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Biomedical subjects

Alejandro F Frangi

Publications and source records attributed to Alejandro F Frangi.

6 recordsLinked to original sources

Ophthalmic imaging as a measure of cardiovascular and neurological health: a multi-omic analysis of deep-learning derived phenotypes.

The eye is a recognised source of biomarkers for cardiovascular and neurodegenerative disease risk. Here, we characterise the breadth of these associations and identify biological axes that may mediate them. Using UK Biobank data, we developed a multi-omic analysis pipeline integrating physiological, radiomic, metabolomic, and genomic information. We trained adversarial autoencoders (Ret-AAE) to represent optical coherence tomography (OCT) images and colour fundus photographs as 256-dimensional embeddings. Ret-AAE derived embeddings were associated with a range of cardiovascular and neurodegenerative diseases, including ischaemic heart disease, cerebrovascular disease, Parkinson's disease, and dementia. Examining associations across diverse omics datasets, we provide evidence linking ophthalmic imaging features to neurological and cardiovascular anatomy and function, lipid metabolism, and gene sets associated with neurodegenerative pathology. Collectively, our findings demonstrate that ophthalmic features reflect complex, multisystem biological processes, and reinforce the role of the eye as a composite indicator of systemic health.

Journal Article↗

Automatic construction of 3-D statistical deformation models of the brain using nonrigid registration.

In this paper, we show how the concept of statistical deformation models (SDMs) can be used for the construction of average models of the anatomy and their variability. SDMs are built by performing a statistical analysis of the deformations required to map anatomical features in one subject into the corresponding features in another subject. The concept of SDMs is similar to statistical shape models (SSMs) which capture statistical information about shapes across a population, but offers several advantages over SSMs. First, SDMs can be constructed directly from images such as three-dimensional (3-D) magnetic resonance (MR) or computer tomography volumes without the need for segmentation which is usually a prerequisite for the construction of SSMs. Instead, a nonrigid registration algorithm based on free-form deformations and normalized mutual information is used to compute the deformations required to establish dense correspondences between the reference subject and the subjects in the population class under investigation. Second, SDMs allow the construction of an atlas of the average anatomy as well as its variability across a population of subjects. Finally, SDMs take the 3-D nature of the underlying anatomy into account by analysing dense 3-D deformation fields rather than only information about the surface shape of anatomical structures. We show results for the construction of anatomical models of the brain from the MR images of 25 different subjects. The correspondences obtained by the nonrigid registration are evaluated using anatomical landmark locations and show an average error of 1.40 mm at these anatomical landmark positions. We also demonstrate that SDMs can be constructed so as to minimize the bias toward the chosen reference subject.

Algorithms↗

3D MRA coronary axis determination using a minimum cost path approach.

A method is introduced to automatically find the coronary axis based on two or more user-defined points, even in the presence of a severe stenosis. The coronary axis is determined by finding a minimum cost path (MCP) in a feature image in which the tubular-like structures are enhanced. The results of the proposed method were compared with manually drawn central axes to estimate the accuracy. In 32 3D TFE-EPI acquisitions of patients and volunteers, 14 right coronary arteries (RCAs), 15 left anterior descending arteries (LADs), and eight left circumflex arteries (LCXs) were manually tracked twice by two operators to determine a reference axis and to assess the inter- and intra-user variability. On average, the maximum distance to the reference axis, based on only two user-defined points, is less than 1.5 mm; the average distance is around 0.65 mm, which is less than the average in-plane resolution. The results of the method are comparable to those of the manual operators.

Coronary Stenosis↗

Propagation of measurement noise through backprojection reconstruction in electrical impedance tomography.

A framework to analyze the propagation of measurement noise through backprojection reconstruction algorithms in electrical impedance tomography (EIT) is presented. Two measurement noise sources were considered: noise in the current drivers and in the voltage detectors. The influence of the acquisition system architecture (serial/semi-parallel) is also discussed. Three variants of backprojection reconstruction are studied: basic (unweighted), weighted and exponential backprojection. The results of error propagation theory have been compared with those obtained from simulated and experimental data. This comparison shows that the approach provides a good estimate of the reconstruction error variance. It is argued that the reconstruction error in EIT images obtained via backprojection can be approximately modeled as a spatially nonstationary Gaussian distribution. This methodology allows us to develop a spatial characterization of the reconstruction error in EIT images.

Algorithms↗

Active shape model segmentation with optimal features.

An active shape model segmentation scheme is presented that is steered by optimal local features, contrary to normalized first order derivative profiles, as in the original formulation [Cootes and Taylor, 1995, 1999, and 2001]. A nonlinear kNN-classifier is used, instead of the linear Mahalanobis distance, to find optimal displacements for landmarks. For each of the landmarks that describe the shape, at each resolution level taken into account during the segmentation optimization procedure, a distinct set of optimal features is determined. The selection of features is automatic, using the training images and sequential feature forward and backward selection. The new approach is tested on synthetic data and in four medical segmentation tasks: segmenting the right and left lung fields in a database of 230 chest radiographs, and segmenting the cerebellum and corpus callosum in a database of 90 slices from MRI brain images. In all cases, the new method produces significantly better results in terms of an overlap error measure (p < 0.001 using a paired T-test) than the original active shape model scheme.

Adolescent↗

Automatic construction of multiple-object three-dimensional statistical shape models: application to cardiac modeling.

A novel method is introduced for the generation of landmarks for three-dimensional (3-D) shapes and the construction of the corresponding 3-D statistical shape models. Automatic landmarking of a set of manual segmentations from a class of shapes is achieved by 1) construction of an atlas of the class, 2) automatic extraction of the landmarks from the atlas, and 3) subsequent propagation of these landmarks to each example shape via a volumetric nonrigid registration technique using multiresolution B-spline deformations. This approach presents some advantages over previously published methods: it can treat multiple-part structures and requires less restrictive assumptions on the structure's topology. In this paper, we address the problem of building a 3-D statistical shape model of the left and right ventricle of the heart from 3-D magnetic resonance images. The average accuracy in landmark propagation is shown to be below 2.2 mm. This application demonstrates the robustness and accuracy of the method in the presence of large shape variability and multiple objects.

Algorithms↗