Alistair A. Young

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41ranked-venue papers
5as first author
12since 2021 · last 2026
0000-0001-5702-4220ORCID · verified

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Applied, interdisciplinary, general and emerging computing · 36 · 3 first-author · 12 since 2021Graphics, computer vision, multimedia, augmented reality and games · 15 · 3 first-author · 2 since 2021Artificial intelligence and machine learning · 4 · 1 first-authorHuman-computer interaction and ubiquitous computing · 1
YearPublicationVenuePosition
2026 biv-me: Open-source software for generating time-varying biventricular meshes from cine cardiovascular magnetic resonance imaging with multi-cohort validation
abstract
The generation of geometric representations of the heart is essential for personalised approaches to cardiac assessment. Structured biventricular meshes customised to imaging data have demonstrated utility in a number of model-based applications that can provide more sensitive insights into patient health than routine cardiac indices alone. Cardiovascular magnetic resonance (CMR) imaging is a common starting point for the creation of digital twin geometries, with numerous published methods for mesh reconstruction. However, the majority of these methods are not open-source, are typically developed and validated using data from a single-centre, and lack deployability across heterogeneous scanning protocols and patient groups. We present an open-source, end-to-end pipeline (biv-me), to automatically generate time-varying biventricular meshes from cine CMR DICOM images, and perform external validation against a clinical reference software tool on 1313 CMR imaging studies across five publicly available datasets. We report excellent agreement in left and right ventricular indices and high scan-rescan reproducibility. Mesh generation was rapid, with a mean processing time of 2.5 min, and highly feasible, with 99% of meshes successfully generated to a high standard with median error of <1.5 mm. The biv-me pipeline - including code, models, and documentation - is available at https://github.com/UOA-Heart-Mechanics-Research/biv-me.
Joshua R. Dillon, Charlène Alice Mauger, Debbie Zhao, Steffen E. Petersen, Andrew D. McCulloch, Alistair A. Young, Martyn P. Nash
Medical Image Anal.6
2026 Neural implicit heart coordinates: 3D cardiac shape reconstruction from sparse segmentations
abstract
• Neural Implicit Heart Coordinates (NIHCs) proposed as a standardized anatomical reference system. • Dual-network model predicts NIHCs from sparse segmentations without requiring 3D meshes. • Method accurately reconstructs biventricular heart anatomy, including the four valve annuli. • Extensive evaluation on over 10,000 cases spanning both healthy and diseased populations. Accurate reconstruction of cardiac anatomy from sparse clinical images remains a major challenge in patient-specific modeling. While neural implicit functions have previously been applied to this task, their application to mapping anatomical consistency across subjects has been limited. In this work, we introduce Neural Implicit Heart Coordinates (NIHCs), a standardized implicit coordinate system, based on universal ventricular coordinates, that provides a common anatomical reference frame for the human heart. Our method predicts NIHCs directly from a limited number of 2D segmentations (sparse acquisition) and subsequently decodes them into dense 3D segmentations and high-resolution meshes at arbitrary output resolution. Trained on a large dataset of 5,000 cardiac meshes, the model achieves high reconstruction accuracy on clinical contours, with mean Euclidean surface errors of 2.51 ± 0.33 mm in a diseased cohort (n=4549) and 2.31 ± 0.36 mm in a healthy cohort (n=5576). The NIHC representation enables anatomically coherent reconstruction even under severe slice sparsity and segmentation noise, faithfully recovering complex structures such as the valve planes. Compared with traditional pipelines, inference time is reduced from over 60 s to 5–15 s. These results demonstrate that NIHCs constitute a robust and efficient anatomical representation for patient-specific 3D cardiac reconstruction from minimal input data.
Marica Muffoletto, Uxio Hermida, Charlène Alice Mauger, Avan Suinesiaputra, Richard Burns, Lisa R. Pankewitz, Andrew D. McCulloch, Steffen E. Petersen, Daniel Rueckert, Alistair A. Young
Medical Image Anal.11
2026 Deep Learning for Temporal Super-Resolution 4D Flow MRI
abstract
4D Flow Magnetic Resonance Imaging (4D Flow MRI) is a non-invasive technique for volumetric, time-resolved blood flow quantification. However, apparent trade-offs between acquisition time, image noise, and resolution limit clinical applicability. In particular, in regions of highly transient flow, coarse temporal resolution can hinder accurate capture of physiologically relevant flow variations. Deep learning-based post-processing techniques have shown promise in overcoming these issues using so-called super-resolution networks. However, while existing super-resolution research has primarily focused on spatial upsampling, temporal super-resolution remains largely unexplored. The aim of this study was therefore to implement and evaluate a residual data-driven network for temporal super-resolution 4D Flow MRI. To achieve this, an existing spatial network (4DFlowNet) was re-designed for temporal upsampling, adapting input dimensions, and optimizing internal layer structures. The model was trained and tested on synthetic 4D Flow MRI data derived from patient-specific in-silico models, followed by additional evaluation on clinically acquired in-vivo datasets. Overall, excellent performance was achieved with input velocities effectively denoised and temporally upsampled, with a mean absolute error (MAE) of 1.0 cm/s in an unseen in-silico setting, outperforming deterministic alternatives (linear interpolation MAE = 2.3 cm/s, sinc interpolation MAE = 2.6 cm/s). Further, the network synthesized high-resolution temporal information from unseen low-resolution in-vivo data, with strong correlation observed at peak flow frames. As such, our results highlight the potential of utilizing data-driven neural networks for temporal super-resolution 4D Flow MRI, enabling high-frame-rate flow quantification without extending acquisition times beyond clinically acceptable limits.
