Publications by authors named "Bob D de Vos"

Article Synopsis
  • The study aims to automate the selection process for echocardiographic exams by classifying routine views, recognizing unknown views, and assessing image quality.
  • A neural network is trained for view classification, and a linear regression model predicts view quality using feature embeddings.
  • Results show that the method performs nearly at expert level, significantly improving efficiency in selecting appropriate echocardiography views for analysis.
View Article and Find Full Text PDF
Article Synopsis
  • Accurate diagnosis of sarcopenia involves assessing muscle quality, specifically how much fat is infiltrated in muscle tissue, which is crucial for predicting mortality in TAVI patients.
  • The study analyzed CT scans from 1199 patients who underwent TAVI between 2010 and 2020, employing deep learning algorithms to measure skeletal muscle density (SMD) and intermuscular adipose tissue (IMAT).
  • Results indicated that low muscle quality, identified through both low SMD and high IMAT, significantly correlates with increased mortality risk, suggesting that muscle quality metrics are valuable predictors of health outcomes post-TAVI.
View Article and Find Full Text PDF

Label noise hampers supervised training of neural networks. However, data without label noise is often infeasible to attain, especially for medical tasks. Attaining high-quality medical labels would require a pool of experts and their consensus reading, which would be extremely costly.

View Article and Find Full Text PDF
Article Synopsis
  • Left ventricular ejection fraction (LVEF) alone is not sufficient for predicting sudden cardiac death (SCD), prompting a study to enhance risk assessment for ICD implantation using machine learning (ML) with clinical data and ECG features.
  • A multicentric analysis involved 1010 patients with serious heart conditions (average age 65, mostly male) who had LVEF ≤ 35% and received ICDs for SCD prevention, collecting both clinical info and ECG data before implantation.
  • Machine learning models demonstrated high reliability in predicting non-arrhythmic mortality, achieving an impressive AUROC of 0.90 in a development cohort and 0.79 in an external validation cohort, indicating strong potential for personalized risk stratification.
View Article and Find Full Text PDF

Background: Body composition during childhood may predispose to negative health outcomes later in life. Automatic segmentation may assist in quantifying pediatric body composition in children.

Objective: To evaluate automatic segmentation for body composition on pediatric computed tomography (CT) scans and to provide normative data on muscle and fat areas throughout childhood using automatic segmentation.

View Article and Find Full Text PDF

Since the onset of computer-aided diagnosis in medical imaging, voxel-based segmentation has emerged as the primary methodology for automatic analysis of left ventricle (LV) function and morphology in cardiac magnetic resonance images (CMRI). In standard clinical practice, simultaneous multi-slice 2D cine short-axis MR imaging is performed under multiple breath-holds resulting in highly anisotropic 3D images. Furthermore, sparse-view CMRI often lacks whole heart coverage caused by large slice thickness and often suffers from inter-slice misalignment induced by respiratory motion.

View Article and Find Full Text PDF

Background: Arrhythmogenic right ventricular cardiomyopathy (ARVC) is diagnosed according to the Task Force Criteria (TFC) in which cardiovascular magnetic resonance (CMR) imaging plays an important role. Our study aims to apply an automatic deep learning-based segmentation for right and left ventricular CMR assessment and evaluate this approach for classification of the CMR TFC.

Methods: We included 227 subjects suspected of ARVC who underwent CMR.

View Article and Find Full Text PDF

Coronary artery calcium (CAC) score, i.e., the amount of CAC quantified in CT, is a strong and independent predictor of coronary heart disease (CHD) events.

View Article and Find Full Text PDF
Article Synopsis
  • Manual muscle mass assessment via CT scans helps identify malnutrition and sarcopenia, but the process is labor-intensive and needs a more efficient automated method.
  • This study involved 583 patients undergoing Transcatheter Aortic Valve Replacement (TAVR) to evaluate a deep learning-based method for automatically annotating psoas muscle areas, comparing it to manual analysis.
  • Results showed the automated method had good accuracy and reliability, indicating it could be a valuable tool for larger studies on muscle mass without the extensive time commitment of manual analysis.
View Article and Find Full Text PDF

High-resolution medical images are beneficial for analysis but their acquisition may not always be feasible. Alternatively, high-resolution images can be created from low-resolution acquisitions using conventional upsampling methods, but such methods cannot exploit high-level contextual information contained in the images. Recently, better performing deep-learning based super-resolution methods have been introduced.

View Article and Find Full Text PDF

Purpose: To examine the prognostic value of location-specific arterial calcification quantities at lung screening low-dose CT for the prediction of cardiovascular disease (CVD) mortality.

Materials And Methods: This retrospective study included 5564 participants who underwent low-dose CT from the National Lung Screening Trial between August 2002 and April 2004, who were followed until December 2009. A deep learning network was trained to quantify six types of vascular calcification: thoracic aorta calcification (TAC); aortic and mitral valve calcification; and coronary artery calcification (CAC) of the left main, the left anterior descending, and the right coronary artery.

