Evidence map›Paper›PMID 30208355›Full record

ArticleMedical image analysis2018

Algorithms for left atrial wall segmentation and thickness - Evaluation on an open-source CT and MRI image database.

Rashed Karim, Lauren-Emma Blake, Jiro Inoue, Qian Tao, Shuman Jia, R James Housden, Pranav Bhagirath, Jean-Luc Duval, Marta Varela, Jonathan M Behar and 9 more

Abstract read
In one paragraph

Article in Medical image analysis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  7. Review
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  9. Article
  10. Posterior wall thickness of the confluent inferior pulmonary veins measured by left atrial intracardiac echocardiography: implications for catheter ablation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024
    Article
  11. Article
  12. Review
  13. Real-time visualization of the esophagus and left atrial posterior wall by intra-left atrial echocardiography.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2022
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Deep Learning for Cardiac Image Segmentation: A Review.Frontiers in cardiovascular medicine · 2020
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Rashed KarimSchool of Biomedical Engineering & Imaging Sciences, King's College London, UK. Electronic address: rashed.karim@kcl.ac.uk.
Lauren-Emma BlakeSchool of Biomedical Engineering & Imaging Sciences, King's College London, UK.
Jiro InoueRobarts Research Institute, University of Western Ontario, Canada.
Qian TaoLeiden University Medical Center, Leiden, The Netherlands.
Shuman JiaEpione, INRIA Sophia Antipolis, Nice, France.
R James HousdenSchool of Biomedical Engineering & Imaging Sciences, King's College London, UK.
Pranav BhagirathDepartment of Cardiology, Haga Teaching Hospital, The Netherlands.
Jean-Luc DuvalSchool of Biomedical Engineering & Imaging Sciences, King's College London, UK.
Marta VarelaSchool of Biomedical Engineering & Imaging Sciences, King's College London, UK.
Jonathan M BeharSchool of Biomedical Engineering & Imaging Sciences, King's College London, UK.
Loïc CadourEpione, INRIA Sophia Antipolis, Nice, France.
Rob J van der GeestLeiden University Medical Center, Leiden, The Netherlands.
Hubert CochetIHU Liryc, University of Bordeaux, Pessac, France.
Maria DrangovaRobarts Research Institute, University of Western Ontario, Canada.
Maxime SermesantEpione, INRIA Sophia Antipolis, Nice, France.
Reza RazaviSchool of Biomedical Engineering & Imaging Sciences, King's College London, UK.
Oleg AslanidiSchool of Biomedical Engineering & Imaging Sciences, King's College London, UK.
Ronak RajaniSchool of Biomedical Engineering & Imaging Sciences, King's College London, UK.
Kawal RhodeSchool of Biomedical Engineering & Imaging Sciences, King's College London, UK.

Funding

British Heart Foundation PG/15/8/31130Department of HealthWellcome TrustWellcome Trust WT 203148/Z/16/Z
6 · The paper itself

Abstract

Structural changes to the wall of the left atrium are known to occur with conditions that predispose to Atrial fibrillation. Imaging studies have demonstrated that these changes may be detected non-invasively. An important indicator of this structural change is the wall's thickness. Present studies have commonly measured the wall thickness at few discrete locations. Dense measurements with computer algorithms may be possible on cardiac scans of Computed Tomography (CT) and Magnetic Resonance Imaging (MRI). The task is challenging as the atrial wall is a thin tissue and the imaging resolution is a limiting factor. It is unclear how accurate algorithms may get and how they compare in this new emerging area. We approached this problem of comparability with the Segmentation of Left Atrial Wall for Thickness (SLAWT) challenge organised in conjunction with MICCAI 2016 conference. This manuscript presents the algorithms that had participated and evaluation strategies for comparing them on the challenge image database that is now open-source. The image database consisted of cardiac CT (n=10) and MRI (n=10) of healthy and diseased subjects. A total of 6 algorithms were evaluated with different metrics, with 3 algorithms in each modality. Segmentation of the wall with algorithms was found to be feasible in both modalities. There was generally a lack of accuracy in the algorithms and inter-rater differences showed that algorithms could do better. Benchmarks were determined and algorithms were ranked to allow future algorithms to be ranked alongside the state-of-the-art techniques presented in this work. A mean atlas was also constructed from both modalities to illustrate the variation in thickness within this small cohort.

Indexed as

Magnetic Resonance ImagingTomography, X-Ray ComputedAlgorithmsAtrial FibrillationBiostatisticsDatabases, FactualHeart AtriaHumansObserver VariationAtrial fibrillationLeft atrial wall thicknessLeft atriumMyocardium

Identifiers

PMID30208355
PMCPMC6218662

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.