Pia Callmer, Mia Bonini, Edward Ferdian, David Nordsletten, Daniel Giese, Alistair A. Young, Alexander Fyrdahl, David Marlevi
IEEE Trans. Medical Imaging6
2026 MorphiNet: A Graph Subdivision Network for Adaptive Bi-Ventricle Surface Reconstruction
abstract
Cardiac Magnetic Resonance (CMR) imaging is widely used to personalize heart models for cardiac digital twin analysis because of its ability to visualize soft tissues and capture dynamic functions. However, CMR images have an anisotropic nature, characterized by large inter-slice distances and misalignments from cardiac motion. These limitations result in data loss and measurement inaccuracies, hindering the capture of detailed anatomical structures. In this work, we introduce MorphiNet, a novel network that reproduces heart anatomy learned from high-resolution Computed Tomography (CT) images, unpaired with CMR images. MorphiNet encodes the anatomical structure as gradient fields, deforming template meshes into patient-specific geometries. A multilayer graph subdivision network refines these geometries while maintaining dense point correspondence, suitable for downstream computational analysis. MorphiNet achieved the strongest overall trade-off in bi-ventricular myocardium reconstruction on CMR patients with tetralogy of Fallot, with 0.3 higher Dice score and 2.6 lower Hausdorff distance compared to the best existing template-based methods, while achieving comparable geometric accuracy to neural implicit function methods on CT data at $50\times $ faster inference. Cross-dataset validation on the Automated Cardiac Diagnosis Challenge confirmed robust generalization, achieving a 0.7 Dice score with 30% improvement over previous template-based approaches. We validate our anatomical learning approach through the successful restoration of missing cardiac structures and demonstrate significant improvement over standard Loop subdivision. Motion tracking experiments further confirm MorphiNet's capability for cardiac function analysis, including ejection-fraction estimates that correctly identify myocardial dysfunction in tetralogy of Fallot patients. Code and checkpoints are available at https://github.com/MalikTeng/MorphiNetV2.
Linglong Qian, Charlène Alice Mauger, Anastasia Nasopoulou, Steven Williams 0001, Michelle C. Williams, Steven A. Niederer, David E. Newby, Andrew D. McCulloch, Jeffrey H. Omens, Kuberan Pushparajah, Alistair A. Young
IEEE Trans. Medical Imaging13
2026 Toward Modality- and Sampling-Universal Learning Strategies for Accelerating Cardiovascular Imaging: Summary of the CMRxRecon2024 Challenge
abstract
Cardiovascular health is vital to human well-being, and cardiac magnetic resonance (CMR) imaging is considered the clinical reference standard for diagnosing cardiovascular disease. However, its adoption is hindered by long scan times, complex contrasts, and inconsistent quality. While deep learning methods perform well on specific CMR imaging sequences, they often fail to generalize across modalities and sampling schemes. The lack of benchmarks for high-quality, fast CMR image reconstruction further limits technology comparison and adoption. The CMRxRecon2024 challenge, attracting over 200 teams from 18 countries, addressed these issues with two tasks: generalization to unseen modalities and robustness to diverse undersampling patterns. We introduced the largest public multi-modality CMR raw dataset, an open benchmarking platform, and shared code. Analysis of the best-performing solutions revealed that prompt-based adaptation and enhanced physics-driven consistency enabled strong cross-scenario performance. These findings establish principles for generalizable reconstruction models and advance clinically translatable AI in cardiovascular imaging.
Fanwen Wang, Zi Wang 0005, Yan Li 0064, Chen Qin, Shuo Wang 0011, Kunyuan Guo, Mengting Sun, Mingkai Huang, Michael Tänzer, Qirong Li, Yinzhe Wu 0001, Haosen Zhang, Kian Anvari Hamedani, Yuntong Lyu, Longyu Sun, Tianxing He, Lizhen Lan, Qiong Yao, Bingyu Xin, Dimitris N. Metaxas, Narges Razizadeh, Shahabedin Nabavi, George Yiasemis, Jonas Teuwen, Daniel B. Ennis, Zhihao Xue, Ruru Xu, Ilkay Öksüz, Donghang Lyu, Yanxin Huang, Xinrui Guo, Ruqian Hao, Jaykumar H. Patel, Guanke Cai, Binghua Chen, Sha Hua, Zhensen Chen, Qi Dou 0001, Xiahai Zhuang, Wenjia Bai, Harry Qin, He Wang 0016, Claudia Prieto, Michael Markl 0001, Alistair A. Young, Hao Li 0082, Xihong Hu, Lianming Wu, Xiaobo Qu 0001, Guang Yang 0006, Chengyan Wang
IEEE Trans. Medical Imaging57
2026 Modeling Aleatoric Uncertainty in Cardiac MRI Segmentation: Probabilistic Detection and Contour Regression
abstract
Accurate segmentation of cardiac MRI is essential for assessment of cardiac function through biomarkers such as the left and right ventricular ejection fraction (LVEF, RVEF). Although AI methods have achieved high average segmentation accuracy, the precision of biomarkers for individual patients-quantified by estimation variance, remains critical for reliable diagnosis. Calibrated biomarkers, whose uncertainty accurately reflects the true variability, are highly desirable. However, existing evaluations predominantly focus on population-level segmentation accuracy, leaving biomarker-level uncertainty and calibration largely underexplored. Intrinsic anatomical ambiguity and annotation variability are major sources of biomarker variability and cannot be fully eliminated, even when training on a single annotation set. To address this, we propose a probabilistic segmentation framework that explicitly models aleatoric uncertainty with the goal of improving calibration in the biomarker space. The framework disentangles two key sources of uncertainty: 1) detection uncertainty, arising from ambiguous inclusion of basal or apical slices in 2D cardiac MRI, modeled via objectness probabilities; and 2) contour uncertainty, reflecting variability in ventricular boundary delineation, modeled through mean-variance regression of elliptic Fourier descriptors, a compact representation of closed contours. By propagating these uncertainties to derived biomarkers, the proposed method produces more informative and better-calibrated confidence estimates for ejection fraction. Compared to conventional pixel-wise approaches, our framework improves biomarker reliability, particularly in realistic settings dominated by annotation ambiguity and limited domain shift.
