Automatic detection of myocardial ischaemia using generalisable spatio-temporal hierarchical Bayesian modelling of DCE-MRI

Yang, Y., Husmeier, D. , Gao, H. , Berry, C. , Carrick, D. and Radjenovic, A. (2024) Automatic detection of myocardial ischaemia using generalisable spatio-temporal hierarchical Bayesian modelling of DCE-MRI. Computerized Medical Imaging and Graphics, 113, 102333. (doi: 10.1016/j.compmedimag.2024.102333) (PMID:38281420)

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Abstract

Dynamic Contrast Enhanced Magnetic Resonance Imaging (DCE-MRI) can be used as a non-invasive method for the assessment of myocardial perfusion. The acquired images can be utilized to analyze the spatial extent and severity of myocardial ischaemia (regions with impaired microvascular blood flow). In the present paper, we propose a novel generalisable spatio-temporal hierarchical Bayesian model (GST-HBM) to automate the detection of ischaemic lesions and improve the in silico prediction accuracy by systematically integrating spatio-temporal context information. We present a computational inference procedure with an adequate trade-off between accuracy and computational efficiency, whereby model parameters are sampled from the posterior distribution with Gibbs sampling, while lower-level hyperparameters are selected using model selection strategies based on the Watanabe Akaike information criterion (WAIC). We have assessed our method on both synthetic (in silico) data with known gold-standard and 12 sets of clinical first-pass myocardial perfusion DCE-MRI datasets. We have also carried out a comparative performance evaluation with four established alternative methods: Gaussian mixture model (GMM), opening and closing operations based on Gaussian mixture model (GMM maxC&O), Markov random field constrained Gaussian mixture model (GMM-MRF) and model-based hierarchical Bayesian model (M-HBM). Our results show that the proposed GST-HBM method achieves much higher in silico prediction accuracy than the established alternative methods. Furthermore, this method appears to provide a more robust delineation of ischaemic lesions in datasets affected by spatially variant noise.

Item Type:Articles
Additional Information:This work was funded by the UK Engineering and Physical Sciences Research Council (EPSRC), grant reference numbers EP/S020950/1, EP/S030875/1 and EP/T017899/1. Yalei Yang and Aleksandra Radjenovic are funded by a grant from GlaxoSmithKline R&D. Colin Berry is supported by the British Heart Foundation (RE/18/6134217).
Keywords:hierarchical Bayesian models, spatio-temporal Markov random fields, first pass myocardial perfusion DCE-MRI, myocardial hypoperfusion, myocardial ischaemia, Gibbs sampling, model selection, Watanabe Akaike information criterion.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Berry, Professor Colin and Gao, Dr Hao and Yang, Dr Yalei and Husmeier, Professor Dirk and Radjenovic, Dr Aleksandra
Authors: Yang, Y., Husmeier, D., Gao, H., Berry, C., Carrick, D., and Radjenovic, A.
College/School:College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health
College of Science and Engineering > School of Mathematics and Statistics
College of Science and Engineering > School of Mathematics and Statistics > Mathematics
College of Science and Engineering > School of Mathematics and Statistics > Statistics
Journal Name:Computerized Medical Imaging and Graphics
Publisher:Elsevier
ISSN:0895-6111
ISSN (Online):1879-0771
Published Online:11 January 2024
Copyright Holders:Copyright © 2024 The Authors
First Published:First published in Computerized Medical Imaging and Graphics 113:102333
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
303231A whole-heart model of multiscale soft tissue mechanics and fluid structureinteraction for clinical applications (Whole-Heart-FSI)Xiaoyu LuoEngineering and Physical Sciences Research Council (EPSRC)EP/S020950/1M&S - Mathematics
303232EPSRC Centre for Multiscale soft tissue mechanics with MIT and POLIMI (SofTMech-MP)Xiaoyu LuoEngineering and Physical Sciences Research Council (EPSRC)EP/S030875/1M&S - Mathematics
308255The SofTMech Statistical Emulation and Translation HubDirk HusmeierEngineering and Physical Sciences Research Council (EPSRC)EP/T017899/1M&S - Statistics
303944BHF Centre of ExcellenceColin BerryBritish Heart Foundation (BHF)RE/18/6/34217SCMH - Cardiovascular & Metabolic Health