This article is part of the series Advances in Modality-Oriented Medical Image Processing.

Open Access Research Article

Automatic Characterization of Myocardial Perfusion in Contrast Enhanced MRI

Vincenzo Positano1*, Maria Filomena Santarelli1 and Luigi Landini2

Author Affiliations

1 Institute of Clinical Physiology, National Research Council, Via Moruzzi, 1 Loc San Cataldo, Pisa 56100, Italy

2 Department of Information Engineering, University of Pisa, Via Diotisalvi 2, Pisa 56122, Italy

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EURASIP Journal on Advances in Signal Processing 2003, 2003:760802  doi:10.1155/S1110865703211057


The electronic version of this article is the complete one and can be found online at: http://asp.eurasipjournals.com/content/2003/5/760802


Received: 29 January 2002
Revisions received: 16 October 2002
Published: 14 April 2003

© 2003 Copyright © 2003 Hindawi Publishing Corporation

The use of contrast medium in cardiac MRI allows joining the high-resolution anatomical information provided by standard magnetic resonance with functional information obtained by means of the perfusion of contrast agent in myocardial tissues. The current approach to perfusion MRI characterization is the qualitative one, based on visual inspection of images. Moving to quantitative analysis requires extraction of numerical indices of myocardium perfusion by analysis of time/intensity curves related to the area of interest. The main problem in quantitative image sequence analysis is the heart movement, mainly due to patient respiration. We propose an automatic procedure based on image registration, segmentation of the myocardium, and extraction and analysis of time/intensity curves. The procedure requires a minimal user interaction, is robust with respect to the user input, and allows effective characterization of myocardial perfusion. The algorithm was tested on cardiac MR images acquired from voluntaries and in clinical routine.

Keywords:
magnetic resonance imaging; image registration; contrast-enhanced MRI; myocardial perfusion; mutual information

Research Article