We propose an automatic four-chamber heart segmentation system for the quantitative functional analysis of the heart from cardiac computed tomography (CT) volumes. Two topics are discussed: heart modeling and automatic model fitting to an unseen volume. Heart modeling is a nontrivial task since the heart is a complex nonrigid organ. The model must be anatomically accurate, allow manual editing, and provide sufficient information to guide automatic detection and segmentation. Unlike previous work, we explicitly represent important landmarks (such as the valves and the ventricular septum cusps) among the control points of the model. The control points can be detected reliably to guide the automatic model fitting process. Using this model, we develop an efficient and robust approach for automatic heart chamber segmentation in 3D CT volumes. We formulate the segmentation as a two-step learning problem: anatomical structure localization and boundary delineation. In both steps, we exploit the recent advances in learning discriminative models. A novel algorithm, marginal space learning (MSL), is introduced to solve the 9-D similarity transformation search problem for localizing the heart chambers. After determining the pose of the heart chambers, we estimate the 3D shape through learning-based boundary delineation. The proposed method has been extensively tested on the largest dataset (with 323 volumes from 137 patients) ever reported in the literature. To the best of our knowledge, our system is the fastest with a speed of 4.0 s per volume (on a dual-core 3.2-GHz processor) for the automatic segmentation of all four chambers.

Many computer vision and medical imaging problems are faced with learning from large-scale datasets, with millions of observations and features. In this paper we propose a novel efficient learning scheme that tightens a sparsity constraint by gradually removing variables based on a criterion and a schedule. The attractive fact that the problem size keeps dropping throughout the iterations makes it particularly suitable for big data learning. Our approach applies generically to the optimization of any differentiable loss function, and finds applications in regression, classification and ranking. The resultant algorithms build variable screening into estimation and are extremely simple to implement. We provide theoretical guarantees of convergence and selection consistency. In addition, one dimensional piecewise linear response functions are used to account for nonlinearity and a second order prior is imposed on these functions to avoid overfitting. Experiments on real and synthetic data show that the proposed method compares very well with other state of the art methods in regression, classification and ranking while being computationally very efficient and scalable.

Many computer vision problems can be formulated in a Bayesian framework based on Markov random fields (MRF) or conditional random fields (CRF). Generally, the MRF/CRF model is learned independently of the inference algorithm that is used to obtain the final result. In this paper, we observe considerable gains in speed and accuracy by training the MRF/CRF model together with a fast and suboptimal inference algorithm. An active random field (ARF) is defined as a combination of a MRF/CRF based model and a fast inference algorithm for the MRF/CRF model. This combination is trained through an optimization of a loss function and a training set consisting of pairs of input images and desired outputs. We apply the ARF concept to image denoising, using the Fields of Experts MRF together with a 1-4 iteration gradient descent algorithm for inference. Experimental validation on unseen data shows that the ARF approach obtains an improved benchmark performance as well as a 1000-3000 times speedup compared to the Fields of Experts MRF. Using the ARF approach, image denoising can be performed in real-time, at 8 fps on a single CPU for a 256times256 image sequence, with close to state-of-the-art accuracy.

Lymph nodes are assessed routinely in clinical practice and their size is followed throughout radiation or chemotherapy to monitor the effectiveness of cancer treatment. This paper presents a robust learning-based method for automatic detection and segmentation of solid lymph nodes from CT data, with the following contributions. First, it presents a learning based approach to solid lymph node detection that relies on marginal space learning to achieve great speedup with virtually no loss in accuracy. Second, it presents a computationally efficient segmentation method for solid lymph nodes (LN). Third, it introduces two new sets of features that are effective for LN detection, one that self-aligns to high gradients and another set obtained from the segmentation result. The method is evaluated for axillary LN detection on 131 volumes containing 371 LN, yielding a 83.0% detection rate with 1.0 false positive per volume. It is further evaluated for pelvic and abdominal LN detection on 54 volumes containing 569 LN, yielding a 80.0% detection rate with 3.2 false positives per volume. The running time is 5-20 s per volume for axillary areas and 15-40 s for pelvic. An added benefit of the method is the capability to detect and segment conglomerated lymph nodes.

Multi-chamber heart segmentation is a prerequisite for global quantification of the cardiac function. The complexity of cardiac anatomy, poor contrast, noise or motion artifacts makes this segmentation problem a challenging task. In this paper, we present an efficient, robust, and fully automatic segmentation method for 3D cardiac computed tomography (CT) volumes. Our approach is based on recent advances in learning discriminative object models and we exploit a large database of annotated CT volumes. We formulate the segmentation as a two step learning problem: anatomical structure localization and boundary delineation. A novel algorithm, marginal space learning (MSL), is introduced to solve the 9-dimensional similarity search problem for localizing the heart chambers. MSL reduces the number of testing hypotheses by about six orders of magnitude. We also propose to use steerable image features, which incorporate the orientation and scale information into the distribution of sampling points, thus avoiding the time-consuming volume data rotation operations. After determining the similarity transformation of the heart chambers, we estimate the 3D shape through learning-based boundary delineation. Extensive experiments on multi-chamber heart segmentation demonstrate the efficiency and robustness of the proposed approach, comparing favorably to the state-of-the-art. This is the first study reporting stable results on a large cardiac CT dataset with 323 volumes. In addition, we achieve a speed of less than eight seconds for automatic segmentation of all four chambers.