RT info:eu-repo/semantics/conferenceObject T1 Estimation of healthy and fibrotic tisse distributions in DCE-CMR incorporating CINE-CMR in an EM algorithm A1 Merino Caviedes, Susana A1 Cordero Grande, Lucilio A1 Sevilla Ruiz, María Teresa A1 Revilla Orodea, Ana A1 Pérez Rodríguez, María Teresa A1 Palencia de Lara, César A1 Martín Fernández, Marcos Antonio A1 Alberola López, Carlos AB Delayed Enhancement (DE) Cardiac Magnetic Resonance (CMR) allows practitioners to identify brosis in the myocardium. It is useful in the di erential diagnosis of Hypertrophic Cardiomyopathy (HCM), and its assessment is of importance in selecting the most ade- quate therapy for a patient. However, it has been stated in the literature that most clinical semiautomatic scar quanti cation methods present high intra- and interobserver variability in the case of HCM. Automatic methods relying on mixture model estimation of the myocardial inten- sity distribution are also subject to variability due to misalignments of the myocardial mask. In this paper, the CINE-CMR image information is incorporated to the estimation of the DE-CMR tissue distributions, without assuming perfect alignment between the two modalities nor the same label partitions in them. For this purpose, we propose an expec- tation maximization algorithm that estimates the DE-CMR distribution parameters, as well as the conditional probabilities of the DE-CMR la- bels with respect to the labels of CINE-CMR, with the latter being an input of the algorithm. Our results show that, compared to applying the original EM in the myocardium, the proposed algorithm is more accu- rate in estimating the myocardial tissue parameters and obtains higher loglikelihood of the scar voxels, as well as a higher Dice coe cient of the subsequent segmentations. YR 2017 FD 2017 LK http://uvadoc.uva.es/handle/10324/25464 UL http://uvadoc.uva.es/handle/10324/25464 LA eng DS UVaDOC RD 20-abr-2024