Yidong Zhao, Yi Zhang 0120, Joao Tourais, Sebastian Weingärtner, Avan Suinesiaputra, Alistair A. Young, Yuchi Han, Orlando P. Simonetti
IEEE Trans. Medical Imaging6
2025 Anatomical-electrical coupling of cardiac axes: Definitions and population variability for advancing personalised ECG interpretation
abstract
Electrocardiogram (ECG) recordings are affected by the heart's three-dimensional orientation within the thorax, i.e., the anatomical axis. Various cardiac conditions can cause the anatomical axis to shift and/or alter the pattern of electrical activation, leading to changes in the electrical axis. Nevertheless, there remains a lack of a formal, population-level study of the interplay between the cardiac anatomical and electrical axes and the factors that affect them. In this context, this study aimed to: (1) propose standardised definitions for the cardiac anatomical and electrical axes, (2) characterise their population-wide interplay in healthy conditions, (3) evaluate the impact of hypertension on their distribution and (4) identify associations with phenotypical and disease characteristics. Using cardiac magnetic resonance images and 12-lead ECGs from ~39,000 UK Biobank participants, patient-specific, paired biventricular geometries and vectorcardiograms were constructed. Five anatomical and four electrical axis definitions were computed, with the optimal pair of definitions selected based on their mutual alignment in 3D space within 28,000 healthy subjects. Accordingly, the anatomical axis was defined as the vector from the apex to the spatial centre of the four valves, and the electrical axis as the direction of the maximum QRS dipole. Mean angular separation in 3D, [Formula: see text], was 145.0° ± 16.8° in the healthy cohort. The electrical axes exhibited a much larger variability, and strong evidence of anatomical-electrical coupling was identified. Increasing BMI notably affected the anatomical axis, rotating the heart more horizontally-a pattern mirrored by the electrical axis. Both axes were also significantly influenced by sex and, to a lesser extent, age. The axes were then studied in the sub-cohort of ~3,500 UK BioBank participants with primary hypertension, where a similar rotational pattern as that with increasing BMI was revealed. Finally, phenome-wide association studies in the 39,000 participants reveal associations between the axes angular metrics and phenotypes signalling an increased afterload, and an association to hypertension among other clinical conditions. These findings underscore the complex anatomical-electrical interplay and highlight the potential of cardiac axes biomarkers for an improved clinical ECG interpretation and disease characterisation.
Mohammad Kayyali, Ana Mincholé, Shuang Qian, Alistair A. Young, Devran Ugurlu, Elliot Fairweather, Steven A. Niederer, John Whitaker, Martin J. Bishop 0001, Pablo Lamata
PLoS Comput. Biol.4
2024 Goal-Conditioned Reinforcement Learning for Ultrasound Navigation Guidance
abstract
Transesophageal echocardiography (TEE) plays a pivotal role in cardiology for diagnostic and interventional procedures. However, using it effectively requires extensive training due to the intricate nature of image acquisition and interpretation. To enhance the efficiency of novice sonographers and reduce variability in scan acquisitions, we propose a novel ultrasound (US) navigation assistance method based on contrastive learning as goal-conditioned reinforcement learning (GCRL). We augment the previous framework using a novel contrastive patient batching method (CPB) and a data-augmented contrastive loss, both of which we demonstrate are essential to ensure generalization to anatomical variations across patients. The proposed framework enables navigation to both standard diagnostic as well as intricate interventional views with a single model. Our method was developed with a large dataset of 789 patients and obtained an average error of 6.56 mm in position and 9.36 degrees in angle on a testing dataset of 140 patients, which is competitive or superior to models trained on individual views. Furthermore, we quantitatively validate our method’s ability to navigate to interventional views such as the Left Atrial Appendage (LAA) view used in LAA closure. Our approach holds promise in providing valuable guidance during transesophageal ultrasound examinations, contributing to the advancement of skill acquisition for cardiac ultrasound practitioners.
