PMID- 29389013 OWN - NLM STAT- MEDLINE DCOM- 20180827 LR - 20180827 IS - 2473-4209 (Electronic) IS - 0094-2405 (Linking) VI - 45 IP - 4 DP - 2018 Apr TI - Texture analysis of cardiac cine magnetic resonance imaging to detect nonviable segments in patients with chronic myocardial infarction. PG - 1471-1480 LID - 10.1002/mp.12783 [doi] AB - PURPOSE: To investigate the ability of texture analysis to differentiate between infarcted nonviable, viable, and remote segments on cardiac cine magnetic resonance imaging (MRI). METHODS: This retrospective study included 50 patients suffering chronic myocardial infarction. The data were randomly split into training (30 patients) and testing (20 patients) sets. The left ventricular myocardium was segmented according to the 17-segment model in both cine and late gadolinium enhancement (LGE) MRI. Infarcted myocardium regions were identified on LGE in short-axis views. Nonviable segments were identified as those showing LGE >/= 50%, and viable segments those showing 0 < LGE < 50% transmural extension. Features derived from five texture analysis methods were extracted from the segments on cine images. A support vector machine (SVM) classifier was trained with different combination of texture features to obtain a model that provided optimal classification performance. RESULTS: The best classification on testing set was achieved with local binary patterns features using a 2D + t approach, in which the features are computed by including information of the time dimension available in cine sequences. The best overall area under the receiver operating characteristic curve (AUC) were: 0.849, sensitivity of 92% to detect nonviable segments, 72% to detect viable segments, and 85% to detect remote segments. CONCLUSION: Nonviable segments can be detected on cine MRI using texture analysis and this may be used as hypothesis for future research aiming to detect the infarcted myocardium by means of a gadolinium-free approach. CI - (c) 2018 American Association of Physicists in Medicine. FAU - Larroza, Andres AU - Larroza A AD - Department of Medicine, Universitat de Valencia, Avda. Blasco Ibanez 15, 46010, Valencia, Spain. FAU - Lopez-Lereu, Maria P AU - Lopez-Lereu MP AD - Unidad de Imagen Cardiaca, ERESA, Marques de San Juan 6, 46015, Valencia, Spain. FAU - Monmeneu, Jose V AU - Monmeneu JV AD - Unidad de Imagen Cardiaca, ERESA, Marques de San Juan 6, 46015, Valencia, Spain. FAU - Gavara, Jose AU - Gavara J AD - Cardiology Department, Hospital Clinico Universitario, Universitat de Valencia, INCLIVA, Avda. Blasco Ibanez 17, 46010, Valencia, Spain. FAU - Chorro, Francisco J AU - Chorro FJ AD - Cardiology Department, Hospital Clinico Universitario, Universitat de Valencia, INCLIVA, Avda. Blasco Ibanez 17, 46010, Valencia, Spain. FAU - Bodi, Vicente AU - Bodi V AD - Cardiology Department, Hospital Clinico Universitario, Universitat de Valencia, INCLIVA, Avda. Blasco Ibanez 17, 46010, Valencia, Spain. FAU - Moratal, David AU - Moratal D AD - Center for Biomaterials and Tissue Engineering, Universitat Politecnica de Valencia, Cami de Vera, s/n. 46022, Valencia, Spain. LA - eng PT - Journal Article DEP - 20180222 PL - United States TA - Med Phys JT - Medical physics JID - 0425746 SB - IM MH - Chronic Disease MH - Female MH - Heart/*diagnostic imaging MH - Humans MH - Image Processing, Computer-Assisted/*methods MH - *Magnetic Resonance Imaging, Cine MH - Male MH - Middle Aged MH - Myocardial Infarction/*diagnostic imaging/*pathology MH - Retrospective Studies MH - *Tissue Survival OTO - NOTNLM OT - classification OT - diagnosis OT - heart OT - machine learning OT - magnetic resonance imaging EDAT- 2018/02/02 06:00 MHDA- 2018/08/28 06:00 CRDT- 2018/02/02 06:00 PHST- 2017/06/28 00:00 [received] PHST- 2017/12/26 00:00 [revised] PHST- 2018/01/14 00:00 [accepted] PHST- 2018/02/02 06:00 [pubmed] PHST- 2018/08/28 06:00 [medline] PHST- 2018/02/02 06:00 [entrez] AID - 10.1002/mp.12783 [doi] PST - ppublish SO - Med Phys. 2018 Apr;45(4):1471-1480. doi: 10.1002/mp.12783. Epub 2018 Feb 22.