PMID- 29994362 OWN - NLM STAT- MEDLINE DCOM- 20190624 LR - 20190802 IS - 1558-254X (Electronic) IS - 0278-0062 (Print) IS - 0278-0062 (Linking) VI - 37 IP - 8 DP - 2018 Aug TI - Deep Learning for Quantification of Epicardial and Thoracic Adipose Tissue From Non-Contrast CT. PG - 1835-1846 LID - 10.1109/TMI.2018.2804799 [doi] AB - Epicardial adipose tissue (EAT) is a visceral fat deposit related to coronary artery disease. Fully automated quantification of EAT volume in clinical routine could be a timesaving and reliable tool for cardiovascular risk assessment. We propose a new fully automated deep learning framework for EAT and thoracic adipose tissue (TAT) quantification from non-contrast coronary artery calcium computed tomography (CT) scans. The first multi-task convolutional neural network (ConvNet) is used to determine heart limits and perform segmentation of heart and adipose tissues. The second ConvNet, combined with a statistical shape model, allows for pericardium detection. EAT and TAT segmentations are then obtained from outputs of both ConvNets. We evaluate the performance of the method on CT data sets from 250 asymptomatic individuals. Strong agreement between automatic and expert manual quantification is obtained for both EAT and TAT with median Dice score coefficients of 0.823 (inter-quartile range (IQR): 0.779-0.860) and 0.905 (IQR: 0.862-0.928), respectively; with excellent correlations of 0.924 and 0.945 for EAT and TAT volumes. Computations are performed in <6 s on a standard personal computer for one CT scan. Therefore, the proposed method represents a tool for rapid fully automated quantification of adipose tissue and may improve cardiovascular risk stratification in patients referred for routine CT calcium scans. FAU - Commandeur, Frederic AU - Commandeur F FAU - Goeller, Markus AU - Goeller M FAU - Betancur, Julian AU - Betancur J FAU - Cadet, Sebastien AU - Cadet S FAU - Doris, Mhairi AU - Doris M FAU - Chen, Xi AU - Chen X FAU - Berman, Daniel S AU - Berman DS FAU - Slomka, Piotr J AU - Slomka PJ FAU - Tamarappoo, Balaji K AU - Tamarappoo BK FAU - Dey, Damini AU - Dey D LA - eng GR - R01 HL133616/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20180209 PL - United States TA - IEEE Trans Med Imaging JT - IEEE transactions on medical imaging JID - 8310780 SB - IM MH - Adipose Tissue/*diagnostic imaging MH - Aged MH - *Deep Learning MH - Female MH - Humans MH - Image Processing, Computer-Assisted/*methods MH - Male MH - Middle Aged MH - Pericardium/*diagnostic imaging MH - Thorax/diagnostic imaging MH - Tomography, X-Ray Computed/*methods PMC - PMC6076348 MID - NIHMS943682 EDAT- 2018/07/12 06:00 MHDA- 2019/06/25 06:00 PMCR- 2019/08/01 CRDT- 2018/07/12 06:00 PHST- 2018/07/12 06:00 [pubmed] PHST- 2019/06/25 06:00 [medline] PHST- 2018/07/12 06:00 [entrez] PHST- 2019/08/01 00:00 [pmc-release] AID - 10.1109/TMI.2018.2804799 [doi] PST - ppublish SO - IEEE Trans Med Imaging. 2018 Aug;37(8):1835-1846. doi: 10.1109/TMI.2018.2804799. Epub 2018 Feb 9.