Abdoul-aziz Amadou, Florin C. Ghesu, Young-Ho Kim, Laura Stanciulescu, Harshitha P. Sai, Alistair A. Young, Ronak Rajani, Kawal S. Rhode
MICCAI (11)8
2024 A universal biventricular coordinate system incorporating valve annuli: Validation in congenital heart disease
Lisa R. Pankewitz, Kristian Gregorius Hustad, Sachin Govil, James C. Perry, Sanjeet Hegde, Renxiang Tang, Jeffrey H. Omens, Alistair A. Young, Andrew D. McCulloch, Hermenegild Arevalo
Medical Image Anal.8
2024 Generalized Super-Resolution 4D Flow MRI - Using Ensemble Learning to Extend Across the Cardiovascular System
abstract
4D Flow Magnetic Resonance Imaging (4D Flow MRI) is a non-invasive measurement technique capable of quantifying blood flow across the cardiovascular system. While practical use is limited by spatial resolution and image noise, incorporation of trained super-resolution (SR) networks has potential to enhance image quality post-scan. However, these efforts have predominantly been restricted to narrowly defined cardiovascular domains, with limited exploration of how SR performance extends across the cardiovascular system; a task aggravated by contrasting hemodynamic conditions apparent across the cardiovasculature. The aim of our study was therefore to explore the generalizability of SR 4D Flow MRI using a combination of existing super-resolution base models, novel heterogeneous training sets, and dedicated ensemble learning techniques; the latter-most being effectively used for improved domain adaption in other domains or modalities, however, with no previous exploration in the setting of 4D Flow MRI. With synthetic training data generated across three disparate domains (cardiac, aortic, cerebrovascular), varying convolutional base and ensemble learners were evaluated as a function of domain and architecture, quantifying performance on both in-silico and acquired in-vivo data from the same three domains. Results show that both bagging and stacking ensembling enhance SR performance across domains, accurately predicting high-resolution velocities from low-resolution input data in-silico. Likewise, optimized networks successfully recover native resolution velocities from downsampled in-vivo data, as well as show qualitative potential in generating denoised SR-images from clinical-level input data. In conclusion, our work presents a viable approach for generalized SR 4D Flow MRI, with the novel use of ensemble learning in the setting of advanced full-field flow imaging extending utility across various clinical areas of interest.
Leon Ericsson, Adam Hjalmarsson, Muhammad Usman Akbar, Edward Ferdian, Mia Bonini, Brandon Hardy, Jonas Schollenberger, Maria Aristova, Patrick Winter, Nicholas S. Burris, Alexander Fyrdahl, Andreas Sigfridsson, Susanne Schnell, C. Alberto Figueroa, David Nordsletten, Alistair A. Young, David Marlevi
IEEE J. Biomed. Health Informatics16
2023 ModusGraph: Automated 3D and 4D Mesh Model Reconstruction from Cine CMR with Improved Accuracy and Efficiency
Sashya Rodrigo, Steven Williams 0001, Michelle C. Williams, Steven A. Niederer, Kuberan Pushparajah, Alistair A. Young
MICCAI (7)8
2023 Cerebrovascular super-resolution 4D Flow MRI - Sequential combination of resolution enhancement by deep learning and physics-informed image processing to non-invasively quantify intracranial velocity, flow, and relative pressure
Edward Ferdian, David Marlevi, Jonas Schollenberger, Maria Aristova, Elazer R. Edelman, Susanne Schnell, C. Alberto Figueroa, David Nordsletten, Alistair A. Young
Medical Image Anal.9
2020 AI in Medical Imaging Informatics: Current Challenges and Future Directions
abstract
This paper reviews state-of-the-art research solutions across the spectrum of medical imaging informatics, discusses clinical translation, and provides future directions for advancing clinical practice. More specifically, it summarizes advances in medical imaging acquisition technologies for different modalities, highlighting the necessity for efficient medical data management strategies in the context of AI in big healthcare data analytics. It then provides a synopsis of contemporary and emerging algorithmic methods for disease classification and organ/ tissue segmentation, focusing on AI and deep learning architectures that have already become the de facto approach. The clinical benefits of in-silico modelling advances linked with evolving 3D reconstruction and visualization applications are further documented. Concluding, integrative analytics approaches driven by associate research branches highlighted in this study promise to revolutionize imaging informatics as known today across the healthcare continuum for both radiology and digital pathology applications. The latter, is projected to enable informed, more accurate diagnosis, timely prognosis, and effective treatment planning, underpinning precision medicine.
