Fi. Mckiddie et al., A VARIABLE THRESHOLD EDGE-DETECTOR FOR IMPROVED QUANTITATION OF GATEDTOMOGRAPHIC IMAGING OF THE LEFT-VENTRICULAR BLOOD-POOL, Nuclear medicine communications, 17(5), 1996, pp. 410-417
The accurate measurement of left ventricular volume from tomographic M
UGA studies is difficult due to the limited resolving power of the gam
ma camera, which causes errors in the detection of the correct ventric
ular boundaries. Therefore, the use of fixed threshold or second-deriv
ative edge-detectors results in overestimates at small volumes. A vari
able threshold edge-detection technique was developed to overcome this
. Computer-simulated short-axis slices through the heart over a range
of left ventricular dimensions were convolved by the Point Spread Resp
onse Function of the system to model the acquired image. The maximum p
ixel value and the threshold value required to detect the hue ventricu
lar edge from each simulation were then combined into a look-up table
for the calculation of the required threshold value. As the dimension
of the ventricle decreased, the threshold value chosen to detect the v
entricular edge increased. Left ventricular volumes and ejection fract
ion measurements were calculated for seven patients using cine-MRI as
the gold-standard technique for validation of the proposed method. The
single photon emission tomographic studies were analysed using both t
he standard second-derivative edge-detection software and the proposed
variable threshold technique. The variable threshold technique was sh
own to increase significantly the accuracy of ventricular volume measu
rements and ejection fraction calculations. The average error in the m
easurement of volumes was reduced from 41.4 +/- 45.1% to 18.5 +/- 14.6
% and the accuracy of ejection fraction measurement was increased from
29.7 +/- 4.6% to 11.3 +/- 6.9%.