for segmenting the cardiac chambers, and a category attention branch for learning category information of instances. The category attention branch is used to correct instance misclassification of the category branch. In our collected dataset, which contains echocardiography images with four-chamber views of 319 fetuses, experimental results show our method can achieve superior segmentation performance against state-of-the-art methods. Specifically, using fivefold cross-validation, our model achieves Dice coefficients of 0.7956, 0.7619, 0.8199, 0.7470 for the four cardiac chambers, and with an average precision of 45.64%.

Authors

  • Shan An
    State Key Lab of Software Development Environment, Beihang University, Beijing 100191, China.
  • Haogang Zhu
  • Yuanshuai Wang
    College of Sciences, Northeastern University, Shenyang 110819, China.
  • Fangru Zhou
    State Key Lab of Software Development Environment, Beihang University, Beijing 100191, China.
  • Xiaoxue Zhou
    Beijing Anzhen Hospital affiliated to Capital Medical University, Beijing 100029, China.
  • Xu Yang
    Department of Food Science and Technology, The Ohio State University, Columbus, OH, United States.
  • Yingying Zhang
    Laboratory of Pharmacology, Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, P.R. China.
  • Xiangyu Liu
    School of Pharmacy, Shenyang Medical College, Shenyang 110034, People's Republic of China.
  • Zhicheng Jiao
  • Yihua He