Andreas Panayides, Amir A. Amini, Nenad Filipovic, Ashish Sharma 0001, Sotirios A. Tsaftaris, Alistair A. Young, David J. Foran, Nhan Do, Spyretta Golemati, Tahsin M. Kurç, Kun Huang 0001, Konstantina S. Nikita, Benjamin Veasey, Michalis E. Zervakis, Joel H. Saltz, Constantinos S. Pattichis
IEEE J. Biomed. Health Informatics6
2018 Automatic initialization and quality control of large-scale cardiac MRI segmentations
Xènia Albà, Karim Lekadir, Marco Pereañez, Pau Medrano-Gracia, Alistair A. Young, Alejandro F. Frangi
Medical Image Anal.5
2018 Statistical Shape Modeling of the Left Ventricle: Myocardial Infarct Classification Challenge
abstract
Statistical shape modeling is a powerful tool for visualizing and quantifying geometric and functional patterns of the heart. After myocardial infarction (MI), the left ventricle typically remodels in response to physiological challenges. Several methods have been proposed in the literature to describe statistical shape changes. Which method best characterizes left ventricular remodeling after MI is an open research question. A better descriptor of remodeling is expected to provide a more accurate evaluation of disease status in MI patients. We therefore designed a challenge to test shape characterization in MI given a set of three-dimensional left ventricular surface points. The training set comprised 100 MI patients, and 100 asymptomatic volunteers (AV). The challenge was initiated in 2015 at the Statistical Atlases and Computational Models of the Heart workshop, in conjunction with the MICCAI conference. The training set with labels was provided to participants, who were asked to submit the likelihood of MI from a different (validation) set of 200 cases (100 AV and 100 MI). Sensitivity, specificity, accuracy and area under the receiver operating characteristic curve were used as the outcome measures. The goals of this challenge were to (1) establish a common dataset for evaluating statistical shape modeling algorithms in MI, and (2) test whether statistical shape modeling provides additional information characterizing MI patients over standard clinical measures. Eleven groups with a wide variety of classification and feature extraction approaches participated in this challenge. All methods achieved excellent classification results with accuracy ranges from 0.83 to 0.98. The areas under the receiver operating characteristic curves were all above 0.90. Four methods showed significantly higher performance than standard clinical measures. The dataset and software for evaluation are available from the Cardiac Atlas Project website1.
Avan Suinesiaputra, Pierre Ablin, Xènia Albà, Martino Alessandrini, Jack Allen, Wenjia Bai, Serkan Çimen, Peter Claes, Brett R. Cowan, Jan D'hooge, Nicolas Duchateau, Jan Ehrhardt, Alejandro F. Frangi, Ali Gooya, Vicente Grau, Karim Lekadir, Allen Lu, Anirban Mukhopadhyay 0003, Ilkay Öksüz, Nripesh Parajuli, Xavier Pennec, Marco Pereañez, Catarina Pinto, Paolo Piras, Marc-Michel Rohé, Daniel Rueckert, Dennis Säring, Maxime Sermesant, Kaleem Siddiqi, Mahdi Tabassian, Luciano Teresi, Sotirios A. Tsaftaris, Matthias Wilms, Alistair A. Young, Pau Medrano-Gracia
IEEE J. Biomed. Health Informatics34
2017 An Open Benchmark Challenge for Motion Correction of Myocardial Perfusion MRI
abstract
Cardiac magnetic resonance perfusion examinations enable noninvasive quantification of myocardial blood flow. However, motion between frames due to breathing must be corrected for quantitative analysis. Although several methods have been proposed, there is a lack of widely available benchmarks to compare different algorithms. We sought to compare many algorithms from several groups in an open benchmark challenge. Nine clinical studies from two different centers comprising normal and diseased myocardium at both rest and stress were made available for this study. The primary validation measure was regional myocardial blood flow based on the transfer coefficient (K-trans), which was computed using a compartment model and the myocardial perfusion reserve (MPR) index. The ground truth was calculated using contours drawn manually on all frames by a single observer, and visually inspected by a second observer. Six groups participated and 19 different motion correction algorithms were compared. Each method used one of three different motion models: rigid, global affine, or local deformation. The similarity metric also varied with methods employing either sum-of-squared differences, mutual information, or cross correlation. There were no significant differences in K-trans or MPR compared across different motion models or similarity metrics. Compared with the ground truth, only Ktrans for the sum-of-squared differences metric, and for local deformation motion models, had significant bias. In conclusion, the open benchmark enabled evaluation of clinical perfusion indices over a wide range of methods. In particular, there was no benefit of nonrigid registration techniques over the other methods evaluated in this study. The benchmark data and results are available from the Cardiac Atlas Project (www.cardiacatlas.org).
Beau Pontre, Brett R. Cowan, Edward V. R. Di Bella, Sancgeetha Kulaseharan, Devavrat Likhite, Nils Noorman, Lennart Tautz, Nicholas J. Tustison, Gert Wollny, Alistair A. Young, Avan Suinesiaputra
IEEE J. Biomed. Health Informatics10
2016 Cardiac image modelling: Breadth and depth in heart disease
Avan Suinesiaputra, Andrew D. McCulloch, Martyn P. Nash, Beau Pontre, Alistair A. Young
Medical Image Anal.5
2016 Image-Based Investigation of Human in Vivo Myofibre Strain
abstract
Cardiac myofibre deformation is an important determinant of the mechanical function of the heart. Quantification of myofibre strain relies on 3D measurements of ventricular wall motion interpreted with respect to the tissue microstructure. In this study, we estimated in vivo myofibre strain using 3D structural and functional atlases of the human heart. A finite element modelling framework was developed to incorporate myofibre orientations of the left ventricle (LV) extracted from 7 explanted normal human hearts imaged ex vivo with diffusion tensor magnetic resonance imaging (DTMRI) and kinematic measurements from 7 normal volunteers imaged in vivo with tagged MRI. Myofibre strain was extracted from the DTMRI and 3D strain from the tagged MRI. We investigated: i) the spatio-temporal variation of myofibre strain throughout the cardiac cycle; ii) the sensitivity of myofibre strain estimates to the variation in myofibre angle between individuals; and iii) the sensitivity of myofibre strain estimates to variations in wall motion between individuals. Our analysis results indicate that end systolic (ES) myofibre strain is approximately homogeneous throughout the entire LV, irrespective of the inter-individual variation in myofibre orientation. Additionally, inter-subject variability in myofibre orientations has greater effect on the variabilities in myofibre strain estimates than the ventricular wall motions. This study provided the first quantitative evidence of homogeneity of ES myofibre strain using minimally-invasive medical images of the human heart and demonstrated that image-based modelling framework can provide detailed insight to the mechanical behaviour of the myofibres, which may be used as a biomarker for cardiac diseases that affect cardiac mechanics.
