Abstract: Segmentation of left ventricle (LV) from cardiac
ultrasound images provides a quantitative functional analysis of the
heart to diagnose disease. Active Shape Model (ASM) is widely used
for LV segmentation, but it suffers from the drawback that
initialization of the shape model is not sufficiently close to the target,
especially when dealing with abnormal shapes in disease. In this work,
a two-step framework is improved to achieve a fast and efficient LV
segmentation. First, a robust and efficient detection based on Hough
forest localizes cardiac feature points. Such feature points are used to
predict the initial fitting of the LV shape model. Second, ASM is
applied to further fit the LV shape model to the cardiac ultrasound
image. With the robust initialization, ASM is able to achieve more
accurate segmentation. The performance of the proposed method is
evaluated on a dataset of 810 cardiac ultrasound images that are mostly
abnormal shapes. This proposed method is compared with several
combinations of ASM and existing initialization methods. Our
experiment results demonstrate that accuracy of the proposed method
for feature point detection for initialization was 40% higher than the
existing methods. Moreover, the proposed method significantly
reduces the number of necessary ASM fitting loops and thus speeds up
the whole segmentation process. Therefore, the proposed method is
able to achieve more accurate and efficient segmentation results and is
applicable to unusual shapes of heart with cardiac diseases, such as left
atrial enlargement.
Abstract: The paper presents a novel screening method to
indicate congenital heart diseases (CHD), which otherwise could
remain undetected because of their low level. Therefore, not
belonging to the high-risk population, the pregnancies are not subject
to the regular fetal monitoring with ultrasound echocardiography.
Based on the fact that CHD is a morphological defect of the heart
causing turbulent blood flow, the turbulence appears as a murmur,
which can be detected by fetal phonocardiography (fPCG). The
proposed method applies measurements on the maternal abdomen
and from the recorded sound signal a sophisticated processing
determines the fetal heart murmur. The paper describes the problems
and the additional advantages of the fPCG method including the
possibility of measurements at home and its combination with the
prescribed regular cardiotocographic (CTG) monitoring. The
proposed screening process implemented on a telemedicine system
provides an enhanced safety against hidden cardiac diseases.
Abstract: Nonstationary and nonlinear signals generated by living complex systems defy traditional mechanistic approaches, which are based on homeostasis. Previous our studies have shown that the evaluation of the interactions of physiological signals by using special analysis methods is suitable for observation of physiological processes. It is demonstrated the possibility of using deep physiological model, based on the interpretation of the changes of the human body’s functional states combined with an application of the analytical method based on matrix theory for the physiological signals analysis, which was applied on high risk cardiac patients. It is shown that evaluation of cardiac signals interactions show peculiar for each individual functional changes at the onset of hemodynamic restoration procedure. Therefore, we suggest that the alterations of functional state of the body, after patients overcome surgery can be complemented by the data received from the suggested approach of the evaluation of functional variables’ interactions.
Abstract: Electrocardiogram (ECG) is considered to be the
backbone of cardiology. ECG is composed of P, QRS & T waves and
information related to cardiac diseases can be extracted from the
intervals and amplitudes of these waves. The first step in extracting
ECG features starts from the accurate detection of R peaks in the
QRS complex. We have developed a robust R wave detector using
wavelets. The wavelets used for detection are Daubechies and
Symmetric. The method does not require any preprocessing therefore,
only needs the ECG correct recordings while implementing the
detection. The database has been collected from MIT-BIH arrhythmia
database and the signals from Lead-II have been analyzed. MatLab
7.0 has been used to develop the algorithm. The ECG signal under
test has been decomposed to the required level using the selected
wavelet and the selection of detail coefficient d4 has been done based
on energy, frequency and cross-correlation analysis of decomposition
structure of ECG signal. The robustness of the method is apparent
from the obtained results.