Echocardiography is the modality of choice for the assessment of left ventricle function. Left ventricle is responsible for pumping blood rich in oxygen to all body parts. Segmentation of this chamber from echocardiographic images is a challenging task, due to the ambiguous boundary and inhomogeneous intensity distribution. In this paper we propose a novel deep learning model named ResDUnet. The model is based on U-net incorporated with dilated convolution, where residual blocks are employed instead of the basic U-net units to ease the training process. Each block is enriched with squeeze and excitation unit for channel-wise attention and adaptive feature re-calibration. To tackle the problem of left ventricle shape and size variability, we chose to enrich the process of feature concatenation in U-net by integrating feature maps generated by cascaded dilation. Cascaded dilation broadens the receptive field size in comparison with traditional convolution, which allows the generation of multi-scale information which in turn results in a more robust segmentation. Performance measures were evaluated on a publicly available dataset of 500 patients with large variability in terms of quality and patients pathology. The proposed model shows a dice similarity increase of 8.4% when compared to deeplabv3 and 1.2% when compared to the basic U-net architecture. Experimental results demonstrate the potential use in clinical domain.
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http://dx.doi.org/10.1109/EMBC44109.2020.9175436 | DOI Listing |
Br J Hosp Med (Lond)
January 2025
Aberdeen Biomedical Imaging Centre, University of Aberdeen, Aberdeen, UK.
Previous research has shown that smoking tobacco is associated with changes or differences in brain volume and cortical thickness, resulting in a smaller brain volume and decreased cortical thickness in smokers compared with non-smokers. However, the effects of smokeless tobacco on brain volume and cortical thickness remain unclear. This study aimed to investigate whether the use of shammah, a nicotine-containing smokeless tobacco popular in Middle Eastern countries, is associated with differences in brain volume and thickness compared with non-users and to assess the influence of shammah quantity and type on these effects.
View Article and Find Full Text PDFJ Clin Med
January 2025
Universidad Simón Bolívar, Facultad de Ciencias de la Salud, Centro de Investigaciones en Ciencias de la Vida, Barranquilla 080001, Colombia.
Several parameters have been proposed for the objective measurement of the quality of care (QoC) and breaches of care in patients with heart failure (HF). Therefore, the objective of this study was to evaluate the measures of QoC in inpatients with decompensated HF in the cardiology department of a tertiary Venezuelan hospital. : An observational, descriptive, ambispective study was conducted with adults of all genders diagnosed with decompensated HF between 2022 and 2024.
View Article and Find Full Text PDFMedicina (Kaunas)
January 2025
Cardiovascular Institute ''Dedinje'', 11040 Belgrade, Serbia.
: Left ventricular aneurysm (LVA) causes geometric changes, including reduced systolic function and a more spherical shape, which is quantified by the sphericity index (SI), the ratio of the short to long axis in the apical four-chamber view. This study aimed to assess SI's value in A-LVA and B-LVA, identify influencing factors, and evaluate its clinical relevance. : This clinical study included 54 patients with post-infarction LVA and used echocardiography to determine LVA locations (A-LVA near the apex and B-LVA in the basal segments), with SI and other echocardiographic measures assessed in both systole and diastole for the entire cohort and stratified by A-LVA and B-LVA groups.
View Article and Find Full Text PDFMedicina (Kaunas)
January 2025
Cardiovascular Institute "Dedinje", 111040 Belgrade, Serbia.
Coronary artery fistulas (CAFs) are rare congenital anomalies, presenting in 0.05-0.9% of cases, characterized by an aberrant connection between a coronary artery and a cardiac chamber or great vessel.
View Article and Find Full Text PDFMedicina (Kaunas)
December 2024
Clinic of Cardiac and Vascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, LT-03225 Vilnius, Lithuania.
Left ventricular hypertrabeculation (LVHT) used to be a rare phenotypic trait. With advances in diagnostic imaging techniques, LVHT is being recognised in an increasing number of people. The scientific data show the possibility of the overdiagnosis of this cardiomyopathy in a population of people who have very high levels of physical activity.
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