Vicky Y. Wang, Christopher Casta, Yue Min Zhu, Brett R. Cowan, Pierre Croisille, Alistair A. Young, Patrick Clarysse, Martyn P. Nash
IEEE Trans. Medical Imaging6
2015 Big Heart Data: Advancing Health Informatics Through Data Sharing in Cardiovascular Imaging
abstract
The burden of heart disease is rapidly worsening due to the increasing prevalence of obesity and diabetes. Data sharing and open database resources for heart health informatics are important for advancing our understanding of cardiovascular function, disease progression and therapeutics. Data sharing enables valuable information, often obtained at considerable expense and effort, to be reused beyond the specific objectives of the original study. Many government funding agencies and journal publishers are requiring data reuse, and are providing mechanisms for data curation and archival. Tools and infrastructure are available to archive anonymous data from a wide range of studies, from descriptive epidemiological data to gigabytes of imaging data. Meta-analyses can be performed to combine raw data from disparate studies to obtain unique comparisons or to enhance statistical power. Open benchmark datasets are invaluable for validating data analysis algorithms and objectively comparing results. This review provides a rationale for increased data sharing and surveys recent progress in the cardiovascular domain. We also highlight the potential of recent large cardiovascular epidemiological studies enabling collaborative efforts to facilitate data sharing, algorithms benchmarking, disease modeling and statistical atlases.
Avan Suinesiaputra, Pau Medrano-Gracia, Brett R. Cowan, Alistair A. Young
IEEE J. Biomed. Health Informatics4
2014 Rapid D-Affine Biventricular Cardiac Function with Polar Prediction
Kathleen Gilbert, Brett R. Cowan, Avan Suinesiaputra, Christopher Occleshaw, Alistair A. Young
MICCAI (2)5
2014 Construction of a Coronary Artery Atlas from CT Angiography
abstract
Describing the detailed statistical anatomy of the coronary artery tree is important for determining the aetiology of heart disease. A number of studies have investigated geometrical features and have found that these correlate with clinical outcomes, e.g. bifurcation angle with major adverse cardiac events. These methodologies were mainly two-dimensional, manual and prone to inter-observer variability, and the data commonly relates to cases already with pathology. We propose a hybrid atlasing methodology to build a population of computational models of the coronary arteries to comprehensively and accurately assess anatomy including 3D size, geometry and shape descriptors. A random sample of 122 cardiac CT scans with a calcium score of zero was segmented and analysed using a standardised protocol. The resulting atlas includes, but is not limited to, the distributions of the coronary tree in terms of angles, diameters, centrelines, principal component shape analysis and cross-sectional contours. This novel resource will facilitate the improvement of stent design and provide a reference for hemodynamic simulations, and provides a basis for large normal and pathological databases.
Pau Medrano-Gracia, John Ormiston, Mark Webster, Susann Beier, Chris Ellis, Chunliang Wang, Alistair A. Young, Brett R. Cowan
MICCAI (2)7
2014 A collaborative resource to build consensus for automated left ventricular segmentation of cardiac MR images
Avan Suinesiaputra, Brett R. Cowan, Ahmed O. Al-Agamy, Mustafa A. Alattar, Nicholas Ayache, Ahmed S. Fahmy, Ayman M. Khalifa, Pau Medrano-Gracia, Marie-Pierre Jolly, Alan H. Kadish, Daniel C. Lee 0002, Ján Margeta, Simon K. Warfield, Alistair A. Young
Medical Image Anal.14
2011 The Cardiac Atlas Project - an imaging database for computational modeling and statistical atlases of the heart
abstract
MOTIVATION: Integrative mathematical and statistical models of cardiac anatomy and physiology can play a vital role in understanding cardiac disease phenotype and planning therapeutic strategies. However, the accuracy and predictive power of such models is dependent upon the breadth and depth of noninvasive imaging datasets. The Cardiac Atlas Project (CAP) has established a large-scale database of cardiac imaging examinations and associated clinical data in order to develop a shareable, web-accessible, structural and functional atlas of the normal and pathological heart for clinical, research and educational purposes. A goal of CAP is to facilitate collaborative statistical analysis of regional heart shape and wall motion and characterize cardiac function among and within population groups. RESULTS: Three main open-source software components were developed: (i) a database with web-interface; (ii) a modeling client for 3D + time visualization and parametric description of shape and motion; and (iii) open data formats for semantic characterization of models and annotations. The database was implemented using a three-tier architecture utilizing MySQL, JBoss and Dcm4chee, in compliance with the DICOM standard to provide compatibility with existing clinical networks and devices. Parts of Dcm4chee were extended to access image specific attributes as search parameters. To date, approximately 3000 de-identified cardiac imaging examinations are available in the database. All software components developed by the CAP are open source and are freely available under the Mozilla Public License Version 1.1 (http://www.mozilla.org/MPL/MPL-1.1.txt). AVAILABILITY: http://www.cardiacatlas.org CONTACT: [email protected] SUPPLEMENTARY INFORMATION: Supplementary data are available at Bioinformatics online.
