Original Article

Mechanical performance separation of cardiac by nonlinear processing of Ultrasound B-mode images

Abstract

Accurate measurement of Left Ventricular Ejection Fraction (LVEF (is essential for the diagnosis and prediction of LV arrhythmias. This study aims to estimate LVEF using nonlinear and statistical processing in echocardiography images. The Cardiac Acquisition for Multi-Structure Ultrasound Segmentation (CAMUS) dataset is used to estimate LVEF. This dataset includes ultrasound images data from 60 patients in two different group (LVEF>55%, LVEF<45%). Region growing technique and Anatomical markers were used for segmentation of LV in images to measure area changes. LV area changes have been investigated using nonlinear and statistical analysis. In order to facilitate the process of estimating LVEF, feature extraction and an ANN has been used. The results show that: (1) LV area changes in LVEF<45%, has a mean of (3.254) while LVEF>55% has a lower mean of (3.071) but the mean of variance is (3.818) while for LVEF<45% is (3.471) which can be concluded that the data scatter in LVEF>55% was higher than the mean and indicates larger changes in the LV region. Estimated LVEF using nonlinear and statistical features is shows MSE of (5.15).

1- L. G. Klaeboe and T. Edvardsen, "Echocardiographic assessment of left ventricular systolic function." (in eng), J Echocardiogr, Vol. 17 (No. 1), pp. 10-16, Mar (2019).
2- Elizabeth M. Cherry, Flavio H. Fenton, Trine Krogh-Madsen, Stefan Luther, and Ulrich Parlitz, "Introduction to Focus Issue: Complex Cardiac Dynamics." Chaos: An Interdisciplinary Journal of Nonlinear Science, Vol. 27 (No. 9), p. 093701, (2017).
3- Won-Young Choi and Jeong-Kyu Hoh, "Nonlinear analysis of fetal heart rate dynamics in fetuses compromised by asymptomatic partial placental abruption." Placenta, Vol. 36 (No. 12), pp. 1474-79, 2015/12/01/ (2015).
4- Chenjun She, Xiefeng Cheng, and Jing Wang, "Study on chaotic characteristics of heart sound based on correlation dimension and K entropy." AIP Advances, Vol. 9 (No. 7), p. 075021, (2019).
5- S. Gurunathan, N. Karogiannis, and R. Senior, "Imaging the heart failure patient-need for accurate measurements of left ventricular volumes and ejection fraction: the role of three-dimensional and contrast echocardiography." (in eng), Curr Opin Cardiol, Vol. 31 (No. 5), pp. 459-68, Sep (2016).
6- D. Liu, I. Peck, S. Dangi, K. Q. Schwarz, and C. A. Linte, "LEFT VENTRICULAR EJECTION FRACTION: COMPARISON BETWEEN TRUE VOLUME-BASED MEASUREMENTS AND AREA-BASED ESTIMATES." (in eng), Proc IEEE West N Y Image Signal Process Workshop, Vol. 2018Oct (2018).
7- D. Liu, I. Peck, S. Dangi, K. Q. Schwarz, and C. A. Linte, "Left Ventricular Ejection Fraction Assessment: Unraveling the Bias between Area- and Volume-based Estimates." (in eng), Proc SPIE Int Soc Opt Eng, Vol. 10955Feb (2019).
8- Sarah Leclerc et al., "Deep Learning for Segmentation Using an Open Large-Scale Dataset in 2D Echocardiography." (in eng), IEEE transactions on medical imaging, Vol. 38 (No. 9), pp. 2198-210, 2019/09// (2019).
9- Abdelaziz Daoudi and Saïd Mahmoudi, "A fully automatic cardiac segmentation method using region growing technique." (2016). [Online]. Available: https://doi.org/10.1145/3038884.3038901.
10- Geoff Boeing, "Visual Analysis of Nonlinear Dynamical Systems: Chaos, Fractals, Self-Similarity and the Limits of Prediction." Systems, Vol. 4 (No. 4), p. 37, (2016).
11- Alfonso Delgado-Bonal and Alexander Marshak, "Approximate Entropy and Sample Entropy: A Comprehensive Tutorial." Entropy, Vol. 21 (No. 6), p. 541, (2019).
12- Liming Dai, Dandan Xia, and Changping Chen, "An algorithm for diagnosing nonlinear characteristics of dynamic systems with the integrated periodicity ratio and lyapunov exponent methods." Communications in Nonlinear Science and Numerical Simulation, Vol. 73pp. 92-109, 2019/07/15/ (2019).
13- C. Heumann, Schomaker, M., & Shalabh, Introduction to Statistics and Data Analysis: With Exercises, Solutions and Applications in R. (2017).
14- E. A. Abdel Maksoud, Barakat, S., & Elmogy, M. , Medical Images Analysis Based on Multilabel Classification. In Machine Learning in Bio-Signal Analysis and Diagnostic Imaging. . Elsevier Inc., (2019).
15- Inès Hilali-Jaghdam, Anis Ben Ishak, S. Abdel-Khalek, and Amani Jamal, "Quantum and classical genetic algorithms for multilevel segmentation of medical images: A comparative study." Computer Communications, Vol. 162pp. 83-93, 2020/10/01/ (2020).
16- Rufai Ahmad, U. S, and Mahmood Umar, "Using Artificial Neural Networks to Diagnose Heart Disease." International Journal of Computer Applications, Vol. 182pp. 1-6, 10/17 (2018).
17- Jayshri S. Sonawane and Dharmaraj R. Patil, "Prediction of heart disease using multilayer perceptron neural network." International Conference on Information Communication and Embedded Systems (ICICES2014), pp. 1-6, (2014).
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IssueVol 10 No 1 (2023) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/fbt.v10i1.11514
Keywords
Ultrasound Left Ventricular Ejection Fraction Nonlinear Analysis Statistical Analysis Image Segmentation Feature Extraction

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How to Cite
1.
Fazilatnezhad H, Rangraz P, Noshirvan Rahatabad F. Mechanical performance separation of cardiac by nonlinear processing of Ultrasound B-mode images. Frontiers Biomed Technol. 2022;10(1):66-77.