PMID- 31284153 OWN - NLM STAT- MEDLINE DCOM- 20200908 LR - 20200908 IS - 1879-0534 (Electronic) IS - 0010-4825 (Linking) VI - 111 DP - 2019 Aug TI - EVCMR: A tool for the quantitative evaluation and visualization of cardiac MRI data. PG - 103334 LID - S0010-4825(19)30203-3 [pii] LID - 10.1016/j.compbiomed.2019.103334 [doi] AB - Quantitative evaluation of diseased myocardium in cardiac magnetic resonance imaging (MRI) plays an important role in the diagnosis and prognosis of cardiovascular disease. The development of a user interface with state-of-the-art techniques would be beneficial for the efficient post-processing and analysis of cardiac images. The aim of this study was to develop a custom user interface tool for the quantitative evaluation of the short-axis left ventricle (LV) and myocardium. Modules for cine, perfusion, late gadolinium enhancement (LGE), and T1 mapping data analyses were developed in Python, and a module for three-dimensional (3D) visualization was implemented using PyQtGraph library. The U-net segmentation and manual contour correction in the user interface were effective in generating reference myocardial segmentation masks, which helped obtain labeled data for deep learning model training. The proposed U-net segmentation resulted in a mean Dice score of 0.87 (+/-0.02) in cine diastolic myocardial segmentation. The LV mass measurement of the proposed method showed good agreement with that of manual segmentation (intraclass correlation coefficient = 0.97, mean difference and 95% Bland-Altman limits of agreement = 4.4 +/- 12.2 g). C++ implementation of voxel-wise T1 mapping and its binding via pybind11 led to a significant computational gain in calculating the T1 maps. The 3D visualization enabled fast user interactions in rotating and zooming-in/out of the 3D myocardium and scar transmurality. The custom tool has the potential to provide a fast and comprehensive analysis of the LV and myocardium from multi-parametric MRI data in clinical settings. CI - Copyright (c) 2019 Elsevier Ltd. All rights reserved. FAU - Kim, Yoon-Chul AU - Kim YC AD - Clinical Research Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea. FAU - Kim, Khu Rai AU - Kim KR AD - Department of Electronic Engineering, Sogang University, Seoul, South Korea. FAU - Choi, Kwanghee AU - Choi K AD - Department of Computer Science and Engineering, Sogang University, Seoul, South Korea. FAU - Kim, Minwoo AU - Kim M AD - Department of Computer Science and Engineering, Sogang University, Seoul, South Korea. FAU - Chung, Younjoon AU - Chung Y AD - Department of Computer Science and Engineering, Sogang University, Seoul, South Korea. FAU - Choe, Yeon Hyeon AU - Choe YH AD - Department of Radiology and HVSI Imaging Center, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea. Electronic address: yhchoe@skku.edu. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190619 PL - United States TA - Comput Biol Med JT - Computers in biology and medicine JID - 1250250 SB - IM MH - Aged MH - Algorithms MH - Deep Learning MH - Female MH - Heart/*diagnostic imaging MH - Humans MH - Image Interpretation, Computer-Assisted/*methods MH - Magnetic Resonance Imaging/*methods MH - Male MH - Middle Aged MH - *Software OTO - NOTNLM OT - Deep learning OT - Heart OT - Image segmentation OT - MRI OT - Python OT - Visualization EDAT- 2019/07/10 06:00 MHDA- 2020/09/09 06:00 CRDT- 2019/07/09 06:00 PHST- 2019/03/15 00:00 [received] PHST- 2019/05/24 00:00 [revised] PHST- 2019/06/17 00:00 [accepted] PHST- 2019/07/10 06:00 [pubmed] PHST- 2020/09/09 06:00 [medline] PHST- 2019/07/09 06:00 [entrez] AID - S0010-4825(19)30203-3 [pii] AID - 10.1016/j.compbiomed.2019.103334 [doi] PST - ppublish SO - Comput Biol Med. 2019 Aug;111:103334. doi: 10.1016/j.compbiomed.2019.103334. Epub 2019 Jun 19.