Automated inversion time selection for black-blood late gadolinium enhancement cardiac imaging in clinical practice

Objective To simplify black-blood late gadolinium enhancement (BL-LGE) cardiac imaging in clinical practice using an image-based algorithm for automated inversion time (TI) selection. Materials and methods The algorithm selects from BL-LGE TI scout images, the TI corresponding to the image with the...

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Veröffentlicht in:Magma (New York, N.Y.) N.Y.), 2023-12, Vol.36 (6), p.877-885
Hauptverfasser: Maillot, Aurélien, Sridi, Soumaya, Pineau, Xavier, André-Billeau, Amandine, Hosteins, Stéphanie, Maes, Jean-David, Montier, Géraldine, Nuñez-Garcia, Marta, Quesson, Bruno, Sermesant, Maxime, Cochet, Hubert, Stuber, Matthias, Bustin, Aurélien
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container_issue 6
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container_title Magma (New York, N.Y.)
container_volume 36
creator Maillot, Aurélien
Sridi, Soumaya
Pineau, Xavier
André-Billeau, Amandine
Hosteins, Stéphanie
Maes, Jean-David
Montier, Géraldine
Nuñez-Garcia, Marta
Quesson, Bruno
Sermesant, Maxime
Cochet, Hubert
Stuber, Matthias
Bustin, Aurélien
description Objective To simplify black-blood late gadolinium enhancement (BL-LGE) cardiac imaging in clinical practice using an image-based algorithm for automated inversion time (TI) selection. Materials and methods The algorithm selects from BL-LGE TI scout images, the TI corresponding to the image with the highest number of sub-threshold pixels within a region of interest (ROI) encompassing the blood-pool and myocardium. The threshold value corresponds to the most recurrent pixel intensity of all scout images within the ROI. ROI dimensions were optimized in 40 patients’ scans. The algorithm was validated retrospectively (80 patients) versus two experts and tested prospectively (5 patients) on a 1.5 T clinical scanner. Results Automated TI selection took ~ 40 ms per dataset (manual: ~ 17 s). Fleiss’ kappa coefficient for automated-manual, intra-observer and inter-observer agreements were κ ¯ = 0.73, κ ¯  = 0.70 and κ ¯  = 0.63, respectively. The agreement between the algorithm and any expert was better than the agreement between the two experts or between two selections of one expert. Discussion Thanks to its good performance and simplicity of implementation, the proposed algorithm is a good candidate for automated BL-LGE imaging in clinical practice.
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Materials and methods The algorithm selects from BL-LGE TI scout images, the TI corresponding to the image with the highest number of sub-threshold pixels within a region of interest (ROI) encompassing the blood-pool and myocardium. The threshold value corresponds to the most recurrent pixel intensity of all scout images within the ROI. ROI dimensions were optimized in 40 patients’ scans. The algorithm was validated retrospectively (80 patients) versus two experts and tested prospectively (5 patients) on a 1.5 T clinical scanner. Results Automated TI selection took ~ 40 ms per dataset (manual: ~ 17 s). Fleiss’ kappa coefficient for automated-manual, intra-observer and inter-observer agreements were κ ¯ = 0.73, κ ¯  = 0.70 and κ ¯  = 0.63, respectively. The agreement between the algorithm and any expert was better than the agreement between the two experts or between two selections of one expert. Discussion Thanks to its good performance and simplicity of implementation, the proposed algorithm is a good candidate for automated BL-LGE imaging in clinical practice.</description><identifier>ISSN: 1352-8661</identifier><identifier>EISSN: 1352-8661</identifier><identifier>DOI: 10.1007/s10334-023-01101-2</identifier><identifier>PMID: 37294423</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Biomedical Engineering and Bioengineering ; Clinical Applications - Cardiac ; Computer Appl. in Life Sciences ; Health Informatics ; Imaging ; Medicine ; Medicine &amp; Public Health ; Radiology ; Research Article ; Solid State Physics</subject><ispartof>Magma (New York, N.Y.), 2023-12, Vol.36 (6), p.877-885</ispartof><rights>The Author(s) 2023</rights><rights>2023. 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subjects Biomedical Engineering and Bioengineering
Clinical Applications - Cardiac
Computer Appl. in Life Sciences
Health Informatics
Imaging
Medicine
Medicine & Public Health
Radiology
Research Article
Solid State Physics
title Automated inversion time selection for black-blood late gadolinium enhancement cardiac imaging in clinical practice
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