Exploring Deep Learning Frameworks for Multiclass Segmentation of 4D Cardiac Computed Tomography

Sammanfattning: By combining computed tomography data with computational fluid dynamics, the cardiac hemodynamics of a patient can be assessed for diagnosis and treatment of cardiac disease. The advantage of computed tomography over other medical imaging modalities is its capability of producing detailed high resolution images containing geometric measurements relevant to the simulation of cardiac blood flow. To extract these geometries from computed tomography data, segmentation of 4D cardiac computed tomography (CT) data has been performed using two deep learning frameworks that combine methods which have previously shown success in other research. The aim of this thesis work was to develop and evaluate a deep learning based technique to segment the left ventricle, ascending aorta, left atrium, left atrial appendage and the proximal pulmonary vein inlets. Two frameworks have been studied where both utilise a 2D multi-axis implementation to segment a single CT volume by examining it in three perpendicular planes, while one of them has also employed a 3D binary model to extract and crop the foreground from surrounding background. Both frameworks determine a segmentation prediction by reconstructing three volumes after 2D segmentation in each plane and combining their probabilities in an ensemble for a 3D output.  The results of both frameworks show similarities in their performance and ability to properly segment 3D CT data. While the framework that examines 2D slices of full size volumes produces an overall higher Dice score, it is less successful than the cropping framework at segmenting the smaller left atrial appendage. Since the full size 2D slices also contain background information in each slice, it is believed that this is the main reason for better segmentation performance. While the cropping framework provides a higher proportion of each foreground label, making it easier for the model to identify smaller structures. Both frameworks show success for use in 3D cardiac CT segmentation, and with further research and tuning of each network, even better results can be achieved.