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!Atlas construction and image analysis
    using statistical cardiac models
M. De Craene, F.M. Sukno, C. Tobon-Gomez, C. Butakoff, R.M. Figueras i Ventura, C.
Hoogendoorn, G. Piella, N. Duchateau, E. Muñoz-Moreno, R. Sebastián, O. Camara,
                                 and A.F. Frangi


                                Center for Computational Imaging & Simulation Technologies in Biomedicine
                                               Universitat Pompeu Fabra, Barcelona, Spain
                        Networking Center on Biomedical Research – Bioengineering, Biomaterials and Nanomedicine
                                                      mathieu.decraene@upf.edu
                                                            www.cilab.upf.edu
1
WHY DO WE NEED ATLASES
OF THE HEART?

                         2
Why do we need atlases of the heart?
1.Integrated image-based
biomarkers
Looking at multiple levels

     Global shape

     Local shape

     Motion / Deformation




                                       3
Why do we need atlases of the heart?
1.Integrated image-based
biomarkers          patient
                                       d1                  d2          d1 <?> d2
Probabilistic biomarkers      atlas
     Encode normality
     P-value of abnormality




                                      Duchateau et al, STACOM (2010)
                                                                                   4
Why do we need atlases the heart?
2.Integrated multimodal information for
patient-specific modeling




                                          5
2   EVOLUTIONS AND
    CHALLENGES
    IN HEART ATLAS CONSTRUCTION


                                  6
From           single subject to population atlases

                                                        …

                                                        …
           Affine + nonrigid diffeomorphic registration

                                          Average non rigid
                  Reference                 transformation



                        Apply average non rigid                             Apply inverse
                              transform                                      transforms


   Average up to affine
       transform:
    The atlas image                               Segment     Triangulate

Ordas et al . Proc. SPIE Medical Imaging (2007)
From        monomodal to multimodal atlases
    POINT DISTRIBUTION                STATISTICAL INTENSITY      MODEL TO IMAGE
          MODEL                               MODEL           ADAPTATION/MATCHING



                           Create automatically by image simulation




Tobon- Gomez et al. IEEE Trans on
Medical Imaging, 27(11):1655-1667
(2008)
                                                                                    8
From      spatial to spatiotemporal atlases


 ! Two parameterizations
    ! a and b, subject and
          cardiac phase
        ! Each in their own space
          with orthogonal basis




Hoogendoorn et al. Int J Comput Vis 85(3):
237-252 (2009).

                                              9
From      spatial to spatiotemporal atlases


 ! Two parameterizations
    ! a and b, subject and
          cardiac phase
        ! Each in their own space
          with orthogonal basis




Hoogendoorn et al. Int J Comput Vis 85(3):
237-252 (2009).

                                              9
From   single object to multi-objects atlases
 ! Multiple anatomical levels and
       topologies
       ! 4 chambers
       ! Tissue properties
       ! Muscle & Purkinje fibers
       ! Coronaries




                                                10
From         scalar objects to vectors & tensors
! DTI-based           fiber orientation

                                                                       In vivo Human 3D Cardiac DTI Reconstruction    7




                                          Muñoz-Moreno,& Frangi ICIP (2010, in press)



 Anderson et al. Clinical Anatomy
 22:64-76(2009)




                                                                                                                     11


                                          Toussaint et al. Miccai (2010, in press)
                                    Fig. 5. Top: Joint histograms of the elevation (or helix) angle and the normalized
3   CONCLUSIONS &
    PERSPECTIVES
                    12
Shape is not
  enough
               13
Motion is not enough



 Source: http://jcmr-online.com/imedia/1712877943433156/supp1.mpg
 Erikson et al. JCMR, 12(9), (2010)

                                                                    14
Perspectives
! On biomarkers
   ! Towards     complex indexes
      !   Integrate shape (local & global), electrical
          activation, motion/deformation, and flow
   ! Towards     new probabilistic biomarkers
      !   Distance to populations/manifolds

! On data integration
   ! Multiple-layers     visualization of heart
     function
   ! Multi-level patient specific models



                                                         15
Patient-specific simulation and virtual                                                      populations
                       Geometrical                        Functional                               FEM
                         Model                              Model                                 Model
FEM Model




                                         Electrical Multiscale                                  Simulation
                                               Modeling
Electrophysiology




