Cine cardiac magnetic resonance segmentation using temporal-spatial adaptation of prompt-enabled segment-anything-model: a feasibility study

ABSTRACT: Background: We propose an approach to adapt a segmentation foundation model, segment-anything-model (SAM), for cine cardiovascular magnetic resonance (CMR) segmentation and evaluate its generalization performance on unseen datasets. Methods: We present our model, cineCMR-SAM, which introd...

Full description

Saved in:
Bibliographic Details
Main Authors: Zhennong Chen, Sekeun Kim, Hui Ren, Sunghwan Kim, Siyeop Yoon, Quanzheng Li, Xiang Li
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Journal of Cardiovascular Magnetic Resonance
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1097664725000717
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:ABSTRACT: Background: We propose an approach to adapt a segmentation foundation model, segment-anything-model (SAM), for cine cardiovascular magnetic resonance (CMR) segmentation and evaluate its generalization performance on unseen datasets. Methods: We present our model, cineCMR-SAM, which introduces a temporal-spatial attention mechanism to produce segmentation across one cardiac cycle. We freeze the pre-trained SAM’s weights to leverage SAM’s generalizability while fine-tuning the rest of the model on two public cine CMR datasets. Our model also enables text prompts to specify the view type (short-axis or long-axis) of the input slices and box prompts to guide the segmentation region. We evaluated our model’s generalization performance on three external testing datasets including a public multi-center, multi-vendor testing dataset of 136 cases and 2 retrospectively collected in-house datasets from 2 different centers with specific pathologies: aortic stenosis (40 cases) and heart failure with preserved ejection fraction (HFpEF) (53 cases). Results: Our approach achieved superior generalization in both the public testing dataset (Dice for LV=0.94 and for myocardium=0.86) and two in-house datasets (Dice ≥0.90 for LV and ≥0.82 for myocardium) compared to existing CMR deep learning segmentation methods. Clinical parameters derived from automatic and manual segmentations showed a strong correlation (r ≥0.90). The use of both text prompts and box prompts enhanced the segmentation accuracy. Conclusion: cineCMR-SAM effectively adapts SAM for cine CMR segmentation, achieving high generalizability and superior accuracy on unseen datasets.
ISSN:1097-6647