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98  Chapter 3 Learning cardiac anatomy




                                         3.2 Parsing of cardiac and vascular
                                              structures

                                         3.2.1 From shallow to deep marginal space learning
                                         3.2.1.1 Problem formulation
                                            Let us reformulate object localization as a classification prob-
                                         lem. Boxes of image intensities, i.e., constrained axis-aligned sub-
                                         regions of the image, parameterized as h ∈ U are sampled from
                                         the image. The variable U denotes the parameter space. We dis-
                                         tinguish between positive samples (centered around the ground-
                                         truth object position), and negative samples which are extracted
                                         from the rest of the image. A classifier is trained to distinguish be-
                                         tween these two categories. At test time, the classifier is applied
                                         exhaustively to scan the complete parameter space and yield the
                                         most probable positions of an object of interest. In practice, how-
                                         ever, this strategy is subject to severe computational limitations,
                                         as the scanning effort grows exponentially with the dimensional-
                                         ity of the parameter space. Given an arbitrary anatomical object
                                         of interest, the goal is to estimate its restricted affine transforma-
                                         tion which is defined by nine parameters. They define the location
                                         T = (t x ,t y ,t z ), the orientation R = (φ x ,φ y ,φ z ), and the anisotropic
                                         scale S = (s x ,s y ,s z ) of the considered object. One can observe that
                                         a simple coarse discretization of d = 10 possible values per param-
                                                                                    9
                                         eter results in highly prohibitive number of d = 1,000,000,000
                                         hypotheses that need to be evaluated by the classifier. Marginal
                                         Space Learning and its deep learning based extension aim at dras-
                                         tically reducing this computational complexity by restricting the
                                         portion of the parameter space in which candidates are searched.
                                            Given a bounding box computed with marginal space deep
                                         learning (MSDL), one can use this information to estimate the
                                         nonrigid deformation of the object. An initial estimation of the
                                         shape is obtained by rigidly transforming the mean object shape
                                         according to the estimated pose. This initial estimate is then itera-
                                         tively refined using an active shape model based on deep learned
                                         image features. In more detail, a boundary classifier is trained to
                                         decide whether there is a boundary point at a given position and
                                         under a given orientation. To solve this problem, Zheng et al. [31]
                                         proposed steerable features combined with the PBT [203].
                                            Once the pose of the object has been estimated, its shape needs
                                         to be determined. Statistical shape modeling is used to obtain a
                                         parametric description of the nonrigid deformation of the object,
                                         where c 1 ,c 2 ,...,c K ∈ R are the coefficients of the major deforma-
                                         tion modes, with K selected so that the object shape can be closely
                                         approximated. Using a boundary classifier that is trained to dis-
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