Carissa G. Fonseca, Michael Backhaus, David A. Bluemke, Randall Britten, Jae Do Chung, Brett R. Cowan, Ivo D. Dinov, J. Paul Finn, Peter J. Hunter, Alan H. Kadish, Daniel C. Lee 0002, Joao A. C. Lima, Pau Medrano-Gracia, Kalyanam Shivkumar, Avan Suinesiaputra, Wenchao Tao, Alistair A. Young
Bioinform.17
2010 Real Time Myocardial Strain Analysis of Tagged MR Cines Using Element Space Non-rigid Registration
Brett R. Cowan, Alistair A. Young
ACCV (4)3
2010 Cardiac Anchoring in MRI through Context Modeling
Xiaoguang Lu, Bogdan Georgescu, Marie-Pierre Jolly, Jens Guehring, Alistair A. Young, Brett R. Cowan, Arne Littmann, Dorin Comaniciu
MICCAI (1)5
2009 Modelling passive diastolic mechanics with quantitative MRI of cardiac structure and function
Vicky Y. Wang, Hoi Ieng Lam, Daniel B. Ennis, Brett R. Cowan, Alistair A. Young, Martyn P. Nash
Medical Image Anal.5
2008 GPU Accelerated Non-rigid Registration for the Evaluation of Cardiac Function
Alistair A. Young, Brett R. Cowan
MICCAI (2)2
2008 Passive Ventricular Mechanics Modelling Using MRI of Structure and Function
Vicky Y. Wang, Hoi Ieng Lam, Daniel B. Ennis, Alistair A. Young, Martyn P. Nash
MICCAI (2)4
2006 Estimation of Cardiac Hyperelastic Material Properties from MRI Tissue Tagging and Diffusion Tensor Imaging
Kevin F. Augenstein, Brett R. Cowan, Ian J. LeGrice, Alistair A. Young
MICCAI (1)4
2006 Automated Detection of Left Ventricle in 4D MR Images: Experience from a Large Study
Brett R. Cowan, Alistair A. Young
MICCAI (1)3
2006 Automated Detection of the Left Ventricle from 4D MR Images: Validation Using Large Clinical Datasets
Brett R. Cowan, Alistair A. Young
PSIVT3
2005 Parameter distribution models for estimation of population based left ventricular deformation using sparse fiducial markers
abstract
We present a method to estimate left ventricular (LV) motion based on three-dimensional (3-D) images that can be derived from any anatomical tomographic or 3-D modality, such as echocardiography, computed tomography, or magnetic resonance imaging. A finite element mesh of the LV was constructed to fit the geometry of the wall. The mesh was deformed by optimizing the nodal parameters to the motion of a sparse number of fiducial markers that were manually tracked in the images through the cardiac cycle. A parameter distribution model (PDM) of LV deformations was obtained from a database of MR tagging studies. This was used to filter the calculated deformation and incorporate a priori information on likely motions. The estimated deformation obtained from 13 normal untagged studies was compared with the deformation obtained from MR tagging. The end systolic (ES) circumferential and longitudinal strain values matched well with a mean difference of 0.1 +/- 3.2% and 0.3 +/- 3.0%, respectively. The calculated apex-base twist angle at ES had a mean difference of 1.0 +/- 2.3 degrees. We conclude that fiducial marker fitting in conjunction with a PDM provides accurate reconstruction of LV deformation in normal subjects.
Espen W. Remme, Kevin F. Augenstein, Alistair A. Young, Peter J. Hunter
IEEE Trans. Medical Imaging3
1999 Model tags: direct three-dimensional tracking of heart wall motion from tagged magnetic resonance images
Alistair A. Young
Medical Image Anal.1
1998 Model Tags: Direct 3D Tracking of Heart Wall Motion from Tagged Magnetic Resonance Images
Alistair A. Young
MICCAI1
1996 Deformable models with parameter functions for cardiac motion analysis from tagged MRI data
abstract
The authors present a new method for analyzing the motion of the heart's left ventricle (LV) from tagged magnetic resonance imaging (MRI) data. Their technique is based on the development of a new class of physics-based deformable models whose parameters are functions. They allow the definition of new parameterized primitives and parameterized deformations which can capture the local shape variation of a complex object. Furthermore, these parameters are intuitive and require no complex post-processing in order to be used by a physician. Using a physics-based approach, the authors convert the geometric models into dynamic models that deform due to forces exerted from the datapoints and conform to the given dataset. The authors present experiments involving the extraction of the shape and motion of the LV's mid-wall during systole from tagged MRI data based on a few parameter functions. Furthermore, by plotting the variations over time of the extracted LV model parameters from normal and abnormal heart data along the long axis, the authors are able to quantitatively characterize their differences.
