PMID- 28624024 OWN - NLM STAT- MEDLINE DCOM- 20180227 LR - 20181202 IS - 1872-7727 (Electronic) IS - 0720-048X (Linking) VI - 92 DP - 2017 Jul TI - Differentiation between acute and chronic myocardial infarction by means of texture analysis of late gadolinium enhancement and cine cardiac magnetic resonance imaging. PG - 78-83 LID - S0720-048X(17)30172-9 [pii] LID - 10.1016/j.ejrad.2017.04.024 [doi] AB - The purpose of this study was to differentiate acute from chronic myocardial infarction using machine learning techniques and texture features extracted from cardiac magnetic resonance imaging (MRI). The study group comprised 22 cases with acute myocardial infarction (AMI) and 22 cases with chronic myocardial infarction (CMI). Cine and late gadolinium enhancement (LGE) MRI were analyzed independently to differentiate AMI from CMI. A total of 279 texture features were extracted from predefined regions of interest (ROIs): the infarcted area on LGE MRI, and the entire myocardium on cine MRI. Classification performance was evaluated by a nested cross-validation approach combining a feature selection technique with three predictive models: random forest, support vector machine (SVM) with Gaussian Kernel, and SVM with polynomial kernel. The polynomial SVM yielded the best classification performance. Receiver operating characteristic curves provided area-under-the-curve (AUC) (mean+/-standard deviation) of 0.86+/-0.06 on LGE MRI using 72 features; AMI sensitivity=0.81+/-0.08 and specificity=0.84+/-0.09. On cine MRI, AUC=0.82+/-0.06 using 75 features; AMI sensitivity=0.79+/-0.10 and specificity=0.80+/-0.10. We concluded that texture analysis can be used for differentiation of AMI from CMI on cardiac LGE MRI, and also on standard cine sequences in which the infarction is visually imperceptible in most cases. CI - Copyright (c) 2017 Elsevier B.V. All rights reserved. FAU - Larroza, Andres AU - Larroza A AD - Department of Medicine, Universitat de Valencia, Valencia, Spain. FAU - Materka, Andrzej AU - Materka A AD - Institute of Electronics, Technical University of Lodz, Lodz, Poland. FAU - Lopez-Lereu, Maria P AU - Lopez-Lereu MP AD - Unidad de Imagen Cardiaca, ERESA, Valencia, Spain. FAU - Monmeneu, Jose V AU - Monmeneu JV AD - Unidad de Imagen Cardiaca, ERESA, Valencia, Spain. FAU - Bodi, Vicente AU - Bodi V AD - Department of Medicine, Universitat de Valencia, Valencia, Spain. Electronic address: vicente.bodi@uv.es. FAU - Moratal, David AU - Moratal D AD - Center for Biomaterials and Tissue Engineering, Universitat Politecnica de Valencia, Valencia, Spain. Electronic address: dmoratal@eln.upv.es. LA - eng PT - Journal Article DEP - 20170501 PL - Ireland TA - Eur J Radiol JT - European journal of radiology JID - 8106411 RN - 0 (Contrast Media) RN - AU0V1LM3JT (Gadolinium) SB - IM MH - Acute Disease MH - Algorithms MH - Area Under Curve MH - Chronic Disease MH - *Contrast Media MH - Diagnosis, Differential MH - Female MH - *Gadolinium MH - Humans MH - Magnetic Resonance Angiography/methods MH - Magnetic Resonance Imaging, Cine/methods MH - Male MH - Middle Aged MH - Myocardial Infarction/*pathology MH - Myocardium/pathology MH - ROC Curve MH - Reproducibility of Results MH - Sensitivity and Specificity MH - Support Vector Machine OTO - NOTNLM OT - Cardiac MRI OT - Classification OT - Myocardial infarction OT - Texture analysis EDAT- 2017/06/19 06:00 MHDA- 2018/02/28 06:00 CRDT- 2017/06/19 06:00 PHST- 2016/09/26 00:00 [received] PHST- 2017/01/27 00:00 [revised] PHST- 2017/04/30 00:00 [accepted] PHST- 2017/06/19 06:00 [entrez] PHST- 2017/06/19 06:00 [pubmed] PHST- 2018/02/28 06:00 [medline] AID - S0720-048X(17)30172-9 [pii] AID - 10.1016/j.ejrad.2017.04.024 [doi] PST - ppublish SO - Eur J Radiol. 2017 Jul;92:78-83. doi: 10.1016/j.ejrad.2017.04.024. Epub 2017 May 1.