                                                    Extracellular

                                                             Membrane      Extramyocardial
                                                           Intracellular


                    Romero et al. ABME, (2010)
                    Hoogendoorn et al. STACOM, (2010)
Thanks


         17

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Oral presentation at STACOM10 (Invited talk)

  • 1. !Atlas construction and image analysis using statistical cardiac models M. De Craene, F.M. Sukno, C. Tobon-Gomez, C. Butakoff, R.M. Figueras i Ventura, C. Hoogendoorn, G. Piella, N. Duchateau, E. Muñoz-Moreno, R. Sebastián, O. Camara, and A.F. Frangi Center for Computational Imaging & Simulation Technologies in Biomedicine Universitat Pompeu Fabra, Barcelona, Spain Networking Center on Biomedical Research – Bioengineering, Biomaterials and Nanomedicine mathieu.decraene@upf.edu www.cilab.upf.edu
  • 2. 1 WHY DO WE NEED ATLASES OF THE HEART? 2
  • 3. Why do we need atlases of the heart? 1.Integrated image-based biomarkers Looking at multiple levels Global shape Local shape Motion / Deformation 3
  • 4. Why do we need atlases of the heart? 1.Integrated image-based biomarkers patient d1 d2 d1 <?> d2 Probabilistic biomarkers atlas Encode normality P-value of abnormality Duchateau et al, STACOM (2010) 4
  • 5. Why do we need atlases the heart? 2.Integrated multimodal information for patient-specific modeling 5
  • 6. 2 EVOLUTIONS AND CHALLENGES IN HEART ATLAS CONSTRUCTION 6
  • 7. From single subject to population atlases … … Affine + nonrigid diffeomorphic registration Average non rigid Reference transformation Apply average non rigid Apply inverse transform transforms Average up to affine transform: The atlas image Segment Triangulate Ordas et al . Proc. SPIE Medical Imaging (2007)
  • 8. From monomodal to multimodal atlases POINT DISTRIBUTION STATISTICAL INTENSITY MODEL TO IMAGE MODEL MODEL ADAPTATION/MATCHING Create automatically by image simulation Tobon- Gomez et al. IEEE Trans on Medical Imaging, 27(11):1655-1667 (2008) 8
  • 9. From spatial to spatiotemporal atlases ! Two parameterizations ! a and b, subject and cardiac phase ! Each in their own space with orthogonal basis Hoogendoorn et al. Int J Comput Vis 85(3): 237-252 (2009). 9
  • 10. From spatial to spatiotemporal atlases ! Two parameterizations ! a and b, subject and cardiac phase ! Each in their own space with orthogonal basis Hoogendoorn et al. Int J Comput Vis 85(3): 237-252 (2009). 9
  • 11. From single object to multi-objects atlases ! Multiple anatomical levels and topologies ! 4 chambers ! Tissue properties ! Muscle & Purkinje fibers ! Coronaries 10
  • 12. From scalar objects to vectors & tensors ! DTI-based fiber orientation In vivo Human 3D Cardiac DTI Reconstruction 7 Muñoz-Moreno,& Frangi ICIP (2010, in press) Anderson et al. Clinical Anatomy 22:64-76(2009) 11 Toussaint et al. Miccai (2010, in press) Fig. 5. Top: Joint histograms of the elevation (or helix) angle and the normalized
  • 13. 3 CONCLUSIONS & PERSPECTIVES 12
  • 14. Shape is not enough 13
  • 15. Motion is not enough Source: http://jcmr-online.com/imedia/1712877943433156/supp1.mpg Erikson et al. JCMR, 12(9), (2010) 14
  • 16. Perspectives ! On biomarkers ! Towards complex indexes ! Integrate shape (local & global), electrical activation, motion/deformation, and flow ! Towards new probabilistic biomarkers ! Distance to populations/manifolds ! On data integration ! Multiple-layers visualization of heart function ! Multi-level patient specific models 15
  • 17. Patient-specific simulation and virtual populations Geometrical Functional FEM Model Model Model FEM Model Electrical Multiscale Simulation Modeling Electrophysiology Extracellular Membrane Extramyocardial Intracellular Romero et al. ABME, (2010) Hoogendoorn et al. STACOM, (2010)
  • 18. Thanks 17