Jinah Park, Dimitris N. Metaxas, Alistair A. Young, Leon Axel
IEEE Trans. Medical Imaging3
1995 Semi-automatic tracking of myocardial motion in MR tagged images
abstract
Tissue tagging using magnetic resonance (MR) imaging has enabled quantitative noninvasive analysis of motion and deformation in vivo. One method for MR tissue tagging is Spatial Modulation of Magnetization (SPAMM). Manual detection and tracking of tissue tags by visual inspection remains a time-consuming and tedious process. The authors have developed an interactively guided semi-automated method of detecting and tracking tag intersections in cardiac MR images. A template matching approach combined with a novel adaptation of active contour modeling permits rapid analysis of MR images. The authors have validated their technique using MR SPAMM images of a silicone gel phantom with controlled deformations. Average discrepancy between theoretically predicted and semi-automatically selected tag intersections was 0.30 mm+/-0.17 [mean+/-SD, NS (P<0.05)]. Cardiac SPAMM images of normal volunteers and diseased patients also have been evaluated using the authors' technique.
Dara L. Kraitchman, Alistair A. Young, Cheng-Ning Chang, Leon Axel
IEEE Trans. Medical Imaging2
1995 Tracking and finite element analysis of stripe deformation in magnetic resonance tagging
abstract
Magnetic resonance tissue tagging allows noninvasive in vivo measurement of soft tissue deformation. Planes of magnetic saturation are created, orthogonal to the imaging plane, which form dark lines (stripes) in the image. The authors describe a method for tracking stripe motion in the image plane, and show how this information can be incorporated into a finite element model of the underlying deformation. Human heart data were acquired from several imaging planes in different orientations and were combined using a deformable model of the left ventricle wall. Each tracked stripe point provided information on displacement orthogonal to the original tagging plane, i.e., a one-dimensional (1-D) constraint on the motion. Three-dimensional (3-D) motion and deformation was then reconstructed by fitting the model to the data constraints by linear least squares. The average root mean squared (rms) error between tracked stripe points and predicted model locations was 0.47 mm (n=3,100 points). In order to validate this method and quantify the errors involved, the authors applied it to images of a silicone gel phantom subjected to a known, well-controlled, 3-D deformation. The finite element strains obtained were compared to an analytic model of the deformation known to be accurate in the central axial plane of the phantom. The average rms errors were 6% in both the reconstructed shear strains and 16% in the reconstructed radial normal strain.
Alistair A. Young, Dara L. Kraitchman, Lawrence Dougherty, Leon Axel
IEEE Trans. Medical Imaging1
1994 Model-based analysis of cardiac motion from tagged MRI data
abstract
We develop a new method for analyzing the motion of the left ventricle (LV) of a heart from tagged MRI data. Our technique is based on the development of a new class of physics-based deformable models whose parameters are functions allowing the definition of new parameterized primitives and parameterized deformations. These parameter functions improve the accuracy of shape description through the use of a few intuitive parameters such as functional twisting. Furthermore, these parameters require no complex post-processing in order to be used by a physician. Using a physics-based approach, we convert these geometric models into deformable models that deform due to forces exerted from the datapoints and conform to the given dataset. We present experiments involving the extraction of shape and motion of the LV from MRI-SPAMM data based on a few parameter functions. Furthermore, by plotting the variations over time of the extracted model parameters from normal and abnormal heart data we are able to characterize quantitatively their differences.>
Jinah Park, Dimitris N. Metaxas, Alistair A. Young, Leon Axel
CBMS3
1994 Deformable models with parameter functions: application to heart-wall modeling
abstract
This paper develops a new class of physics-based deformable models which can deform both globally and locally. Their global parameters are functions allowing the definition of new parameterized primitives and parameterized global deformations. These new global parameter functions improve the accuracy of shape description through the use of a few intuitive parameters such as functional bending and twisting. Using a physics-based approach we convert these geometric models into deformable models that deform due to forces exerted from the data-points so as to conform to the given dataset. We present an experiment involving the extraction of shape and motion of the Left Ventricle (LV) of a heart from MRI-SPAMM data based on a few global parameter functions. >
Jinah Park, Dimitris N. Metaxas, Alistair A. Young
CVPR3
1992 Non-rigid heart wall motion using MR tagging
abstract
A measure of deformation energy suitable for fitting deformable models to image data is described. An object's displacement is constrained to be globally smooth by penalizing the variation of the deformation gradient tensor. This homogeneous deformation measure is invariant to arbitrary rigid body motion of object and viewpoint, given the correspondence between model and data. It remains quadratic in the displacement parameters, leading to linear-least-squares fits. The method was used to reconstruct the nonhomogeneous 3-D motion of the heart wall from tomographic magnetic resonance images. A finite-element model of the left ventricle was deformed to fit material points tracked in biplanar views. Only the in-plane components were available from each separate image, the through-plane components being reconstructed in the fit.>
Alistair A. Young, Leon Axel
CVPR1
1989 Epicardial surface estimation from coronary angiograms
Alistair A. Young, Peter J. Hunter, Bruce H. Smaill
Comput. Vis. Graph. Image Process.1