View Article and Find Full Text PDF

Segmentation of cardiac anatomical structures in cardiac magnetic resonance images (CMRI) is a prerequisite for automatic diagnosis and prognosis of cardiovascular diseases. To increase robustness and performance of segmentation methods this study combines automatic segmentation and assessment of segmentation uncertainty in CMRI to detect image regions containing local segmentation failures. Three existing state-of-the-art convolutional neural networks (CNN) were trained to automatically segment cardiac anatomical structures and obtain two measures of predictive uncertainty: entropy and a measure derived by MC-dropout.

View Article and Find Full Text PDF

In this study, we propose a fast and accurate method to automatically localize anatomical landmarks in medical images. We employ a global-to-local localization approach using fully convolutional neural networks (FCNNs). First, a global FCNN localizes multiple landmarks through the analysis of image patches, performing regression and classification simultaneously.

View Article and Find Full Text PDF

Cardiovascular imaging is going to change substantially in the next decade, fueled by the deep learning revolution. For medical professionals, it is important to keep track of these developments to ensure that deep learning can have meaningful impact on clinical practice. This review aims to be a stepping stone in this process.

View Article and Find Full Text PDF

The amount of coronary artery calcification (CAC) quantified in computed tomography (CT) scans enables prediction of cardiovascular disease (CVD) risk. However, interscan variability of CAC quantification is high, especially in scans made without ECG synchronization. We propose a method for automatic detection of CACs that are severely affected by cardiac motion.

View Article and Find Full Text PDF

Cardiovascular disease (CVD) is the global leading cause of death. A strong risk factor for CVD events is the amount of coronary artery calcium (CAC). To meet the demands of the increasing interest in quantification of CAC, i.

View Article and Find Full Text PDF

Image registration, the process of aligning two or more images, is the core technique of many (semi-)automatic medical image analysis tasks. Recent studies have shown that deep learning methods, notably convolutional neural networks (ConvNets), can be used for image registration. Thus far training of ConvNets for registration was supervised using predefined example registrations.

View Article and Find Full Text PDF

Introduction: The amount of coronary artery calcium determined in CT scans is a well established predictor of cardiovascular events. However, high interscan variability of coronary calcium quantification may lead to incorrect cardiovascular risk assignment. Partial volume effect contributes to high interscan variability.

View Article and Find Full Text PDF

Heavy smokers undergoing screening with low-dose chest CT are affected by cardiovascular disease as much as by lung cancer. Low-dose chest CT scans acquired in screening enable quantification of atherosclerotic calcifications and thus enable identification of subjects at increased cardiovascular risk. This paper presents a method for automatic detection of coronary artery, thoracic aorta, and cardiac valve calcifications in low-dose chest CT using two consecutive convolutional neural networks.

View Article and Find Full Text PDF

Regrettably an error was introduced in Table 3 during the article's production. The very first cell (row: Very low 0; column: Very low) should read '12' and not '21' as originally published.

View Article and Find Full Text PDF

Background: We investigated fully automatic coronary artery calcium (CAC) scoring and cardiovascular disease (CVD) risk categorization from CT attenuation correction (CTAC) acquired at rest and stress during cardiac PET/CT and compared it with manual annotations in CTAC and with dedicated calcium scoring CT (CSCT).

Methods And Results: We included 133 consecutive patients undergoing myocardial perfusion Rb PET/CT with the acquisition of low-dose CTAC at rest and stress. Additionally, a dedicated CSCT was performed for all patients.

View Article and Find Full Text PDF

Localization of anatomical structures is a prerequisite for many tasks in a medical image analysis. We propose a method for automatic localization of one or more anatomical structures in 3-D medical images through detection of their presence in 2-D image slices using a convolutional neural network (ConvNet). A single ConvNet is trained to detect the presence of the anatomical structure of interest in axial, coronal, and sagittal slices extracted from a 3-D image.

View Article and Find Full Text PDF

Objectives: Coronary artery calcium (CAC) is a strong and independent predictor of cardiovascular disease (CVD) risk. This study assesses reproducibility of automatic CAC scoring on radiotherapy planning computed tomography (CT) scans of breast cancer patients, and examines its association with traditional cardiovascular risk factors.

Methods: This study included 561 breast cancer patients undergoing radiotherapy between 2013 and 2015.

View Article and Find Full Text PDF

Background: The burden of subclinical atherosclerosis in asymptomatic individuals is heritable and associated with elevated risk of developing clinical coronary heart disease. We sought to identify genetic variants in protein-coding regions associated with subclinical atherosclerosis and the risk of subsequent coronary heart disease.

Methods And Results: We studied a total of 25 109 European ancestry and African ancestry participants with coronary artery calcification (CAC) measured by cardiac computed tomography and 52 869 participants with common carotid intima-media thickness measured by ultrasonography within the CHARGE Consortium (Cohorts for Heart and Aging Research in Genomic Epidemiology).

View Article and Find Full Text PDF

Purpose: The amount of coronary artery calcification (CAC) is a strong and independent predictor of cardiovascular disease (CVD) events. In clinical practice, CAC is manually identified and automatically quantified in cardiac CT using commercially available software. This is a tedious and time-consuming process in large-scale studies.

View Article and Find Full Text PDF